Publications of Romain BETZ
Bookmark and Share    
Full Text
See detailImpact of a prehospital discrimination between trauma patients with or without early acute coagulopathy of trauma and the need for damage control resuscitation: rationale and design of a multicenter randomized phase II trial.
TONGLET, Martin ULiege; D'ORIO, Vincenzo ULiege; MOENS, Didier ULiege et al

in Acta Chirurgica Belgica (2019)

BACKGROUND: The evidence of the Trauma Induced Coagulopathy Clinical Score (TICCS) accuracy has been evaluated in several studies but the potential effect of its use on patient outcomes needs to be ... [more ▼]

BACKGROUND: The evidence of the Trauma Induced Coagulopathy Clinical Score (TICCS) accuracy has been evaluated in several studies but the potential effect of its use on patient outcomes needs to be evaluated. The primary objective of this study is to evaluate the impact on mortality of a prehospital discrimination between trauma patients with or without a potential need for damage control resuscitation. METHODS: The trial will be designed as randomized phase II clinical trial with comparison of the experimental protocol against the standard of care. The TICCS will be calculated on the site of injury for the patients of the intervention group and treatment will be guided by the TICCS value. Seven days mortality, 30 days mortality, global use of blood products and global hospital length-of-stay will be compared. DISCUSSION: Many data suggest that a very early flagging of trauma patients in need for DCR would be beneficial but this need to be proved. Do we improve our quality of care by an earlier diagnosis? Does a prehospital discrimination between trauma patients with or without a potential need for DCR has a positive impact? [less ▲]

Detailed reference viewed: 111 (22 ULiège)
Full Text
See detailSimulation en pédagogie médicale: état des lieux.
BETZ, Romain ULiege; Ghuysen, Alexandre ULiege; D'Orio, Vincenzo ULiege

in Revue Médicale de Liège (2014), 69(3), 132-8

Training methodology having emerged primarily over the last two decades, simulation in health care has arisen from the idea that students should never practice on the patient for their "first time ... [more ▼]

Training methodology having emerged primarily over the last two decades, simulation in health care has arisen from the idea that students should never practice on the patient for their "first time". Simulation makes it possible to try out the errors and to repeat the skills over and over, in a reproducible way and in the most realistic possible environment, but with no harm to the patients, a risk socially intolerable. Simulation implies multiple methods from simple role-playing schemes to most powerful experiments on high-fidelity mannequins. In all cases, simulation implies a strictly codified structure: briefing, scenario, then debriefing. Indeed, debriefing represents the cornerstone of the teaching process allowing, both technical and non-technical skills acquisition through a work based on self-criticism. It should be noticed however that, although medical simulation has very clearly provided evidence of its effectiveness in skills acquisition, appropriate behaviours or application of algorithms, it has not demonstrated any benefit in terms of patients' care quality. Further research is therefore needed to validate this last assumption, which represents the very objective of any evolution in medicine. [less ▲]

Detailed reference viewed: 482 (18 ULiège)
Full Text
See detailWhen the book is wrong
Leclercq, Philippe ULiege; Betz, Romain ULiege; Lambermont, Bernard ULiege et al

in Lancet (2007), 9559

Detailed reference viewed: 252 (30 ULiège)
Full Text
See detailBeriberi
Moonen, Marie ULiege; Lancellotti, Patrizio ULiege; Betz, Romain ULiege et al

in Revue Médicale de Liège (2007), 62(7-8), 523-530

We discuss here the case of a 49 years old man who is admitted in the emergency department in acute heart failure. He suffers of severe alcoholism and malnutrition. This heart failure is a high-output ... [more ▼]

We discuss here the case of a 49 years old man who is admitted in the emergency department in acute heart failure. He suffers of severe alcoholism and malnutrition. This heart failure is a high-output heart failure. The diagnosis is beriberi, a disease caused by a deficiency of thiamine (vitamin B1). The treatment is intravenous administration of thiamine. Clinical response is spectacular with normalization of the clinical setting within a few hours. [less ▲]

Detailed reference viewed: 259 (10 ULiège)
Full Text
See detailEvidence-based medicine. Apport des etudes epidemiologiques.
REGINSTER, Jean-Yves ULiege; BETZ, Romain ULiege

in Revue Médicale de Liège (2000), 55(4), 211-5

Epidemiological studies, more specifically those related to analytical epidemiology are a major determinant of evidence-based medicine. When classifying the value of the different epidemiological studies ... [more ▼]

Epidemiological studies, more specifically those related to analytical epidemiology are a major determinant of evidence-based medicine. When classifying the value of the different epidemiological studies, based on their level of causality, cohort studies are ranked higher than case-control studies, mainly due to the fact that they allow direct collection of information on exposition to risk factors and health consequences. However, case-control studies can also provide an important information, if a specific effort is dedicated to the analyses of the circumstances of the exposition. Meta-analysis increases, by pooling them, the statistical power of individual studies of limited size. Meta-analysis can also be considered as an important source of evidence in the perspective of evidence-based medicine. [less ▲]

Detailed reference viewed: 103 (2 ULiège)