Pasquier P.,Federation Anesthesie reanimation urgences |
Dubost C.,Federation Anesthesie reanimation urgences |
Salvadori A.,Federation Anesthesie reanimation urgences |
Delmas J.-M.,University of Paris Descartes |
And 2 more authors.
Reanimation | Year: 2014
The mainmechanism of injury in Afghanistan is the explosion of improvised explosive devices, associated with a high fatality rate and severe blast injuries. The head/neck area is particularly involved in children. Craniocerebral injuries account for more than 25% of the war wounds in children and are the first cause of death. The Kabul role 3 medical treatment facility was improved for children care with craniocerebal trauma. At reception of the MedEvac request, the emergency room is prepared to be ready and organized at arrival of the casualty. A head computerized tomography (CT)-scan is systematically realized, except in cases of life-threatening hemorrhage. Neurosurgical care of cerebral wounds focuses on the prevention of infection and increased intracranial pressure. Neurosurgery care of craniocerebral injuries is based on necrotic tissues debridement, dura mater repair and closure. Decompressive craniectomy is sometimes required. Neurointensive care is based on the prevention of systemic secondary brain insults, based on intracranial pressure monitoring. Infectious and seizure risks are also prevented. Significant ethical issues are considered in this country in war. Pediatric war neurotraumatology is a specific but daily activity in the intensive care unit at the Kabul role 3 medical treatment facility. In this article, the authors report the experience of the neurointensive care of Afghan children, who are unintended casualties of various devices explosion. © 2014 Société de réanimation de langue française (SRLF) and Springer-Verlag France.
Danguy Des Deserts M.,Federation Anesthesie Reanimation Urgences |
Montelescaut E.,Federation Anesthesie Reanimation Urgences |
Di Costanzo L.,Federation des Laboratoires |
Commandeur D.,Federation Anesthesie Reanimation Urgences |
And 4 more authors.
Annales de Biologie Clinique | Year: 2012
Falciparum malaria is a potentially deadly infectious disease, imposing a sure and fast biologic diagnosis, an early and efficient treatment. We report a case of severe imported Falciparium malaria who received artesunate, and we rewiew the different diagnostic methods of malaria as well as the clinico-biological characteristics of severe malaria. Recent data concerning malaria treatment are presented, as a pharmacokinetic study leaded during this case.