A diagnosis of primary aortoenteric fistula is difficult to make despite a high level of clinical suspicion. It should be considered in any elderly patient who presents with upper gastrointestinal bleeding in the cont...A diagnosis of primary aortoenteric fistula is difficult to make despite a high level of clinical suspicion. It should be considered in any elderly patient who presents with upper gastrointestinal bleeding in the context of a known abdominal aortic aneurysm. We present the case of young man with no history of abdominal aortic aneurysm who presented with massive upper gastrointestinal bleeding. Initial misdiagnosis led to a delay in treatment and the patient succumbing to the illness. This case is unique in that the fistula formed as a result of complex atherosclerotic disease of the abdominal aorta, and not from an aneurysm.展开更多
A trauma system is a chain of activities to provide quality response to the injured from the site of injury to the appropriate hospital and rehabilitation.Israel has a unique trauma system developed from the experienc...A trauma system is a chain of activities to provide quality response to the injured from the site of injury to the appropriate hospital and rehabilitation.Israel has a unique trauma system developed from the experience gained in peace and in war.It is characterized by a central national organization responsible for management,coordination,and ongoing quality control.Because of the unique situation,the Israeli Defense Forceshas a significant role in the system.In order to develop an effective trauma system,it is important to devote sufficient resources in education,training,motivation,team-work,and creation of public volunteers for capacity building.An effective trauma system manages mass casualty incidence(MCI)better.System quickly reorganized in order to accommodate the sudden needs of patients with coronavirus disease 2019(COVID-19),while being able to maintain the routine surgical and medical requirements of the community.The aim of this article is to present the main components of the Israeli trauma model.展开更多
文摘A diagnosis of primary aortoenteric fistula is difficult to make despite a high level of clinical suspicion. It should be considered in any elderly patient who presents with upper gastrointestinal bleeding in the context of a known abdominal aortic aneurysm. We present the case of young man with no history of abdominal aortic aneurysm who presented with massive upper gastrointestinal bleeding. Initial misdiagnosis led to a delay in treatment and the patient succumbing to the illness. This case is unique in that the fistula formed as a result of complex atherosclerotic disease of the abdominal aorta, and not from an aneurysm.
文摘A trauma system is a chain of activities to provide quality response to the injured from the site of injury to the appropriate hospital and rehabilitation.Israel has a unique trauma system developed from the experience gained in peace and in war.It is characterized by a central national organization responsible for management,coordination,and ongoing quality control.Because of the unique situation,the Israeli Defense Forceshas a significant role in the system.In order to develop an effective trauma system,it is important to devote sufficient resources in education,training,motivation,team-work,and creation of public volunteers for capacity building.An effective trauma system manages mass casualty incidence(MCI)better.System quickly reorganized in order to accommodate the sudden needs of patients with coronavirus disease 2019(COVID-19),while being able to maintain the routine surgical and medical requirements of the community.The aim of this article is to present the main components of the Israeli trauma model.
