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https://www.readbyqxmd.com/read/27911067/-vascular-interventional-radiology-a-fundamental-procedure-for-the-management-of-paediatric-trauma
#1
E Bordón Cabrera, A Laín, R Gander, M Pérez Lafuente, I Díez Miranda, C G Fontecha, L Seidler, I Delgado, S Cañadas Palazón, J Lloret
INTRODUCTION: The management of active bleeding with haemodinamic lability in the paediatric trauma patient is difficult and generally leads to damage control surgery. Vascular Interventional Radiology (VIR) techniques are useful for the diagnosis as for the definitive treatment. AIM: The aim of our study was to describe our experience and evaluate effectiveness of VIR in the management of the paediatric trauma patient with active bleeding signs. METHODS: Retrospective analysis (2003-2014) of politraumatic patients who showed contrast blush on computed tomography and then treated by VIR techniques...
January 25, 2016: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/27817834/a-comparison-study-of-pelvic-fractures-and-associated-abdominal-injuries-between-pediatric-and-adult-blunt-trauma-patients
#2
Forat Swaid, Kobi Peleg, Ricardo Alfici, Oded Olsha, Adi Givon, Boris Kessel
PURPOSE: Pelvic fractures are a marker of severe injury, mandating a thorough investigation for the presence of associated injuries. Anatomical and physiological differences between adults and children may lead to a different impact of pelvic fractures on these populations. The purpose of this study is to compare pelvic fractures between pediatric and adult blunt trauma victims, mainly regarding their severity and associated intraabdominal injuries. METHODS: A retrospective study involving blunt trauma patients suffering pelvic fractures, according to the records of the Israeli National Trauma Registry...
September 23, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27625999/association-between-the-pancreatic-enzyme-level-and-organ-failure-in-trauma-patients
#3
Arulselvi Subramanian, Venencia Albert, Biplab Mishra, Shilpi Sanoria, Ravindra Mohan Pandey
BACKGROUND: The literature suggests an association of pancreatic enzymes with systemic inflammation resulting in secondary organ injury and dysfunction following trauma. Elevation in serum enzymes may not always be predictive of pancreatic disease, and can reflect extra pancreatic production. OBJECTIVES: This study was conducted to evaluate the rise in serum pancreatic enzyme levels with the incidence of organ failure following trauma. PATIENTS AND METHODS: A retrospective review was performed on critically injured patients from December 2009 to March 2010...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27561373/posttraumatic-levels-of-liver-enzymes-can-reduce-the-need-for-ct-in-children-a-retrospective-cohort-study
#4
Peter James Bruhn, Lene Østerballe, Jens Hillingsø, Lars Bo Svendsen, Frederik Helgstrand
BACKGROUND: Computed tomography (CT) is the gold standard in the initial evaluation of the hemodynamically stable patient with suspected liver trauma. However, the adverse effects of radiation exposure are of specific concern in the pediatric population. It is therefore desirable to explore alternative diagnostic modalities. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are hepatic enzymes, which are elevated in peripheral blood in relation to liver injury. The aim of the present study was to investigate a potential role of normal liver transaminase levels in the decision algorithm in suspected pediatric blunt liver trauma...
2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27552936/-management-of-blunt-renal-trauma-in-paediatric-patients
#5
L Brouwers, M Bemelman, W L M Kramer, F H W M van der Heijden
- In 90% of children, blunt abdominal trauma is the cause of renal, splenic or hepatic injury or an injury affecting a combination of these organs.- Because children's kidneys are anatomically less protected than those of adults, potential renal injury following direct trauma affecting the child's flank, for example by a handlebar or knee should be considered.- Symptoms of renal trauma include excoriations or haematoma on the flank, a 'seatbelt-sign', macroscopic haematuria and fractures of the ribs and vertebra...
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/27519150/management-of-blunt-hepatic-trauma
#6
C Letoublon, A Amariutei, N Taton, L Lacaze, J Abba, O Risse, C Arvieux
For the last 20 years, nonoperative management (NOM) of blunt hepatic trauma (BHT) has been the initial policy whenever this is possible (80% of cases), i.e., in all cases where the hemodynamic status does not demand emergency laparotomy. NOM relies upon the coexistence of three highly effective treatment modalities: radiology with contrast-enhanced computerized tomography (CT) and hepatic arterial embolization, intensive care surveillance, and finally delayed surgery (DS). DS is not a failure of NOM management but rather an integral part of the surgical strategy...
August 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27471889/blunt-cerebrovascular-injuries-in-severe-traumatic-brain-injury-incidence-risk-factors-and-evolution
#7
Pierre Esnault, Mickaël Cardinale, Henry Boret, Erwan D'Aranda, Ambroise Montcriol, Julien Bordes, Bertrand Prunet, Christophe Joubert, Arnaud Dagain, Philippe Goutorbe, Eric Kaiser, Eric Meaudre
OBJECTIVE Blunt cerebrovascular injuries (BCVIs) affect approximately 1% of patients with blunt trauma. An antithrombotic or anticoagulation therapy is recommended to prevent the occurrence or recurrence of neurovascular events. This treatment has to be carefully considered after severe traumatic brain injury (TBI), due to the risk of intracranial hemorrhage expansion. Thus, the physician in charge of the patient is confronted with a hemorrhagic and ischemic risk. The main objective of this study was to determine the incidence of BCVI after severe TBI...
July 29, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27455295/how-does-the-severity-of-injury-vary-between-motorcycle-and-automobile-accident-victims-who-sustain-high-grade-blunt-hepatic-and-or-splenic-injuries-results-of-a-retrospective-analysis
#8
Ting-Min Hsieh, Tsung-Cheng Tsai, Yueh-Wei Liu, Ching-Hua Hsieh
BACKGROUND: High-grade blunt hepatic and/or splenic injuries (BHSI) remain a great challenge for trauma surgeons. The main aim of this study was to investigate the characteristics, mortality rates, and outcomes of high-grade BHSI in motorcyclists and car occupants hospitalized for treatment of traumatic injuries in a Level I trauma center in southern Taiwan. METHODS: High-grade BHSI are defined as grade III-VI blunt hepatic injuries and grade III-V blunt splenic injuries...
2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27440520/ct-appearance-of-traumatic-inferior-vena-cava-injury
#9
Richard Tsai, Constantine Raptis, Douglas J Schuerer, Vincent M Mellnick
OBJECTIVE: CT plays a crucial role in the evaluation of stable patients with blunt and penetrating trauma in the emergency department. Among the more severe injuries that may occur in penetrating and blunt trauma are those to the inferior vena cava (IVC). The purpose of this study was to evaluate and differentiate the CT findings associated with penetrating versus blunt trauma to the IVC to aid the radiologist in diagnosing IVC injuries. MATERIALS AND METHODS: Cases of blunt and penetrating IVC injury were retrospectively identified using search queries...
July 19, 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27392601/carotid-artery-dissection-and-motor-vehicle-trauma-patient-demographics-associated-injuries-and-impact-of-treatment-on-cost-and-length-of-stay
#10
Jared E Kray, Viktor Y Dombrovskiy, Todd R Vogel
BACKGROUND: Blunt carotid arterial injury (BCI) is a rare injury associated with motor vehicle collision (MVC). There are few population based analyses evaluating carotid injury associated with blunt trauma and their associated injuries as well as outcomes. METHODS: The Nationwide Inpatient Sample (NIS) 2003-2010 data was queried to identify patients after MVC who had documented BCI during their hospitalizations utilizing ICD-9-CM codes. Demographics, associated injuries, interventions performed, length of stay, and cost were evaluated...
2016: BMC Emergency Medicine
https://www.readbyqxmd.com/read/27299142/outcome-of-blunt-abdominal-traumas-with-stable-hemodynamic-and-positive-fast-findings
#11
Firooz Behboodi, Zahra Mohtasham-Amiri, Navid Masjedi, Reza Shojaie, Peyman Sadri
INTRODUCTION: Focused assessment with sonography for trauma (FAST) is a highly effective first screening tool for initial classification of abdominal trauma patients. The present study was designed to evaluate the outcome of patients with blunt abdominal trauma and positive FAST findings. METHODS: The present prospective cross-sectional study was done on patients over 7 years old with normal abdominal examination, positive FAST findings, and available abdominopelvic computed tomography (CT) scan findings...
2016: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/27257698/hepatic-and-splenic-blush-on-computed-tomography-in-children-following-blunt-abdominal-trauma-is-intervention-necessary
#12
Martha-Conley E Ingram, Ragavan V Siddharthan, Andrew D Morris, Sarah J Hill, Curtis D Travers, Courtney E McKracken, Kurt F Heiss, Mehul V Raval, Matthew T Santore
BACKGROUND: There are no widely accepted guidelines for management of pediatric patients who have evidence of solid organ contrast extravasation ("blush") on computed tomography (CT) scans following blunt abdominal trauma. We report our experience as a Level 1 pediatric trauma center in managing cases with hepatic and splenic blush. METHODS: All pediatric blunt abdominal trauma cases resulting in liver or splenic injury were queried from 2008 to 2014. Patients were excluded if a CT was unavailable in the medical record...
August 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27239257/outcome-analysis-of-management-of-liver-trauma-a-10-year-experience-at-a-trauma-center
#13
Wong Hoi She, Tan To Cheung, Wing Chiu Dai, Simon H Y Tsang, Albert C Y Chan, Daniel K H Tong, Gilberto K K Leung, Chung Mau Lo
AIM: To review the outcomes of liver trauma in patients with hepatic injuries only and in patients with associated injuries outside the liver. METHODS: Data of liver trauma patients presented to our center from January 2003 to October 2013 were reviewed. The patients were divided into two groups. Group 1 consisted of patients who had hepatic injuries only. Group 2 consisted of patients who also had associated injuries outside the liver. RESULTS: Seven (30...
May 28, 2016: World Journal of Hepatology
https://www.readbyqxmd.com/read/27133787/intra-hepatic-arterio-biliary-fistula-complicated-by-blunt-abdomen-trauma-demonstrated-at-angiogram
#14
Ying-Chieh Lai, Patricia Wu, Chen-Chih Huang, Cheng-Hsien Wu, Chao-Jan Wang, Yon-Cheong Wong
No abstract text is available yet for this article.
May 1, 2016: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/27120318/the-use-of-angiography-in-pediatric-blunt-abdominal-trauma-patients
#15
Stephen J Fenton, Kristin N Sandoval, Austin M Stevens, Eric R Scaife
BACKGROUND: Angiography is a common treatment used in adults with blunt abdominal trauma and/or severe pelvic fractures. The Committee on Trauma of the American College of Surgeons has recently advocated for this resource to be urgently available at pediatric trauma centers; however, its usefulness in the pediatric setting is unclear. The purpose of this study was to determine the incidence of angiography in the treatment of blunt abdominal trauma among injured children. METHODS: An analysis was performed using an established public use data set of children (younger than 18 years) treated at 20 participating trauma centers for blunt torso trauma through the Pediatric Emergency Care Applied Research Network...
August 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27096853/epidemiological-evaluation-of-hepatic-trauma-victims-undergoing-surgery
#16
Mitre Kalil, Isaac Massaud Amim Amaral
OBJECTIVE: to evaluate the epidemiological variables and diagnostic and therapeutic modalities related to hepatic trauma patients undergoing laparotomy in a public referral hospital in the metropolitan region of Vitória-ES. METHODS: we conducted a retrospective study, reviewing charts of trauma patients with liver injuries, whether isolated or in association with other organs, who underwent exploratory laparotomy, from January 2011 to December 2013. RESULTS: We studied 392 patients, 107 of these with liver injury...
February 2016: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/27036671/-non-surgical-management-after-blunt-traumatic-liver-injuries-a-review-article
#17
Héctor Faustino Noyola-Villalobos, Marco Antonio Loera-Torres, Enrique Jiménez-Chavarría, Olliver Núñez-Cantú, Luis Manuel García-Núñez, Fernando Federico Arcaute-Velázquez
Hepatic trauma is a common cause for admissions in the Emergency Room. Currently, non-surgical management is the standard treatment in haemodynamically stable patients with a success rate of around 85 to 98%. This haemodynamic stability is the most important factor in selecting the appropriate patient. Adjuncts in non-surgical management are angioembolisation, image-guided drainage and endoscopic retrograde cholangiopancreatography. Failure in non-surgical management is relatively rare but potentially fatal, and needs to be recognised and aggressively treated as early as possible...
May 2016: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/27015755/use-of-a-novel-saline-bipolar-radiofrequency-energy-instrument-as-an-adjunct-for-arresting-ongoing-solid-organ-surface-and-laceration-bleeding-in-critically-injured-patients
#18
Chad G Ball, Andre Campbell, Sean C Grondin, Elijah Dixon, Joseph DuBose, Paul B McBeth, Rohan Lall
INTRODUCTION: Solid organ (liver, spleen and kidney) haemorrhage is often life threatening and can be difficult to stop in critically ill patients. Traditional techniques for arresting this ongoing bleeding include coagulation by high voltage cautery (Bovie), topical haemostatic application, and the delivery of ignited argon gas. The goal of this study was to evaluate the efficacy of a new energy device for arresting persistent solid organ haemorrhage. PATIENTS AND METHODS: A novel instrument utilizing bipolar radiofrequency (RF) energy which acts to ignite/boil dripping saline from a simple hand piece was employed to arrest ongoing bleeding from solid organ injuries at 2 high volume, level 1 trauma centres...
September 2016: Injury
https://www.readbyqxmd.com/read/27011943/troponin-t-in-patients-with-traumatic-chest-injuries-with-and-without-cardiac-involvement-insights-from-an-observational-study
#19
Ismail Mahmood, Ayman El-Menyar, Wafer Dabdoob, Yassir Abdulrahman, Tarriq Siddiqui, Sajid Atique, Suresh Kumar Arumugam, Rifat Latifi, Hassan Al-Thani
BACKGROUND: Serum troponin T (TnT) is a common marker of myocardial injury. However, its implication in the absence of clinical evidence of cardiac reason is not well established. AIMS: The aim of this study was to identify the implications of positive TnT in traumatic chest injury (TCI) patients regardless of the cardiac involvement. MATERIALS AND METHODS: We conducted a retrospective analysis of all TCI patients admitted to level 1 trauma center between 2008 and 2011...
January 2016: North American Journal of Medical Sciences
https://www.readbyqxmd.com/read/27011541/diagnosis-and-management-of-high-grade-pancreatic-trauma-report-of-14-cases
#20
Wan-Yuan Bao, Gang She, Yun-Fei Duan, Sheng-Yong Liu, Dong-Lin Sun, Yue Yang, Feng Zhu
The aim of this study was to review the diagnosis and operative management of cases of high-grade pancreatic trauma. A retrospective analysis was performed on 14 patients treated for high-grade pancreatic trauma at our institution between December 2008 and November 2013. The patients were treated for injuries resulting from blunt abdominal trauma. The main clinical data of the patients was analyzed, including time to diagnosis, initial serum amylase level, ultrasonography and abdominal computed tomography (CT) findings, pancreatic injury severity as scored according to the American Association for the Surgery of Trauma Organ Injury Scale, injury to other organs, operative treatment method, postoperative complications, and patient outcome...
December 2015: Indian Journal of Surgery
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