Skip Navigation
Skip to contents

J Trauma Inj : Journal of Trauma and Injury

OPEN ACCESS
SEARCH
Search

Author index

Page Path
HOME > Browse Articles > Author index
Search
Dong Hoon Lee 2 Articles
A Simple and Easy Method to Prevent Intravenous Fluid Heat Loss in Hypothermia
Sun Hwa Lee, Yoon Hee Choi, Dong Hoon Lee
J Trauma Inj. 2013;26(4):255-260.
  • 1,466 View
  • 9 Download
AbstractAbstract PDF
PURPOSE
For the treat hypothermia patients, active warming might be needed. In most emergency departments, IV warm saline infusion is used for treatments. However, during IV warm saline infusion, heat loss from the warm saline may occur and aggravate hypothermia. Thus, in this study, we conducted an experiment on conserving heat loss from warm saline by using a simple method.
METHODS
Four insulation methods were used for this study. 1) wrapping the set tube for the administration of the IV fluid with a cotton bandage, 2) wrapping the set tube for the administration of the IV fluid with a cotton bandage with aluminum foil, 3) wrapping the warm saline bag and tube with a cotton bandage, and 4) wrapping the warm saline bag and tube with a cotton bandage with aluminum foil. Intravenous fluid was preheated to a temperature between 38-40degrees C. The temperatures of the saline bag temperature and the distal end of the IV administration set were measured every ten minutes for an hour. The infusion rate was 1000 cc/hr, and to obtain an accurate infusion rate, we used an infusion pump.
RESULTS
The mean initial temperature of the saline bag was 39.11degrees C. An hour later, the fluid temperature at the distal end of the fluid temperature ranged from 29.63degrees C to 34.3degrees C. Without any insulation, the initial temperature of the pre-heated warm saline, 39degreeshad decreased to 34.8degrees C after having been run through the 170-cm-long IV administration tube, and after 1-hour, the temperature was 29.63degrees C. As we expected, heat loss was prevented most by wrapping both the saline bag and the IV administration set with a cotton bandage and aluminum foil.
CONCLUSION
Wrapping both the saline bag and the IV administration set with a cotton bandage and aluminum foil can prevent heat loss during IV infusion in Emergency departments.
Summary
S-100B in Extracranial Fracture Patients Without Head Trauma
Tae Woong Park, Dong Hoon Lee, Sang Jin Lee, Sung Eun Kim, Chang Woong Kim
J Korean Soc Traumatol. 2009;22(2):123-127.
  • 940 View
  • 1 Download
AbstractAbstract PDF
PURPOSE
There is an increasing amount of evidence that S100B could function as a marker of brain damage. However, the cerebral specificity of S100B has been questioned, so the extracerebral sources of S100B have been paid attention. We performed this investigation to show serum S100B levels after extracranial fracture in patients without current head injury and without prior neurological disease.
METHODS
At the emergency department, we obtained the blood samples within 6 hours from trauma patients hospitalized with extracranial fractures. S100B levels were compared between one fracture and more than two fractures, and analyzed according to the presence of soft tissue damage.
RESULTS
Patients with one fracture and those with more than two fractures did not differ by age (mean, 54.70 vs. 47.03, p=0.130), and there was no significant difference in the male-to-female ratio(33:32 vs. 21:12, p=0.226). In patients with one fracture, the mean value of S-100B was 0.56 microgram/L (95% CI: 0.35-0.77) whereas in those with more than two fractures, the corresponding value was 1.09 microgram/L (95% CI: 0.46-1.7, p=0.048). The S100B level of patients with soft tissue damage(1.32+/-0.38) was higher than that of patients without soft tissue damage(0.81+/-0.21), whether one fracture or more than two fractures(p=0.049).
CONCLUSION
We present here that S100B levels were raised in 77% of patients with extracranial fractures without cerebral injury who were hospitalized from the emergency room and that the presence of soft tissue damage contributed to the increased S100B rather than the size of the fractured bone size or the number of fracturest. Thus, this study suggests that soft tissue injury may be considered as an important extracerebral source of S100B.
Summary

J Trauma Inj : Journal of Trauma and Injury