Biomedical subjects
Publications and source records attributed to D Demetriades.
We report the use of a Foley catheter, placed through the wound, to provide balloon tamponade of major bleeding from the neck and supraclavicular fossae. In 10 consecutive explorations for exsanguinating injury in these regions balloon tamponade was used eight times, and was judged to be fully effective in four patients, partly effective in one, and ineffective in three patients.
Quality assurance in trauma care is of major importance in assessing the efficacy of a trauma service and in identifying areas for improvement. Trauma scores and the TRISS methodology are at present the most accurate tools for quality assurance purposes. In this prospective study, the TRISS methodology was used to analyse the results in a group of 629 patients with penetrating trauma.
A new, simple, safe and noninvasive technique for the electrical stimulation of fracture healing is introduced. The safety and the simplicity of the technique makes it possible to apply it almost immediately to clinical experimentation. Electrodes were applied externally to the fractured site producing current across the limb. It was observed that the current density changes the volume of callus and affects the direction of the trabecular orientation. When the trabecular orientation is completely changed from longitudinal to transverse, the larger volume of callus does not compensate for the loss of strength as compared with the callus on the control bone.