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Blunt trauma

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https://www.readbyqxmd.com/read/29915855/diagnostic-accuracy-of-focused-assessment-with-sonography-for-trauma-for-blunt-abdominal-trauma-in-the-eastern-region-of-saudi-arabia
#1
Khawaja B Waheed, Aftab A Baig, Ahmed Raza, Muhammad Z Ul Hassan, Mohamad A Khattab, Usman Raza
OBJECTIVES: To determine the diagnostic accuracy of  Focused Assessment with Sonography for Trauma (FAST) in blunt abdominal trauma caused by motor vehicle accidents at our Hospital in Dhahran city. METHODS: This descriptive, observational study was conducted in the Radiology Department at King Fahad Military Medical Complex   Dhahran, Saudi Arabia between September 2016 and September 2017.  All adult patients (n=105) involved in motor vehicle accidents with blunt abdominal injury on presentation were retrospectively reviewed for FAST and CT scans for detection of free fluid...
June 2018: Saudi Medical Journal
https://www.readbyqxmd.com/read/29914563/case-reports-of-atrial-and-pericardial-rupture-from-blunt-cardiac-trauma
#2
D Baldwin, K L Chow, H Mashbari, E Omi, J K Lee
BACKGROUND: Blunt cardiac trauma is diagnosed in less than 10% of trauma patients and covers the range of severity from clinically insignificant myocardial contusions to lethal multi-chamber cardiac rupture. The most common mechanisms of injury include: motor vehicle collisions (MVC), pedestrians struck by motor vehicles and falls from significant heights. A severe complication from blunt cardiac trauma is cardiac chamber rupture with pericardial tear. It is an exceedingly rare diagnosis...
June 19, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29914487/blunt-liver-trauma-a-descriptive-analysis-from-a-level-i-trauma-center
#3
Ibrahim Afifi, Sheraz Abayazeed, Ayman El-Menyar, Husham Abdelrahman, Ruben Peralta, Hassan Al-Thani
BACKGROUND: We aimed to review liver injury experience in a level 1 trauma center; namely clinical presentation, grading, management approach and clinical outcomes. METHODS: It is a retrospective analysis to include all blunt liver injury patients who were admitted at the Level 1 trauma center over a 3-year period. Data were compared and analyzed based on the liver injury grades and management approaches. RESULTS: Blunt liver injury accounted for 38% of the total blunt abdominal trauma cases with a mean age of 31 ± 13 years...
June 19, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29914384/acute-myocardial-infarction-after-blunt-chest-wall-trauma-with-underlying-coronary-aneurysm-a-case-report
#4
Xu Guo, Xiaoou Wang, Xinzhong Zhang, Ahmed O Ahmed, David H Hsi, Daqing Zhang
BACKGROUND: Kawasaki disease is an acute febrile disease with mucocutaneous and cardiovascular involvement affecting infants and young children. Though coronary artery abnormalities are common in Kawasaki disease, no consensus has been reached regarding the treatment of acute coronary artery diseases in this population. CASE PRESENTATION: We described a case of myocardial infarction triggered by blunt chest wall trauma in a 20 years old girl. She presented with chest pain and breathlessness with brief syncope, lab results and electrocardiogram findings were consistent with acute myocardial infarction...
June 18, 2018: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29912001/regarding-a-case-of-fatal-cerebral-air-embolism-after-blunt-lung-trauma-postmortem-computed-tomography-and-autopsy-findings
#5
Vladimir Živković, Danica Cvetković, Slobodan Nikolić
No abstract text is available yet for this article.
June 14, 2018: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/29908489/work-related-fatal-injuries-in-brescia-county-northern-italy-1982-to-2015-a-forensic-analysis
#6
REVIEW
Silvia Perotti, Maria Cristina Russo
Work-related deaths represent an important social problem. We report all the occupational fatal injuries recorded by the Brescia Institute of Forensic Medicine from 1982 to 2015. A total of 426 post-mortem examinations due to accidental work injuries were retrospectively analysed according to temporal distribution (year, month and day of the workplace accident); workers' characteristics (sex, age, nationality); type of occupation; cause of death; anatomical region of fatal injuries and timing of death. The accidental occupational events occurred with a mean of 12...
June 6, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29903577/increased-reduction-in-exsanguination-rates-leaves-brain-injury-as-the-only-major-cause-of-death-in-blunt-trauma
#7
D Jochems, L P H Leenen, F Hietbrink, R M Houwert, K J P van Wessem
INTRODUCTION: Central nervous system (CNS) related injuries and exsanguination have been the most common causes of death in trauma for decades. Despite improvements in haemorrhage control in recent years exsanguination is still a major cause of death. We conducted a prospective database study to investigate the current incidence of haemorrhage related mortality. MATERIALS AND METHODS: A prospective database study of all trauma patients admitted to an urban major trauma centre between January 2007 and December 2016 was conducted...
May 23, 2018: Injury
https://www.readbyqxmd.com/read/29901544/limits-of-intravascular-contrast-extravasation-on-computed-tomography-scan-to-define-the-need-for-pelvic-angioembolization-in-pelvic-blunt-trauma-a-specific-assessment-on-the-risk-of-false-positives
#8
Séverin Ramin, Margaux Hermida, Ingrid Millet, Thibault Murez, Valérie Monnin, Mazen Hamoui, Xavier Capdevila, Jonathan Charbit
BACKROUND: The objective was to assess the predictive performance of different intravascular contrast extravasation (ICE) characteristics for need for pelvic transarterial embolization (TAE) to determine the risk factors of false-positives. METHODS: A retrospective study was performed in our trauma center between 2010 and 2015. All severe trauma patients with pelvic fracture were included. Pelvic ICE characteristics on computed tomography (CT) scan were studied: arterial (aSICE), portal surface (pSICE), and extension (exSICE) anatomic relationships...
June 12, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29901282/evaluation-of-the-agreement-between-focused-assessment-with-sonography-for-trauma-afast-tfast-and-computed-tomography-in-dogs-and-cats-with-recent-trauma
#9
Andrea M Walters, Mauria A O'Brien, Laura E Selmic, Sue Hartman, Maureen McMichael, Robert T O'Brien
OBJECTIVE: To determine the agreement between focused assessment with sonography for trauma (FAST) exams and computed tomography (CT) for the detection of pleural and peritoneal fluid and pneumothorax in animals that have sustained recent trauma. DESIGN: Prospective study. SETTING: University Teaching Hospital. ANIMALS: Thirteen dogs and 2 cats were enrolled into the study, with 10 having sustained blunt force trauma and 5 penetrating trauma...
June 14, 2018: Journal of Veterinary Emergency and Critical Care
https://www.readbyqxmd.com/read/29888191/delayed-diagnosis-of-isolated-ureteral-injury-from-blunt-trauma
#10
Angela M Arlen, Shu Pan, John W Colberg
No abstract text is available yet for this article.
July 2018: Urology Case Reports
https://www.readbyqxmd.com/read/29888114/mechanical-evaluation-of-retinal-damage-associated-with-blunt-craniomaxillofacial-trauma-a-simulation-analysis
#11
Xiaoqi Geng, Xiaoyu Liu, Wei Wei, Yawei Wang, Lizhen Wang, Kinon Chen, Hongqiang Huo, Yuanjie Zhu, Yubo Fan
Purpose: To evaluate retinal damage as the result of craniomaxillofacial trauma and explain its pathogenic mechanism using finite element (FE) simulation. Methods: Computed tomography (CT) images of an adult man were obtained to construct a FE skull model. A FE skin model was built to cover the outer surface of the skull model. A previously validated FE right eye model was symmetrically copied to create a FE left eye model, and both eye models were assembled to the skull model...
May 2018: Translational Vision Science & Technology
https://www.readbyqxmd.com/read/29886352/death-on-a-napoleonic-battlefield-peri-mortem-trauma-in-soldiers-from-the-battle-of-aspern-1809
#12
Michaela Binder, Leslie Quade
On the 21st -22nd of May1809 Napoleon Bonaparte saw his first major defeat on land at the Battle of Aspern, just north-east of Vienna. Of the 167,000 soldiers who fought for the French and Austrian armies, a total of 55,000 died on the battlefield. Salvage excavations prior to the construction of large urban development project (2008-2016) have revealed several burial sites related to the Battle of Aspern. The skeletal remains of 30 soldiers were excavated and underwent a detailed bioarchaeological study to elucidate both the impact of 19th-century military conditions on soldiers in life, as well as how they died on the battlefield...
June 7, 2018: International Journal of Paleopathology
https://www.readbyqxmd.com/read/29886219/national-trends-of-thoracic-endovascular-aortic-repair-tevar-versus-open-repair-in-blunt-thoracic-aortic-injury
#13
Areg Grigorian, Dean Spencer, Carlos Donayre, Jeffry Nahmias, Sebastian Schubl, Viktor Gabriel, Cristobal Barrios
BACKGROUND: Blunt thoracic aortic injury (BTAI) occurs in <1% of all trauma admissions. Considering the advent of multiple thoracic endovascular aortic repair (TEVAR) devices over the past decade, improved outcomes of TEVAR supported in the literature, rapid diagnosis and improved preoperative planning of BTAI using computed tomography imaging, we hypothesized that the national incidence of TEVAR in BTAI has increased while open repair has decreased. In addition, we hypothesized that the mortality risk in BTAI patients undergoing TEVAR would be lower than open repair...
June 7, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29885914/successful-treatment-of-massive-hemothorax-with-class-iv-shock-using-aortography-with-transcatheter-embolization-of-actively-bleeding-posterior-left-intercostal-arteries-after-penetrating-left-chest-trauma-a-case-for-the-hybrid-or
#14
Carolyn Moore, Golda Kwayisi, Prince Esiobu, Keren A Bashan-Gilzenrat, Leslie R Matthews, Jonathan Nguyen, Nathaniel Moriarty, Michael Liggon, Kahdi Udobi, Assad Taha, Ed Childs, Omar Danner
Hemothorax is a common occurrence after blunt or penetrating injury to the chest. Posterior intercostal vessel hemorrhage as a cause of major intrathoracic bleeding is an infrequent source of massive bleeding. Selective angiography with trans-catheter embolization may provide a minimally invasive and efficient method of controlling bleeding refractory to surgical treatment. PRESENTATION OF CASE: A 19 year-old male sustained a gunshot wound to his left chest with massive hemothorax and refractory hemorrhage...
May 3, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29884556/long-term-sustainability-of-washington-state-s-quality-improvement-initiative-for-the-management-of-pediatric-spleen-injuries
#15
Benjamin J Booth, Stephen M Bowman, Mauricio A Escobar, Sam R Sharar
BACKGROUND: Initial results of Washington State's quality improvement initiative addressing the management of blunt traumatic pediatric spleen injuries were published in 2008. In this update, we evaluated whether these effects were sustained over time. METHODS: Data from the Washington Trauma Registry for years 1999-2001 (pre-intervention), 2003-2005 (post-intervention), and 2012-2014 (follow-up) were used in a retrospective cohort study. Children between ages 0 to 14 years who were hospitalized with a traumatic blunt spleen injury were included...
May 12, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29884478/blunt-cerebrovascular-injury-incidence-stroke-rate-and-mortality-with-the-expanded-denver-criteria
#16
Areg Grigorian, Nii-Kabu Kabutey, Sebastian Schubl, Christian de Virgilio, Victor Joe, Matthew Dolich, Dawn Elfenbein, Jeffry Nahmias
BACKGROUND: Blunt carotid and vertebral artery injury, collectively termed blunt cerebrovascular injury occur in less than 1% of blunt traumas. Conventional indications for screening miss up to 20% of blunt cerebrovascular injuries. Therefore, the expanded Denver criteria were created in 2012. We hypothesized the introduction of the expanded Denver criteria would lead to an increase in the national detection of blunt cerebrovascular injury with a subsequent decrease in stroke rate. METHODS: The National Trauma Data Bank was queried for blunt trauma admissions...
June 5, 2018: Surgery
https://www.readbyqxmd.com/read/29882101/preliminary-report-of-percutaneous-cholecystostomy-as-diagnosis-and-treatment-of-biliary-tract-trauma
#17
Jean-Baptiste Cazauran, Arnaud Muller, Baptiste Hengy, Pierre-Jean Valette, Laurent Gruner, Olivier Monneuse
BACKGROUND: Biliary leak following severe blunt liver injuries is a complex problem becoming more frequent with improvements in non-operative management. Standard treatment requires main bile duct drainage usually performed by endoscopic sphincterotomy and stent placement. We report our experience with cholecystostomy as a first minimally invasive diagnostic and therapeutic approach. METHODS: We performed a retrospective analysis of consecutive patients with post-traumatic biliary leak between 2006 and 2015...
June 7, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29876644/survival-after-emergency-department-thoracotomy-in-the-pediatric-trauma-population-a-review-of-published-data
#18
Eliza E Moskowitz, Clay Cothren Burlew, Ann M Kulungowski, Denis D Bensard
BACKGROUND/PURPOSE: The utility of EDT in the adult trauma population, using well-defined guidelines, is well established, especially for penetrating injuries. Since the introduction of these guidelines, reports on the use of EDT for pediatric trauma have been published, and these series reveal a dismal, almost universally fatal, outcome for EDT following blunt trauma in the child. This report reviews the clinical outcomes of EDT in the pediatric population. MATERIALS/METHODS: We performed a review of EDT in the pediatric population using the published data from 1980 to 2017...
June 6, 2018: Pediatric Surgery International
https://www.readbyqxmd.com/read/29876635/a-moving-human-body-causes-fatal-blunt-trauma-an-unusual-traffic-accident
#19
Annette Thierauf-Emberger, Andreas Lickert, Stefan Pollak
In urban traffic accidents, mainly pedestrians and cyclists are at risk of being injured and killed. Lethal injuries are usually caused by the immediate impact of a car or a tram. This paper presents a fatal accident without any direct contact with a motor vehicle. A 63-year-old woman sitting on a chair in a pavement cafe was killed by the impact of a 60-year-old male cyclist, who was flung in her direction after colliding with a car. Autopsy yielded intracutaneous haemorrhages on the impact sites of the female victim (left cheek, left shoulder and left upper arm)...
June 6, 2018: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/29872865/-successful-prehospital-emergency-thoracotomy-after-blunt-thoracic-trauma-case-report-and-lessons-learned
#20
Janosch Dahmen, Marko Brade, Christian Gerach, Martin Glombitza, Jan Schmitz, Simon Zeitter, Eva Steinhausen
BACKGROUND: The European Resuscitation Council guidelines for resuscitation in patients with traumatic cardiac arrest recommend the immediate treatment of all reversible causes, if necessary even prior to continuous chest compression. In the case of cardiac tamponade immediate emergency thoracotomy should also be considered. OBJECTIVE: The authors report the case of a 23-year-old male patient with multiple injuries including blunt thoracic trauma, which caused a witnessed cardiac arrest...
June 5, 2018: Der Unfallchirurg
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