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https://www.readbyqxmd.com/read/29644530/a-posttraumatic-pseudoaneurysm-of-the-left-radial-artery-as-a-result-of-a-stab-wound-in-an-8-year-old-girl
#1
Goran Djuricic, Zorica Milosevic, Tijana Radovic, Ivana Dasic, Djordje Alempijevic, Jelena Sopta
Pseudoaneurysms arise from a disruption of arterial wall continuity and are most commonly related to a penetrating trauma, an arterial wall inflammation or iatrogenic causes. They differ from real aneurysms due to a lack of one or more layers of the arterial wall. The frequency of peripheral artery pseudoaneurysms in the upper extremities is less than in the lower extremities and its most common cause is a gunshot or a stab wound. The risk of a rupture is higher than in true aneurysms due to a lack of wall layers, therefore requiring surgical treatment in most cases...
April 11, 2018: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/29644324/gunshot-wounds-to-the-buttock-and-contralateral-thigh-presenting-with-intestinal-injury-without-history-of-abdominal-trauma-case-report
#2
Makgabo John Tladi
We present a clinical case of a patient who sustained a gunshot wounds to his right buttock (entrance), left thigh (exit), and right thumb, as well as intestinal injuries without history of abdominal trauma. Initially the abdominal injuries were not recognised and the patient did not mention an injury to the abdomen. For this reason he was unfortunately admitted to the orthopaedic ward first for further treatment of his thumb injury.
June 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29644299/surgical-management-of-compartment-syndrome-and-the-gradual-closure-of-a-fasciotomy-wound-using-a-dermaclose-device
#3
Gregory C Manista, Andrew Dennis, Matthew Kaminsky
The immediate recognition and timely response of compartment syndrome due to damage caused by penetrating trauma has immense clinical outcomes. The following is a case report of a complicated fasciotomy in a 33-year-old male who suffered a gunshot wound to his left lower extremity and the surgical management leading to adequate limb salvage and recovery.
April 2018: Trauma Case Reports
https://www.readbyqxmd.com/read/29644101/spinal-cord-injury-epidemiological-profile-in-the-sarah-network-of-rehabilitation-hospitals-a-brazilian-population-sample
#4
D C Barbetta, T R Smanioto, M F Poletto, Rfa Ferreira, Acg Lopes, F M Casaro, Acs Camargo, T O Ogashawara
Study design: Retrospective cross-sectional study. Objective: To describe the epidemiological profile of individuals with spinal cord injury (SCI), who visited the Sarah Network in 2014. Setting: Brazil, Brasília-Federal District. Methods: A review of the electronic medical records of persons with SCI, aged over 15 years, was carried out. Results: The medical records of 2076 persons were evaluated: 83% were male, the mean age was 31 years, 40% did not complete elementary school, 67...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29621696/forensic-medical-aspects-of-femicide-in-jordan
#5
Hafsa O Ghanem Salameh, Rakiz J Salameh, Mohannad Shwaiki, Hasan Abder-Rahman
This study aims to highlight three types of femicide in Jordan - so-called 'honour killings', fatal intimate partner violence (IPV), and domestic violence committed by male family members other than the husband (DV) - and to compare them with the killing of women in non-gender related situations such as during a robbery. The autopsy reports of 100 adult female homicide victims dealt with at Jordan University Hospital in Amman during a 10-year period from 2006 to 2015 were reviewed. Based on information contained in the police reports they were assigned to one of four categories...
March 28, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29613947/nationwide-trends-in-mortality-following-penetrating-trauma-are-we-up-for-the-challenge
#6
Joseph V Sakran, Ambar Mehta, Ryan Fransman, Avery B Nathens, Bellal Joseph, Alistair Kent, Elliott R Haut, David T Efron
OBJECTIVES: Despite a focus on improved pre-hospital care, penetrating injuries contribute substantially to trauma mortality in the United States (U.S.). We therefore analyzed contemporary trends in pre-hospital mortality from penetrating trauma in the past decade. METHODS: We identified patients in the The National Trauma Data Bank from 2007-2010 ('early period') and 2011-2014 ('late period') with gunshot (GSW) and stab wounds (SW), who were treated at hospitals that recorded dead-on-arrival statistics...
April 3, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29609973/the-burden-of-gunshot-wounding-of-uk-military-personnel-in-iraq-and-afghanistan-from-2003-14
#7
T Stevenson, D J Carr, J G Penn-Barwell, T J Ringrose, S A Stapley
INTRODUCTION: Gunshot wounding (GSW) is the second most common mechanism of injury in warfare after explosive injury. The aim of this study was to define the clinical burden of GSW placed on UK forces throughout the recent Iraq and Afghanistan conflicts. METHODS: This study was a retrospective review of data from the UK Military Joint Theatre Trauma Registry (JTTR). A JTTR search identified records within the 12 year period of conflict between 19 Mar 2003 and 27 Oct 2014 of all UK military GSW casualties sustained during the complete timelines of both conflicts...
March 27, 2018: Injury
https://www.readbyqxmd.com/read/29605791/use-of-postmortem-computed-tomography-to-retrieve-small-metal-fragments-derived-from-a-weapon-in-the-bodies-of-victims-in-two-homicide-cases
#8
Rie Sano, Yoichiro Takahashi, Akira Hayakawa, Masayuki Murayama, Rieko Kubo, Satoshi Hirasawa, Hiroyuki Tokue, Takehiro Shimada, Sachiko Awata, Hiroyuki Takei, Masahiro Yuasa, Shinji Uetake, Hisashi Akuzawa, Yoshihiko Kominato
Postmortem computed tomography (PMCT) is becoming a commonly used modality in routine forensic investigation. Mechanical injuries including lacerations, incisions, stab wounds and gunshot wounds frequently contain foreign bodies that may have significant value as clues in criminal investigations. CT is a sensitive modality for detection of metal foreign bodies that may be associated with injuries to the victim in cases of homicide or traffic accidents. Here we report two cases in which PMCT was able to act as a guide to forensic pathologists for retrieval of metal fragments in the corpses of the victims, the retrieved fragments then being used to validate the confessions of the assailants through comparison with the knife and the crowbar, respectively, that had been used in the crimes...
March 23, 2018: Legal Medicine
https://www.readbyqxmd.com/read/29602152/how-to-recognize-the-traces-left-on-a-crime-scene-by-a-3d-printed-liberator-part-1-discharge-exterior-ballistic-and-wounding-potential
#9
Hanna Honsberger, Damien Rhumorbarbe, Denis Werner, Fabiano Riva, Matthieu Glardon, Alain Gallusser, Olivier Delémont
The Liberator is a firearm that can be manufactured from its blueprints, using a 3D-printer. This weapon made of nineteen pieces - eighteen in printed plastic and one metallic nail - raises questions such as its ability to fire a round, its wounding potential and the traces produced by its discharge. In particular, knowledge must be gained to infer that a 3D-printed handgun was used, reconstruct the shooting event involving such handgun, and gather information related to the type of 3D-printed handgun used...
March 20, 2018: Forensic Science International
https://www.readbyqxmd.com/read/29590419/combat-injury-of-the-sciatic-nerve-an-institutional-experience
#10
Patrick E Jones, R Michael Meyer, Walter J Faillace, Mark E Landau, Jonathan K Smith, Patricia L McKay, Leon J Nest
Introduction: Combat injury of the sciatic nerve tends to be severe with variable but often profound consequences, is often associated with widespread soft tissue and bone injuries, significant neurologic impairment, severe neuropathic pain, and a prolonged recovery time. There is little contemporary data that describes the treatment and outcome of this significant military acquired peripheral nerve injury. We describe our institution's experience treating patients with combat-acquired sciatic nerve injury in the recent Iraq and Afghanistan wars...
March 26, 2018: Military Medicine
https://www.readbyqxmd.com/read/29590411/wartime-soft-tissue-coverage-techniques-for-the-deployed-surgeon
#11
Vilas Saldanha, Nathan Tiedeken, Brandon Godfrey, Nichole Ingalls
Background: Since the start of the conflict in the Middle East in 2001, military orthopedic surgeons have faced complex orthopedic injuries including high-energy soft tissue wounds, traumatic amputations, and open fractures. Although orthopedic surgeons are well trained in the management of osseous injuries, the treatment of soft tissue injuries can be technically challenging and unfamiliar. Early washout, debridement of devitalized tissue, external fixation of bony injuries, and antibiotic therapy remain the foundation of early wound management...
March 26, 2018: Military Medicine
https://www.readbyqxmd.com/read/29583119/management-of-intra-abdominal-vascular-injury-in-trauma-laparotomy-a-south-african-experience
#12
Ross Weale, Victor Kong, Vassil Manchev, Wanda Bekker, George Oosthuizen, Petra Brysiewicz, Grant Laing, John Bruce, Damian Clarke
BACKGROUND: Intra-abdominal vascular injury (IAVI) is uncommon but continues to be associated with high mortality rates despite technological advances in the past decades. In light of these ongoing developments, we reviewed our contemporary experience with IAVI in an attempt to clarify and refine our management strategies and the outcome of these patients. METHODS: We retrospectively reviewed the charts of all patients admitted between January 2011 and December 2014 at a major trauma centre in South Africa who were found to have an IAVI during laparotomy for trauma...
April 1, 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29579354/penetrating-head-injuries-in-children-presenting-to-the-emergency-department-in-australia-and-new-zealand-a-predict-prospective-study
#13
Franz E Babl, Mark D Lyttle, Silvia Bressan, Meredith L Borland, Natalie Phillips, Amit Kochar, Sarah Dalton, John A Cheek, Yuri Gilhotra, Jeremy Furyk, Jocelyn Neutze, Susan Donath, Stephen Hearps, Marta Arpone, Louise Crowe, Stuart R Dalziel, Ruth Barker, Ed Oakley
AIM: Penetrating head injuries (pHIs) are associated with high morbidity and mortality. Data on pHIs in children outside North America are limited. We describe the mechanism of injuries, neuroimaging findings, neurosurgery and mortality for pHIs in Australia and New Zealand. METHODS: This was a planned secondary analysis of a prospective observational study of children <18 years who presented with a head injury of any severity at any of 10 predominantly paediatric Australian/New Zealand emergency departments (EDs) between 2011 and 2014...
March 26, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29547926/causes-of-death-in-military-working-dogs-during-operation-iraqi-freedom-and-operation-enduring-freedom-2001-2013
#14
Laura Miller, Gerardo J Pacheco, Jud C Janak, Rose C Grimm, Nicole A Dierschke, Janice Baker, Jean A Orman
Background: Military working dogs (MWDs) are a major asset in the theater of operations. Their unique abilities make them ideal for tasks such as tracking, patrol, and scent detection. MWDs deployed to a war zone are exposed to harsh environments and battlefield dangers that increase their risk of disease, injuries, and death. Although canines have been used extensively in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF), no published studies have reported detailed causes of death among MWDs deployed to these conflicts...
March 14, 2018: Military Medicine
https://www.readbyqxmd.com/read/29544413/pediatric-cardiac-trauma-in-the-united-states-a-systematic-review
#15
Konstantinos S Mylonas, Diamantis I Tsilimigras, Pavlos Texakalidis, Pouya Hemmati, Dimitrios Schizas, Konstantinos P Economopoulos
Literature discussing cardiac injuries in children is limited. Systematic search of PubMed identified 21 studies enrolling 1,062 pediatric patients who experienced cardiac trauma in the United States during the period 1961 to 2012. The predominant type of injury was blunt cardiac contusion affecting 59.7% (n = 634/1,062) of the study population. Motor vehicle crashes (53.5%, n = 391/731) were the leading cause of blunt cardiac trauma, while gunshot wounds (50%, n = 150/300) accounted for most penetrating injuries...
March 2018: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/29541826/anatomic-location-and-mechanism-of-injury-correlating-with-prehospital-deaths-in-sub-saharan-africa
#16
T D Reid, P D Strassle, J Gallaher, J Grudziak, C Mabedi, A G Charles
INTRODUCTION: Trauma is a large contributor to morbidity and mortality in developing countries. We sought to determine which anatomic injury locations and mechanisms of injury predispose to prehospital mortality in Malawi to help target preventive and therapeutic interventions. We hypothesized that head injury would result in the highest prehospital mortality. METHODS: This was a retrospective analysis of all trauma patients presenting to Kamuzu Central Hospital in Lilongwe, Malawi, from 2008 to 2015...
March 14, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29541694/transaortic-gunshot-wound-through-perivisceral-segment-successfully-managed-by-placement-of-thoracic-stent-graft
#17
Jared T Feyko, Peter Zmijewski, Cara Lyle, Allison Wilson, Luke Marone
We describe a 36-year-old woman who presented to our facility after sustaining a gunshot wound to the epigastric region. The gunshot resulted in injury to the left lobe of the liver and the twelfth thoracic vertebral body as well as in a through-and-through injury to the abdominal aorta at the level of the celiac axis. The vascular injury was managed successfully by placement of a thoracic stent graft with coverage of the celiac axis. This case demonstrates the feasibility of managing this uncommon injury with endovascular techniques...
March 2018: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29540114/denial-of-suicide-attempt-among-hospitalized-survivors-of-a-self-inflicted-gunshot-wound
#18
Michael Matthew McClay, Stephen S O'Connor, Brittany Nicole Groh, Marissa Baudino, Lisa Venanzi, Angela Shields, Jo Ellen Wilson, John Bone, Stephen Nicolson
OBJECTIVE: Evidence suggests that suicide attempts by self-inflicted gunshot wound (GSW) are underreported and may in turn affect disposition following hospitalization. This study aimed to evaluate the clinical characteristics and use of services among individuals who do not disclose suicidal intent following a self-inflicted GSW. METHODS: Electronic medical record data from 128 survivors of self-inflicted GSWs at a level 1 trauma center were analyzed to identify factors associated with nondisclosure of a suicide attempt to medical staff...
March 15, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29535478/punishment-attacks-in-post-ceasefire-northern-ireland-an-emergency-department-perspective
#19
Kevin McGarry, Duncan Redmill, Mark Edwards, Aoife Byrne, Aaron Brady, Mark Taylor
Northern Ireland (NI) has been in a post-conflict state for over twenty years. However, injuries sustained during paramilitary Punishment Attacks (PA) remain a common hospital presentation. The aim of this study was to compare the current province-wide frequency and cost with data collected from the same unit in 1994, the end of the so called, "Troubles". A ten month retrospective emergency chart analysis from all assault and gunshot wound (GSW) attendances to the Emergency Department, Royal Victoria Hospital Belfast (RVH) in 2012 was carried out...
May 2017: Ulster Medical Journal
https://www.readbyqxmd.com/read/29529538/a-rare-case-of-fusiform-celiac-artery-aneurysm-after-penetrating-trauma
#20
Abdullah Shariff, Ruby Skinner, Andrea Pakula
INTRODUCTION: Visceral artery aneurysms are an uncommon clinical problem with aneurysms of the celiac artery only making up a small percentage of all visceral artery aneurysms. The more common splenic and hepatic aneurysms are often symptomatic with pain or rupture and associated hemorrhage. PRESENTATION OF CASE: We present a case of an otherwise healthy 30 yo male with an asymptomatic, posttraumatic arterial aneurysm of the celiac artery. He initially presented to our trauma center after sustaining multiple gunshot wounds which required multiple abdominal surgeries...
February 21, 2018: International Journal of Surgery Case Reports
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