Andrea Colli, Enrico Petranzan
A 48-year-old man was referred to the emergency department for chest trauma related to a motorcycle accident. The findings on cardiac auscultation and electrocardiography were consistent with possible dextrocardia. A chest radiograph and computed tomographic (CT) scan showed a 90-degree rightward..
May 8, 2014: New England Journal of Medicine
Adam Stannard, Jonathan L Eliason, Todd E Rasmussen
No abstract text is available yet for this article.
December 2011: Journal of Trauma
Taufiek K Rajab, Michael J Weaver, Joaquim M Havens
New England Journal of Medicine, Volume 369, Issue 17, October 2013.
October 24, 2013: New England Journal of Medicine
Bruce E Lehnert, Claudia Sadro, Eric Monroe, Mariam Moshiri
Blunt and penetrating trauma to the male pelvis and external genitalia may result in significant injury to the lower genitourinary system including the bladder, urethra, penis, and scrotum. Emergent imaging plays an important role in identifying these injuries and directing appropriate, timely management. In this article, we review indications for dedicated genitourinary system imaging in trauma and illustrate the imaging features of injuries to the lower male genitourinary system in order to facilitate accurate and rapid diagnosis...
February 2014: Emergency Radiology
Kaushal H Shah, J Michael Guthrie
No abstract text is available yet for this article.
April 2014: Annals of Emergency Medicine
David J Lockey, Richard M Lyon, Gareth E Davies
BACKGROUND: Major trauma is the leading worldwide cause of death in young adults. The mortality from traumatic cardiac arrest remains high but survival with good neurological outcome from cardiopulmonary arrest following major trauma has been regularly reported. Rapid, effective intervention is required to address potential reversible causes of traumatic cardiac arrest if the victim is to survive. Current ILCOR guidelines do not contain a standard algorithm for management of traumatic cardiac arrest...
June 2013: Resuscitation
Bradley D Figler, Brad Figler, C Edward Hoffler, William Reisman, K Jeff Carney, Thomas Moore, David Feliciano, Viraj Master
Pelvic ring fractures often result in severely injured patients with multiple organ injuries. The most common associated injuries are intraabdominal or urogenital, and urogenital injuries are the most common associated injuries in those with severe pelvic fractures. Prompt and effective diagnosis and management of these injuries is essential to successful outcomes, but this is potentially complicated by poor communication and coordination among the many specialists involved. To address this, we present a multi-disciplinary review of pelvic fracture-associated bladder and urethral injuries that is specifically geared towards orthopaedic, urology, and trauma surgeons caring for these patients...
August 2012: Injury
Andrea D Hill, Robert A Fowler, Avery B Nathens
BACKGROUND: Evidence suggests that there may be an association between transfer status (direct admission or interhospital transfer) and outcomes in trauma patients. The purpose of this study was to systematically review the current evidence of the association between transfer status and outcomes for patients. METHODS: Systematic search of Medline and EMBASE databases to identify eligible control trials or observational studies that examined the impact of transfer status on trauma patient outcomes...
December 2011: Journal of Trauma
Daniel C Cullinane, Henry J Schiller, Martin D Zielinski, Jaroslaw W Bilaniuk, Bryan R Collier, John Como, Michelle Holevar, Enrique A Sabater, S Andrew Sems, W Matthew Vassy, Julie L Wynne
BACKGROUND: Hemorrhage from pelvic fracture is common in victims of blunt traumatic injury. In 2001, the Eastern Association for the Surgery of Trauma (EAST) published practice management guidelines for the management of hemorrhage in pelvic trauma. Since that time there have been new practice patterns and larger experiences with older techniques. The Practice Guidelines Committee of EAST decided to replace the 2001 guidelines with an updated guideline and systematic review reflecting current practice...
December 2011: Journal of Trauma
Shih-Han Chen, Yun Chen, Wen-Kuei Fang, Da-Wei Huang, Kuo-Chang Huang, Sheng-Hong Tseng
BACKGROUND: Decompressive craniectomy (DC) is helpful in lowering the intracranial pressure in patients with severe head injuries. However, it is still unclear which surgical approach (DC or craniotomy) is the optimal treatment strategy for severely head-injured patients with acute subdural hematoma (SDH). To clarify this point, we compared the outcomes and complications of the patients with acute SDH and low Glasgow Coma Scale (GCS) score treated with craniotomy or DC. METHODS: We analyzed 102 patients with acute SDH and GCS scores of 4 to 8...
December 2011: Journal of Trauma
Xiaofeng Jia, Robert G Kowalski, Daniel M Sciubba, Romergryko G Geocadin
Approximately 11 000 people suffer traumatic spinal cord injury (TSCI) in the United States, each year. TSCI incidences vary from 13.1 to 52.2 per million people and the mortality rates ranged from 3.1 to 17.5 per million people. This review examines the critical care of TSCI. The discussion will focus on primary and secondary mechanisms of injury, spine stabilization and immobilization, surgery, intensive care management, airway and respiratory management, cardiovascular complication management, venous thromboembolism, nutrition and glucose control, infection management, pressure ulcers and early rehabilitation, pharmacologic cord protection, and evolving treatment options including the use of pluripotent stem cells and hypothermia...
January 2013: Journal of Intensive Care Medicine
Karl-Georg Kanz, April O Paul, Rolf Lefering, Mike V Kay, Uwe Kreimeier, Ulrich Linsenmaier, Wolf Mutschler, Stefan Huber-Wagner
BACKGROUND: Immediate recognition of life-threatening conditions and injuries is the key to trauma management. To date, the impact of focused assessment with computed tomography in trauma (FACTT) has not been formally assessed. We aimed to find out whether the concept of using FACTT during primary trauma survey has a negative or positive effect on survival. METHODS: In a retrospective, multicentre study, we compared our time management and probability of survival (Ps) in major trauma patients who received FACTT during trauma resuscitation with the trauma registry of the German Trauma Society (DGU)...
May 10, 2010: Journal of Trauma Management & Outcomes
J W Holcroft, D D Trunkey
The respiratory failure that develops in surgical patients is usually caused by a surgical problem--shock, trauma, sepsis, pulmonary contusion, aspiration, pulmonary emboli or pain, with its attendant ventilatory compromise. Although the underlying pathophysiology for the respiratory failure in these conditions is not precisely known, the means for prevention are well known. Patients subjected to trauma should be aggressively resuscitated from shock. They should have the chance of being cared for in a facility where an operation can be performed promptly...
1983: Surgery Annual
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