Dear colleague:   Road Safety, Injury Prevention, Anesthesiology, General Surgery, Orthopedic Surgery, Obstetrician and Gynecology, Infectious Disease and/or Complementary and Alternative Medicine, Psychiatry/Psychology and Other specialist/experts 

Journal of Injury and Violence Research is going to launch a new interactive feature article in each issue called “Clinical Grand Round”. Periodically, a new medical case is presented followed by responses generated from experts in the field. Expert Query We are seeking a holistic overview on following case for possible publication in the next issue of the Journal, involving a pregnant woman in a car accident.

The Medical Case is available at : http://jivresearch.org/jivr/index.php/jivr/article/view/28/70 

Questions for experts in potential areas of investigations are outlined below. However, experts from all fields are welcome to submit their feedbacks.

 

1. Epidemiology and/or Public Health: As an epidemiologist and/or a public health specialist/researcher what would you say are the social, economical, and clinical cost of losing a “Mother”? What are the implications of such fatality (i.e. death of a mother) on the institution of family? How is Maternal Mortality Rate (MMR) defined and measured in your respective country? Does it include Maternal Mortality cases resulting from Trauma and/or crash injuries? Is it an appropriate decision? Why yes or why not?

 

2. Road Safety/ Injury Prevention Experts: As an expert in improving road safeties, what preventive measures can be implemented to reduce car accident related injuries among pregnant women?

3. Anesthesiology. As an anesthesiologist what would have been your approach for induction and maintenance of anesthesia in this case? Which drugs should have or should have not been proscribed? What would you have done next? What experiences have you personally had regarding similar cases and what were the outcomes?

 

4. General Surgery: As a general surgeon, would you say the above cited approach was appropriate? If you were the surgeon on call what would you have done differently? What would have been your next approach? What experiences have you personally had regarding similar cases and what were the outcomes?

 

5. Orthopedic Surgery: As an orthopedic surgeon, would you say the above cited approach was appropriate to handle the orthopedic aspect of the case? If you were the orthopedic surgeon on call what would you have done differently? What would have been your next approach? What was your experience in the similar cases? What experiences have you personally had regarding similar cases and what were the outcomes?

 

6. Obstetrician and Gynecology: As an obstetrician/gynecologist, would you say the above cited approach was appropriate to take care of the Obstetric/Gynecological aspect of the case? If you were the OB/GYN on call what would you have done differently? What would have been your next approach? What experiences have you personally had regarding similar cases and what were the outcomes?

 

7. Infectious Disease and/or Complementary and Alternative Medicine: As an expert in your field (i.e. either ID and/or CAM and/or Pathologist and/or Microbiologist etc.) what do you think about the appropriateness of using honey dressing for traumatic open wounds? What experiences have you personally had regarding similar cases and what were the outcomes?

 

8. Psychiatry and Psychology: As an expert in your field of specialty, what are the possible mental health consequences of such a stressful and traumatic experience for the patient? What measures or crisis interventions will you take to prevent possible Depression, PTSD and/or Substance Abuse in this case? What experiences have you personally had regarding similar cases and what were the outcomes?

 

9. Other Specialist/Experts are welcome and invited to send their opinions and comments if they think there are other areas of considerations that are missing and need to be included in this case report.

 

Please submit your 500-word answer along with your complete name, address, and full contact information to online submission in: Submission the Grand Roand

 

Questions and difficulties concerning submission should be directed to:

Shahrzad Bazargan-Hejazi, PhD Associate Editor shahrzadbazargan@cdrewu.edu

Or

Omid Beiki, MD Coordinate and Technical Editor jivr@jivresearch.org

 

We appreciate your contribution, in advance. Journal of Injury and Violence Research