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

Timothy Baloda, Scott Greenberg, Paula Bellin
OBJECTIVE: To describe the presentation of a rare isolated ureteropelvic junction injury resulting from a mechanical fall on ice. MATERIALS AND METHODS: A 71-year-old previously healthy man presented to the emergency department at the University of Massachusetts Medical School three hours following falling on ice with complaints of gross hematuria and flank pain. Patient records were accessed via the institution's electronic medical records system between March 22, 2018 and April 22, 2018...
December 12, 2018: Urology
Dan Bieler, Anna Hörster, Rolf Lefering, Axel Franke, Christian Waydhas, Stefan Huber-Wagner, Markus Baacke, Thomas Paffrath, Jan Wnent, Ruth Volland, Barbara Jakisch, Felix Walcher, Martin Kulla
BACKGROUND: The TraumaRegister DGU® (TR-DGU) of the German Trauma Society (Deutsche Gesellschaft für Unfallchirurgie, DGU) enables the participating hospitals to perform quality management. For that purpose, nine so-called audit filters have existed, since its foundation, which, inter alia, is listed in the Annual Report. The objective of this study effort is a revision of these quality indicators with the aim of developing pertinent new and reliable quality indicators for the management of severely injured patients...
December 14, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Dirk Stengel, Johannes Leisterer, Paula Ferrada, Axel Ekkernkamp, Sven Mutze, Alexander Hoenning
BACKGROUND: Point-of-care sonography (POCS) has emerged as the screening modality of choice for suspected body trauma in many emergency departments worldwide. Its best known application is FAST (focused abdominal sonography for trauma). The technology is almost ubiquitously available, can be performed during resuscitation, and does not expose patients or staff to radiation. While many authors have stressed the high specificity of POCS, its sensitivity varied markedly across studies. This review aimed to compile the current best evidence about the diagnostic accuracy of POCS imaging protocols in the setting of blunt thoracoabdominal trauma...
December 12, 2018: Cochrane Database of Systematic Reviews
(no author information available yet)
OBJECTIVESince 2007, a continuous neurosurgery emergency service has been available in the International Security Assistance Force (ISAF) field hospital in Mazar-e-Sharif (MeS), Afghanistan. The object of this study was to assess the number and range of surgical procedures performed on the spine in the period from 2007 to 2014.METHODSThis is a retrospective analysis of the annual neurosurgical caseload statistics from July 2007 to October 2014 (92 months). The distribution of surgical urgency (emergency, delayed urgency, or elective), patient origin (ISAF, Afghan National Army, or civilian population), and underlying causes of diseases and injuries (penetrating injury, blunt injury/fracture, or degenerative disease) was analyzed...
December 1, 2018: Neurosurgical Focus
Laura D Zambrano, Olivia Samson, Christina Phares, Emily Jentes, Michelle Weinberg, Matthew Goers, S Patrick Kachur, Robert McDonald, Bozena Morawski, Henry Njuguna, Yasser Bakhsh, Rebecca Laws, Corey Peak, Sally Ann Iverson, Carla Bezold, Hayder Allkhenfr, Roberta Horth, Jun Yang, Susan Miller, Michael Kacka, Abby Davids, Margaret Mortimer, Nomana Khan, William Stauffer, Nina Marano
In 2014, panel physicians from the International Organization for Migration (IOM), who conduct Department of State-required predeparture examinations for U.S.-bound refugees at resettlement sites in Uganda, noticed an unusually high number of Congolese refugees with enlarged spleens, or splenomegaly. Many conditions can cause splenomegaly, such as various infections, liver disease, and cancer. Splenomegaly can result in hematologic disturbances and abdominal pain and can increase the risk for splenic rupture from blunt trauma, resulting in life-threatening internal bleeding...
December 14, 2018: MMWR. Morbidity and Mortality Weekly Report
Vicko Gluncic, Anita Lukić, Eva Hanko, John Lynch
A patient presented with a stab injury caused by a knife penetrating the orbital floor and maxillary sinus along the skull base with the tip situated adjacent to the left internal carotid artery. A flexible fiberoptic bronchoscope loaded with an endotracheal tube was initially positioned superior to the vocal cords and advanced into the trachea immediately following induction. The blade was removed after occluding endovascular balloons were positioned distal and proximal to the potential internal carotid artery injury site...
December 7, 2018: A&A practice
Eleftherios I Paschalis, Dylan Lei, Chengxin Zhou, Xiaohong Nancy Chen, Vassiliki Kapoulea, Pui-Chuen Hui, Reza Dana, James Chodosh, Demetrios G Vavvas, Claes H Dohlman
Reactive microglia and infiltrating peripheral monocytes have been implicated in many neurodegenerative diseases of the retina and CNS. However, their specific contribution in retinal degeneration remains unclear. We recently showed that peripheral monocytes that infiltrate the retina after ocular injury in mice become permanently engrafted into the tissue, establishing a proinflammatory phenotype that promotes neurodegeneration. In this study, we show that microglia regulate the process of neuroglia remodeling during ocular injury, and their depletion results in marked upregulation of inflammatory markers, such as Il17f , Tnfsf11, Ccl4, Il1a, Ccr2, Il4, Il5 , and Csf2 in the retina, and abnormal engraftment of peripheral CCR2+ CX3CR1+ monocytes into the retina, which is associated with increased retinal ganglion cell loss, retinal nerve fiber layer thinning, and pigmentation onto the retinal surface...
December 12, 2018: Journal of Immunology: Official Journal of the American Association of Immunologists
Magdalena Lachowska, Zuzanna Łukaszewicz Moszyńska, Agnieszka Pastuszka, Lidia Mikołajewska, Krzysztof Morawski, Kazimierz Niemczyk
OBJECTIVES: The objective of the study was to assess the outcomes of cochlear implantation in patients deafened following blunt head trauma. MATERIAL AND METHODS: Retrospective case series review of seven patients post-lingually deafened following blunt head trauma and aided with cochlear implants. The following data were analyzed: Cause of injury, computed tomography results, surgical information, intra- and post-implantation complications, audiometric and speech perception assessment, processor mapping, and data from follow-up appointments...
December 12, 2018: Journal of International Advanced Otology
Hatice Algan Kaya, Oğuz Eroğlu, Nesimi Günal, Figen Coşkun, Turgut Deniz
Background/aim: The aim of this study was to determine the level of presence of scapula fractures (SFs) in cases of blunt thoracic trauma and to identify other injuries accompanying SF. Materials and methods: Blunt thoracic trauma cases with SF determined on direct radiography or computerized tomography (CT) were categorized as Group 1. Group 2 was constituted by selecting cases with high injury severity score (ISS) with no SF. The demographic characteristics and all injuries of the patients were evaluated...
December 12, 2018: Turkish Journal of Medical Sciences
Kyoungwon Jung, Shokei Matsumoto, Alan Smith, Kyungjin Hwang, John Cook-Jong Lee, Raul Coimbra
Background: This study aimed to compare treatment outcomes between patients with severe pelvic fractures treated at a representative trauma center that was established in Korea since 2015 and matched cases treated in the USA. Methods: Two cohorts were selected from a single institution trauma database in South Korea (Ajou Trauma Data Bank (ATDB)) and the National Trauma Data Bank (NTDB) in the USA. Adult blunt trauma patients with a pelvic Abbreviated Injury Scale >3 were included...
2018: Trauma surgery & acute care open
Živojin S Jonjev, Aleksandar M Milosavljević, Ilija Bjeljac, Mirko Todić, Stevan Koruga
No abstract text is available yet for this article.
December 11, 2018: Journal of Cardiac Surgery
Margherita Trinci, Claudia Lucia Piccolo, Riccardo Ferrari, Michele Galluzzo, Stefania Ianniello, Vittorio Miele
Baseline ultrasound is the first-choice technique in traumatic hemodynamically stable children, and is essential in the early assessment of unstable patients to detect hemoperitoneum or other potentially fatal conditions. Despite the technological advancements in new ultrasound equipment and the experience of the operators, it is not always possible to rule out the presence of parenchymal traumatic lesions by means of baseline ultrasound nor to suspect them, especially in the absence of hemoperitoneum. For this reason, in the last decades, basic ultrasound has been associated with contrast-enhanced ultrasound (CEUS) to evaluate the stable little patient in cases such as low-energy blunt abdominal trauma...
December 8, 2018: Journal of Ultrasound
Danica Cvetković, Vladimir Živković, Slobodan Nikolić
Fat embolism is markedly underdiagnosed, even though it is a well-known phenomenon following fractures of the long bones, injury to subcutaneous fat tissue, rupture of a fatty liver, surgical operations on fatty tissues, septicemia, burns and barotrauma. Forensic pathologists tend to "simplify" autopsy report conclusion in cases with multiple injuries where fat embolism and exsanguination could be considered to be the concomitant causes of death. Herein we present a case of 24-year-old male who was beaten with a metal rod by several persons...
December 7, 2018: Forensic Science, Medicine, and Pathology
Ashraf F Hefny, Jagalpathy Jagdish, El Nazeer A Salim
The term handlebar hernia had been applied to describe the traumatic hernia that result from a handlebar-like blunt objects. The force of the blunt trauma is insufficient to breach the elastic skin, yet, it can cause abdominal wall musculature disruption. Serious intraabdominal injuries can result which may be evident at the time of trauma or may be delayed. Many physicians may misinterpret the irreducible hernia as a hematoma or soft tissues contusion following the trauma. Computed tomography (CT) scan remains the gold standard diagnostic tool for evaluation of those patients...
December 2018: Turkish Journal of Emergency Medicine
Karen Castaneda, Yana Puckett, Andres Leal, Catherine A Ronaghan
A horseshoe kidney (HSK) is a urological malformation that is typically found incidentally after a traumatic injury due to its asymptomatic nature. We present a 25-year-old male with multiorgan injuries secondary to blunt abdominal trauma caused by a gunshot wound. We report the courses of action taken that led to the identification of the HSK and other associated intra-abdominal injuries and the subsequent surgical management. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an improving minimally invasive technique that was used to control hemorrhage in the early preoperative stages and during surgical repair of the injuries...
October 2, 2018: Curēus
Asaf Friehmann, Alon Peled, Noa Ela-Dalman, Arie Y Nemet
Isolated ocular muscle hematoma due to blunt trauma is very rare. In this study, a 15-year-old patient presented with an isolated superior rectus hematoma due to an orbital hit from a cellular phone. He was treated with oral corticosteroids alone. Marked improvement in symptoms and eye movements was observed.
December 10, 2018: Journal of Craniofacial Surgery
Chris R Marcellino, Samuel Lapalme-Remis, Alejandro A Rabinstein, Jamie J Van Gompel, Gregory A Worrell, Eric T Payne, Sara Hocker
Seizures and other electrophysiological disturbances are an under-recognized cause of coma, focal deficits, and prolonged encephalopathy following subdural hematoma evacuation. In these patients, it is possible that seizures remain unrecognized on scalp EEG. It has been shown that a high burden of seizures and other electrophysiological disturbances exist following surgical evacuation and underlie the encephalopathy commonly seen in this patient population, predisposing them to medical complications and confounding estimates of prognosis...
December 10, 2018: Epileptic Disorders: International Epilepsy Journal with Videotape
Mohammad Hamidi, Muhammad Zeeshan, Narong Kulvatunyou, Eseoghene Adun, Terence O'Keeffe, El Rasheid Zakaria, Lynn Gries, Bellal Joseph
BACKGROUND: Exsanguinating trauma patients often require massive blood transfusion (defined as transfusion of 10 or more pRBC units within first 24 h). The aim of our study is to assess the outcomes of trauma patients receiving massive transfusion at different levels of trauma centers. METHODS: Two-y (2013-2014) retrospective analysis of the American College of Surgeons Trauma Quality Improvement Program. We included all adult trauma patients who received massive transfusion (MT) of blood...
February 2019: Journal of Surgical Research
Aidan Lyanzhiang Tan, Yi Chiong, Nivedita Nadkarni, Jolene Yu Xuan Cheng, Ming Terk Chiu, Ting Hway Wong
Background: There is increasing focus on long-term survival, function and quality-of-life for trauma patients. There are few studies tracking longitudinal changes in functional outcome over time. The goal of our study was to compare the Glasgow Outcome Scale-Extended (GOSE) at 6 months and 12 months in blunt trauma survivors with an Injury Severity Score (ISS) of more than 15. Methods: Using the Singapore National Trauma Registry 2011-2013, patients with 6-month GOSE and 12-month GOSE scores were analysed...
2018: World Journal of Emergency Surgery: WJES
Melih Ustaoglu, Murat Karapapak, Semra Tiryaki, Ayse Burcu Dirim, Ali Olgun, Eyup Duzgun, Selam Yekta Sendul, Delil Ozcan, Dilek Guven
PURPOSE: To evaluate the demographic characteristics and visual outcomes of patients with open globe injury (OGI) in a tertiary hospital in Istanbul, Turkey. METHODS: The data of patients admitted with OGI to Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey from January 2012 to December 2017 were reviewed retrospectively, and 100 of the 154 patients were included in the study. RESULTS: There were 79 (79%) male and 21 (21%) female patients with the average age of 33...
December 6, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
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