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"Trauma" AND ("Blunt" OR "Penetrating")

Cassie N Lux, William T N Culp, Matthew S Mellema, Desiree D Rosselli, Chad W Schmiedt, Ameet Singh, April Haynes, Laura E Selmic, Heidi Phillips, Milan Milovancev, Philipp D Mayhew, Dorothy C Brown
OBJECTIVE To determine the most common types of injuries in cats surgically treated for thoracic trauma, complications associated with surgical treatment, and factors associated with mortality rate and evaluate the effectiveness of the animal trauma triage (ATT) scoring system for predicting outcome. DESIGN Retrospective case series with nested observational study. ANIMALS 23 client-owned cats surgically treated for thoracic trauma at 7 veterinary teaching hospitals between 1990 and 2014. PROCEDURES Medical records were reviewed to collect data on signalment, medical history, clinical signs and physical examination findings at initial evaluation, clinicopathologic findings, initial emergency treatments and diagnostic tests performed, type of trauma sustained, imaging findings, surgery details, postoperative complications, duration of hospitalization, and cause of death, if applicable...
September 1, 2018: Journal of the American Veterinary Medical Association
Haichun Zhou, Xiaohui Ma, Meijun Sheng, Can Lai, Junfen Fu
BACKGROUND: The magnetic resonance imaging (MRI) characteristics of evolving duodenal hematomas in children are unknown. OBJECTIVE: To describe the MRI changes exhibited by evolving duodenal hematomas and the likely mechanisms behind these changes. MATERIALS AND METHODS: We retrospectively reviewed the MR features of intramural duodenal hematomas (6 lesions, 10 examinations) studied on a 1.5-T MR unit. All patients had clinical histories of blunt abdominal trauma or endoscopic procedures and we were able to determine the time interval between the onset and MR imaging...
August 14, 2018: Pediatric Radiology
Hamza Abdur Rahim Khan, Jaleed Ahmed Gilani, Muhammad Bin Pervez, Shiraz Hashmi, Sulaiman Hasan
Penetrating cardiac trauma is a medical emergency that commonly affects young men throughout the world. A retrospective review of the records of all patients presenting with cardiac injury was done from January 2000 to December 2015 at our institute. There were 10 cases of such trauma, all of whom were males, 17 to 48 years of age. The most common mechanism of injury was gunshot wounds followed by stab wounds. The Mean Revised Trauma Score was 7.23±0.855. Only 2 out of the total 10 patients died (20% mortality)...
August 2018: JPMA. the Journal of the Pakistan Medical Association
Samantha K Rowbotham, Soren Blau, Jacqueline Hislop-Jambrich, Victoria Francis
Fatal falls from heights (˃3 m) often result in blunt force trauma (BFT) to the skeleton. The fracture patterns that result from this BFT mechanism are well understood in forensic anthropology and forensic pathology; however, details of the specific types of fractures that result remain poorly documented. The aim of this study was to provide a detailed examination of the types of fractures that may result from fatal high falls. Fractures were recorded from 95 full-body postmortem computed tomography scans of individuals known to have died from a high fall...
August 14, 2018: Journal of Forensic Sciences
Seon Tae Kim, Joo Hyun Jung, Byeong Woo Lim, Ryun Ha, Joo Hyun Woo, Heung Eog Cha, Mijung Chi, Jin Soon Chang, Il Gyu Kang
This study describes a 68-year-old man who was presented to the emergency department with left orbital cavity penetration by his eyeglasses. The eyeglasses had entered the orbit and at presentation his eyesight could not be measured. The foreign body was extracted carefully and panfacial bone fractures were then reduced through lateral rhinotomy combined with a lip-splitting incision. When planning removal of an unusual foreign body from the orbital cavity, care should be taken not to injure the optic nerve, periorbital musculatures, or the eyeball...
August 13, 2018: Journal of Craniofacial Surgery
Thomas A Boyle, Kittu A Rao, Davis B Horkan, Marguerite L Bandeian, Juan E Sola, Charles A Karcutskie, Casey Allen, Eduardo A Perez, Edward B Lineen, Anthony R Hogan, Holly L Neville
BACKGROUND: Unintentional injury is the leading cause of death in children and adolescents. Injuries occurring during boating and recreational water sports are poorly described in the literature. Herein, we compare injuries from water sports to those resulting from motor vehicle collisions, which are better described in existing literature. METHODS: A retrospective review of 1935 consecutive pediatric trauma patients, as defined by age < 18 years, admitted to a single level-1 pediatric trauma center between January 2000 and August 2013 was performed...
August 13, 2018: Pediatric Surgery International
Jyoti A Chuckowree, Zhendan Zhu, Mariana Brizuela, Ka M Lee, Catherine A Blizzard, Tracey C Dickson
Microtubule dynamics underpin a plethora of roles involved in the intricate development, structure, function, and maintenance of the central nervous system. Within the injured brain, microtubules are vulnerable to misalignment and dissolution in neurons and have been implicated in injury-induced glial responses and adaptive neuroplasticity in the aftermath of injury. Unfortunately, there is a current lack of therapeutic options for treating traumatic brain injury (TBI). Thus, using a clinically relevant model of mild TBI, lateral fluid percussion injury (FPI) in adult male Thy1-YFPH mice, we investigated the potential therapeutic effects of the brain-penetrant microtubule-stabilizing agent, epothilone D...
2018: Frontiers in Cellular Neuroscience
Mostafa A Abolfotouh, Mohamed A Hussein, Sameh M Abolfotouh, Alanoud Al-Marzoug, Suliman Al-Teriqi, Abeer Al-Suwailem, Ra'ed A Hijazi
Background: The aim of this study was to describe the pattern of traumatic injuries and determine the predictors of inhospital mortality in patients admitted to the emergency department. Patients and methods: This is a retrospective cohort study of 3,786 patients with traumat injuries admitted to the emergency department of King Abdulaziz Medical City, Riyadh, Saudi Arabia, between January 2012 and December 2014. Data on patient characteristics, trauma characteristics and outcomes were extracted from medical records...
2018: Open Access Emergency Medicine: OAEM
Chhavi Sawhney, Mahesh Kumar Arora, Subodh Kumar, Pradipta Kumar Barik, Piyush Ranjan
No abstract text is available yet for this article.
April 2018: Journal of Anaesthesiology, Clinical Pharmacology
Parisa P Javedani, Lisa C Goldberg, Ashish R Panchal
No abstract text is available yet for this article.
August 10, 2018: Journal of Emergency Medicine
Corey Heitz, Justin Morgenstern, Christopher Bond, William K Milne
This is a validation of a pre-planned secondary analysis of the NEXUS II Head CT Decision Instrument, focusing on the pediatric population. 1,018 patients less than 18 years old, who underwent head CT imaging for blunt head trauma, were included. The decision instrument correctly identified all patient (27/27) who required neurosurgical intervention, and 48 of 49 patients who had clinically significant head injury on CT imaging. This article is protected by copyright. All rights reserved.
August 13, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Tomoo Watanabe, Yasuyuki Kawai, Asami Iwamura, Naoki Maegawa, Hidetada Fukushima, Kazuo Okuchi
Traumatic brain injury (TBI) is a leading cause of death and disability in trauma patients. Patients with TBI frequently sustain concomitant injuries in extracranial regions. The effect of severe extracranial injury (SEI) on the outcome of TBI is controversial. For 8 years, we retrospectively enrolled 485 patients with the blunt head injury with head abbreviated injury scale (AIS) ≧ 3. SEI was defined as AIS ≧ 3 injuries in the face, chest, abdomen, and pelvis/extremities. Vital signs and coagulation parameter values were also extracted from the database...
August 11, 2018: Neurologia Medico-chirurgica
Nasser A Alsobaie, Asma I Almohizea, Yahya Al-Zahrani, Rizwan Malik
Purpose: To report the effectiveness of Goniosynechialysis (GSL) treating elevated intraocular pressure (IOP) in an aphakic eye with peripheral anterior synechiae (PAS) formation after vitrectomy. Observations: A 39-year-old gentleman with history of lamellar keratoplasty for corneal ectasia and blunt trauma to the right eye necessitating vitrectomy and lensectomy presented to our glaucoma unit with a secondary angle closure and an IOP of 50 mmHg. This was successfully treated with GSL and one year after surgery, the patient maintains a normal IOP without the use of medication...
December 2018: American Journal of Ophthalmology Case Reports
Amanda Bader, Uzma Rahman, Matthew Morris, Jane E McCormack, Emily C Huang, Marlene Zawin, James A Vosswinkel, Randeep S Jawa
BACKGROUND: In the general population with blunt chest trauma, pulmonary contusions (PCs) are commonly identified. However, there is limited research in the elderly. We sought to evaluate the incidence and outcomes of PCs in elderly blunt trauma admissions. METHODS: We retrospectively reviewed the trauma registry at a level I trauma center for all blunt thoracic trauma patients aged ≥65 y, who were admitted between 2007 and 2015. The medical records of PC patients were reviewed...
October 2018: Journal of Surgical Research
Elizabeth George, Ashish Khandelwal, Christopher Potter, Aaron Sodickson, Srinivasan Mukundan, Diego Nunez, Bharti Khurana
Cerebrovascular injury is increasingly identified in patients presenting after blunt trauma due to the implementation of screening criteria and advances in noninvasive angiographic imaging by CT. The variable latent time before onset of secondary stroke presents a window of opportunity for prevention, reinforcing the importance of detection of asymptomatic patients via screening. Furthermore, the high morbidity and mortality associated with secondary stroke makes it imperative that radiologists recognize these challenging injuries...
August 10, 2018: Emergency Radiology
Ole-Petter Vinjevoll, Oddvar Uleberg, Elaine Cole
BACKGROUND: Sensitive decision making tools should assist prehospital personnel in the triage of injured patients, identifying those who require immediate lifesaving interventions and safely reducing unnecessary under- and overtriage. In 2014 a new trauma team activation (TTA) tool was implemented in Central Norway. The overall objective of this study was to evaluate the ability of the new TTA tool to identify severe injury. METHODS: This was a multi-center observational cohort study with retrospective data analysis...
August 10, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Shokei Matsumoto, Kyoungwon Jung, Alan Smith, Raul Coimbra
BACKGROUND: The necessity of repair remains controversial following major lower extremity venous injuries (MLEVIs). Ligation may cause venous hypertension which should be managed with fasciotomies. Previous studies have shown fasciotomy rate are not affected by the type of management of MLEVIs. The aim of this study is to examine the rate of fasciotomy, amputation, and other complications from a difference between ligation and repair of MLEVIs. METHODS: The National Trauma Data Bank (NTDB) for 2010-2014 was reviewed...
August 7, 2018: Annals of Vascular Surgery
Tricia Scott
Ultrasound sonography, in which a high-pitched sound wave travels at different speeds through objects of variable density, offers effective clinical diagnostic applications to identify problems, such as free abdominal fluid following blunt trauma, cardiac effusion and long bone fractures.
July 2018: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
Cecilia L Dalle Ore, Robert C Rennert, Alexander J Schupper, Brandon C Gabel, David Gonda, Bradley Peterson, Lawrence F Marshall, Michael Levy, Hal S Meltzer
OBJECTIVE Pediatric traumatic subarachnoid hemorrhage (tSAH) often results in intensive care unit (ICU) admission, the performance of additional diagnostic studies, and ICU-level therapeutic interventions to identify and prevent episodes of neuroworsening. METHODS Data prospectively collected in an institutionally specific trauma registry between 2006 and 2015 were supplemented with a retrospective chart review of children admitted with isolated traumatic subarachnoid hemorrhage (tSAH) and an admission Glasgow Coma Scale (GCS) score of 13-15...
August 10, 2018: Journal of Neurosurgery. Pediatrics
Toshimitsu Tsugu, Yuji Nagatomo, Tomohiko Tanigawa, Jin Endo, Yuji Itabashi, Mitsushige Murata, Hideo Mitamura
To our knowledge, only 15 cases of delayed traumatic hemopericardium resulting from non-penetrating chest trauma have been reported. We present the case of a 63-year-old man with delayed hemopericardium, 2 months after striking the anterior chest on a mailbox when he fell down three steps during a postal delivery. Our case and review of the previously reported cases suggest that some cases might show quite slow progression of blood accumulation. Therefore, careful observation of patients who have experienced blunt trauma of the anterior chest is necessary...
August 9, 2018: Journal of Medical Ultrasonics
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