Shark attacks increased 23% globally within the past 20 years on a multifactorial scale through climate change and human impacts, yet healthcare lacks treatment guidelines for these victims. This systematic review pro...Shark attacks increased 23% globally within the past 20 years on a multifactorial scale through climate change and human impacts, yet healthcare lacks treatment guidelines for these victims. This systematic review proposed a shark attack treatment protocol that will potentially reduce the morbidity and mortality rates by assessing prehospital management with transfusions, hospital management with prophylactic antibiotics, and mental health evaluations to prevent and/or treat psychological impacts. This study screened 463 sources and eliminated 432 sources due to repetition or irrelevance to this study. The protocol initiates with prehospital management by implementing emergency medical service (EMS) to follow the SHARC protocol (systolic blood pressure (SBP) vibrio species. Assessing mental health before and three months after discharge can help prevent and/or treat anxiety, depression, and post-traumatic stress disorder (PTSD).展开更多
This study aimed to develop a predictive model utilizing available data to forecast the risk of future shark attacks, making this critical information accessible for everyday public use. Employing a deep learning/neur...This study aimed to develop a predictive model utilizing available data to forecast the risk of future shark attacks, making this critical information accessible for everyday public use. Employing a deep learning/neural network methodology, the system was designed to produce a binary output that is subsequently classified into categories of low, medium, or high risk. A significant challenge encountered during the study was the identification and procurement of appropriate historical and forecasted marine weather data, which is integral to the model’s accuracy. Despite these challenges, the results of the study were startlingly optimistic, showcasing the model’s ability to predict with impressive accuracy. In conclusion, the developed forecasting tool not only offers promise in its immediate application but also sets a robust precedent for the adoption and adaptation of similar predictive systems in various analogous use cases in the marine environment and beyond.展开更多
Shark attacks are rare unique pathological processes.Some of them represent devastating injuries with a high morbidity and significant mortality.Related published articles are limited.The increased human interaction w...Shark attacks are rare unique pathological processes.Some of them represent devastating injuries with a high morbidity and significant mortality.Related published articles are limited.The increased human interaction within the environment of sharks is the cause of rising incidence of such attacks.This study reported a case of level 4 shark injuries(shark-induced trauma scale)in a 33-year-old male patient,who presented with an extensive injury of the right lower limb with the characteristic features of shark bite.At admission the patient was in a state of shock with profuse bleeding that was controlled by tourniquet.The patient was resuscitated according to the advanced trauma life support.Clinical examination showed hard signs of vascular injury with absent pedal pulse,associated neurological deficits and severance at the knee joint.Prompt vascular intervention after resuscitation was performed to manage the major vascular injuries,together with proper washout and debridement of all the necrotic tissues under strong antibiotic coverage to prevent infection.After that,the patient underwent sequenced plastic,orthopedic,and neurological interventions.Strict follow-up was conducted,which showed that the patient was saved and achieved a functioning limb.This study aims to highlight the management of level 4 shark injuries,which are considered serious and challenging with a high fatality rate and a great risk of amputation due to the associated major vascular injuries.Immediate well organized management plan is crucial.Prompt resuscitation and surgical intervention by a highly-skilled medical team are required to improve the chance of patient survival and limb salvage.展开更多
文摘Shark attacks increased 23% globally within the past 20 years on a multifactorial scale through climate change and human impacts, yet healthcare lacks treatment guidelines for these victims. This systematic review proposed a shark attack treatment protocol that will potentially reduce the morbidity and mortality rates by assessing prehospital management with transfusions, hospital management with prophylactic antibiotics, and mental health evaluations to prevent and/or treat psychological impacts. This study screened 463 sources and eliminated 432 sources due to repetition or irrelevance to this study. The protocol initiates with prehospital management by implementing emergency medical service (EMS) to follow the SHARC protocol (systolic blood pressure (SBP) vibrio species. Assessing mental health before and three months after discharge can help prevent and/or treat anxiety, depression, and post-traumatic stress disorder (PTSD).
文摘This study aimed to develop a predictive model utilizing available data to forecast the risk of future shark attacks, making this critical information accessible for everyday public use. Employing a deep learning/neural network methodology, the system was designed to produce a binary output that is subsequently classified into categories of low, medium, or high risk. A significant challenge encountered during the study was the identification and procurement of appropriate historical and forecasted marine weather data, which is integral to the model’s accuracy. Despite these challenges, the results of the study were startlingly optimistic, showcasing the model’s ability to predict with impressive accuracy. In conclusion, the developed forecasting tool not only offers promise in its immediate application but also sets a robust precedent for the adoption and adaptation of similar predictive systems in various analogous use cases in the marine environment and beyond.
文摘Shark attacks are rare unique pathological processes.Some of them represent devastating injuries with a high morbidity and significant mortality.Related published articles are limited.The increased human interaction within the environment of sharks is the cause of rising incidence of such attacks.This study reported a case of level 4 shark injuries(shark-induced trauma scale)in a 33-year-old male patient,who presented with an extensive injury of the right lower limb with the characteristic features of shark bite.At admission the patient was in a state of shock with profuse bleeding that was controlled by tourniquet.The patient was resuscitated according to the advanced trauma life support.Clinical examination showed hard signs of vascular injury with absent pedal pulse,associated neurological deficits and severance at the knee joint.Prompt vascular intervention after resuscitation was performed to manage the major vascular injuries,together with proper washout and debridement of all the necrotic tissues under strong antibiotic coverage to prevent infection.After that,the patient underwent sequenced plastic,orthopedic,and neurological interventions.Strict follow-up was conducted,which showed that the patient was saved and achieved a functioning limb.This study aims to highlight the management of level 4 shark injuries,which are considered serious and challenging with a high fatality rate and a great risk of amputation due to the associated major vascular injuries.Immediate well organized management plan is crucial.Prompt resuscitation and surgical intervention by a highly-skilled medical team are required to improve the chance of patient survival and limb salvage.
