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Road trauma

Shai S Klaitman, Evgeny Solomonov, Amir Yaloz, Seema Biswas
Background: Adolescent injuries and fatalities constitute a world health concern and present a major public health burden. Of all childhood injuries in Israel 61.8% occur during road traffic crashes. The risk of being injured or killed in a road traffic crash is especially high among individuals deemed to have a low socio-economic status, but, there also exist crucial risk factors for road traffic crashes that are intrinsic social determinants of health, including behavior, lifestyle, education and employment...
2018: Frontiers in Public Health
Pavan Kumar, Vardan Kulshreshtha, Ashok Kumar, Gaurav Jaiswal, Tarun K Gupta
Pediatric head injuries are a commonly seen emergency in trauma centers worldwide. There are various modes of injury such as fall from height, road traffic accidents, objects hitting the head, assault, and battered baby. We report here a child who presented to us with a history of sustaining head injury by a stray bull on the road and a retained broken bull horn inside the brain and its subsequent management.
April 2018: Journal of Pediatric Neurosciences
Konstantinos S Mylonas, Pouya Hemmati, Diamantis I Tsilimigras, Pavlos Texakalidis, Konstantinos P Economopoulos
Data from the last 50 years suggest that pediatric patients typically suffer cardiothoracic injuries following blunt traumatic force (70%) in the setting of either motor vehicle crashes (53.5%) or vehicle-pedestrian accidents (18.2%). Penetrating trauma accounts for 30% of pediatric cardiothoracic injuries, half of which are gunshot wounds. Graduated driver licensing programs, gun-control legislation, off-road vehicle regulation, initiatives such as "Prevent the Bleed", as well as professional society recommendations are key in preventing pediatric cardiothoracic injuries...
July 26, 2018: World Journal of Cardiology
Ali Al Orf, Khawaja Bilal Waheed, Aftab Ahmed Baig, Khaled Saleh Mohammad, Mohamed Nasr El Sirafy, Muhammad Sohail Amin, Zechriah Jebakumar Arulanatham
BACKGROUND: Pan-scan (whole-body) computed tomography (CT) has a paramount role in the diagnosis of injuries in road traffic accidents (RTA). OBJECTIVE: Identify patterns of injuries on pan-CT scans. DESIGN: Retrospective medical record review. SETTING: Tertiary care center. PATIENTS AND METHODS: The records of all RTA patients who presented to the radiology department at King Fahad Military Medical Complex (KFMMC) in Dhahran for the 3-year period from July 2014 to July 2017 and underwent pan-CT were retrospectively reviewed...
July 2018: Annals of Saudi Medicine
Hafiz J Iqbal, Joseph Alsousou, Sohan Shah, Lara Jayatilaka, Sharon Scott, Simon Scott, David Melling
BACKGROUND: This study aimed to assess the outcome of patients undergoing internal fixation of complex rib fractures in a U.K. major trauma center. METHODS: A retrospective analysis was performed on all patients undergoing operative fixation of rib fractures from March 2014 to May 2016. Outcome measures included hospital length of stay, intensive care unit (ICU) admission, mechanical ventilation, infection, and mortality. RESULTS: One hundred and two patients (66 male patients and 36 female patients, with a median age of 62 years) underwent rib fracture fixation during the study period...
August 1, 2018: Journal of Bone and Joint Surgery. American Volume
L Rasulić, A Savić, M Lepić, V Puzović, S Karaleić, V Kovačević, F Vitošević, M Samardžić
BACKGROUND: Traumatic brachial plexus injuries are generally severe, and in many cases associated with surrounding tissue injuries, which makes them hard to diagnose at the right time. This paper presents etiological and epidemiological characteristics of surgically treated civilian traumatic brachial plexus injuries. METHODS: This retrospective study included 68 patients, operated due to the traumatic brachial plexus injuries at Clinic for Neurosurgery, Clinical Center of Serbia, during the 11-year period...
July 29, 2018: Acta Neurochirurgica
P Hoogervorst, D W Shearer, T Miclau
INTRODUCTION TO THE PROBLEM: Though declining in the recent decades, high-energy musculoskeletal trauma remains a major contributor to the burden of disease in high-income countries (HICs). However, due to limitations in the available body of the literature, evaluation of this burden is challenging. The purpose of this review is to assess: (1) the current epidemiologic data on the surgical burden of high-energy musculoskeletal trauma in HICs; (2) the current data on the economic impact of high-energy musculoskeletal trauma; and (3) potential strategies for addressing gaps in musculoskeletal trauma care for the future...
July 24, 2018: World Journal of Surgery
Yahya Almarhabi, Abdulrahman I Mufti, Adel D Almaymuni, Talib Abdurahman, Ghamri Abdulaziz, Ahmed A Alghamdi, Abdel Moniem Mukhtar
OBJECTIVE: Worldwide, trauma is a major health problem and road traffic accidents (RTAs) are the primary killer of young men in Saudi Arabia. The aim of our study was to estimate the extent of driving under the influence of an abused substance in Saudi Arabia and to explore the associated factors. METHODS: This is a cross sectional survey conducted between May and September 2016 at Al-Amal hospital in Jeddah, Saudi Arabia, a referral center for addiction. We included all patients who were admitted for additional education and rehabilitation and had no psychotic symptoms...
July 24, 2018: Traffic Injury Prevention
Mia Bierbaum, Reidar P Lystad, Kate Curtis, Rebecca Mitchell
ISSUE ADDRESSED: Child head injuries can cause life-long disability and are a major cause of mortality globally. The incidence and impact of child head injuries in Australia is unknown. This study aims to quantify the incidence, characteristics and treatment cost, and to identify factors associated with the severity of hospitalisations of head injuries in Australian children. METHODS: Linked hospitalisation and mortality data were used to retrospectively examine hospitalisation trends for head injury in children aged ≤16 years and associated factors, in Australia, from 1 July 2002 to 30 June 2012...
July 20, 2018: Health Promotion Journal of Australia
Stanislau Makaranka, Pennylouise Hever, Naveen Cavale
Traumatic abdominal wall hernia (TAWH) is a rare type of hernia occurring secondary to blunt trauma. We report a case of seatbelt-associated TAWH in a 20-year-old woman who was presented to hospital via ambulance following a road traffic collision with a distended abdomen, peritonitis and free gas, with an associated TAWH identified on CT imaging. The patient underwent delayed surgical repair of her hernia using biological mesh, without recurrence, with a clinical course complicated by pregnancy. We use this report to demonstrate late repair as a safe and effective option for management of TAWH in pregnancy, with active surveillance and a multidisciplinary approach by the obstetric, plastic surgery and trauma teams...
July 19, 2018: BMJ Case Reports
F S Ejagwulu, Y Z Lawal, M I Maitama, K E Amefule, I L Dahiru, Y A Gafar
BACKGROUND: Childhood injuries are often associated with fractures, and it is said to account for about 25% of all paediatrics trauma. There is a male preponderance and the peak incidence occurs among primary and secondary school age groups. The occurrence and management of these fractures are influenced by season, geographical location, educational and socio-economic status of the populace as well as time of presentation and availability of suitable facilities for treatment. OBJECTIVES: To analyse the demographic characteristics of the subjects, aetiological factors, fracture distribution, educational and occupational status of their parents, mode of treatment and their outcomes...
May 2018: West African Journal of Medicine
Olusola A Sogebi, Emmanuel A Oyewole, Taofeeq O Mabifah
Objective: To characterize traumatic tympanic membrane perforation (TTMP) in terms of distribution, mechanisms, and outcome of treatment. To assess the factors influencing such outcome. Study design: Prospective analytical study, assessing outcomes post-injuries. Setting: Clinical department of a tertiary referral hospital. Participants: Patients with TTMP based on history of trauma to the ear, and otoscopic examination confirming tympanic membrane (TM) perforation...
March 2018: Ghana Medical Journal
Seyed Ali Mosaddad, Rasoul Gheisari, Maryam Erfani
BACKGROUND/AIMS: Road traffic accidents are considered a major cause of oral and maxillofacial traumas. Given that many traumatic injuries and deaths involve motorcyclists, the aim of this study was to investigate this vulnerable group in terms of oral and maxillofacial injuries following accidents. MATERIALS AND METHODS: This cross-sectional study was conducted on 330 patients with oral and maxillofacial injuries at Shahid Rajaee Hospital in Shiraz, Iran, from April to September 2017...
July 14, 2018: Dental Traumatology: Official Publication of International Association for Dental Traumatology
L Mathieu, A Grosset, A Bertani, L Potier, J C Murison, C D Niang, S Rigal
In developing countries, road traffic accidents result in many cases of open trauma, especially fractures, with the tibia area at particular risk in motorcycle crashes. Despite a high prevalence of severe leg trauma with multi-tissue injuries, few studies have focused on the challenge of their reconstruction in these limited-resource settings. The first part of this review presents the surgical strategy. Limitations and principles of initial limb salvage are detailed. Orthopedic procedures for early damage control, based on debridement and temporary bone stabilization, are often required...
May 1, 2018: Médecine et Santé Tropicales
Sara Nasirian, Monika Fagevik Olsén, My Engström
Injuries due to trauma are the leading cause of death in Sweden among people younger than 45 years, and more than 120,000 patients were admitted to hospitals in 2014 as a result of trauma. Patients suffering from less serious physical trauma are often discharged directly from the trauma unit, commonly without any follow-up plans. There is a lack of knowledge about how these patients experience their recovery process.Eight women and 6 men were interviewed 3 months after being directly discharged from a trauma unit...
July 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
Akine Eshete, Fikirewold Taye
Background: Severe head injury is a major public health threat that is the main cause of morbidity and mortality in all age groups of the world's populations including Ethiopia. In view of this, this study was assessed the severity of head injury and its contributing factors. Methods: A Two-year retrospective study was conducted at Dilla University Referral Hospital, from December 2014 to November 2016. All head injury patients admitted to the surgical ward were included...
May 2018: Ethiopian Journal of Health Sciences
J Singhai, R Nigam, A K Jain
The trauma has been increasing in frequency, especially in recent decades because of the higher number of automobile accidents and violence. The ear, nose and face region is the area in the body that is commonly involved in head and neck injury. Trauma to this region is often associated with mortality and varying degree of physical, functional and psychological damage. To study the demography, aetiology, clinical presentation, outcome of ENT trauma in our tertiary care centre and to compare our study with previous studies to see the changing trends with passage of time...
June 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
Manoj Kumar Kanta, S Raviraja Kumar, B V Harish, A V Thomas Raja
Mandibular fractures represent approximately two-thirds of all maxillofacial fractures (nearly 70%), out of which fractures of mandibular ramus represent 3.09% which is considered to be a rare fracture site. They occur alone or in combination with other facial bone fractures resulting in loss of function and disfigurement. The pattern of mandibular fractures varies with geographic location, physical activity, social, cultural, and environmental factors. The main causes of mandibular fracture are road traffic accidents, interpersonal violence, falls, sports injuries, industrial trauma, and pathological fractures...
January 2018: Annals of Maxillofacial Surgery
Sameer Kaura, Paramjot Kaur, Rashi Bahl, Sumit Bansal, Prineet Sangha
Aim: The aim of this study was to give an insight into the retrospective analysis of a number of maxillofacial trauma cases reported to our institute and research center. Materials and Methods: The data for this study was obtained from the medical records and outpatient prescription slips of cases treated at the Oral and Maxillofacial Surgery Department from 2010 to 2016. Etiology, age, gender, pattern of fracture, and surgical treatment modalities undertaken in these patients were recorded...
January 2018: Annals of Maxillofacial Surgery
Mark Nowell, Richard Nelson
PURPOSE: Traumatic atlantoaxial dislocation (AAD) is usually associated with fatal high-velocity road traffic accidents (Xu et al. in Medicine (Baltimore) 94:e1768, 2015). There are few reports of survival following posterior AAD without odontoid fracture (Xu et al. 2015; Zhen et al. in Arch Orthop Trauma Surg 131:681-685, 2011; de Carvalho and Swash in Handb Clin Neurol 119:435-448, 2014). METHOD: We present a previously undescribed case of posterior AAD associated with a C1 Jefferson fracture but no odontoid fracture and bilateral vertebral artery occlusion without neurological deficit...
July 2, 2018: European Spine Journal
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