Correct Medical Treatment Research Articles

#32 : Female Genital Tuberculosis with Primary Subfertility — A Case Report

Background and Aims: Tuberculosis is a major health problem with worldwide incidence of about 10.4 million people TB in 2015, out of which more than 60% were in Asia. There is no single diagnostic test for female genital tuberculosis so diagnosis is made after considering various factors such as family history, general physical examination, culture and PCR tests and also the diagnostic hysteroscopy and laparoscopy. Here we report a case of asymptomatic female genital tuberculosis in which diagnosis was made on the basis of laparoscopic findings as well as histopathology. Method: Patient 30 years with no symptom, planned to have laparoscopy and proceed as workup for primary subfertility and ultrasound showing 44 * 22 mm cyst with internal echoes in right adnexal region, with impression of right endometriotic cyst. Results: Laparoscopy showed normal uterus. There was 0.5 * 0.6 cm granuloma on surface fundus of uterus, adhesions in Pouch of Doughlas. Right tube had gross hydrosalpinx with fimbrial phymosis, and golf stick appearance. Right ovary was buried under right tube and had cyst of size 4 * 5 cm, on drainage caseous material. Left tube had moderate hydrosalpinx and left ovary was completely buried in adhesions. No fill and spill of dye on dyes test. Adhesiolysis was done and anatomy restored. Right tubo ovarian mass drained and caseous material removed. Uterine fundal caseous material removed and collected for histopathology which confirmed the diagnosis. Giant cell with granuloma and caseous necrosis was confirmed on histopathology. Conclusion: Female genital tuberculosis is associated with late presentation due to asymptomatic nature of disease. Hysteroscopy and laparoscopy with microbiological tests on samples taken during laparoscopy has made the diagnosis near to confirmatory. Correct and complete medical treatment gives good results.

Prevalence of Gardnerella vaginalis infection and antibiotic resistance pattern of isolates of gynecology clinic patients at Shahriar Noor Hospital from January to June 2020 by PCR and culture methods.

Gardnerella vaginalis is one of the most important causes of prevalent genital infections that pose serious risks. This study aimed to determine the prevalence of Gardnerella vaginalis and antibiotic resistance pattern of isolates of patients referred to the gynecology clinic of Shahriar Noor Hospital by PCR and culture methods. The study was conducted on 500 patients who had suffered from a vaginal infection. The demographic data of patients were studied. For diagnosis of Gardnerella vaginalis isolates, cultivation in anaerobic conditions, biochemical tests, PCR and Gardnerella vaginalis antibiotic susceptibility test to metronidazole and clindamycin were performed. Data analysis was performed utilizing SPSS statistical software version 19 and the Chi-square test. Among the 500 patients, 173 were diagnosed with Gardnerella vaginitis. There was a significant relationship between age group, level of education, and contraceptive method with Gardnerella vaginosis incidence. Performing antibiotic susceptibility tests showed that the resistance of Gardnerella vaginalis isolated strains to metronidazole and clindamycin was 86.12% and 17.34%, respectively. The high prevalence of Gardnerella vaginalis infections confirms the critical role of the bacterium in the occurrence of bacterial vaginosis. Therefore, it is necessary to check the prevalence of bacterial infections to recommend the correct medical treatment in different societies.

Early and Accurate Diagnosis of a Neurological Disorder Epilepsy Using Machine Learning Techniques

An epileptic seizure is a type of seizure induced by aberrant brain activity caused by an epileptic condition, which is a brain Central Nervous System disorder (CNS). CNSs are relatively prevalent and include a wide range of symptoms, including loss of awareness, and strange behaviour. These symptoms frequently result in injuries as a result of walking imbalance, tongue biting, and hearing loss. For many researchers, detecting a prospective seizure in advance has been a difficult undertaking. In this research work we have used non-imaging data and applied supervised learning algorithms to determine the classification of epilepsy and try to improve the efficiency of the model, compared to the existing ones. Random Forest algorithm was found to have highest accuracy compared to other machine learning models. The paper can be helpful in diagnosing high-risk brain diseases and predicting diseases such as Alzheimer's with symptoms challenging to predict and diseases with overlapping symptoms and overlapping symptoms and attribute values. The scope of the research work can be further extended to determine at which stage the epilepsy is present in a patient, in order to provide a correct diagnosis and medical treatment.

Infective Endocarditis in Adults With Congenital Heart Disease: Never Stop Digging—The Role of Multimodality Imaging

A challenging case of infective endocarditis in a young woman with repaired tetralogy of Fallot and a diagnosis of ankylosing spondylitis is described. Despite the presence of multiple confounding factors, a multidisciplinary approach with the use of multimodality cardiac imaging allowed a correct diagnosis and effective medical treatment. (Level of Difficulty: Intermediate.)

Vulval pruritus

Pruritus or itch can be a symptom of many dermatological conditions of the vulva and can range from mildly annoying to severely impacting a patient’s quality of life. The dermatological causes of vulval pruritus are many; those that will be discussed in this article are inflammatory dermatoses, infection, neoplasia and atrophy. It is important to identify and manage vulval conditions, because of the impact on patients’ quality of life and because they may represent a malignancy or a precursor to one. A tailored history and examination will help direct clinicians to the appropriate management and referral pathway. Alongside the correct medical treatment, patients should be provided with information on the principles of vulval care and where to access further information on their condition.

Self-Assessment of Mobility of People over 65 Years of Age.

Background and Objectives: Nowadays, various clinical scoring systems are used in the medical care of the elderly to assess the quality of mobility. However, people often tend to under- or overestimate themselves in many aspects. Since this can have serious consequences in their treatment and care, the aim of this study was to identify differences in the self and external assessment of mobility of persons over 65 years of age. Materials and Methods: 222 participants over 65 years of age and one external, closely-related relative or professional caregiver were interviewed by a unique study assistant using a standardized questionnaire. Participants were divided into people living in nursing homes and independent people living at home, where either the caregivers or the relatives provided the external assessment of mobility, respectively. The questionnaire included demographics, cognitive abilities (Mini Mental Status Test); fall risk (Hendrich 2 Fall Risk Model); as well as the Parker Mobility Score, Barthel Index, and EQ-5D-5L to measure mobility, activities of daily life and quality of life. In each case, the participant and the external person were asked for their assessment to the participants’ mobility situation. Statistical significance of the difference between self and external assessment was calculated with a Wilcoxon rank-sum test and assumed with a p-value of ≤ 0.05. Results: Self-assessment indicated a significantly higher value, when compared to an external assessment for the Parker Mobility Score for females in nursing homes (p ≤ 0.01), as well as for the Barthel Index for females (p ≤ 0.01) and males (p ≤ 0.01) in nursing homes. The EQ-5D-5L received a significantly higher self-assessment value for females (p ≤ 0.01) and males (p ≤ 0.01) living at home and females (p ≤ 0.01) and males (p ≤ 0.05) in nursing homes. Conclusions: Persons over 65 years of age tend to overestimate their level of mobility, quality of life and activities of daily life. Especially for people living in nursing homes, these scoring systems should be treated with caution due to the differences between the verbal statements. It is important to properly assess the mobility situation of elderly patients to ensure correct medical treatment and prevention of falls.

Efficient Prophylactic Management of HBV Reactivation by an Information Technology Encoding System: Results of a 6-year Prospective Cohort Study.

Objective We started an information technology (IT) system that encodes the medical treatment status of hepatitis B virrus (HBV) with a 9-digit number, automatically checks for inappropriate situations occurring due to immunosuppression and chemotherapy that do not comply with the flowchart of the hepatitis B countermeasure guideline, and promotes correct HBV medical treatment in our hospital. We conducted a prospective study of HBV reactivation using this system. Methods Among 21,607 cases that were managed using this system, 1,206 patients who were HBs antigen-negative, HBc antibody- and/or HBs antibody-positive and in whom HBV DNA quantification was performed two times or more were examined for the occurrence of HBV reactivation. The study population included: malignant lymphoma patients using rituximab (n=40), patients with malignant tumors using anticancer agents (n=546), patients treated with steroids (n=274), rheumatoid arthritis (RA) patients (n=144), patients using immunosuppressants/biologics (n=26), and patients undergoing hepatitis C direct acting antiviral (DAA) treatment (n=176). Results HBV reactivation was observed in 27 cases undergoing treatment with the following agents: rituximab (n=6), anticancer agents (n=8), steroids (n=10), anti-RA agents (n=1), and hepatitis C DAA (n=2). Among the 40 patients who were using rituximab, 6 (18.2%) showed a high rate of reactivation. In 10 in which HBV reactivation occurred at a median of 10 (range, 4-32) months after steroid administration, 6 occurred after the 7th month, and 1 patient showed HBs antigen positivity and severe hepatitis. Conclusion Continuing of the operation of an automatic check system using coded medical information to check for the reactivation enabled this prospective study of HBV reactivation. Careful attention should be paid to patients using steroids, as well as malignant lymphoma patients who are treated with rituximab. The results of the present study suggest that the present IT encoding system would be useful for preventing HBV reactivation.

Estimation of Thyroid Stimulating Hormone Level in Normal Female School Children in a Semi Urban Indian Town- Kumbakonam Urban Rural Epidemiological Study-KURES-2

Symptoms of thyroid dysfunction are non-specific, yet common and hence screening for abnormalities becomes a necessity. To identify subclinical thyroid dysfunction and offer them the correct medical treatment especially in adolescent female children is an excellent option as a public health prophylactic measure. Hence in this study, we sampled 264 asymptomatic school female children for TSH and found an incidence of 3.4% of high TSH (>5). On the other side, the lower values were found in six (if TSH <0.5) or only two children (if TSH < 0.4). The mean with standard error of TSH values were 2.99 ± 0.567. The fasting status was not complied with, and all were random blood samples. All children with abnormal results were counselled with parents and necessary medical advice given. This prevalence is the lowest among similar studies done in any Asian country which is a new finding in our study. Only one child showed a value of 150 who was given drugs and followed up. We theorize that this lesser incidence may be partly due to the study being done in a delta area of a semiurban town.

Quality of care of treatment for uncomplicated severe acute malnutrition provided by lady health workers in Pakistan.

To assess the quality of care provided by lady health workers (LHW) managing cases of uncomplicated severe acute malnutrition (SAM) in the community. Cross-sectional quality-of-care study. The feasibility of the implementation of screening and treatment for uncomplicated SAM in the community by LHW was tested in Sindh Province, Pakistan. An observational, clinical prospective multicentre cohort study compared the LHW-delivered care with the existing outpatient health facility model. LHW implementing treatment for uncomplicated SAM in the community. Oedema was diagnosed conducted correctly for 87·5 % of children; weight and mid upper-arm circumference were measured correctly for 60·0 % and 57·4 % of children, respectively. The appetite test was conducted correctly for 42·0 % of cases. Of all cases of SAM without complications assessed during the study, 68·0 % received the correct medical and nutrition treatment. The proportion of cases that received the correct medical and nutrition treatment and key counselling messages was 4·0 %. This quality-of-care study supports existing evidence that LHW are able to identify uncomplicated SAM, and a majority can provide appropriate nutrition and medical treatment in the community. However, the findings also show that their ability to provide the complete package with an acceptable level of care is not assured. Additional evidence on the impact of supervision and training on the quality of SAM treatment and counselling provided by LHW to children with SAM is required. The study has also shown that, as in other sectors, it is essential that operational challenges are addressed in a timely manner and that implementers receive appropriate levels of support, if SAM is to be treated successfully in the community.

Leadership in Pediatric Surgery from a Trainee's Perspective.

AbstractRole models are fundamental for anyone entering the field of medicine. Proper leadership is especially essential in surgical subspecialties to guide young doctors through their training, ensure surgical experience and skill development, and teach the values of professional and ethical behavior and team management. In the complex field of pediatric surgery, which is composed of a unique patient clientele and age-dependent conditions, specialization, experience, and a strong executive are vital for patient care. Leaders in pediatric surgery are required to find a suitable balance between guidance and controlling a trainee's actions to ensure correct medical and surgical treatment and provide young doctors with the opportunity to grow and gain independent experience. When teaching the present generation of trainees, current leaders need to consider the specific characteristics of the so-called “Millennials” to avoid tension and frustration due to generation diversity. This article aims to assess leadership qualities, character traits, challenges, and expectations in pediatric surgery from a trainee's perspective.

Actualităţi în diagnosticul şi tratamentul edemului pulmonar acut

Acute pulmonary edema is an often encountered medical emergency characterized by sever shortness of breath, orthopnea and pulmonary overload caused by left ventricular failure. The specific pharmacological and nonpharmacological therapies should be administered rapidly and their objective is to correct the hypoxemia and reduce the left ventricular afterload. Although the symptoms often regress quickly, the in-hospital and short-term mortality remain high. To improve the prognosis of these patients, long-term management is as important as the one in the acute setting, and includes the patient education, the correct and complete medical treatment of the subjacent heart disease and the prevention of risk factors.

The use of COPD maintenance therapy following spirometry in General Practice

BackgroundSeveral studies have shown that the use of pulmonary medication is widespread and often initiated without initial spirometry. Early detection of chronic obstructive pulmonary disease (COPD) by spirometry in General Practice is essential for an early and correct implementation of medical treatment.AimThe aim of the present study was to evaluate the use of regular therapy following diagnostic spirometry for COPD in General Practice from February 2008 to February 2009.MethodSpirometry data and results were linked through Statistics Denmark with information from the Register of Medicinal Product Statistics using the unique personal identification code. Data were analysed to evaluate the impact of screening on use of regular COPD therapy. Primary outcome was initiation of regular therapy following COPD diagnosis with spirometry.ResultsIn a population of 3,376 individuals at risk, 1,458 underwent spirometric assessment with 631 being diagnosed with COPD; 110 of those received regular therapy before assessment with this figure increasing to 161 after spirometry. Of 827 participants not receiving a COPD diagnosis, 36 received regular therapy prior to assessment and 42 received regular therapy after spirometry despite no established COPD diagnosis.ConclusionThere is a significant chance of receiving regular therapy after being diagnosed with COPD. However, a large proportion of subjects diagnosed with COPD did not receive regular therapy following diagnosis. Efforts should be made to ensure correct diagnosis and correct medical treatment according to guidelines in individuals with COPD.

Sick leave and absence from work due to restless legs syndrome

Introduction In order to assess the impact of RLS on their working life, members of RLS patient organizations were asked to provide information on the total time they had to spend at home due to their RLS symptoms – RLS only, no other illness. Materials and methods A detailed questionnaire was sent to 11,731 members of RLS patient organizations in Austria, Belgium, Finland, France, Great Britain, Italy, Norway, Spain, Sweden, The Netherlands, Canada and the USA. 4278 questionnaires were returned, of which 4107 (35.0%) could be analyzed. Questions were asked on a variety of topics, among which sick leave and disabllity benefit. Results Sick leave 165 respondents (4.0%) are/have been on sick leave due to RLS. Symptoms in sick leave respondents compared to 3942 respondents not on sick leave are more severe (range 0–40). Average without treatment 24.58 (21.27), SD 9.08 (8.75), p 0.000022. Average with treatment 12.96 (9.70), SD 8.50 (7.00), p 0.000028. Time from onset to diagnosis was shorter for sick leave respondents. Average 13.16 (15.61) years (SD 13.07 (15.74) p 0.0232). Treatment of sick leave respondents is not optimal. Dopamine agonists were given in only 68.5% (72.3%) of cases, antiepileptics in 16.4% (13.9%). Sick leave respondents showed a higher use of antidepressants: 23.0% (17.5%), p 0.00017. Disability insurance benefit – DIB 75 (1.8%) of all respondents receive DIB due to RLS. Symptoms in DIB respondents compared to 4032 respondents not on DIB are more severe (range 0–40). Average without treatment 25.90 (21.31), SD 9.39 (8.76), p 0.00018. Average with treatment 13.29 (9.77), SD 9.14 (7.05), p 0.0046. Time from onset to diagnosis was longer for DIB respondents: average 16.53 (15.49), SD 16.01 (15.64), p 0.592. Treatment of DIB respondents is not optimal: Dopamine agonists were given in 70.7% (72.2%) of cases, antiepileptics in 16.0 % (13.9%). DIB respondents showed a lower use of antidepressants: 9.3% (17.9%), p 0.00008. Despite treatment an overall 2–4% of patents report sick or are on disability benefits because of RLS. Conclusion The authors conclude that correct and early diagnosis and optimal medical treatment may lead to decreased sick leave as well as disability insurance benefits in severe RLS and thus reduce health care expenditure and increase quality of life for these patients. Acknowledgements The authors wish to acknowledge the dedication of the thousands of RLS patients worldwide who helped complete this questionnaire and provided us with detailed and accurate information not hitherto known.

NXCL-4950, a novel composite applicable to peripheral skin, is capable of increasing skin temperature by enhancing capillary circulation

Rapid skin warming and prompt correct medical treatment lead to dramatic improvement in patients with peripheral capillary-related damage, such as injuries, Raynaud disease and frostbite. To characterize a novel composite, NXCL-4950, for use in a cosmetic lotion. The effects of NXCL-4950 on enhancing skin blood flow, skin temperature warming, and expansion of peripheral blood vessels and scalp microvessels were investigated. Monitoring by laser Doppler perfusion imaging and thermal imaging showed that application of NXCL-4950 to the hands increased skin blood flow and temperature relative to the control (or placebo) group. For the 20 participants with a high Raynaud Condition Score, application of NXCL-4950 to the skin resulted in a mean increase of 215.53% in microvessel diameter and mean increase of 164.96% in the speed of blood flow. When NXCL-4950 was applied to the scalp, the microvessels around the hair roots were clearly visible after 20 min. NXCL-4950 is a potential candidate for enhancing peripheral skin temperature, and might be useful in the treatment of capillary-related disorders.

Sex, sickness, and slavery: illness in the antebellum South

Marli F. Wiener skillfully integrates the history of medicine with social and intellectual history in this study of how race and sex complicated medical treatment in the antebellum South. Sex, Sickness, and Slavery argues that Southern physicians' scientific training and practice uniquely entitled them to formulate medical justification for the imbalanced racial hierarchies of the period. Challenged with both helping to preserve the slave system (by acknowledging and preserving clear distinctions of race and sex) and enhancing their own authority (with correct medical diagnoses and effective treatment), doctors sought to understand bodies that did not necessarily fit into neat dichotomies or agree with suggested treatments. Focusing on Southern states from Virginia to Alabama, Weiner examines medical and lay perspectives on the body through a range of sources, including medical journals, notes, diaries, daybooks, and letters. These personal and revealing sources show how physicians, medical students, and patients--both free whites and slaves--felt about vulnerability to disease and mental illnesses, how bodily differences between races and sexes were explained, and how emotions, common sense, working conditions, and climate were understood to have an effect on the body. Physicians' authority did not go uncontested, however. Weiner also describes the ways in which laypeople, both black and white, resisted medical authority, clearly refusing to cede explanatory power to doctors without measuring medical views against their own bodily experiences or personal beliefs. Expertly drawing the dynamic tensions during this period in which Southern culture and the demands of slavery often trumped science, Weiner explores how doctors struggled with contradictions as medicine became a key arena for debate over the meanings of male and female, sick and well, black and white, North and South.

Características radiológicas y quirúrgicas de un caso de hidatidosis espinal recurrente

Hydatidosis is an illness that is still to be found in our setting. The lungs and liver are the organs most frequently involved and it rarely extends to bones. Involvement of the spine is infrequent, but it can give rise to a high degree of disability and may recur despite apparently complete excision. Here we report a case of recurring spinal hydatidosis with radiological and surgical particularities. Our case involves a 63-year-old male living in a rural area of the northern part of Spain's central plateau. The patient had a history of surgery for spinal hydatidosis and was on treatment with mebendazole. In the months before his visit, the patient had experienced difficulty in walking and urgency incontinence. The examination revealed paraparesis that predominantly affected the right-hand side and the patient required bilateral support to be able to walk. A dorso-lumbar magnetic resonance scan showed post-surgery changes with pedicular instrumentation added later in another centre, and a hydatid cyst with involvement of the body of the D10 vertebra, epidural extension and compression of the spinal cord. The patient was submitted to a surgical procedure involving the extraction of the system of fixation and full macroscopic excision of the cyst, with partial resection of the body of the vertebra. Initially the patient displayed motor improvement and treatment with mebendazole was reintroduced in high doses. Spinal hydatidosis is a rare condition that, in spite of correct surgical and medical treatment, often recurs. Magnetic resonance scans show characteristic 'honeycomb' images, which are sometimes large and have their origins in the body of the vertebra. Although successive surgical interventions can become increasingly more difficult because of old instrumentation or the conservation of compromised vertebral bodies, aggressive excision is indicated while the patient still has useful neurological functioning.

Pott's disease: medical and surgical treatment.

To evaluate the best treatment of Pott's disease. 7 cases of Pott's disease were treated in the department of Neurosurgery of Sapienza University of Rome (Italy) between 2004 to 2011. All patients underwent surgical drainage of abscess and vertebral stabilization. In all cases culture exam showed positivity after 40 days of incubation. After surgery for a period of one year chemotherapy was administered. In all cases MRI scan with gd of the spinal column were performed 12 months after surgery and no recurrence of disease has been shown. Pott's disease is defined as vertebral involvement of extrapulmonary Tubercolosis (TB), involving mainly toraco-lumbar tract of the spine. MRI with gd represents the gold standard for the diagnosis. Treatment can be medical, surgical or usually both. The slippery course of the disease often causes a delay in getting to a diagnosis that is not made prior to rising signs, such as large abscess, neurological impairment or vertebral fractures. In these cases medical treatment alone did not show effective results, because no specific antibiotic drug can permeate the abscess's capsule, and an effective concentration is not achieved in the infection's site. Therefore, surgical treatment is necessary to abscess draining and setting the correct medical treatment to mycobacterial eradication.

Common and unusual urogenital Crohn’s disease complications: spectrum of cross-sectional imaging findings

Involvement of the urinary tract and genital organs is not uncommon in patients affected with Crohn's disease (CD). Occurring in both sexes, uro-gynecological complications are often clinically unsuspected because of the dominant intestinal or systemic symptoms. Knowledge of their manifestations and cross-sectional imaging appearances is necessary to recognize and report them, since correct medical or surgical treatment choice with appropriate specialist consultation allows to prevent further complications. Besides uncomplicated urinary tract infections that usually do not require imaging, urolithiasis and pyelonephritis represent the most commonly encountered urinary disorders: although very useful, use of computed tomography (CT) should be avoided whenever possible, to limit lifetime radiation exposure. Hydronephrosis due to ureteral inflammatory entrapment and enterovesical fistulization may result from penetrating CD, and require precise imaging assessment with contrast-enhanced CT to ensure correct surgical planning. Representing the majority of genital complication, ano- and rectovaginal fistulas and abscesses frequently complicate perianal inflammatory CD and are comprehensively investigated with high-resolution perianal MRI acquired with phased-array coils, high-resolution T2-weighted sequences and intravenous contrast. Finally, rare gynecological manifestations including internal genital fistulas, vulvar and male genital involvement are discussed.

P-165 - A case of hydrocephalus occlusus presenting as a manic episode

Normal Pressure Hydrocephalus(Hakim-Adams Syndrome)is a dilation of the ventricles without an increase of intracranial pressure.It corresponds to he classic triade of are gait disturbance, memory/cognitive problems,and urinary incontinence. Manic and depressive symptoms can be related to hydrocephalus occlusus even in the absence of neurological symptoms.These symptoms disappear after neurosurgery or pharmacological treatment. A 26 year old-male,from Cabo Verde,is interviewed in the Emergency Department in June 2011 presenting disturbance of general behaviour.He is being aggressive and presents flight of ideas.The diagnosis: “Hypomanic state” treated with lorazepam 6 mg/day and Olanzapine 5 mg/day. August 2011, the patient is reevaluated because of his behaviour:soliloquies,laughs,expansive mood, abnormal irritability, easily excited to enthusiasm and irritable humor. He also presents psychomotor agitation associated to delusion of persecution.He has not been taking his medication. No other neurological symptoms are detected. In Hospital he receives Risperidone 6 mg/day, Clorazepate Dipotassium45mg/day and Lormetazepam 2 mg /day disappearing most of the symptoms. A MRI was done, presenting triventricular hydrocephalus with absence of intraparenchymal damage.After monitoring the intracranial pressure, Neurosurgery decides not to perform surgery. In the case of not responding to Risperidone, studies have been published that Aripiprazole (atypical antipsychotic with a unique partial agonistic effect at D2receptors)is effective and safe in the treatment of manic episode. Some publications about the reduction of D2receptors demonstrated that the binding of striatal was reduced in NPH. Sometimes imaging tests are needed in patients with behavioural disturbance as manic symptoms in order to avoid misdiagnosis and it is crucial for the correct medical and chirurgical treatment.

Study on pre-hospitul care of community trauma and nursing management

Objective To study the morbidity rule of community trauma and pre-hospital care mea-sures so as to improve the pre-hospital care performance. Methods 962 cases who received pre-hospital care by 120 commanding center in our hospital were retrospectively analyzed by means of self-designed questionnaires. Results The features of community trauma were mainly multiple trauma caused by traffic accidents, the main pre-hospital care measures included bandaging, hematischesis, pexia, aspiration of oxy-gen,intravenous injection, cardiopulmonary resuscitation,tracheal intubation and cricothyroid puncture,a-mong which bandaging, hematischesis and pexia accounted for 92.7 per cent. Conclusions Early and rapid treatments to the wounded patients, and correct medical rescue are very important. They are the two key factors to promote the success rate of rescue. At the same time, sound nursing management, correct medical treatment and nursing coordination are also critical aspects. Key words: Pie-hospital care; Trauma; Nursing management