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PRETEST 09: TRAUMA & BUKSM?RTAVersion 190908 TOC \o "1-3" F?RH?LLNINGSS?TT TILL TRAUMA PAGEREF _Toc429586101 \h 2I: F?RBEREDELSE PAGEREF _Toc429586102 \h 31-Traumaniv? & personal PAGEREF _Toc429586103 \h 32-Sign-In och rollf?rdelning PAGEREF _Toc429586104 \h 43-Barntrauma PAGEREF _Toc429586105 \h 5II: <C>ABCDE PAGEREF _Toc429586106 \h 61-<C> PAGEREF _Toc429586107 \h 62-Airway & C-spine PAGEREF _Toc429586108 \h 73-Breathing PAGEREF _Toc429586109 \h 94-Circulation PAGEREF _Toc429586110 \h 105-Disability PAGEREF _Toc429586111 \h 116-Exposure PAGEREF _Toc429586112 \h 12III: SYNDROMHANDL?GGNING PAGEREF _Toc429586113 \h 131-Resuscitative Thoracotomy PAGEREF _Toc429586114 \h 132-Bl?dningschock PAGEREF _Toc429586115 \h 143-Tamponad PAGEREF _Toc429586116 \h 164-?vertryckspneumothorax PAGEREF _Toc429586117 \h 175-Neurogen chock PAGEREF _Toc429586118 \h 18IV: V?RD EFTER AKUTRUMMET PAGEREF _Toc429586119 \h 191-Sign-Out och PAL PAGEREF _Toc429586120 \h 192-Beslut om akut operation PAGEREF _Toc429586121 \h 203-CT skalle PAGEREF _Toc429586122 \h 214-CT halsrygg PAGEREF _Toc429586123 \h 225-CT thorax, buk, b?cken, ryggrad PAGEREF _Toc429586124 \h 23F?RH?LLNINGSS?TT TILL BUKSM?RTA PAGEREF _Toc429586125 \h 24V: BAKGRUND & STATUS PAGEREF _Toc429586126 \h 251-Bakgrund PAGEREF _Toc429586127 \h 252-Status PAGEREF _Toc429586128 \h 25VI: SPECIFIKA TILLST?ND PAGEREF _Toc429586129 \h 261-Akut appendicit PAGEREF _Toc429586130 \h 262-Akut kolecystit PAGEREF _Toc429586131 \h 263-Divertikulit PAGEREF _Toc429586132 \h 274-Tarmischemi PAGEREF _Toc429586133 \h 275-Rupturerad bukaortaaneurysm PAGEREF _Toc429586134 \h 286-Salpingitis PAGEREF _Toc429586135 \h 287-Testistorsion PAGEREF _Toc429586136 \h 298-Uret?rsten PAGEREF _Toc429586137 \h 309-Buksm?rta hos barn PAGEREF _Toc429586138 \h 30REFERENSER PAGEREF _Toc429586139 \h 31F?RH?LLNINGSS?TT TILL TRAUMASign-InSituation? Teamintroduktion: f?rnamn och roll? Patientens ?lder; vad som har h?ntBakgrund? Melior / SieView: tidigare sjukdomar, l?kemedel, ?verk?nsligheter?? Ambulansrapport: skademekanism, symtom, vitalparametrar?Aktuellt / Analys? Potentiella diagnoser?? Potentiella ?tg?rder? WETBAG om patienten ?r barnRekommendation? Rollf?rdelning? ?sikter fr?n teamet?<C>ABCDE<C>? Katastrofal bl?dning?A? Tecken p? trauma till huvudet, halsen, nacken?? Fonering, andningsljud?? Inspektion av munh?lanB? Syresaturation?? Andningsfrekvens?? Lungauskultation? Unders?kning av br?stkorgenC? Perfusion: pulser, blodtryck?? Hj?rtfrekvens?? Hj?rtrytm: regelbundenhet? QRS bred?D? ?gonunders?kning: pupillstorlek och –reaktivitet f?r ljus? blickdeviation? ryckningar?? B?st muntligt svar?? Grov k?nsel och kraft i extremiteter?? Glukos?E? Ytlig unders?kning av kroppens framsida? Ytlig unders?kning av kroppens baksida? Temperatur?Ultraljud (se separat Pretest)Heart? Perikardv?tska? Tamponad?IVC? Storlek? ? Kollaps vid inandning?Juice*? Pleuralv?tska? ? Intraperitonealv?tska?Lung? Pneumothorax?* Perihepatic, perisplenic, suprapubicSyndrom handl?ggningRiktade utredningar och ?tg?rderSign-OutWhat?? Misst?nkt syndrom/skadorWhat?? Utredningar och behandlingar som beh?vs nuWhere?? Var kan patienten f? dessa utredningar och behandlingar?Who?? Vem tar ?ver ansvar f?r patienten?How?? Transport: utrustning? Vem f?ljer med??? ?sikter fr?n teametI: F?RBEREDELSE1-Traumaniv? & personala) Vilka fysiologiska kriterier avg?r om traumalarmet blir Niv? 1 enligt de Nationella traumalarmskriterier fr?n 2017? (Nationella traumalarmskriterier 2017 s5)b) N?mn tre exempel p? anatomiska kriterier som g?r att traumalarmet blir Niv? 1 (Nationella traumalarmskriterier 2017 s5)c) Vilka skademekanismer avg?r om traumalarmet blir Niv? 2 enligt de Nationella traumalarmskriterier fr?n 2017? (Nationella traumalarmskriterier 2017 s5)d) Vilken v?rdpersonal kallas till akutrummet p? ditt sjukhus vid Niv? 1 vuxen traumalarm? (Traumamanual Traumamottagande/Larmkriterier och larmkedjor)e) Vilken v?rdpersonal kallas till akutrummet p? ditt sjukhus vid Niv? 1 barn traumalarm? (Traumamanual Traumamottagande/Larmkriterier och larmkedjor)2-Sign-In och rollf?rdelninga) Vad ing?r i Sign-In? (Traumamanual Traumamottagande/Sign in/Sign out)b) Vem ?r ansvarig f?r att g?ra Sign-In? (Lund/Malm?: se Traumamanual Traumamottagande/Arbetsordning, dokument Arbetsbeskrivning)c) N?gon ska vara teamleader vid Niv? 1 traumalarm. Var god se kriterier f?r att bli teamleader under Traumamanual Traumamottagande/Teamleader p? traumalarm. Vem brukar vara teamleader p? ditt sjukhus? Vad har teamleadern f?r funktion rent allm?nt? (Traumamanual Traumamottagande/Teamleader p? traumalarm; Lund/Malm?, se ?ven Traumamanual Traumamottagande/Arbetsordning, dokument Arbetsbeskrivning)3-Barntraumaa) WETBAG ?r en minneshj?lp f?r att f?rbereda l?kemedelsdoser via barntrauma utifr?n barnets ?lder. Fyll i f?ljande tabell (SWESEMs kompetensdokument Initialt omh?ndertagande)Weight< 1 ?r:1-5 ?r:6-12 ?r:EnergyTubeBolusAdrenalinGlucoseb) Hur mycket morfin IV skulle du ge till ett hemodynamiskt stabilt, sm?rtp?verkat 3-?rigt barn med bilaterala ?ppna underbensfraktur? (Rosen's 9th ed Chapter 162 p2331)c) Hur mycket fentanyl IV skulle du ge till ett hemodynamiskt stabilt, sm?rtp?verkat 3-?rigt barn? (Rosen's 9th ed Chapter 162 p2331)d) Hur mycket ketamin IV skulle du ge till ett hemodynamiskt instabilt, sm?rtp?verkat 3-?rigt barn i sm?rtstillande syfte? (Rosen's 9th ed Chapter 162 p2332)e) Hur mycket ketamin IV skulle du ge till ett hemodynamiskt instabilt, sm?rtp?verkat 3-?rigt barn f?r att uppn? sedering/dissociation? (Rosen's 9th ed Chapter 162 p2321)II: <C>ABCDE 1-<C>a) Vad menas med ”<C>” och BATLS? (Hodgetts 2006 ADDIN EN.CITE <EndNote><Cite><Author>Hodgetts</Author><Year>2006</Year><RecNum>605</RecNum><DisplayText>[1]</DisplayText><record><rec-number>605</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">605</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Hodgetts, T. J.</author><author>Mahoney, P. F.</author><author>Russell, M. Q.</author><author>Byers, M.</author></authors></contributors><titles><title>ABC to &lt;C&gt;ABC: redefining the military trauma paradigm</title><secondary-title>Emerg Med J</secondary-title><alt-title>Emergency medicine journal : EMJ</alt-title></titles><periodical><full-title>Emerg Med J</full-title><abbr-1>Emergency medicine journal : EMJ</abbr-1></periodical><alt-periodical><full-title>Emerg Med J</full-title><abbr-1>Emergency medicine journal : EMJ</abbr-1></alt-periodical><pages>745-6</pages><volume>23</volume><number>10</number><edition>2006/09/22</edition><keywords><keyword>Clinical Protocols</keyword><keyword>Emergency Medical Services/*methods</keyword><keyword>Hemorrhage/etiology/*therapy</keyword><keyword>Humans</keyword><keyword>*Military Personnel</keyword><keyword>Wounds and Injuries/*therapy</keyword></keywords><dates><year>2006</year><pub-dates><date>Oct</date></pub-dates></dates><isbn>1472-0213 (Electronic)&#xD;1472-0205 (Linking)</isbn><accession-num>16988297</accession-num><work-type>Editorial</work-type><urls><related-urls><url>;[1] s745)b) Hur stoppar man en katastrofal bl?dning fr?n extremiteten? (Lee 2007 ADDIN EN.CITE <EndNote><Cite><Author>Lee</Author><Year>2007</Year><RecNum>356</RecNum><DisplayText>[2]</DisplayText><record><rec-number>356</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">356</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Lee, C.</author><author>Porter, K. M.</author><author>Hodgetts, T. J.</author></authors></contributors><auth-address>Academic Department of Traumatology, West Midlands, UK. drcarolinelee@</auth-address><titles><title>Tourniquet use in the civilian prehospital setting</title><secondary-title>Emerg Med J</secondary-title><alt-title>Emergency medicine journal : EMJ</alt-title></titles><periodical><full-title>Emerg Med J</full-title><abbr-1>Emergency medicine journal : EMJ</abbr-1></periodical><alt-periodical><full-title>Emerg Med J</full-title><abbr-1>Emergency medicine journal : EMJ</abbr-1></alt-periodical><pages>584-7</pages><volume>24</volume><number>8</number><edition>2007/07/27</edition><keywords><keyword>Caregivers</keyword><keyword>Device Removal/methods</keyword><keyword>Emergency Medical Services/*methods/standards</keyword><keyword>Hemorrhage/*therapy</keyword><keyword>Humans</keyword><keyword>Military Medicine/instrumentation/methods</keyword><keyword>Practice Guidelines as Topic</keyword><keyword>*Tourniquets</keyword><keyword>Transportation of Patients/methods</keyword></keywords><dates><year>2007</year><pub-dates><date>Aug</date></pub-dates></dates><isbn>1472-0213 (Electronic)&#xD;1472-0205 (Linking)</isbn><accession-num>17652690</accession-num><work-type>Review</work-type><urls><related-urls><url>;[2] Figure 1; King 2019 ADDIN EN.CITE <EndNote><Cite><Author>King</Author><Year>2019</Year><RecNum>2715</RecNum><DisplayText>[3]</DisplayText><record><rec-number>2715</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1567937653">2715</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>King, D. R.</author></authors></contributors><auth-address>From the Department of Surgery, Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, and the Department of Surgery, Harvard Medical School - both in Boston; and the U.S. Army Special Operations Command, Ft. Bragg, NC.</auth-address><titles><title>Initial Care of the Severely Injured Patient</title><secondary-title>N Engl J Med</secondary-title><alt-title>The New England journal of medicine</alt-title></titles><periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></periodical><alt-periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></alt-periodical><pages>763-770</pages><volume>380</volume><number>8</number><edition>2019/02/21</edition><keywords><keyword>Antifibrinolytic Agents/therapeutic use</keyword><keyword>Blood Transfusion</keyword><keyword>Emergency Medical Services</keyword><keyword>*Emergency Treatment</keyword><keyword>Endovascular Procedures</keyword><keyword>Hemorrhage/therapy</keyword><keyword>Humans</keyword><keyword>Time-to-Treatment</keyword><keyword>Tourniquets</keyword><keyword>Trauma Severity Indices</keyword><keyword>Traumatology/*methods/trends</keyword><keyword>Wounds and Injuries/*therapy</keyword></keywords><dates><year>2019</year><pub-dates><date>Feb 21</date></pub-dates></dates><isbn>0028-4793</isbn><accession-num>30786189</accession-num><urls></urls><electronic-resource-num>10.1056/NEJMra1609326</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[3] s763-4) c) Kan en improviserad tourniquet f?rs?mra bl?dning? 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ADDIN EN.CITE.DATA [4] s14502-Airway & C-spinea) Vilka tre variabler bed?ms under ”A” enligt SWESEM? (SWESEMs kompetensdokument Initialt omh?ndertagande)b) Vid trauma kan halsryggen vara ?ventyrad. Den snabbaste ?tg?rden ?r manuell immobilisering av huvudet. Vilka nackdelar finns med applicering av halskrage under "A"? (Holla 2012 ADDIN EN.CITE <EndNote><Cite><Author>Holla</Author><Year>2012</Year><RecNum>606</RecNum><DisplayText>[5]</DisplayText><record><rec-number>606</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">606</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Holla, M.</author></authors></contributors><auth-address>Department of Orthopaedic Surgery 357, Radboud University Nijmegen Medical Centre, Postbox 9101, 6500 HB Nijmegen, The Netherlands. m.holla@orthop.umcn.nl</auth-address><titles><title>Value of a rigid collar in addition to head blocks: a proof of principle study</title><secondary-title>Emerg Med J</secondary-title><alt-title>Emergency medicine journal : EMJ</alt-title></titles><periodical><full-title>Emerg Med J</full-title><abbr-1>Emergency medicine journal : EMJ</abbr-1></periodical><alt-periodical><full-title>Emerg Med J</full-title><abbr-1>Emergency medicine journal : EMJ</abbr-1></alt-periodical><pages>104-7</pages><volume>29</volume><number>2</number><edition>2011/02/22</edition><keywords><keyword>Adult</keyword><keyword>Braces/*standards/utilization</keyword><keyword>Cervical Vertebrae/*injuries/physiology</keyword><keyword>Emergency Medicine/methods</keyword><keyword>Female</keyword><keyword>Humans</keyword><keyword>Immobilization/instrumentation/*methods/standards</keyword><keyword>Male</keyword><keyword>Medical Illustration</keyword><keyword>Middle Aged</keyword><keyword>*Range of Motion, Articular/physiology</keyword><keyword>Unnecessary Procedures/instrumentation</keyword></keywords><dates><year>2012</year><pub-dates><date>Feb</date></pub-dates></dates><isbn>1472-0213 (Electronic)&#xD;1472-0205 (Linking)</isbn><accession-num>21335583</accession-num><urls><related-urls><url>;[5] s106-7) ?kar halskragen halsryggsimmobilisering hos en patient som har "head blocks"? c) Vad drar f?rfattarna f?r slutsatser om v?rdet av halskragen hos patienter som ?r fullt vakna (Cowley 2017 ADDIN EN.CITE <EndNote><Cite><Author>Cowley</Author><Year>2017</Year><RecNum>2365</RecNum><DisplayText>[6]</DisplayText><record><rec-number>2365</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1522835573">2365</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Cowley, A.</author><author>Hague, A.</author><author>Durge, N.</author></authors></contributors><auth-address>aKent, Surrey and Sussex Air Ambulance Trust, Marden bSouth East Coast Ambulance Service NHS Foundation Trust, Banstead cRoyal London Hospital, London, UK.</auth-address><titles><title>Cervical spine immobilization during extrication of the awake patient: a narrative review</title><secondary-title>Eur J Emerg Med</secondary-title><alt-title>European journal of emergency medicine : official journal of the European Society for Emergency Medicine</alt-title></titles><periodical><full-title>Eur J Emerg Med</full-title><abbr-1>European journal of emergency medicine : official journal of the European Society for Emergency Medicine</abbr-1></periodical><alt-periodical><full-title>Eur J Emerg Med</full-title><abbr-1>European journal of emergency medicine : official journal of the European Society for Emergency Medicine</abbr-1></alt-periodical><pages>158-161</pages><volume>24</volume><number>3</number><edition>2016/10/18</edition><keywords><keyword>*Accidents, Traffic</keyword><keyword>Cervical Vertebrae/*injuries</keyword><keyword>Humans</keyword><keyword>Immobilization/*methods</keyword><keyword>Motor Vehicles</keyword><keyword>Spinal Cord Injuries/*therapy</keyword></keywords><dates><year>2017</year><pub-dates><date>Jun</date></pub-dates></dates><isbn>0969-9546</isbn><accession-num>27748690</accession-num><urls></urls><electronic-resource-num>10.1097/mej.0000000000000424</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[6] Abstract; Benger 2009 ADDIN EN.CITE <EndNote><Cite><Author>Benger</Author><Year>2009</Year><RecNum>785</RecNum><DisplayText>[7]</DisplayText><record><rec-number>785</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">785</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Benger, J.</author><author>Blackham, J.</author></authors></contributors><auth-address>Faculty of Health and Life Sciences, University of the West of England, Bristol, UK. Jonathan.Benger@uwe.ac.uk</auth-address><titles><title>Why do we put cervical collars on conscious trauma patients?</title><secondary-title>Scand J Trauma Resusc Emerg Med</secondary-title><alt-title>Scandinavian journal of trauma, resuscitation and emergency medicine</alt-title></titles><periodical><full-title>Scand J Trauma Resusc Emerg Med</full-title><abbr-1>Scandinavian journal of trauma, resuscitation and emergency medicine</abbr-1></periodical><alt-periodical><full-title>Scand J Trauma Resusc Emerg Med</full-title><abbr-1>Scandinavian journal of trauma, resuscitation and emergency medicine</abbr-1></alt-periodical><pages>44</pages><volume>17</volume><edition>2009/09/22</edition><keywords><keyword>*Consciousness</keyword><keyword>Emergency Medical Services/*methods</keyword><keyword>Humans</keyword><keyword>*Neck</keyword><keyword>*Orthotic Devices</keyword><keyword>Restraint, Physical/*instrumentation</keyword><keyword>*Wounds and Injuries</keyword></keywords><dates><year>2009</year></dates><isbn>1757-7241 (Electronic)&#xD;1757-7241 (Linking)</isbn><accession-num>19765308</accession-num><urls><related-urls><url>;[7] Abstract)d) Vad s?ger evidensen kring halskragen vid penetrerande halsskada? 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ADDIN EN.CITE.DATA [9] s6 Recommendation 6)f) Vad har Sydafrika f?r rekommendation kring anv?ndning av halskragen prehospitalt? (Stanton 2017 ADDIN EN.CITE <EndNote><Cite ExcludeYear="1"><Author>Stanton</Author><RecNum>2368</RecNum><DisplayText>[10]</DisplayText><record><rec-number>2368</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1522836429">2368</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Stanton, D.</author><author>Hardcastle, T.</author><author>Muhlbauer, D.</author><author>van Zyl, D.</author></authors></contributors><titles><title>Cervical collars and immobilisation: A South African best practice recommendation</title><secondary-title>African Journal of Emergency Medicine</secondary-title></titles><periodical><full-title>African Journal of Emergency Medicine</full-title></periodical><pages>4-8</pages><volume>7</volume><number>1</number><dates></dates><publisher>Elsevier</publisher><isbn>2211-419X</isbn><urls><related-urls><url>;[10] s6 Cervical Spine Management)g) Vad rekommenderas g?llande anv?ndning av stel halskrage prehospitalt i Sverige? (Prehospital spinal r?relsebegr?nsningar vid trauma Nationella rekommendationer 2019 Behandlingsrekommendation 5 s14-15)h) M?nga traumapatienter inkommer till akuten d?r hela kroppen ?r fastsp?nd p? spineboard. Om dessa patienter skulle kr?kas, vad g?r man?i) F?r att unders?ka patienten beh?ver man ta bort alla remmar. B?r man fria huvudet eller b?len f?rst?j) Vid potentiellt trauma till halsryggen ?r ’head tilt-chin lift’ kontraindicerad. Hur ?tg?rdar man en ofri luftv?g orsakad av f?rlust i tonus i ?vre luftv?gen? (Albrecht 2010 ADDIN EN.CITE <EndNote><Cite><Author>Albrecht</Author><Year>2010</Year><RecNum>1831</RecNum><DisplayText>[11]</DisplayText><record><rec-number>1831</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1488087622">1831</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Albrecht, E.</author><author>Schoettker, P.</author></authors></contributors><auth-address>Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.</auth-address><titles><title>Images in clinical medicine. The jaw-thrust maneuver</title><secondary-title>N Engl J Med</secondary-title><alt-title>The New England journal of medicine</alt-title></titles><periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></periodical><alt-periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></alt-periodical><pages>e32</pages><volume>363</volume><number>21</number><edition>2010/11/19</edition><keywords><keyword>Humans</keyword><keyword>Jaw</keyword><keyword>Respiration, Artificial/*methods</keyword></keywords><dates><year>2010</year><pub-dates><date>Nov 18</date></pub-dates></dates><isbn>0028-4793</isbn><accession-num>21083381</accession-num><urls></urls><electronic-resource-num>10.1056/NEJMicm0910490</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[11])k) Hur resonerar du kring n?skantarell vid skalltrauma? (Roberts 2005 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Sb2JlcnRzPC9BdXRob3I+PFllYXI+MjAwNTwvWWVhcj48

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ADDIN EN.CITE.DATA [12] sista punkt i Conclusions; Ellis 2006 ADDIN EN.CITE <EndNote><Cite><Author>Ellis</Author><Year>2006</Year><RecNum>2364</RecNum><DisplayText>[13]</DisplayText><record><rec-number>2364</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1522831116">2364</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Ellis, D. Y.</author><author>Lambert, C.</author><author>Shirley, P.</author></authors></contributors><titles><title>Intracranial placement of nasopharyngeal airways: is it all that rare?</title><secondary-title>Emerg Med J</secondary-title><alt-title>Emergency medicine journal : EMJ</alt-title></titles><periodical><full-title>Emerg Med J</full-title><abbr-1>Emergency medicine journal : EMJ</abbr-1></periodical><alt-periodical><full-title>Emerg Med J</full-title><abbr-1>Emergency medicine journal : EMJ</abbr-1></alt-periodical><pages>661</pages><volume>23</volume><number>8</number><edition>2006/07/22</edition><keywords><keyword>Airway Obstruction/*therapy</keyword><keyword>Craniocerebral Trauma/*therapy</keyword><keyword>Facial Injuries/therapy</keyword><keyword>Head Injuries, Penetrating/etiology</keyword><keyword>Humans</keyword><keyword>Intubation, Intratracheal/*adverse effects/methods</keyword><keyword>Male</keyword></keywords><dates><year>2006</year><pub-dates><date>Aug</date></pub-dates></dates><isbn>1472-0205</isbn><accession-num>16858116</accession-num><urls></urls><custom2>PMC2564185</custom2><electronic-resource-num>10.1136/emj.2006.036541</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[13]; Steinbruner 2007 ADDIN EN.CITE <EndNote><Cite><Author>Steinbruner</Author><Year>2007</Year><RecNum>2363</RecNum><DisplayText>[14]</DisplayText><record><rec-number>2363</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1522830938">2363</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Steinbruner, David</author><author>Mazur, Robert</author><author>Mahoney, Peter F.</author></authors></contributors><titles><title>Intracranial placement of a nasopharyngeal airway in a gun shot victim</title><secondary-title>Emergency Medicine Journal : EMJ</secondary-title></titles><periodical><full-title>Emerg Med J</full-title><abbr-1>Emergency medicine journal : EMJ</abbr-1></periodical><pages>311-311</pages><volume>24</volume><number>4</number><dates><year>2007</year></dates><publisher>BMJ Group</publisher><isbn>1472-0205&#xD;1472-0213</isbn><accession-num>PMC2658253</accession-num><urls><related-urls><url>;[14])l) En patient inblandad i en trafikolycka inkommer till akuten redan intuberad. Hur bekr?ftar du att tuben ligger p? r?tt plats? (Rosen's 9th Chapter 1 s7-8)3-Breathinga) Vilka fyra variabler bed?ms under ”B” enligt SWESEM? (SWESEMs kompetensdokument Initialt omh?ndertagande)b) Vad ?r patientens minutvolym? (Wikipedia)c) En 20 ?rig man inkommer efter en traktorolycka. Hans br?stkorg r?r sig konstigt ut (Alexander 2010 ADDIN EN.CITE <EndNote><Cite><Author>Alexander</Author><Year>2010</Year><RecNum>2369</RecNum><DisplayText>[15]</DisplayText><record><rec-number>2369</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1522836912">2369</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Alexander, P.</author></authors></contributors><auth-address>Lady Willingdon Hospital, Manali, Himachal Pradesh, India. philalex1@</auth-address><titles><title>Images in clinical medicine. Flail chest</title><secondary-title>N Engl J Med</secondary-title><alt-title>The New England journal of medicine</alt-title></titles><periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></periodical><alt-periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></alt-periodical><pages>e35</pages><volume>363</volume><number>23</number><edition>2010/12/03</edition><keywords><keyword>Flail Chest/pathology/*physiopathology</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Motion</keyword><keyword>Rib Fractures/physiopathology</keyword><keyword>Young Adult</keyword></keywords><dates><year>2010</year><pub-dates><date>Dec 2</date></pub-dates></dates><isbn>0028-4793</isbn><accession-num>21121828</accession-num><urls></urls><electronic-resource-num>10.1056/NEJMicm0904437</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[15] Videon). Syresaturationen stiger d?ligt trots en andningsfrekvens p? 36 och ≥ 10 L O2 via mask med reservoir. Varf?r? Hur skulle du initialt ?tg?rda patientens B problem?d) En 4 ?rig flicka inkommer till akuten efter att familjens pittbull rev ett h?ll i hennes br?stkorg (). Du h?r att luft sugs in vid inandning. Vad kallas detta tillst?nd f?r? Hur ?tg?rder man tillst?ndet initialt? (Butler 2013 ADDIN EN.CITE <EndNote><Cite><Author>Butler</Author><Year>2013</Year><RecNum>1091</RecNum><DisplayText>[16]</DisplayText><record><rec-number>1091</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">1091</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Butler, F. K.</author><author>Dubose, J. J.</author><author>Otten, E. J.</author><author>Bennett, D. R.</author><author>Gerhardt, R. T.</author><author>Kheirabadi, B. S.</author><author>Gross, K. R.</author><author>Cap, A. P.</author><author>Littlejohn, L. F.</author><author>Edgar, E. P.</author><author>Shackelford, S. A.</author><author>Blackbourne, L. H.</author><author>Kotwal, R. S.</author><author>Holcomb, J. B.</author><author>Bailey, J. A.</author></authors></contributors><titles><title>Management of Open Pneumothorax in Tactical Combat Casualty Care: TCCC Guidelines Change 13-02</title><secondary-title>J Spec Oper Med</secondary-title><alt-title>Journal of special operations medicine : a peer reviewed journal for SOF medical professionals</alt-title></titles><periodical><full-title>J Spec Oper Med</full-title><abbr-1>Journal of special operations medicine : a peer reviewed journal for SOF medical professionals</abbr-1></periodical><alt-periodical><full-title>J Spec Oper Med</full-title><abbr-1>Journal of special operations medicine : a peer reviewed journal for SOF medical professionals</abbr-1></alt-periodical><pages>81-6</pages><volume>13</volume><number>3</number><edition>2013/09/21</edition><dates><year>2013</year><pub-dates><date>Fall</date></pub-dates></dates><isbn>1553-9768 (Print)&#xD;1553-9768 (Linking)</isbn><accession-num>24048995</accession-num><urls><related-urls><url>;[16] Abstract). Hur skulle man kunna improvisera en "vented chest seal"?4-Circulationa) Vilka variabler bed?ms under ”C” enligt SWESEM? (SWESEMs kompetensdokument Initialt omh?ndertagande)b) Hur unders?ker du b?ckenringen enligt Rajab? (Rajab 2013 ADDIN EN.CITE <EndNote><Cite><Author>Rajab</Author><Year>2013</Year><RecNum>2255</RecNum><DisplayText>[17]</DisplayText><record><rec-number>2255</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1519810313">2255</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Rajab, T. K.</author><author>Weaver, M. J.</author><author>Havens, J. M.</author></authors></contributors><auth-address>From the Department of Surgery (T.K.R., J.M.H.), the Orthopedic Trauma Service (M.J.W.), and the Division of Trauma, Burns, and Surgical Critical Care (J.M.H.), Brigham and Women&apos;s Hospital, and the Department of Surgery, Harvard Medical School (T.K.R., M.J.W., J.H.) - both in Boston.</auth-address><titles><title>Videos in clinical medicine. Technique for temporary pelvic stabilization after trauma</title><secondary-title>N Engl J Med</secondary-title><alt-title>The New England journal of medicine</alt-title></titles><periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></periodical><alt-periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></alt-periodical><pages>e22</pages><volume>369</volume><number>17</number><edition>2013/10/25</edition><keywords><keyword>Bandages</keyword><keyword>Fractures, Bone/complications/diagnostic imaging/*therapy</keyword><keyword>Humans</keyword><keyword>Pelvic Bones/anatomy &amp; histology/diagnostic imaging/*injuries</keyword><keyword>Radiography</keyword><keyword>Shock, Hemorrhagic/*prevention &amp; control</keyword></keywords><dates><year>2013</year><pub-dates><date>Oct 24</date></pub-dates></dates><isbn>0028-4793</isbn><accession-num>24152281</accession-num><urls></urls><electronic-resource-num>10.1056/NEJMvcm1200383</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[17])c) Du misst?nker en b?ckenfraktur. N?r ?r b?ckeng?rdel kontraindicerad? (Rajab 2013 ADDIN EN.CITE <EndNote><Cite><Author>Rajab</Author><Year>2013</Year><RecNum>2255</RecNum><DisplayText>[17]</DisplayText><record><rec-number>2255</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1519810313">2255</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Rajab, T. K.</author><author>Weaver, M. J.</author><author>Havens, J. M.</author></authors></contributors><auth-address>From the Department of Surgery (T.K.R., J.M.H.), the Orthopedic Trauma Service (M.J.W.), and the Division of Trauma, Burns, and Surgical Critical Care (J.M.H.), Brigham and Women&apos;s Hospital, and the Department of Surgery, Harvard Medical School (T.K.R., M.J.W., J.H.) - both in Boston.</auth-address><titles><title>Videos in clinical medicine. Technique for temporary pelvic stabilization after trauma</title><secondary-title>N Engl J Med</secondary-title><alt-title>The New England journal of medicine</alt-title></titles><periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></periodical><alt-periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></alt-periodical><pages>e22</pages><volume>369</volume><number>17</number><edition>2013/10/25</edition><keywords><keyword>Bandages</keyword><keyword>Fractures, Bone/complications/diagnostic imaging/*therapy</keyword><keyword>Humans</keyword><keyword>Pelvic Bones/anatomy &amp; histology/diagnostic imaging/*injuries</keyword><keyword>Radiography</keyword><keyword>Shock, Hemorrhagic/*prevention &amp; control</keyword></keywords><dates><year>2013</year><pub-dates><date>Oct 24</date></pub-dates></dates><isbn>0028-4793</isbn><accession-num>24152281</accession-num><urls></urls><electronic-resource-num>10.1056/NEJMvcm1200383</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[17])d) Var b?r b?ckeng?rdeln trycka p?? (Rajab 2013 ADDIN EN.CITE <EndNote><Cite><Author>Rajab</Author><Year>2013</Year><RecNum>2255</RecNum><DisplayText>[17]</DisplayText><record><rec-number>2255</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1519810313">2255</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Rajab, T. K.</author><author>Weaver, M. J.</author><author>Havens, J. M.</author></authors></contributors><auth-address>From the Department of Surgery (T.K.R., J.M.H.), the Orthopedic Trauma Service (M.J.W.), and the Division of Trauma, Burns, and Surgical Critical Care (J.M.H.), Brigham and Women&apos;s Hospital, and the Department of Surgery, Harvard Medical School (T.K.R., M.J.W., J.H.) - both in Boston.</auth-address><titles><title>Videos in clinical medicine. Technique for temporary pelvic stabilization after trauma</title><secondary-title>N Engl J Med</secondary-title><alt-title>The New England journal of medicine</alt-title></titles><periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></periodical><alt-periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></alt-periodical><pages>e22</pages><volume>369</volume><number>17</number><edition>2013/10/25</edition><keywords><keyword>Bandages</keyword><keyword>Fractures, Bone/complications/diagnostic imaging/*therapy</keyword><keyword>Humans</keyword><keyword>Pelvic Bones/anatomy &amp; histology/diagnostic imaging/*injuries</keyword><keyword>Radiography</keyword><keyword>Shock, Hemorrhagic/*prevention &amp; control</keyword></keywords><dates><year>2013</year><pub-dates><date>Oct 24</date></pub-dates></dates><isbn>0028-4793</isbn><accession-num>24152281</accession-num><urls></urls><electronic-resource-num>10.1056/NEJMvcm1200383</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[17])Intraosse?s n?l i tibia och humerus t?cks i pretest 10 infarter, dr?n, s?rskada.5-Disabilitya) Vilka variabler bed?ms under ”D” SWESEM? (SWESEMs kompetensdokument Initialt omh?ndertagande)b) Vad b?r man ?ven kontrollera om patienten ?r medvetandes?nkt ("DEFG")?c) Varf?r ?r det f?rdelaktigt att bed?ma ”D” innan man sederar, paralyserar och intuberar?6-Exposurea) Vilka kriterier bed?ms under ”E” enligt SWESEM? (SWESEMs kompetensdokument Initialt omh?ndertagande)b) Hur k?nslig ?r palpation av ryggraden hos en medvetsl?s patient f?r att uppt?cka benskador? Vad drar f?rfattare f?r slutsatser? (Singh Tveit 2016 ADDIN EN.CITE <EndNote><Cite><Author>Singh Tveit</Author><Year>2016</Year><RecNum>1739</RecNum><DisplayText>[18]</DisplayText><record><rec-number>1739</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">1739</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Singh Tveit, Megha</author><author>Singh, Eshana</author><author>Olaussen, Alexander</author><author>Liew, Susan</author><author>Fitzgerald, Mark C</author><author>Mitra, Biswadev</author></authors></contributors><titles><title>What is the purpose of log roll examination in the unconscious adult trauma patient during trauma reception?</title><secondary-title>Emergency Medicine Journal</secondary-title></titles><periodical><full-title>Emergency Medicine Journal</full-title></periodical><pages>632-635</pages><volume>33</volume><number>9</number><dates><year>2016</year><pub-dates><date>September 1, 2016</date></pub-dates></dates><urls><related-urls><url>;[18] Abstract Conclusions).c) Vad menas med ”the bullet rule”? (Engels 2012 ADDIN EN.CITE <EndNote><Cite><Author>Engels</Author><Year>2012</Year><RecNum>2355</RecNum><DisplayText>[19]</DisplayText><record><rec-number>2355</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1522778892">2355</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Engels, Paul T.</author><author>Tien, Homer C.</author></authors></contributors><titles><title>The lucky penny: an illustration of the bullet rule</title><secondary-title>CMAJ : Canadian Medical Association Journal</secondary-title></titles><periodical><full-title>CMAJ : Canadian Medical Association Journal</full-title></periodical><pages>63-65</pages><volume>184</volume><number>1</number><dates><year>2012</year></dates><publisher>Canadian Medical Association</publisher><isbn>0820-3946&#xD;1488-2329</isbn><accession-num>PMC3255182</accession-num><urls><related-urls><url>;[19] s63)d) Vilka kliniska fynd talar f?r skallbasfraktur? (Rosen's 9th Chapter 34 p310 Box 34.2)e) Hur unders?ker man f?r orbitafraktur? (Rosen's 9th Chapter 34 p333-4)f) Hur bed?mer man om patienten har en nasal septalhematom? Hur ?tg?rdar man det? (Roberts 6th Chapter 63 s1332-3)g) Patienten har en ?ppen underbensfraktur. Hur m?ter du ankel-brakialindex? (J?nsson 2007 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Kb25zc29uPC9BdXRob3I+PFllYXI+MjAwNzwvWWVhcj48

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ADDIN EN.CITE.DATA [20] Figur 1) Vilken tr?skeln korrelerar med k?rlskada? (H?glund 2009 ADDIN EN.CITE <EndNote><Cite><Author>Hoglund</Author><Year>2009</Year><RecNum>2357</RecNum><DisplayText>[21]</DisplayText><record><rec-number>2357</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1522779079">2357</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Hoglund, A.</author><author>Jansson, K. A.</author></authors></contributors><auth-address>anna.hoglund.485@student.ki.se</auth-address><titles><title>[Initial management of open lower limb fractures]</title><secondary-title>Lakartidningen</secondary-title><alt-title>Lakartidningen</alt-title></titles><periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></periodical><alt-periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></alt-periodical><pages>1567-71</pages><volume>106</volume><number>23</number><edition>2009/07/09</edition><keywords><keyword>Accidents, Traffic</keyword><keyword>Amputation</keyword><keyword>Antibiotic Prophylaxis</keyword><keyword>Debridement</keyword><keyword>Emergency Medical Services</keyword><keyword>Emergency Treatment</keyword><keyword>Fracture Fixation/methods</keyword><keyword>Fracture Fixation, Internal/methods</keyword><keyword>*Fractures, Bone/diagnosis/surgery</keyword><keyword>*Fractures, Open/diagnosis/surgery</keyword><keyword>Humans</keyword><keyword>*Leg Injuries/diagnosis/surgery</keyword><keyword>Limb Salvage</keyword><keyword>Practice Guidelines as Topic</keyword><keyword>Reconstructive Surgical Procedures/methods</keyword><keyword>Wound Infection/microbiology</keyword></keywords><dates><year>2009</year><pub-dates><date>Jun 3-9</date></pub-dates></dates><orig-pub>Initial handlaggning av oppna underbensfrakturer.</orig-pub><isbn>0023-7205 (Print)&#xD;0023-7205</isbn><accession-num>19583015</accession-num><urls></urls><remote-database-provider>NLM</remote-database-provider><language>swe</language></record></Cite></EndNote>[21] s1568)h) Vilka l?kemedel b?r ges/?verv?gas vid ?ppen extremitetsfraktur? (H?glund 2009 ADDIN EN.CITE <EndNote><Cite><Author>Hoglund</Author><Year>2009</Year><RecNum>2357</RecNum><DisplayText>[21]</DisplayText><record><rec-number>2357</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1522779079">2357</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Hoglund, A.</author><author>Jansson, K. A.</author></authors></contributors><auth-address>anna.hoglund.485@student.ki.se</auth-address><titles><title>[Initial management of open lower limb fractures]</title><secondary-title>Lakartidningen</secondary-title><alt-title>Lakartidningen</alt-title></titles><periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></periodical><alt-periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></alt-periodical><pages>1567-71</pages><volume>106</volume><number>23</number><edition>2009/07/09</edition><keywords><keyword>Accidents, Traffic</keyword><keyword>Amputation</keyword><keyword>Antibiotic Prophylaxis</keyword><keyword>Debridement</keyword><keyword>Emergency Medical Services</keyword><keyword>Emergency Treatment</keyword><keyword>Fracture Fixation/methods</keyword><keyword>Fracture Fixation, Internal/methods</keyword><keyword>*Fractures, Bone/diagnosis/surgery</keyword><keyword>*Fractures, Open/diagnosis/surgery</keyword><keyword>Humans</keyword><keyword>*Leg Injuries/diagnosis/surgery</keyword><keyword>Limb Salvage</keyword><keyword>Practice Guidelines as Topic</keyword><keyword>Reconstructive Surgical Procedures/methods</keyword><keyword>Wound Infection/microbiology</keyword></keywords><dates><year>2009</year><pub-dates><date>Jun 3-9</date></pub-dates></dates><orig-pub>Initial handlaggning av oppna underbensfrakturer.</orig-pub><isbn>0023-7205 (Print)&#xD;0023-7205</isbn><accession-num>19583015</accession-num><urls></urls><remote-database-provider>NLM</remote-database-provider><language>swe</language></record></Cite></EndNote>[21] s1569)i) Varf?r ?r det viktigt att f?rebygga hypotermi hos traumapatienter? Vad menas med den ”d?dliga triaden”? (Mitra 2012 ADDIN EN.CITE <EndNote><Cite><Author>Mitra</Author><Year>2012</Year><RecNum>288</RecNum><DisplayText>[22]</DisplayText><record><rec-number>288</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">288</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Mitra, B.</author><author>Tullio, F.</author><author>Cameron, P. A.</author><author>Fitzgerald, M.</author></authors></contributors><auth-address>Emergency &amp; Trauma Centre, The Alfred Hospital, Commercial Road., Melbourne, VIC 3004, Australia. b.mitra@.au</auth-address><titles><title>Trauma patients with the &apos;triad of death&apos;</title><secondary-title>Emerg Med J</secondary-title><alt-title>Emergency medicine journal : EMJ</alt-title></titles><periodical><full-title>Emerg Med J</full-title><abbr-1>Emergency medicine journal : EMJ</abbr-1></periodical><alt-periodical><full-title>Emerg Med J</full-title><abbr-1>Emergency medicine journal : EMJ</abbr-1></alt-periodical><pages>622-5</pages><volume>29</volume><number>8</number><edition>2011/07/26</edition><keywords><keyword>Acidosis/etiology/*mortality</keyword><keyword>Blood Coagulation Disorders/etiology/*mortality</keyword><keyword>Clinical Audit</keyword><keyword>Cohort Studies</keyword><keyword>Humans</keyword><keyword>Hypothermia/etiology/*mortality</keyword><keyword>Multiple Trauma/complications/*mortality</keyword><keyword>Retrospective Studies</keyword></keywords><dates><year>2012</year><pub-dates><date>Aug</date></pub-dates></dates><isbn>1472-0213 (Electronic)&#xD;1472-0205 (Linking)</isbn><accession-num>21785151</accession-num><urls><related-urls><url>;[22] s622) III: SYNDROMHANDL?GGNING1-Resuscitative Thoracotomya) N?r ?r Emergency Bedside/Department/Resuscitative Thoracotomy indicerad? 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bmROb3RlPgB=

ADDIN EN.CITE.DATA [24] Abstract; John Hinds Crack the Chest Get Crucified 02:00)b) Hur genomf?rs en Resuscitative Thoracotomy? (John Hinds Crack the Chest Get Crucified; Scott Weingart EMCrit Podcast 83; annan l?nk till videon)2-Bl?dningschocka) Vilken ?r behandlingsprioritet #1 vid bl?dningschock post trauma? (Rossaint 2016 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Sb3NzYWludDwvQXV0aG9yPjxZZWFyPjIwMTY8L1llYXI+

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ADDIN EN.CITE.DATA [25] R1 p37)b) Vad st?r REBOA f?r? I vilka sammanhang har den anv?nds? Vad menas med "zone 1" och "zone 3"? Vilka ?r potentiella negativa effekter av REBOA? (King 2019 ADDIN EN.CITE <EndNote><Cite><Author>King</Author><Year>2019</Year><RecNum>2715</RecNum><DisplayText>[3]</DisplayText><record><rec-number>2715</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1567937653">2715</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>King, D. R.</author></authors></contributors><auth-address>From the Department of Surgery, Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, and the Department of Surgery, Harvard Medical School - both in Boston; and the U.S. Army Special Operations Command, Ft. Bragg, NC.</auth-address><titles><title>Initial Care of the Severely Injured Patient</title><secondary-title>N Engl J Med</secondary-title><alt-title>The New England journal of medicine</alt-title></titles><periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></periodical><alt-periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></alt-periodical><pages>763-770</pages><volume>380</volume><number>8</number><edition>2019/02/21</edition><keywords><keyword>Antifibrinolytic Agents/therapeutic use</keyword><keyword>Blood Transfusion</keyword><keyword>Emergency Medical Services</keyword><keyword>*Emergency Treatment</keyword><keyword>Endovascular Procedures</keyword><keyword>Hemorrhage/therapy</keyword><keyword>Humans</keyword><keyword>Time-to-Treatment</keyword><keyword>Tourniquets</keyword><keyword>Trauma Severity Indices</keyword><keyword>Traumatology/*methods/trends</keyword><keyword>Wounds and Injuries/*therapy</keyword></keywords><dates><year>2019</year><pub-dates><date>Feb 21</date></pub-dates></dates><isbn>0028-4793</isbn><accession-num>30786189</accession-num><urls></urls><electronic-resource-num>10.1056/NEJMra1609326</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[3] s767-8)c) Hur resonerar du kring blodtrycksm?let vid posttraumatisk bl?dningschock? (Rossaint 2016 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Sb3NzYWludDwvQXV0aG9yPjxZZWFyPjIwMTY8L1llYXI+

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ADDIN EN.CITE.DATA [25] R13 p38) Vilka ?r undantag f?r "damage control resuscitation" / "permissive hypotension"? (Rossaint 2016 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Sb3NzYWludDwvQXV0aG9yPjxZZWFyPjIwMTY8L1llYXI+

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ADDIN EN.CITE.DATA [25] p14) d) Vilken nytta har crystalloider vid "resuscitation" av en patient med bl?dningschock enligt Dutton? (Hemostatic Resuscitation by Richard Dutton-EM Crit 17.34)e) Finns det bevis att > 1,5 L kristalloidbehandling vid traumatisk bl?dningschock kan vara farlig? (Ley 2011PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5MZXk8L0F1dGhvcj48WWVhcj4yMDExPC9ZZWFyPjxSZWNO

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ADDIN EN.CITE.DATA [26] Abstract)f) ABC (Assessment of Blood Consumption) score kan f?ruts?ga behov f?r massiv transfusion. Vilka parametrar ing?r i ABC score? (Widmark 2016 ADDIN EN.CITE <EndNote><Cite><Author>Widmark</Author><Year>2016</Year><RecNum>1849</RecNum><DisplayText>[27]</DisplayText><record><rec-number>1849</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1488392569">1849</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Widmark, T.</author><author>Johansson, A.</author></authors></contributors><auth-address>Anestesi och intensivvardskliniken - Universitetssjukhuset Orebro Orebro, Sweden Anestesi och intensivvardskliniken - Universitetssjukhuset Orebro Orebro, Sweden.&#xD;Anestesi- och intensivvardskliniken - Universitetssjukhuset Orebro Orebro, Sweden Anestesi- och intensivvardskliniken - Universitetssjukhuset Orebro Orebro, Sweden.</auth-address><titles><title>[Massive bleeding in trauma]</title><secondary-title>Lakartidningen</secondary-title><alt-title>Lakartidningen</alt-title></titles><periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></periodical><alt-periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></alt-periodical><volume>113</volume><edition>2016/01/20</edition><keywords><keyword>Adult</keyword><keyword>Antifibrinolytic Agents/therapeutic use</keyword><keyword>Blood Coagulation Disorders/etiology</keyword><keyword>Blood Transfusion</keyword><keyword>Child</keyword><keyword>Hemorrhage/complications/diagnosis/*therapy</keyword><keyword>Humans</keyword><keyword>Shock/etiology</keyword><keyword>Trauma Severity Indices</keyword><keyword>Wounds and Injuries/complications/therapy</keyword></keywords><dates><year>2016</year><pub-dates><date>Jan 18</date></pub-dates></dates><orig-pub>ABC om - Massiv blodning vid trauma.</orig-pub><isbn>0023-7205</isbn><accession-num>26785266</accession-num><urls></urls><remote-database-provider>NLM</remote-database-provider><language>swe</language></record></Cite></EndNote>[27] s2 Tabell 3)g) Hur resonerar du kring blodprodukter vid massiv transfusion? Vad menas med "4:4:1"? (Widmark 2016 ADDIN EN.CITE <EndNote><Cite><Author>Widmark</Author><Year>2016</Year><RecNum>1849</RecNum><DisplayText>[27]</DisplayText><record><rec-number>1849</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1488392569">1849</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Widmark, T.</author><author>Johansson, A.</author></authors></contributors><auth-address>Anestesi och intensivvardskliniken - Universitetssjukhuset Orebro Orebro, Sweden Anestesi och intensivvardskliniken - Universitetssjukhuset Orebro Orebro, Sweden.&#xD;Anestesi- och intensivvardskliniken - Universitetssjukhuset Orebro Orebro, Sweden Anestesi- och intensivvardskliniken - Universitetssjukhuset Orebro Orebro, Sweden.</auth-address><titles><title>[Massive bleeding in trauma]</title><secondary-title>Lakartidningen</secondary-title><alt-title>Lakartidningen</alt-title></titles><periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></periodical><alt-periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></alt-periodical><volume>113</volume><edition>2016/01/20</edition><keywords><keyword>Adult</keyword><keyword>Antifibrinolytic Agents/therapeutic use</keyword><keyword>Blood Coagulation Disorders/etiology</keyword><keyword>Blood Transfusion</keyword><keyword>Child</keyword><keyword>Hemorrhage/complications/diagnosis/*therapy</keyword><keyword>Humans</keyword><keyword>Shock/etiology</keyword><keyword>Trauma Severity Indices</keyword><keyword>Wounds and Injuries/complications/therapy</keyword></keywords><dates><year>2016</year><pub-dates><date>Jan 18</date></pub-dates></dates><orig-pub>ABC om - Massiv blodning vid trauma.</orig-pub><isbn>0023-7205</isbn><accession-num>26785266</accession-num><urls></urls><remote-database-provider>NLM</remote-database-provider><language>swe</language></record></Cite></EndNote>[27] s4)h) Vad h?nder med kalciumet vid transfusion av blodprodukter? Vad g?r man ?t det? (Hemostas vid allvarlig bl?dning s36, s21)i) Minskar tranexamsyra mortalitet vid posttraumatisk bl?dningschock, och i s? fall inom vilken tidsram? (Roberts 2011PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Sb2JlcnRzPC9BdXRob3I+PFllYXI+MjAxMTwvWWVhcj48

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ADDIN EN.CITE.DATA [29] Abstract) Vilken dos rekommenderas av Svenska S?llskap f?r Trombos och Hemostas? (Hemostas vid allvarlig bl?dning s21)j) Hur reverserar man Waran och NOAC behandling? (Hemostas vid allvarlig bl?dning s26; Kortversion Kliniska r?d NOAK (DOAK) s1)3-Tamponada) Vad h?nder med intrapericardial, right atrial, pulmonary artery diastolic, och pulmonary capillary wedge pressures vid tamponad? (Roy 2007 ADDIN EN.CITE <EndNote><Cite><Author>Roy</Author><Year>2007</Year><RecNum>417</RecNum><DisplayText>[30]</DisplayText><record><rec-number>417</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">417</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Roy, C. L.</author><author>Minor, M. A.</author><author>Brookhart, M. A.</author><author>Choudhry, N. K.</author></authors></contributors><auth-address>Division of General Medicine, Brigham and Women&apos;s Hospital, Harvard Medical School, Boston, Mass 02115, USA. croy@</auth-address><titles><title>Does this patient with a pericardial effusion have cardiac tamponade?</title><secondary-title>JAMA</secondary-title><alt-title>JAMA : the journal of the American Medical Association</alt-title></titles><periodical><full-title>Jama</full-title><abbr-1>Jama</abbr-1></periodical><pages>1810-8</pages><volume>297</volume><number>16</number><edition>2007/04/26</edition><keywords><keyword>Cardiac Tamponade/*diagnosis/*etiology/physiopathology/therapy</keyword><keyword>Echocardiography</keyword><keyword>Humans</keyword><keyword>Pericardial Effusion/*complications/diagnosis/therapy</keyword><keyword>Pericardiocentesis</keyword><keyword>Physical Examination</keyword><keyword>Pulse</keyword><keyword>Radiography</keyword></keywords><dates><year>2007</year><pub-dates><date>Apr 25</date></pub-dates></dates><isbn>1538-3598 (Electronic)&#xD;0098-7484 (Linking)</isbn><accession-num>17456823</accession-num><work-type>Review</work-type><urls><related-urls><url>;[30] s1811)b) Vilka echocardiografiska fynd talar f?r perikard tamponad? (Roy 2007 ADDIN EN.CITE <EndNote><Cite><Author>Roy</Author><Year>2007</Year><RecNum>417</RecNum><DisplayText>[30]</DisplayText><record><rec-number>417</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">417</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Roy, C. L.</author><author>Minor, M. A.</author><author>Brookhart, M. A.</author><author>Choudhry, N. K.</author></authors></contributors><auth-address>Division of General Medicine, Brigham and Women&apos;s Hospital, Harvard Medical School, Boston, Mass 02115, USA. croy@</auth-address><titles><title>Does this patient with a pericardial effusion have cardiac tamponade?</title><secondary-title>JAMA</secondary-title><alt-title>JAMA : the journal of the American Medical Association</alt-title></titles><periodical><full-title>Jama</full-title><abbr-1>Jama</abbr-1></periodical><pages>1810-8</pages><volume>297</volume><number>16</number><edition>2007/04/26</edition><keywords><keyword>Cardiac Tamponade/*diagnosis/*etiology/physiopathology/therapy</keyword><keyword>Echocardiography</keyword><keyword>Humans</keyword><keyword>Pericardial Effusion/*complications/diagnosis/therapy</keyword><keyword>Pericardiocentesis</keyword><keyword>Physical Examination</keyword><keyword>Pulse</keyword><keyword>Radiography</keyword></keywords><dates><year>2007</year><pub-dates><date>Apr 25</date></pub-dates></dates><isbn>1538-3598 (Electronic)&#xD;0098-7484 (Linking)</isbn><accession-num>17456823</accession-num><work-type>Review</work-type><urls><related-urls><url>;[30] s1811-2)c) Vilken roll spelar perikardiocentes vid posttraumatisk tamponad? (Fitch 2012 ADDIN EN.CITE <EndNote><Cite><Author>Fitch</Author><Year>2012</Year><RecNum>261</RecNum><DisplayText>[31]</DisplayText><record><rec-number>261</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">261</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Fitch, M. T.</author><author>Nicks, B. A.</author><author>Pariyadath, M.</author><author>McGinnis, H. D.</author><author>Manthey, D. E.</author></authors></contributors><titles><title>Videos in clinical medicine. Emergency pericardiocentesis</title><secondary-title>N Engl J Med</secondary-title><alt-title>The New England journal of medicine</alt-title></titles><periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></periodical><alt-periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></alt-periodical><pages>e17</pages><volume>366</volume><number>12</number><edition>2012/03/23</edition><keywords><keyword>Aftercare</keyword><keyword>Cardiac Tamponade/diagnosis/*surgery</keyword><keyword>Emergency Treatment/methods</keyword><keyword>Humans</keyword><keyword>Pericardiocentesis/adverse effects/contraindications/instrumentation/*methods</keyword></keywords><dates><year>2012</year><pub-dates><date>Mar 22</date></pub-dates></dates><isbn>1533-4406 (Electronic)&#xD;0028-4793 (Linking)</isbn><accession-num>22435385</accession-num><work-type>Review&#xD;Video-Audio Media</work-type><urls><related-urls><url>;[31] Contraindications)d) Vilka ?tg?rder rekommenderas vid traumatisk tamponad? 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ADDIN EN.CITE.DATA [32] s162-3)4-?vertryckspneumothoraxa) Vilka kliniska fynd kan f?rekomma vid ?vertryckspneumothorax? (Roberts 6th Chapter 10 s193)Inspektion av huvudet/halsenBCb) Var ?r det klassiska st?llet f?r att genomf?ra en "needle decompression thoracostomy"? (Roberts 6th Chapter 10 s198, fig 10-10) Vad rekommenderar European Resuscitation Council ist?llet? (Truhlar 2015 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5UcnVobGFyPC9BdXRob3I+PFllYXI+MjAxNTwvWWVhcj48

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ADDIN EN.CITE.DATA [32] s163)c) Hur ?tg?rdade Dr. Wallace ?vertryckspneumothorax som utvecklade under flyg ?ver Stilla Havet? (Wallace 1995 ADDIN EN.CITE <EndNote><Cite><Author>Wallace</Author><Year>1995</Year><RecNum>2380</RecNum><DisplayText>[33]</DisplayText><record><rec-number>2380</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1523105614">2380</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Wallace, T. W.</author><author>Wong, T.</author><author>O&apos;Bichere, A.</author><author>Ellis, B. W.</author></authors></contributors><titles><title>Managing in flight emergencies</title><secondary-title>BMJ : British Medical Journal</secondary-title></titles><periodical><full-title>BMJ : British Medical Journal</full-title></periodical><pages>374-376</pages><volume>311</volume><number>7001</number><dates><year>1995</year></dates><publisher>BMJ Group</publisher><isbn>0959-8138&#xD;1468-5833</isbn><accession-num>PMC2550436</accession-num><urls><related-urls><url>;[33])5-Neurogen chockVilka kliniska fynd f?rekommer hos en patient med neurogen chock utl?st av en skada p? C6 niv?? (Thumbikat 2005 ADDIN EN.CITE <EndNote><Cite><Author>Thumbikat</Author><Year>2005</Year><RecNum>280</RecNum><DisplayText>[34]</DisplayText><record><rec-number>280</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">280</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Thumbikat, P.</author><author>McClelland, M.R.</author></authors></contributors><titles><title>Acute injury to the spinal cord</title><secondary-title>Surgery 2005</secondary-title></titles><pages>13–18</pages><number>23</number><dates><year>2005</year></dates><urls></urls></record></Cite></EndNote>[34])BCDEIV: V?RD EFTER AKUTRUMMET1-Sign-Out och PALa) Hur mycket tid b?r det ta i akutrummet f?r att handl?gga patienten och formulera en initial utrednings-/behandlingsplan? (Traumamanual Traumamottagande/Larmkriterier och larmkedjor under "Arbetet i traumarummet ska syfta till")b) Vad ing?r i Sign-Out? (Traumamanual Traumamottagande/Sign in/sign out)c) Vem ?r ansvarig f?r att genomf?ra Sign-Out p? ditt sjukhus? (Traumamanual Traumamottagande/Arbetsordning)d) Vem blir PAL vid vuxentraumalarm under de f?rsta 24 timmar, oavsett var patienten v?rdas? (Traumamanual Traumamottagande/Teamleader p? traumalarm)e) Vem blir PAL vid barntraumalarm efter omh?ndertagandet p? akuten? (Traumamanual Larmkriterier och larmkedjor)2-Beslut om akut operationa) Vilket beslut kan vara avg?rande vid omh?ndertagandet av en patient med post-traumatisk bl?dningschock vid denna tidpunkt? P?verkar bristf?lligt beslutsfattande patientutfall? (O'Reilly 2013 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5PJmFwb3M7UmVpbGx5PC9BdXRob3I+PFllYXI+MjAxMzwv

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ADDIN EN.CITE.DATA [35] s754)b) Den traditionella undervisningen ?r att en hemodynamiskt p?verkad ("instabil") patient ska till OP direkt, och att det ?r kontraindicerat att f?rst genomf?ra en CT. Vad rekommenderar blogf?rfattaren? ( My approach). Hittade Tsutsumi et al n?got samband mellan CT och d?dlighet hos vuxna patienter med trubbig v?ld och hypotoni vid ankomst till sjukhuset? (Tsutsumi 2017 ADDIN EN.CITE <EndNote><Cite><Author>Tsutsumi</Author><Year>2017</Year><RecNum>2399</RecNum><DisplayText>[36]</DisplayText><record><rec-number>2399</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1523779848">2399</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Tsutsumi, Yusuke</author><author>Fukuma, Shingo</author><author>Tsuchiya, Asuka</author><author>Ikenoue, Tatsuyoshi</author><author>Yamamoto, Yosuke</author><author>Shimizu, Sayaka</author><author>Kimachi, Miho</author><author>Fukuhara, Shunichi</author></authors></contributors><titles><title>Computed tomography during initial management and mortality among hemodynamically unstable blunt trauma patients: a nationwide retrospective cohort study</title><secondary-title>Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine</secondary-title></titles><periodical><full-title>Scand J Trauma Resusc Emerg Med</full-title><abbr-1>Scandinavian journal of trauma, resuscitation and emergency medicine</abbr-1></periodical><pages>74</pages><volume>25</volume><dates><year>2017</year><pub-dates><date>07/19&#xD;10/23/received&#xD;05/11/accepted</date></pub-dates></dates><pub-location>London</pub-location><publisher>BioMed Central</publisher><isbn>1757-7241</isbn><accession-num>PMC5518106</accession-num><urls><related-urls><url>;[36] Abstract).c) Vad menas med ”damage-control surgery”? (Alam 2009 ADDIN EN.CITE <EndNote><Cite><Author>Alam</Author><Year>2009</Year><RecNum>2359</RecNum><DisplayText>[37]</DisplayText><record><rec-number>2359</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1522780207">2359</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Alam , Hasan B.</author><author>Fricchione , Gregory L.</author><author>Guimaraes , Alexander S.R.</author><author>Zukerberg , Lawrence R.</author></authors></contributors><titles><title>Case 31-2009</title><secondary-title>New England Journal of Medicine</secondary-title></titles><periodical><full-title>New England Journal of Medicine</full-title></periodical><pages>1487-1496</pages><volume>361</volume><number>15</number><dates><year>2009</year></dates><accession-num>19812406</accession-num><urls><related-urls><url>;[37] s1491)d) Vilka val finns f?r att stoppa en allvarlig b?ckenbl?dning? ((Rajab 2013 ADDIN EN.CITE <EndNote><Cite><Author>Rajab</Author><Year>2013</Year><RecNum>2255</RecNum><DisplayText>[17]</DisplayText><record><rec-number>2255</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1519810313">2255</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Rajab, T. K.</author><author>Weaver, M. J.</author><author>Havens, J. M.</author></authors></contributors><auth-address>From the Department of Surgery (T.K.R., J.M.H.), the Orthopedic Trauma Service (M.J.W.), and the Division of Trauma, Burns, and Surgical Critical Care (J.M.H.), Brigham and Women&apos;s Hospital, and the Department of Surgery, Harvard Medical School (T.K.R., M.J.W., J.H.) - both in Boston.</auth-address><titles><title>Videos in clinical medicine. Technique for temporary pelvic stabilization after trauma</title><secondary-title>N Engl J Med</secondary-title><alt-title>The New England journal of medicine</alt-title></titles><periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></periodical><alt-periodical><full-title>N Engl J Med</full-title><abbr-1>The New England journal of medicine</abbr-1></alt-periodical><pages>e22</pages><volume>369</volume><number>17</number><edition>2013/10/25</edition><keywords><keyword>Bandages</keyword><keyword>Fractures, Bone/complications/diagnostic imaging/*therapy</keyword><keyword>Humans</keyword><keyword>Pelvic Bones/anatomy &amp; histology/diagnostic imaging/*injuries</keyword><keyword>Radiography</keyword><keyword>Shock, Hemorrhagic/*prevention &amp; control</keyword></keywords><dates><year>2013</year><pub-dates><date>Oct 24</date></pub-dates></dates><isbn>0028-4793</isbn><accession-num>24152281</accession-num><urls></urls><electronic-resource-num>10.1056/NEJMvcm1200383</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[17] Definitive Management)3-CT skallea) Vilka 6 kriterier motiverar CT skalle hos en vuxen, RLS 1 patient som s?ker pga skalltrauma f?r < 24 timmar sedan? (Undén 2013 ADDIN EN.CITE <EndNote><Cite><Author>Unden</Author><Year>2013</Year><RecNum>2360</RecNum><DisplayText>[38]</DisplayText><record><rec-number>2360</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1522780373">2360</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Unden, J.</author><author>Ingebrigtsen, T.</author><author>Romner, B.</author></authors></contributors><auth-address>Department of Intensive Care and Perioperative Medicine, Institute for Clinical Sciences, Sodra Forstadsgatan 101, 20502 Malmo, Sweden. dr.johan.unden@</auth-address><titles><title>Scandinavian guidelines for initial management of minimal, mild and moderate head injuries in adults: an evidence and consensus-based update</title><secondary-title>BMC Med</secondary-title><alt-title>BMC medicine</alt-title></titles><periodical><full-title>BMC Med</full-title><abbr-1>BMC medicine</abbr-1></periodical><alt-periodical><full-title>BMC Med</full-title><abbr-1>BMC medicine</abbr-1></alt-periodical><pages>50</pages><volume>11</volume><edition>2013/02/26</edition><keywords><keyword>Adult</keyword><keyword>Aged</keyword><keyword>Aged, 80 and over</keyword><keyword>Craniocerebral Trauma/*diagnosis/*therapy</keyword><keyword>Diagnostic Tests, Routine</keyword><keyword>Female</keyword><keyword>Head/diagnostic imaging</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Middle Aged</keyword><keyword>Patient Admission</keyword><keyword>Patient Discharge</keyword><keyword>Severity of Illness Index</keyword><keyword>Tomography, X-Ray Computed</keyword></keywords><dates><year>2013</year><pub-dates><date>Feb 25</date></pub-dates></dates><isbn>1741-7015</isbn><accession-num>23432764</accession-num><urls></urls><custom2>PMC3621842</custom2><electronic-resource-num>10.1186/1741-7015-11-50</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[38])b) Vilken procent av skalltrauma patienter som tar Clopidogrel respektive Waran har intrakraniella bl?dningar? 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ADDIN EN.CITE.DATA [39] abstrakt)c) N?r ?r det indicerat att m?ta S100B? (Undén 2013 ADDIN EN.CITE <EndNote><Cite><Author>Unden</Author><Year>2013</Year><RecNum>2360</RecNum><DisplayText>[38]</DisplayText><record><rec-number>2360</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1522780373">2360</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Unden, J.</author><author>Ingebrigtsen, T.</author><author>Romner, B.</author></authors></contributors><auth-address>Department of Intensive Care and Perioperative Medicine, Institute for Clinical Sciences, Sodra Forstadsgatan 101, 20502 Malmo, Sweden. dr.johan.unden@</auth-address><titles><title>Scandinavian guidelines for initial management of minimal, mild and moderate head injuries in adults: an evidence and consensus-based update</title><secondary-title>BMC Med</secondary-title><alt-title>BMC medicine</alt-title></titles><periodical><full-title>BMC Med</full-title><abbr-1>BMC medicine</abbr-1></periodical><alt-periodical><full-title>BMC Med</full-title><abbr-1>BMC medicine</abbr-1></alt-periodical><pages>50</pages><volume>11</volume><edition>2013/02/26</edition><keywords><keyword>Adult</keyword><keyword>Aged</keyword><keyword>Aged, 80 and over</keyword><keyword>Craniocerebral Trauma/*diagnosis/*therapy</keyword><keyword>Diagnostic Tests, Routine</keyword><keyword>Female</keyword><keyword>Head/diagnostic imaging</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Middle Aged</keyword><keyword>Patient Admission</keyword><keyword>Patient Discharge</keyword><keyword>Severity of Illness Index</keyword><keyword>Tomography, X-Ray Computed</keyword></keywords><dates><year>2013</year><pub-dates><date>Feb 25</date></pub-dates></dates><isbn>1741-7015</isbn><accession-num>23432764</accession-num><urls></urls><custom2>PMC3621842</custom2><electronic-resource-num>10.1186/1741-7015-11-50</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[38])d) B?r man l?gga in f?r observation en patient utsatt f?r skalltrauma som tar Waran (PK mellan 2 och 3) d?r CT skalle inte visade tecken p? bl?dning? (Undén 2013 ADDIN EN.CITE <EndNote><Cite><Author>Unden</Author><Year>2013</Year><RecNum>2360</RecNum><DisplayText>[38]</DisplayText><record><rec-number>2360</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1522780373">2360</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Unden, J.</author><author>Ingebrigtsen, T.</author><author>Romner, B.</author></authors></contributors><auth-address>Department of Intensive Care and Perioperative Medicine, Institute for Clinical Sciences, Sodra Forstadsgatan 101, 20502 Malmo, Sweden. dr.johan.unden@</auth-address><titles><title>Scandinavian guidelines for initial management of minimal, mild and moderate head injuries in adults: an evidence and consensus-based update</title><secondary-title>BMC Med</secondary-title><alt-title>BMC medicine</alt-title></titles><periodical><full-title>BMC Med</full-title><abbr-1>BMC medicine</abbr-1></periodical><alt-periodical><full-title>BMC Med</full-title><abbr-1>BMC medicine</abbr-1></alt-periodical><pages>50</pages><volume>11</volume><edition>2013/02/26</edition><keywords><keyword>Adult</keyword><keyword>Aged</keyword><keyword>Aged, 80 and over</keyword><keyword>Craniocerebral Trauma/*diagnosis/*therapy</keyword><keyword>Diagnostic Tests, Routine</keyword><keyword>Female</keyword><keyword>Head/diagnostic imaging</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Middle Aged</keyword><keyword>Patient Admission</keyword><keyword>Patient Discharge</keyword><keyword>Severity of Illness Index</keyword><keyword>Tomography, X-Ray Computed</keyword></keywords><dates><year>2013</year><pub-dates><date>Feb 25</date></pub-dates></dates><isbn>1741-7015</isbn><accession-num>23432764</accession-num><urls></urls><custom2>PMC3621842</custom2><electronic-resource-num>10.1186/1741-7015-11-50</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[38], Li 2012 ADDIN EN.CITE <EndNote><Cite><Author>Li</Author><Year>2012</Year><RecNum>2373</RecNum><DisplayText>[40]</DisplayText><record><rec-number>2373</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1522939249">2373</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Li, J.</author></authors></contributors><auth-address>Miles Memorial Hospital, Damariscotta, ME, USA. jamesli@</auth-address><titles><title>Validation of the dime</title><secondary-title>Ann Emerg Med</secondary-title><alt-title>Annals of emergency medicine</alt-title></titles><periodical><full-title>Ann Emerg Med</full-title><abbr-1>Annals of emergency medicine</abbr-1></periodical><alt-periodical><full-title>Ann Emerg Med</full-title><abbr-1>Annals of emergency medicine</abbr-1></alt-periodical><pages>469-70</pages><volume>59</volume><number>6</number><edition>2012/05/26</edition><keywords><keyword>Anticoagulants/*adverse effects</keyword><keyword>Craniocerebral Trauma/*complications</keyword><keyword>Female</keyword><keyword>Humans</keyword><keyword>Intracranial Hemorrhages/*etiology</keyword><keyword>Male</keyword><keyword>Platelet Aggregation Inhibitors/*adverse effects</keyword><keyword>Ticlopidine/adverse effects/*analogs &amp; derivatives</keyword><keyword>Warfarin/*adverse effects</keyword></keywords><dates><year>2012</year><pub-dates><date>Jun</date></pub-dates></dates><isbn>0196-0644</isbn><accession-num>22626016</accession-num><urls></urls><electronic-resource-num>10.1016/j.annemergmed.2012.04.017</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[40] s470)e) PECARN ?r en klinisk beslutsregel f?r skalltrauma hos barn som har validerats. 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ADDIN EN.CITE.DATA [41] s1168 Figure 3B)4-CT halsrygga) Vilka kriterier ing?r i NEXUS regeln f?r att fria halsryggen utan CT? (Stiell 2003 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5TdGllbGw8L0F1dGhvcj48WWVhcj4yMDAzPC9ZZWFyPjxS

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ADDIN EN.CITE.DATA [42] s2511)b) En studie har utv?rderat NEXUS low-risk criteria, med till?gg av subjektiv halsryggsm?rta och objektiv skada till halsryggen. Hur k?nslig var bed?mningen f?r att uppt?cka patologi i halsryggen? (Duane 2007 ADDIN EN.CITE <EndNote><Cite><Author>Duane</Author><Year>2007</Year><RecNum>2379</RecNum><DisplayText>[43]</DisplayText><record><rec-number>2379</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1523092369">2379</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Duane, T. M.</author><author>Dechert, T.</author><author>Wolfe, L. G.</author><author>Aboutanos, M. B.</author><author>Malhotra, A. K.</author><author>Ivatury, R. R.</author></authors></contributors><auth-address>Virginia Commonwealth University Medical Center, VA, USA. tmduane@vcu.edu</auth-address><titles><title>Clinical examination and its reliability in identifying cervical spine fractures</title><secondary-title>J Trauma</secondary-title><alt-title>The Journal of trauma</alt-title></titles><periodical><full-title>J Trauma</full-title><abbr-1>The Journal of trauma</abbr-1></periodical><alt-periodical><full-title>J Trauma</full-title><abbr-1>The Journal of trauma</abbr-1></alt-periodical><pages>1405-8; discussion 1408-10</pages><volume>62</volume><number>6</number><edition>2007/06/15</edition><keywords><keyword>Adult</keyword><keyword>Cervical Vertebrae/*injuries</keyword><keyword>Female</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Middle Aged</keyword><keyword>*Physical Examination</keyword><keyword>Prospective Studies</keyword><keyword>Reproducibility of Results</keyword><keyword>Spinal Fractures/*diagnosis</keyword><keyword>*Tomography, X-Ray Computed</keyword><keyword>Wounds, Nonpenetrating</keyword></keywords><dates><year>2007</year><pub-dates><date>Jun</date></pub-dates></dates><isbn>0022-5282</isbn><accession-num>17563656</accession-num><urls></urls><electronic-resource-num>10.1097/TA.0b013e31804798d5</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[43] Abstract)c) N?r kan man fria halsryggen enligt Canadian C-Spine Rule? (Stiell 2003 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5TdGllbGw8L0F1dGhvcj48WWVhcj4yMDAzPC9ZZWFyPjxS

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ADDIN EN.CITE.DATA [44])d) Vilka 7 faktorer var associerade med posttraumatisk halsryggskada hos barn? (Leonard 2019 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5MZW9uYXJkPC9BdXRob3I+PFllYXI+MjAxOTwvWWVhcj48

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ADDIN EN.CITE.DATA [45] Abstract, "de novo model")5-CT thorax, buk, b?cken, ryggrada) Hur bra ?r "gestalt" i akutrummet f?r att bed?ma om "trauma CT" (fr?n huvudet tom b?ckenet) beh?vs eller om CT kan begr?nsas till specifika kroppsdelar? Vilken procent of "undesired scans" hade n?gon abnormalitet, och hur ofta ledde det till "a critical action"? (Gupta 2011 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5HdXB0YTwvQXV0aG9yPjxZZWFyPjIwMTE8L1llYXI+PFJl

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ADDIN EN.CITE.DATA [46] Abstract).b) Vilka 6 kriterier ing?r i ett kliniskt besluts regel f?r att uppt?cka vuxna patienter med intrabdominell skada d?r akut kirurgi kr?vs? (Holmes 2009 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Ib2xtZXM8L0F1dGhvcj48WWVhcj4yMDA5PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA [47] Abstract)c) Enligt Streck et al's studie, fr?nvaro av 5 kliniska parametrar utesluter "intra-abdominal injury requiring acute intervention" och d?rmed behovet av CT buk hos barn med buktrauma. Vilka var dessa parametrar? (Streck 2017 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5TdHJlY2s8L0F1dGhvcj48WWVhcj4yMDE3PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA [50] s682 Conclusion)F?RH?LLNINGSS?TT TILL BUKSM?RTABakgrund? MedicationsL?kemedel? NSAIDs?? Allergies?verk?nsligheter mot l?kemedel eller kontrastmedel?? Past medical historyTidigare sjukdomar? Tidigare bukoperationer?? Life circumstancesSociala omst?ndigheter?? EthanolAlkohol: hur mycket? hur ofta?? SmokingNuvarande eller tidigare r?kning?AnamnesOnset? N?r b?rjade sm?rtan?? Hur snabbt n?dde sm?rtan maximal intensitet: sek, min, tim?Position? Var sitter buksm?rtan? Hur stort ?r omr?det?? Str?lar sm?rtan ut n?gonstans?Quality? Hur skulle du beskriva sm?rtan?Relieving / aggravating? F?rv?rras sm?rtan av djup andning?? F?rv?rras sm?rtan av r?relse?Severity? Hur sv?rt ?r sm?rtan p? en VAS skala?Time? Har sm?rtan varit konstant? intermittent (sm?rtfria intervaller?) tilltagande?? Har du haft liknande episoder tidigare?+? PO: har du haft kr?kning? illam?ende?? PR: har du haft diarré? f?rstoppning?? PU: har du haft miktionssveda? ?kat frekvens?? PV hos kvinnor: sista mens? flyttningar fr?n underlivet?StatusVP? AF, SpO2%, HF, BT, TempCor? Oregelbunden rytm? Bl?sljud?Pulm? LungauskultationBuk? Inspektion: ?rr? uppdriven buk?? Auskultation: fr?nvarande / livliga, metalliska, klingande tarmsljud?? Palpation: ?mhet, muskelf?rsvar, rigiditet, rebound pain, referred pain?Pung? Pungunders?kning hos m?n < 25 ?r: tecken p? testikeltorsion?Prov? Vita, CRP? Urinsticka? Grav testHos kvinnor i fertil ?lder? EKGHos patienter > 50 ?rs?lder? UltraljudUltraljud av bukaorta hos patienter > 60 ?rs?lderV: BAKGRUND & STATUS1-Bakgrunda) Hur p?verkar avancerad ?lder det diagnostiska t?nkandet kring buksm?rta? (Rosen's 9th ed Chapter 24, Epidemiology, andra paragraph)b) Patienten st?r p? immund?mpande l?kemedel. Hur p?verkar det diagnostiken? (Rosen's 9th ed Chapter 24, Epidemiology, tredje paragraph)c) Vilket tillst?nds sannolikhet ?kar hos bukopererade patienter? (HSAN 3506/05)2-Statusa) Vad s?ger litteraturen om v?rdet av per rectum vid utredning av patienter med buksm?rta? (Kessler 2012 ADDIN EN.CITE <EndNote><Cite><Author>Kessler</Author><Year>2012</Year><RecNum>970</RecNum><DisplayText>[51]</DisplayText><record><rec-number>970</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">970</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Kessler, C.</author><author>Bauer, S. J.</author></authors></contributors><auth-address>Department of Emergency Medicine, Jesse Brown VA Medical Center, Chicago, Illinois 60612, USA.</auth-address><titles><title>Utility of the digital rectal examination in the emergency department: a review</title><secondary-title>J Emerg Med</secondary-title><alt-title>The Journal of emergency medicine</alt-title></titles><periodical><full-title>J Emerg Med</full-title><abbr-1>The Journal of emergency medicine</abbr-1></periodical><alt-periodical><full-title>J Emerg Med</full-title><abbr-1>The Journal of emergency medicine</abbr-1></alt-periodical><pages>1196-204</pages><volume>43</volume><number>6</number><edition>2012/08/14</edition><keywords><keyword>Abdominal Pain/etiology</keyword><keyword>Anal Canal/physiopathology</keyword><keyword>Appendicitis/diagnosis</keyword><keyword>*Digital Rectal Examination</keyword><keyword>*Emergency Service, Hospital</keyword><keyword>False Positive Reactions</keyword><keyword>Humans</keyword><keyword>Occult Blood</keyword></keywords><dates><year>2012</year><pub-dates><date>Dec</date></pub-dates></dates><isbn>0736-4679 (Print)&#xD;0736-4679 (Linking)</isbn><accession-num>22883714</accession-num><work-type>Review</work-type><urls><related-urls><url>;[51] Abstract; Khoshnood 2014 ADDIN EN.CITE <EndNote><Cite><Author>Khoshnood</Author><Year>2014</Year><RecNum>2401</RecNum><DisplayText>[52]</DisplayText><record><rec-number>2401</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1523861445">2401</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Khoshnood, A.</author><author>Ekelund, U.</author></authors></contributors><auth-address>Skanes universitetssjukhus, Lund. ardavan.khoshnood@skane.se&#xD;Skanes universitetssjukhus, Lund.</auth-address><titles><title>[Routine rectal palpation in acute abdomen has no proven value. A review of the literature]</title><secondary-title>Lakartidningen</secondary-title><alt-title>Lakartidningen</alt-title></titles><periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></periodical><alt-periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></alt-periodical><pages>89-90</pages><volume>111</volume><number>3-4</number><edition>2014/02/21</edition><keywords><keyword>Abdomen, Acute/*diagnosis</keyword><keyword>Adult</keyword><keyword>*Digital Rectal Examination</keyword><keyword>Evidence-Based Medicine</keyword><keyword>Humans</keyword><keyword>Sensitivity and Specificity</keyword></keywords><dates><year>2014</year><pub-dates><date>Jan 15-28</date></pub-dates></dates><orig-pub>Rutinmassig rektalpalpation vid akut buk har inget visat varde. En genomgang av litteraturen.</orig-pub><isbn>0023-7205 (Print)&#xD;0023-7205</isbn><accession-num>24552011</accession-num><urls></urls><remote-database-provider>NLM</remote-database-provider><language>swe</language></record></Cite></EndNote>[52])b) Varf?r b?r man unders?ka pungen hos m?n < 25 ?rs?lder med buksm?rta? (Fridén 2013 ADDIN EN.CITE <EndNote><Cite><Author>Friden</Author><Year>2013</Year><RecNum>2719</RecNum><DisplayText>[53]</DisplayText><record><rec-number>2719</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1567957765">2719</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Friden, T.</author><author>Andren-Sandberg, A.</author></authors></contributors><auth-address>ake.andren-sandberg@karolinska.se</auth-address><titles><title>[Testis torsion--still a problem, despite known risks. Review of events reported to the Swedish National Board of Health and Welfare]</title><secondary-title>Lakartidningen</secondary-title><alt-title>Lakartidningen</alt-title></titles><periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></periodical><alt-periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></alt-periodical><pages>1605-7</pages><volume>110</volume><number>37</number><edition>2013/10/30</edition><keywords><keyword>Adolescent</keyword><keyword>Adult</keyword><keyword>*Diagnostic Errors</keyword><keyword>Humans</keyword><keyword>Infant</keyword><keyword>Male</keyword><keyword>Pain/etiology</keyword><keyword>Risk Factors</keyword><keyword>Spermatic Cord Torsion/complications/*diagnosis</keyword><keyword>Sweden</keyword><keyword>Young Adult</keyword></keywords><dates><year>2013</year><pub-dates><date>Sep 11-17</date></pub-dates></dates><orig-pub>Testistorsion - fortfarande ett problem trots valkanda risker Granskning av handelser anmalda till socialstyrelsen.</orig-pub><isbn>0023-7205 (Print)&#xD;0023-7205</isbn><accession-num>24163933</accession-num><urls></urls><remote-database-provider>NLM</remote-database-provider><language>swe</language></record></Cite></EndNote>[53] Sista paragraf) VI: SPECIFIKA TILLST?ND1-Akut appendicita) Du misst?nker akut appendicit utifr?n anamnesen. Patienten har Vita < 10 och CRP < 8. Vad har denna kombination f?r LR f?r akut appendicit? (Andersson 2004 ADDIN EN.CITE <EndNote><Cite><Author>Andersson</Author><Year>2004</Year><RecNum>549</RecNum><DisplayText>[54]</DisplayText><record><rec-number>549</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">549</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Andersson, R. E.</author></authors></contributors><auth-address>Department of Surgery, County Hospital Ryhov, SE-551 85 Jonkoping, Sweden. roland.andersson@ltjkpg.se</auth-address><titles><title>Meta-analysis of the clinical and laboratory diagnosis of appendicitis</title><secondary-title>Br J Surg</secondary-title><alt-title>The British journal of surgery</alt-title></titles><periodical><full-title>Br J Surg</full-title><abbr-1>The British journal of surgery</abbr-1></periodical><alt-periodical><full-title>Br J Surg</full-title><abbr-1>The British journal of surgery</abbr-1></alt-periodical><pages>28-37</pages><volume>91</volume><number>1</number><edition>2004/01/13</edition><keywords><keyword>Appendicitis/*diagnosis</keyword><keyword>Clinical Laboratory Techniques/*standards</keyword><keyword>Humans</keyword><keyword>Predictive Value of Tests</keyword><keyword>Sensitivity and Specificity</keyword></keywords><dates><year>2004</year><pub-dates><date>Jan</date></pub-dates></dates><isbn>0007-1323 (Print)&#xD;0007-1323 (Linking)</isbn><accession-num>14716790</accession-num><work-type>Meta-Analysis&#xD;Research Support, Non-U.S. Gov&apos;t&#xD;Review</work-type><urls><related-urls><url>;[54] s34 f?rsta rad i Table 5)b) Vilka kriterier ing?r i the AIR (Acute Inflammatory Response) score f?r akut appendicit? 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ADDIN EN.CITE.DATA [56] s279) Vilken handl?ggning rekommenderas beroende p? scoren? (s281)2-Akut kolecystita) Fyll i f?ljande tabell (Trowbridge 2003 ADDIN EN.CITE <EndNote><Cite><Author>Trowbridge</Author><Year>2003</Year><RecNum>557</RecNum><DisplayText>[57]</DisplayText><record><rec-number>557</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">557</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Trowbridge, R. L.</author><author>Rutkowski, N. K.</author><author>Shojania, K. G.</author></authors></contributors><auth-address>Department of Medicine, University of California, San Francisco 94143-0120 , USA.</auth-address><titles><title>Does this patient have acute cholecystitis?</title><secondary-title>JAMA</secondary-title><alt-title>Jama</alt-title></titles><periodical><full-title>Jama</full-title><abbr-1>Jama</abbr-1></periodical><alt-periodical><full-title>Jama</full-title><abbr-1>Jama</abbr-1></alt-periodical><pages>80-6</pages><volume>289</volume><number>1</number><edition>2002/12/31</edition><keywords><keyword>Abdomen, Acute/*etiology/ultrasonography</keyword><keyword>Acute Disease</keyword><keyword>Cholecystitis/*diagnosis/ultrasonography</keyword><keyword>Diagnosis, Differential</keyword><keyword>Diagnostic Imaging</keyword><keyword>Humans</keyword><keyword>Physical Examination</keyword><keyword>Sensitivity and Specificity</keyword></keywords><dates><year>2003</year><pub-dates><date>Jan 1</date></pub-dates></dates><isbn>0098-7484 (Print)&#xD;0098-7484 (Linking)</isbn><accession-num>12503981</accession-num><work-type>Research Support, Non-U.S. Gov&apos;t&#xD;Review</work-type><urls><related-urls><url>;[57] Table 2).KriterierLR+LR-Sm?rta i den h?gra ?vre kvadranten?mhet i den h?gra ?vre kvadrantenMurphys teckenb) Vad har d?remot ”the diagnostic impression of acute cholecystitis” hos erfarna l?kare f?r +LR? (Trowbridge 2003 ADDIN EN.CITE <EndNote><Cite><Author>Trowbridge</Author><Year>2003</Year><RecNum>557</RecNum><DisplayText>[57]</DisplayText><record><rec-number>557</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">557</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Trowbridge, R. L.</author><author>Rutkowski, N. K.</author><author>Shojania, K. G.</author></authors></contributors><auth-address>Department of Medicine, University of California, San Francisco 94143-0120 , USA.</auth-address><titles><title>Does this patient have acute cholecystitis?</title><secondary-title>JAMA</secondary-title><alt-title>Jama</alt-title></titles><periodical><full-title>Jama</full-title><abbr-1>Jama</abbr-1></periodical><alt-periodical><full-title>Jama</full-title><abbr-1>Jama</abbr-1></alt-periodical><pages>80-6</pages><volume>289</volume><number>1</number><edition>2002/12/31</edition><keywords><keyword>Abdomen, Acute/*etiology/ultrasonography</keyword><keyword>Acute Disease</keyword><keyword>Cholecystitis/*diagnosis/ultrasonography</keyword><keyword>Diagnosis, Differential</keyword><keyword>Diagnostic Imaging</keyword><keyword>Humans</keyword><keyword>Physical Examination</keyword><keyword>Sensitivity and Specificity</keyword></keywords><dates><year>2003</year><pub-dates><date>Jan 1</date></pub-dates></dates><isbn>0098-7484 (Print)&#xD;0098-7484 (Linking)</isbn><accession-num>12503981</accession-num><work-type>Research Support, Non-U.S. Gov&apos;t&#xD;Review</work-type><urls><related-urls><url>;[57] Abstract) Hur f?rklarar du denna diskrepans?3-Divertikulita) Vad visade Chaboks RCT om nyttan av antibiotika vid okomplicerad divertikulit? (Chabok 2013 ADDIN EN.CITE <EndNote><Cite><Author>Chabok</Author><Year>2013</Year><RecNum>2402</RecNum><DisplayText>[58]</DisplayText><record><rec-number>2402</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1523861882">2402</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Chabok, A.</author><author>Smedh, K.</author></authors></contributors><auth-address>Vastmanlands sjukhus, Vasteras. abbas.chabok@ltv.se</auth-address><titles><title>[No benefit from antibiotics in acute uncomplicated diverticulitis]</title><secondary-title>Lakartidningen</secondary-title><alt-title>Lakartidningen</alt-title></titles><periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></periodical><alt-periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></alt-periodical><pages>878-81</pages><volume>110</volume><number>17-18</number><edition>2013/05/31</edition><keywords><keyword>Abdominal Pain/etiology</keyword><keyword>Adult</keyword><keyword>Aged</keyword><keyword>Aged, 80 and over</keyword><keyword>Anti-Bacterial Agents/administration &amp; dosage/*therapeutic use</keyword><keyword>Diverticulitis, Colonic/blood/*drug therapy</keyword><keyword>Female</keyword><keyword>Fever/etiology</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Middle Aged</keyword><keyword>Pain Measurement</keyword><keyword>Practice Guidelines as Topic</keyword><keyword>Treatment Outcome</keyword></keywords><dates><year>2013</year><pub-dates><date>Apr 24-May 6</date></pub-dates></dates><orig-pub>Ingen nytta av antibiotika vid akut okomplicerad divertikulit. Randomiserad behandlingsstudie ifragasatter gammal dogm.</orig-pub><isbn>0023-7205 (Print)&#xD;0023-7205</isbn><accession-num>23717938</accession-num><urls></urls><remote-database-provider>NLM</remote-database-provider><language>swe</language></record></Cite></EndNote>[58] Resultat). Kom Daniels et al till samma result? (Daniels 2016 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5EYW5pZWxzPC9BdXRob3I+PFllYXI+MjAxNzwvWWVhcj48

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ADDIN EN.CITE.DATA [59] Abstract)b) Vad ?r en "okomplicerad" divertikulit? Vilka var exklusionsskriterierna? (Chabok 2013 ADDIN EN.CITE <EndNote><Cite><Author>Chabok</Author><Year>2013</Year><RecNum>2402</RecNum><DisplayText>[58]</DisplayText><record><rec-number>2402</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1523861882">2402</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Chabok, A.</author><author>Smedh, K.</author></authors></contributors><auth-address>Vastmanlands sjukhus, Vasteras. abbas.chabok@ltv.se</auth-address><titles><title>[No benefit from antibiotics in acute uncomplicated diverticulitis]</title><secondary-title>Lakartidningen</secondary-title><alt-title>Lakartidningen</alt-title></titles><periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></periodical><alt-periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></alt-periodical><pages>878-81</pages><volume>110</volume><number>17-18</number><edition>2013/05/31</edition><keywords><keyword>Abdominal Pain/etiology</keyword><keyword>Adult</keyword><keyword>Aged</keyword><keyword>Aged, 80 and over</keyword><keyword>Anti-Bacterial Agents/administration &amp; dosage/*therapeutic use</keyword><keyword>Diverticulitis, Colonic/blood/*drug therapy</keyword><keyword>Female</keyword><keyword>Fever/etiology</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Middle Aged</keyword><keyword>Pain Measurement</keyword><keyword>Practice Guidelines as Topic</keyword><keyword>Treatment Outcome</keyword></keywords><dates><year>2013</year><pub-dates><date>Apr 24-May 6</date></pub-dates></dates><orig-pub>Ingen nytta av antibiotika vid akut okomplicerad divertikulit. Randomiserad behandlingsstudie ifragasatter gammal dogm.</orig-pub><isbn>0023-7205 (Print)&#xD;0023-7205</isbn><accession-num>23717938</accession-num><urls></urls><remote-database-provider>NLM</remote-database-provider><language>swe</language></record></Cite></EndNote>[58] Fakta 1)c) Vad drar f?rfattarna av Cochrane analys f?r slutsats? (Shabanzadeh 2012 ADDIN EN.CITE <EndNote><Cite><Author>Shabanzadeh</Author><Year>2012</Year><RecNum>2403</RecNum><DisplayText>[60]</DisplayText><record><rec-number>2403</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1523861997">2403</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Shabanzadeh, D. M.</author><author>Wille-Jorgensen, P.</author></authors></contributors><auth-address>Department of Surgical Gastroenterology K, Bispebjerg Hospital, Copenhagen NV, Denmark. dmshaban@</auth-address><titles><title>Antibiotics for uncomplicated diverticulitis</title><secondary-title>Cochrane Database Syst Rev</secondary-title><alt-title>The Cochrane database of systematic reviews</alt-title></titles><periodical><full-title>Cochrane Database Syst Rev</full-title><abbr-1>The Cochrane database of systematic reviews</abbr-1></periodical><alt-periodical><full-title>Cochrane Database Syst Rev</full-title><abbr-1>The Cochrane database of systematic reviews</abbr-1></alt-periodical><pages>Cd009092</pages><volume>11</volume><edition>2012/11/16</edition><keywords><keyword>Anti-Bacterial Agents/*therapeutic use</keyword><keyword>Diverticulitis/*drug therapy</keyword><keyword>Humans</keyword><keyword>*Intestine, Large</keyword><keyword>Randomized Controlled Trials as Topic</keyword></keywords><dates><year>2012</year><pub-dates><date>Nov 14</date></pub-dates></dates><isbn>1361-6137</isbn><accession-num>23152268</accession-num><urls></urls><electronic-resource-num>10.1002/14651858.CD009092.pub2</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[60] s2)?4-Tarmischemia) Hur kan d-dimer anv?ndas vid misstanke om akut tarmischemi? (Bj?rck 2012 ADDIN EN.CITE <EndNote><Cite><Author>Bjorck</Author><Year>2012</Year><RecNum>1605</RecNum><DisplayText>[61]</DisplayText><record><rec-number>1605</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">1605</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Bjorck, M.</author></authors></contributors><auth-address>Uppsala universitet. martin.bjorck@surgsci.uu.se</auth-address><titles><title>[More and more people get acute intestinal ischemia--early diagnosis and treatment saves lives]</title><secondary-title>Lakartidningen</secondary-title><alt-title>Lakartidningen</alt-title></titles><periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></periodical><alt-periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></alt-periodical><pages>2284-6</pages><volume>109</volume><number>49-50</number><edition>2013/02/02</edition><keywords><keyword>Acute Disease</keyword><keyword>Aged</keyword><keyword>Biomarkers/analysis</keyword><keyword>Cost of Illness</keyword><keyword>Early Diagnosis</keyword><keyword>Female</keyword><keyword>Humans</keyword><keyword>Intestines/*blood supply/pathology/radiography</keyword><keyword>Ischemia/*diagnosis/etiology/radiography</keyword><keyword>Male</keyword><keyword>Mesenteric Artery, Superior/radiography</keyword><keyword>Mesenteric Vascular Occlusion/*diagnosis/epidemiology/radiography</keyword><keyword>Middle Aged</keyword><keyword>Sweden/epidemiology</keyword><keyword>Tomography, X-Ray Computed/methods</keyword></keywords><dates><year>2012</year><pub-dates><date>Dec</date></pub-dates></dates><orig-pub>Allt fler far akut tarmischemi--snabb diagnos och behandling raddar liv.</orig-pub><isbn>0023-7205 (Print)&#xD;0023-7205 (Linking)</isbn><accession-num>23367865</accession-num><work-type>Review</work-type><urls><related-urls><url>;[61] s2285)b) Kan laktat anv?ndas f?r att minska sannolikheten av akut tarmischemi? (Bj?rck 2012 ADDIN EN.CITE <EndNote><Cite><Author>Bjorck</Author><Year>2012</Year><RecNum>1605</RecNum><DisplayText>[61]</DisplayText><record><rec-number>1605</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">1605</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Bjorck, M.</author></authors></contributors><auth-address>Uppsala universitet. martin.bjorck@surgsci.uu.se</auth-address><titles><title>[More and more people get acute intestinal ischemia--early diagnosis and treatment saves lives]</title><secondary-title>Lakartidningen</secondary-title><alt-title>Lakartidningen</alt-title></titles><periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></periodical><alt-periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></alt-periodical><pages>2284-6</pages><volume>109</volume><number>49-50</number><edition>2013/02/02</edition><keywords><keyword>Acute Disease</keyword><keyword>Aged</keyword><keyword>Biomarkers/analysis</keyword><keyword>Cost of Illness</keyword><keyword>Early Diagnosis</keyword><keyword>Female</keyword><keyword>Humans</keyword><keyword>Intestines/*blood supply/pathology/radiography</keyword><keyword>Ischemia/*diagnosis/etiology/radiography</keyword><keyword>Male</keyword><keyword>Mesenteric Artery, Superior/radiography</keyword><keyword>Mesenteric Vascular Occlusion/*diagnosis/epidemiology/radiography</keyword><keyword>Middle Aged</keyword><keyword>Sweden/epidemiology</keyword><keyword>Tomography, X-Ray Computed/methods</keyword></keywords><dates><year>2012</year><pub-dates><date>Dec</date></pub-dates></dates><orig-pub>Allt fler far akut tarmischemi--snabb diagnos och behandling raddar liv.</orig-pub><isbn>0023-7205 (Print)&#xD;0023-7205 (Linking)</isbn><accession-num>23367865</accession-num><work-type>Review</work-type><urls><related-urls><url>;[61] s2285)5-Rupturerad bukaortaaneurysma) I vilken procent av patienter med rupturerad bukaortaaneurysm fr?n case series i Auckland saknades buk- eller ryggsm?rta? (Rose 2001 ADDIN EN.CITE <EndNote><Cite><Author>Rose</Author><Year>2001</Year><RecNum>973</RecNum><DisplayText>[62]</DisplayText><record><rec-number>973</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">973</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Rose, J.</author><author>Civil, I.</author><author>Koelmeyer, T.</author><author>Haydock, D.</author><author>Adams, D.</author></authors></contributors><auth-address>Department of Vascular Surgery, Middlemore Hospital, Auckland, New Zealand.</auth-address><titles><title>Ruptured abdominal aortic aneurysms: clinical presentation in Auckland 1993-1997</title><secondary-title>ANZ J Surg</secondary-title><alt-title>ANZ journal of surgery</alt-title></titles><pages>341-4</pages><volume>71</volume><number>6</number><edition>2001/06/21</edition><keywords><keyword>Aged</keyword><keyword>Aged, 80 and over</keyword><keyword>Aortic Aneurysm, Abdominal/*diagnosis/*epidemiology</keyword><keyword>Aortic Rupture/*diagnosis/*epidemiology</keyword><keyword>Diagnosis, Differential</keyword><keyword>Diagnostic Errors/statistics &amp; numerical data</keyword><keyword>Female</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Middle Aged</keyword><keyword>New Zealand/epidemiology</keyword><keyword>Retrospective Studies</keyword><keyword>Survival Analysis</keyword></keywords><dates><year>2001</year><pub-dates><date>Jun</date></pub-dates></dates><isbn>1445-1433 (Print)&#xD;1445-1433 (Linking)</isbn><accession-num>11409018</accession-num><work-type>Research Support, Non-U.S. Gov&apos;t</work-type><urls><related-urls><url>;[62] Symptoms at presentation)b) I vilken procent saknades en pulserande abdominell massa? (Rose 2001 ADDIN EN.CITE <EndNote><Cite><Author>Rose</Author><Year>2001</Year><RecNum>973</RecNum><DisplayText>[62]</DisplayText><record><rec-number>973</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">973</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Rose, J.</author><author>Civil, I.</author><author>Koelmeyer, T.</author><author>Haydock, D.</author><author>Adams, D.</author></authors></contributors><auth-address>Department of Vascular Surgery, Middlemore Hospital, Auckland, New Zealand.</auth-address><titles><title>Ruptured abdominal aortic aneurysms: clinical presentation in Auckland 1993-1997</title><secondary-title>ANZ J Surg</secondary-title><alt-title>ANZ journal of surgery</alt-title></titles><pages>341-4</pages><volume>71</volume><number>6</number><edition>2001/06/21</edition><keywords><keyword>Aged</keyword><keyword>Aged, 80 and over</keyword><keyword>Aortic Aneurysm, Abdominal/*diagnosis/*epidemiology</keyword><keyword>Aortic Rupture/*diagnosis/*epidemiology</keyword><keyword>Diagnosis, Differential</keyword><keyword>Diagnostic Errors/statistics &amp; numerical data</keyword><keyword>Female</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Middle Aged</keyword><keyword>New Zealand/epidemiology</keyword><keyword>Retrospective Studies</keyword><keyword>Survival Analysis</keyword></keywords><dates><year>2001</year><pub-dates><date>Jun</date></pub-dates></dates><isbn>1445-1433 (Print)&#xD;1445-1433 (Linking)</isbn><accession-num>11409018</accession-num><work-type>Research Support, Non-U.S. Gov&apos;t</work-type><urls><related-urls><url>;[62] Fig 1)c) I vilken procent saknades hypotoni? (Rose 2001 ADDIN EN.CITE <EndNote><Cite><Author>Rose</Author><Year>2001</Year><RecNum>973</RecNum><DisplayText>[62]</DisplayText><record><rec-number>973</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">973</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Rose, J.</author><author>Civil, I.</author><author>Koelmeyer, T.</author><author>Haydock, D.</author><author>Adams, D.</author></authors></contributors><auth-address>Department of Vascular Surgery, Middlemore Hospital, Auckland, New Zealand.</auth-address><titles><title>Ruptured abdominal aortic aneurysms: clinical presentation in Auckland 1993-1997</title><secondary-title>ANZ J Surg</secondary-title><alt-title>ANZ journal of surgery</alt-title></titles><pages>341-4</pages><volume>71</volume><number>6</number><edition>2001/06/21</edition><keywords><keyword>Aged</keyword><keyword>Aged, 80 and over</keyword><keyword>Aortic Aneurysm, Abdominal/*diagnosis/*epidemiology</keyword><keyword>Aortic Rupture/*diagnosis/*epidemiology</keyword><keyword>Diagnosis, Differential</keyword><keyword>Diagnostic Errors/statistics &amp; numerical data</keyword><keyword>Female</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Middle Aged</keyword><keyword>New Zealand/epidemiology</keyword><keyword>Retrospective Studies</keyword><keyword>Survival Analysis</keyword></keywords><dates><year>2001</year><pub-dates><date>Jun</date></pub-dates></dates><isbn>1445-1433 (Print)&#xD;1445-1433 (Linking)</isbn><accession-num>11409018</accession-num><work-type>Research Support, Non-U.S. Gov&apos;t</work-type><urls><related-urls><url>;[62] Presenting signs)d) Vad ?r sensitiviteten och specificiteten av ultraljud p? akuten f?r att uppt?cka en bukaortaaneurysm > 3 cm? 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ADDIN EN.CITE.DATA [63] Abstract)e) Hur m?ter man storleken av bukaortan? Var ligger de flesta AAA relativt till njurart?rarna? (How to scan the aorta-Mike Stone)6-SalpingitisVilka tre kliniska kriterier hj?lper till att skilja mellan salpingit och appendicit hos kvinnor i fertil ?lder enligt referensartikeln? (Morishita 2007 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Nb3Jpc2hpdGE8L0F1dGhvcj48WWVhcj4yMDA3PC9ZZWFy

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ADDIN EN.CITE.DATA [65])b) Vilka faktorer ing?r i den kliniska beslutregeln TWIST (Testicular Workup for Ischemia and Suspected Torsion)? (Frohlich 2017 ADDIN EN.CITE <EndNote><Cite><Author>Frohlich</Author><Year>2017</Year><RecNum>2180</RecNum><DisplayText>[66]</DisplayText><record><rec-number>2180</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1517084287">2180</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Frohlich, L. C.</author><author>Paydar-Darian, N.</author><author>Cilento, B. G., Jr.</author><author>Lee, L. K.</author></authors></contributors><auth-address>Bioverativ, Waltham, MA.&#xD;Division of Emergency Medicine, Boston Children&apos;s Hospital, Boston, MA.&#xD;Department of Urology, Boston Children&apos;s Hospital, Boston, MA.</auth-address><titles><title>Prospective Validation of Clinical Score for Males Presenting With an Acute Scrotum</title><secondary-title>Acad Emerg Med</secondary-title><alt-title>Academic emergency medicine : official journal of the Society for Academic Emergency Medicine</alt-title></titles><periodical><full-title>Acad Emerg Med</full-title><abbr-1>Academic emergency medicine : official journal of the Society for Academic Emergency Medicine</abbr-1></periodical><alt-periodical><full-title>Acad Emerg Med</full-title><abbr-1>Academic emergency medicine : official journal of the Society for Academic Emergency Medicine</abbr-1></alt-periodical><pages>1474-1482</pages><volume>24</volume><number>12</number><edition>2017/08/24</edition><dates><year>2017</year><pub-dates><date>Dec</date></pub-dates></dates><isbn>1069-6563</isbn><accession-num>28833896</accession-num><urls></urls><electronic-resource-num>10.1111/acem.13295</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[66] Hur bra ?r TWIST som klinisk beslutsregel? (Ridgway 2018 ADDIN EN.CITE <EndNote><Cite><Author>Ridgway</Author><Year>2018</Year><RecNum>2513</RecNum><DisplayText>[67]</DisplayText><record><rec-number>2513</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1534421310">2513</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Ridgway, Alex</author><author>Hulme, Peter</author></authors></contributors><titles><title>BET 2: Twist score in cases of suspected paediatric testicular torsion</title><secondary-title>Emergency Medicine Journal</secondary-title></titles><periodical><full-title>Emergency Medicine Journal</full-title></periodical><pages>574-575</pages><volume>35</volume><number>9</number><dates><year>2018</year></dates><urls><related-urls><url>;[67])FindingsPointsc) B?r man prova att manuellt detorkvera? (Demirbas 2017 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5EZW1pcmJhczwvQXV0aG9yPjxZZWFyPjIwMTc8L1llYXI+

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ADDIN EN.CITE.DATA [68] Abstract) d) Hur g?r man det? (Saxena 2016 Technique & Pearls)8-Uret?rstena) Hur kan ultraljud bidra till diagnostik och beslutsfattande misst?nkt uret?rsten? (Dalziel 2013 ADDIN EN.CITE <EndNote><Cite><Author>Dalziel</Author><Year>2013</Year><RecNum>461</RecNum><DisplayText>[69]</DisplayText><record><rec-number>461</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="0">461</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Dalziel, P. J.</author><author>Noble, V. E.</author></authors></contributors><auth-address>Emergency Medicine Ultrasound Division, Massachusetts General Hospital, Suite 140, 5 Emerson Place, Boston, MA 02114, USA. drpjdalziel@</auth-address><titles><title>Bedside ultrasound and the assessment of renal colic: a review</title><secondary-title>Emerg Med J</secondary-title><alt-title>Emergency medicine journal : EMJ</alt-title></titles><periodical><full-title>Emerg Med J</full-title><abbr-1>Emergency medicine journal : EMJ</abbr-1></periodical><alt-periodical><full-title>Emerg Med J</full-title><abbr-1>Emergency medicine journal : EMJ</abbr-1></alt-periodical><pages>3-8</pages><volume>30</volume><number>1</number><edition>2012/06/12</edition><keywords><keyword>Algorithms</keyword><keyword>Humans</keyword><keyword>Kidney Calculi/ultrasonography</keyword><keyword>Nephrolithiasis/*ultrasonography</keyword><keyword>*Point-of-Care Systems</keyword><keyword>Renal Colic/*ultrasonography</keyword><keyword>Sensitivity and Specificity</keyword></keywords><dates><year>2013</year><pub-dates><date>Jan</date></pub-dates></dates><isbn>1472-0213 (Electronic)&#xD;1472-0205 (Linking)</isbn><accession-num>22685250</accession-num><work-type>Review</work-type><urls><related-urls><url>;[69] Figure 2, Nicolau 2015 ADDIN EN.CITE <EndNote><Cite><Author>Nicolau</Author><Year>2015</Year><RecNum>2405</RecNum><DisplayText>[70]</DisplayText><record><rec-number>2405</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1523863184">2405</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Nicolau, C.</author><author>Claudon, M.</author><author>Derchi, L. E.</author><author>Adam, E. J.</author><author>Nielsen, M. B.</author><author>Mostbeck, G.</author><author>Owens, C. M.</author><author>Nyhsen, C.</author><author>Yarmenitis, S.</author></authors></contributors><auth-address>Radiology Department, Hospital Clinic, Villarroel 170, 08036, Barcelona, Spain, cnicolau@clinic.cat.</auth-address><titles><title>Imaging patients with renal colic-consider ultrasound first</title><secondary-title>Insights Imaging</secondary-title><alt-title>Insights into imaging</alt-title></titles><periodical><full-title>Insights Imaging</full-title><abbr-1>Insights into imaging</abbr-1></periodical><alt-periodical><full-title>Insights Imaging</full-title><abbr-1>Insights into imaging</abbr-1></alt-periodical><pages>441-7</pages><volume>6</volume><number>4</number><edition>2015/05/23</edition><dates><year>2015</year><pub-dates><date>Aug</date></pub-dates></dates><isbn>1869-4101 (Print)&#xD;1869-4101</isbn><accession-num>25994497</accession-num><urls></urls><custom2>PMC4519809</custom2><electronic-resource-num>10.1007/s13244-015-0396-y</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[70])b) Vilka kriterier ing?r i CHOKAI beslutsregeln? (Fukuhara 2017 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5GdWt1aGFyYTwvQXV0aG9yPjxZZWFyPjIwMTc8L1llYXI+

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ADDIN EN.CITE.DATA [71] s1860)CriteriaPointsc) B?r man rekommendera alpha 1-receptorh?mmare f?r att underl?tta stenpassage? (Campschroer 2018 ADDIN EN.CITE <EndNote><Cite><Author>Campschroer</Author><Year>2018</Year><RecNum>2414</RecNum><DisplayText>[72]</DisplayText><record><rec-number>2414</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1525630929">2414</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Campschroer, T.</author><author>Zhu, X.</author><author>Vernooij, R. W.</author><author>Lock, M. T.</author></authors></contributors><auth-address>Department of Urology, Radboud University Nijmegen Medical Center, Geert Grooteplein Zuid 10, Nijmegen, Gelderland, Netherlands, 6525 GA.</auth-address><titles><title>Alpha-blockers as medical expulsive therapy for ureteral stones</title><secondary-title>Cochrane Database Syst Rev</secondary-title><alt-title>The Cochrane database of systematic reviews</alt-title></titles><periodical><full-title>Cochrane Database Syst Rev</full-title><abbr-1>The Cochrane database of systematic reviews</abbr-1></periodical><alt-periodical><full-title>Cochrane Database Syst Rev</full-title><abbr-1>The Cochrane database of systematic reviews</abbr-1></alt-periodical><pages>Cd008509</pages><volume>4</volume><edition>2018/04/06</edition><dates><year>2018</year><pub-dates><date>Apr 5</date></pub-dates></dates><isbn>1361-6137</isbn><accession-num>29620795</accession-num><urls></urls><electronic-resource-num>10.1002/14651858.CD008509.pub3</electronic-resource-num><remote-database-provider>NLM</remote-database-provider><language>eng</language></record></Cite></EndNote>[72] Abstract)9-Buksm?rta hos barna) Vilka ?r de vanligaste orsakerna till mekaniskt tarmhinder/ileus hos barn efter neonatalperioden? (Sal? 2014 ADDIN EN.CITE <EndNote><Cite><Author>Salo</Author><Year>2014</Year><RecNum>2377</RecNum><DisplayText>[73]</DisplayText><record><rec-number>2377</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1522940301">2377</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Salo, M.</author><author>Anderberg, M.</author></authors></contributors><auth-address>- , Sweden Skanes Universitetssjukhus - Barn- och ungdomskirurgiska kliniken Lund, Sweden.&#xD;- , - .</auth-address><titles><title>[Acute abdomen in children]</title><secondary-title>Lakartidningen</secondary-title><alt-title>Lakartidningen</alt-title></titles><periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></periodical><alt-periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></alt-periodical><pages>2036-40</pages><volume>111</volume><number>46</number><edition>2014/11/12</edition><keywords><keyword>Abdomen, Acute/*diagnosis/etiology</keyword><keyword>Adolescent</keyword><keyword>Child</keyword><keyword>Child, Preschool</keyword><keyword>Clinical Laboratory Techniques</keyword><keyword>Critical Pathways</keyword><keyword>Humans</keyword><keyword>Infant</keyword><keyword>Medical History Taking</keyword><keyword>Physical Examination</keyword></keywords><dates><year>2014</year><pub-dates><date>Nov 11</date></pub-dates></dates><orig-pub>ABC om - Akut buk hos barn.</orig-pub><isbn>0023-7205 (Print)&#xD;0023-7205</isbn><accession-num>25386641</accession-num><urls></urls><remote-database-provider>NLM</remote-database-provider><language>swe</language></record></Cite></EndNote>[73] s2037)b) Vilken allm?n r?d ger Sal? et al om status (Sal? 2014 ADDIN EN.CITE <EndNote><Cite><Author>Salo</Author><Year>2014</Year><RecNum>2377</RecNum><DisplayText>[73]</DisplayText><record><rec-number>2377</rec-number><foreign-keys><key app="EN" db-id="5rd9tv29z5xd0revrw5xdxzy5w5zpd9tvz55" timestamp="1522940301">2377</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Salo, M.</author><author>Anderberg, M.</author></authors></contributors><auth-address>- , Sweden Skanes Universitetssjukhus - Barn- och ungdomskirurgiska kliniken Lund, Sweden.&#xD;- , - .</auth-address><titles><title>[Acute abdomen in children]</title><secondary-title>Lakartidningen</secondary-title><alt-title>Lakartidningen</alt-title></titles><periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></periodical><alt-periodical><full-title>Lakartidningen</full-title><abbr-1>Lakartidningen</abbr-1></alt-periodical><pages>2036-40</pages><volume>111</volume><number>46</number><edition>2014/11/12</edition><keywords><keyword>Abdomen, Acute/*diagnosis/etiology</keyword><keyword>Adolescent</keyword><keyword>Child</keyword><keyword>Child, Preschool</keyword><keyword>Clinical Laboratory Techniques</keyword><keyword>Critical Pathways</keyword><keyword>Humans</keyword><keyword>Infant</keyword><keyword>Medical History Taking</keyword><keyword>Physical Examination</keyword></keywords><dates><year>2014</year><pub-dates><date>Nov 11</date></pub-dates></dates><orig-pub>ABC om - Akut buk hos barn.</orig-pub><isbn>0023-7205 (Print)&#xD;0023-7205</isbn><accession-num>25386641</accession-num><urls></urls><remote-database-provider>NLM</remote-database-provider><language>swe</language></record></Cite></EndNote>[73] s2037-8)REFERENSERHSAN 268/03. Epididymit sa l?karna – det var testistorsion. Borde ha opererat akut f?r att kunna st?lla r?tt diagnos. L?kartidningen 2003;100:3779 (31-Urologi p? akuten/HSAN)HSAN 927/03. Felet urs?ktligt – AT-l?kare frias Tog inte blodprov f?r att bekr?fta eller utesluta blindtarmsinflammation. L?kartidningen 2003;100:3334 (16-Buk- och flanksm?rta/HSAN/01-Gastrointestinala orsaker)HSAN 1126/05. 14-?ring f?rlorade testikel efter feldiagnos av underl?kare?V?l k?nt att testistorsion kan b?rja med buksm?rtor, illam?ende och kr?kningar?. L?kartidningen 2006;103:1972 (16-Buk- och flanksm?rta/HSAN/05-Urologiska orsaker)HSAN 897/07. Epididymit sa urologen-det var testistorsion. L?kartidningen 2008;105:137 (31-Urologi p? akuten/HSAN)HSAN 3062/07. Det kunde inte uteslutas att pojken hade testistorsion-la?karen borde ordnat en snabb exploration. L?kartidningen 2008;105:1023 (31-Urologi p? akuten/HSAN)HSAN 3506/05. 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