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31 results on '"Murabito, LETIZIA MARIA"'

1. Come gestire i disastri: proposta di gestione economica degli eventi catastrofici

Author

Gioffre', Maria, Murabito, LETIZIA MARIA, Crupi, Giovanni, and Fama', Fausto

Subjects
Disastro, Eventi avversi maggiori, Afflusso Feriti (PEIMAF), Emergenza, Piano Emergenza Interno Massiccio, Disastro, Eventi avversi maggiori, Emergenza, Piano Emergenza Interno Massiccio, Afflusso Feriti (PEIMAF)
Published
2015

10. Pneumothorax in the Emergency Room: personal caseload

Author

Surleti, Salvatore, Fama', Fausto, Murabito, LETIZIA MARIA, Villari, SANTA ALESSANDRA, Bramanti, CARLA CAROLINA, and Gioffre', Maria

Subjects
Adult, Aged, 80 and over, Lung Diseases, Male, Adolescent, Rupture, Spontaneous, Thoracic Injuries, Multiple Trauma, Incidence, Iatrogenic Disease, Pneumothorax, Lung Injury, Middle Aged, Hospitals, University, Young Adult, Italy, Humans, Female, Emergencies, Pneumothorax Incidence Mortality, Child, Emergency Service, Hospital, Aged, Retrospective Studies
Abstract

The aim of this study was to collect information on the incidence, pathophysiology, treatment and mortality of pneumothorax in the Emergency Room. Pneumothorax is classified as spontaneous (primary, secondary or catamenial) or traumatic (iatrogenic or secondary to a blunt or penetrating chest injury). Between January 2007 and December 2009, 102 patients with pneumothorax were seen in our Emergency Room. Their records were examined and their data collected retrospectively. The type and side of the pneumothorax and age, sex, incidence and mortality were analyzed. The cases, involving 93 males and 9 females, broke down as follows: 68 spontaneous (66.7%), 33 traumatic (32.3%) and one iatrogenic (0.98%). The mean age was 47.3 (range 12-99); the incidence was 0.10%. There were no deaths due to pneumothorax in the Emergency Room. Traumatic pneumothorax was associated with blunt chest trauma, pleural effusion, hemothorax, cranial trauma, fractured collarbone, upper and lower limb fracture, pelvic fracture, vertebral and spinal trauma, sternum fracture and abdominal trauma. Pneumothorax is a common clinical problem. A multidisciplinary approach is essential to reduce the risk of morbidity and mortality. The incidence of pneumothorax in the Emergency Room was similar to that reported in the literature, while mortality data cannot be compared due to the lack of published studies.

Published
2012

30. The relationship between scores and outcomes for polytrauma patients in the emergency department. A case study.

Author

Florio MG, Murabito LM, Visalli C, Villari A, Lauritano F, Bramanti C, and Famà F

Subjects
Accidents, Traffic mortality, Guidelines as Topic, Humans, Italy epidemiology, Multiple Trauma mortality, Prognosis, Risk Factors, Severity of Illness Index, Time Factors, Tomography, X-Ray Computed methods, Accidents, Traffic statistics & numerical data, Emergency Service, Hospital statistics & numerical data, Multiple Trauma diagnosis, Multiple Trauma epidemiology
Abstract

Aim: Traumas are one of the most relevant pathological events in health care, because of clinical and prognostic relevance. Morbidity and mortality rates are strongly affected by the timely and correct approach to the patient (golden hour). The objective of this study was to investigate the possible influence of the diagnostic time and of the Injury Severity Score (ISS) on outcomes in trauma patients., Material of Study: Out of a total of 240,833 emergency patients, we observed, 447 polytrauma. All patients were assessed according to the Advanced Trauma Life Support (ATLS) guidelines, diagnosed by computed tomography (CT), and summarized using an adapted complex trauma card (italian version)., Results: Overall, 2.5% (11/447) of patients died during the assessment, whereas the remaining 436 patients were diagnosed at the Emergency room and afterwards hospitalised. In 76 out of 436 patients (17.43%) the outcome was poor. Particularly, the most significant complications involved the central nervous system, chest and abdomen lesions respectively, with an ISS of 41.7 ± 15.9. The mean time for the diagnostic assessment in patients with poor outcome was 115.2 ± 0.4 minutes., Discussion: The immediate mortality percentage, as well as the delayed ones, was highest in patients involved in road accidents. The early management certainly plays a crucial role, reducing death rate and permanent disability., Conclusions: The high percentage of patients affected by haemodynamic instability (24.3%) demonstrates the existence of a criticality identifiable in the approach to the patient during the pre-hospital phase: a phase that is dramatically characterised by the exclusion of intensivists from rescue teams., Key Words: Complex Trauma Card, Mortality, Multiple injuries, Polytrauma, Scores.

Published
2017

31. [How to manage disasters: learning from recent experiences in the Emergency Department of a University Teaching Hospital, Italy].

Author

Gioffrè-Florio MA, Murabito LM, Crupi G, and Famà F

Subjects
Hospitals, University, Humans, Italy, Disasters, Education, Medical, Emergency Service, Hospital, Hospitals, Teaching
Abstract

The medical approach to disasters has been always a problematic issue for emergency departments. The authors of this paper reflect on possible efficient solutions for managing a massive influx of casualties in an Emergency Department, by analysing the responses to previous local catastrophic events, such as the collision of 'Segesta Jet', the great fire of Patti, the floods of Giampilieri/Scaletta and Saponara. The authors' point to a need for providing more extensive training of medical students in clinical aspects of disaster medicine.

Published
2015

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