Abdominal Injuries: General or unspecified injuries involving organs in the abdominal cavity.Wounds, Nonpenetrating: Injuries caused by impact with a blunt object where there is no penetration of the skin.Multiple Trauma: Multiple physical insults or injuries occurring simultaneously.Injury Severity Score: An anatomic severity scale based on the Abbreviated Injury Scale (AIS) and developed specifically to score multiple traumatic injuries. It has been used as a predictor of mortality.Accidents, Traffic: Accidents on streets, roads, and highways involving drivers, passengers, pedestrians, or vehicles. Traffic accidents refer to AUTOMOBILES (passenger cars, buses, and trucks), BICYCLING, and MOTORCYCLES but not OFF-ROAD MOTOR VEHICLES; RAILROADS nor snowmobiles.Seat Belts: Restraining belts fastened to the frame of automobiles, aircraft, or other vehicles, and strapped around the person occupying the seat in the car or plane, intended to prevent the person from being thrown forward or out of the vehicle in case of sudden deceleration.Thoracic Injuries: General or unspecified injuries to the chest area.Wounds, Penetrating: Wounds caused by objects penetrating the skin.Child Restraint Systems: Devices used to protect and restrain infant and child automotive passengers.Abbreviated Injury Scale: Classification system for assessing impact injury severity developed and published by the American Association for Automotive Medicine. It is the system of choice for coding single injuries and is the foundation for methods assessing multiple injuries or for assessing cumulative effects of more than one injury. These include Maximum AIS (MAIS), Injury Severity Score (ISS), and Probability of Death Score (PODS).Wounds and Injuries: Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.Laparotomy: Incision into the side of the abdomen between the ribs and pelvis.Wounds, Gunshot: Disruption of structural continuity of the body as a result of the discharge of firearms.Wounds, Stab: Penetrating wounds caused by a pointed object.Brain Injuries: Acute and chronic (see also BRAIN INJURIES, CHRONIC) injuries to the brain, including the cerebral hemispheres, CEREBELLUM, and BRAIN STEM. Clinical manifestations depend on the nature of injury. Diffuse trauma to the brain is frequently associated with DIFFUSE AXONAL INJURY or COMA, POST-TRAUMATIC. Localized injuries may be associated with NEUROBEHAVIORAL MANIFESTATIONS; HEMIPARESIS, or other focal neurologic deficits.Athletic Injuries: Injuries incurred during participation in competitive or non-competitive sports.Spinal Cord Injuries: Penetrating and non-penetrating injuries to the spinal cord resulting from traumatic external forces (e.g., WOUNDS, GUNSHOT; WHIPLASH INJURIES; etc.).Reperfusion Injury: Adverse functional, metabolic, or structural changes in ischemic tissues resulting from the restoration of blood flow to the tissue (REPERFUSION), including swelling; HEMORRHAGE; NECROSIS; and damage from FREE RADICALS. The most common instance is MYOCARDIAL REPERFUSION INJURY.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Automobiles: A usually four-wheeled automotive vehicle designed for passenger transportation and commonly propelled by an internal-combustion engine using a volatile fuel. (Webster, 1973)Air Bags: Automotive safety devices consisting of a bag designed to inflate upon collision and prevent passengers from pitching forward. (American Heritage Dictionary, 1982)Heart Injuries: General or unspecified injuries to the heart.Troponin I: One of the three polypeptide chains that make up the TROPONIN complex. It inhibits F-actin-myosin interactions.Creatine Kinase, MB Form: An isoenzyme of creatine kinase found in the CARDIAC MUSCLE.Abdomen: That portion of the body that lies between the THORAX and the PELVIS.Troponin T: One of the three polypeptide chains that make up the TROPONIN complex. It is a cardiac-specific protein that binds to TROPOMYOSIN. It is released from damaged or injured heart muscle cells (MYOCYTES, CARDIAC). Defects in the gene encoding troponin T result in FAMILIAL HYPERTROPHIC CARDIOMYOPATHY.Myocardial Reperfusion Injury: Damage to the MYOCARDIUM resulting from MYOCARDIAL REPERFUSION (restoration of blood flow to ischemic areas of the HEART.) Reperfusion takes place when there is spontaneous thrombolysis, THROMBOLYTIC THERAPY, collateral flow from other coronary vascular beds, or reversal of vasospasm.Contusions: Injuries resulting in hemorrhage, usually manifested in the skin.Abdominal Wall: The outer margins of the ABDOMEN, extending from the osteocartilaginous thoracic cage to the PELVIS. Though its major part is muscular, the abdominal wall consists of at least seven layers: the SKIN, subcutaneous fat, deep FASCIA; ABDOMINAL MUSCLES, transversalis fascia, extraperitoneal fat, and the parietal PERITONEUM.Abdominal Muscles: Muscles forming the ABDOMINAL WALL including RECTUS ABDOMINIS, external and internal oblique muscles, transversus abdominis, and quadratus abdominis. (from Stedman, 25th ed)Soft Tissue Injuries: Injuries of tissue other than bone. The concept is usually general and does not customarily refer to internal organs or viscera. It is meaningful with reference to regions or organs where soft tissue (muscle, fat, skin) should be differentiated from bones or bone tissue, as "soft tissue injuries of the hand".Organic Anion Transport Protein 1: A polyspecific transporter for organic cations found primarily in the kidney. It mediates the coupled exchange of alpha-ketoglutarate with organic ions such as P-AMINOHIPPURIC ACID.Rupture: Forcible or traumatic tear or break of an organ or other soft part of the body.Peritoneal Lavage: Washing out of the peritoneal cavity. The procedure is a diagnostic as well as a therapeutic technique following abdominal trauma or inflammation.Hemoperitoneum: Accumulations of blood in the PERITONEAL CAVITY due to internal HEMORRHAGE.Fellowships and Scholarships: Stipends or grants-in-aid granted by foundations or institutions to individuals for study.Internet: A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.Trauma Centers: Specialized hospital facilities which provide diagnostic and therapeutic services for trauma patients.Accident Prevention: Efforts and designs to reduce the incidence of unexpected undesirable events in various environments and situations.Mars: The fourth planet in order from the sun. Its two natural satellites are Deimos and Phobos. It is one of the four inner or terrestrial planets of the solar system.Superstitions: A belief or practice which lacks adequate basis for proof; an embodiment of fear of the unknown, magic, and ignorance.MinnesotaShoulder: Part of the body in humans and primates where the arms connect to the trunk. The shoulder has five joints; ACROMIOCLAVICULAR joint, CORACOCLAVICULAR joint, GLENOHUMERAL joint, scapulathoracic joint, and STERNOCLAVICULAR joint.TexasChronology as Topic: The temporal sequence of events that have occurred.Tooth Preparation: Procedures carried out with regard to the teeth or tooth structures preparatory to specified dental therapeutic and surgical measures.Weil Disease: A severe form of LEPTOSPIROSIS, usually caused by LEPTOSPIRA INTERROGANS SEROVAR ICTEROHAEMORRHAGIAE and occasionally other serovars. It is transmitted to humans by the rat and is characterized by hemorrhagic and renal symptoms with accompanying JAUNDICE.Interlibrary LoansPelvic Bones: Bones that constitute each half of the pelvic girdle in VERTEBRATES, formed by fusion of the ILIUM; ISCHIUM; and PUBIC BONE.Pubic Bone: A bone that forms the lower and anterior part of each side of the hip bone.Curettage: A scraping, usually of the interior of a cavity or tract, for removal of new growth or other abnormal tissue, or to obtain material for tissue diagnosis. It is performed with a curet (curette), a spoon-shaped instrument designed for that purpose. (From Stedman, 25th ed & Dorland, 27th ed)Pelvis: The space or compartment surrounded by the pelvic girdle (bony pelvis). It is subdivided into the greater pelvis and LESSER PELVIS. The pelvic girdle is formed by the PELVIC BONES and SACRUM.

Non-fatal injuries sustained by seatbelt wearers: a comparative study. (1/444)

The injuries sustained by 969 drivers and front-seat passengers in road-traffic accidents were studied. Altogether 196 (20-2%) of the drivers and passengers were wearing seat belts and 773 (79-8%) were not. The injuries among the two groups differed greatly in both severity and distribution. A total of 54 (27-6%) of the seatbelt wearers sustained one or more fractures compared with 300 (38-8%) of the non-wearers, and 18 (9-2%) of the seatbelt wearers were severely injured compared with 300 (38-8%) of the non-wearers. Soft-tissue injuries to the face were sustained by only 29 (14-8%) of the seatbelt wearers compared with 425 (55%) of the non-wearers. Since wearing seatbelts may become compulsory, the type and pattern of injuries to be expected in wearers should be appreciated.  (+info)

Use of ultrasonography in the patient with acute renal trauma. (2/444)

The purpose of this study was to assess the use of emergent ultrasonographic examination in acute traumatic renal injuries. Over a 3 year period, prospective data of all patients who had an emergency ultrasonogram were recorded. Thirty-two patients with 37 renal injuries were studied retrospectively to identify in how many patients the sonogram detected free fluid or a renal parenchymal abnormality. Free fluid in the abdomen was identified in 19 of 32 patients (59%). However, 12 of these 19 patients had concomitant injury, such as splenic rupture requiring splenectomy, severe liver lacerations, or bowel lacerations requiring repair, that were possible causes of the free fluid. Eliminating these patients, only seven of 20 patients with isolated renal injuries had free fluid in the abdomen (35%), whereas 13 of 20 patients (65%) had no evidence of free fluid. All seven patients with free fluid had moderate or severe renal injuries. Renal parenchymal abnormalities were identified on ultrasonograms in eight of 37 (22%) of injured kidneys. The abnormalities were detected more commonly in cases of severe injury (60%). In conclusion, acute injuries of the kidney from blunt abdominal trauma often are associated with significant splenic, hepatic, or bowel trauma. Isolated renal injuries frequently occur without the presence of free fluid in the abdomen. Furthermore, the ultrasonogram of the kidney often is normal with acute renal injuries, but it is more likely to be abnormal with severe (grade II or greater) renal injuries. Sonography may be used in the triage of patients with blunt abdominal trauma and possible renal injury. However, a negative ultrasonogram does not exclude renal injury, and, depending on clinical and laboratory findings, other imaging procedures such as computed tomography should be performed.  (+info)

Production of phospholipase C (alpha-toxin), haemolysins and lethal toxins by Clostridium perfringens types A to D. (3/444)

To obtain high yields of extracellular enzymes and toxins for immunological analysis, type culture collection strains of Clostridium perfringens types A to D and 28 fresh isolates of C. perfringens type A from humans were grown in fermenters under controlled conditions in a pre-reduced proteose peptone medium. The type culture collection strains all showed different characteristics with respect to growth rates and pH optima for growth. Production of phospholipase C (alpha-toxin), haemolysin and lethal activity varied considerably between the different types. Growth and extracellular protein production in fermenters with pH control and static or stirred cultures were compared. Production of all extracellular proteins measured was markedly improved by cultivation in fermenters with pH control. Strain ATCC13124 produced five times more phospholipase C than any of 28 freshly isolated strains of C. perfringens type A, grown under identical conditions. Haemolytic and lethal activities of the ATCC strain were equal or superior to the activities of any of the freshly isolated strains. There were no differences in the bacterial yields and in the production of extracellular toxins between type A strains isolated from clinical cases of gas gangrene and abdominal wounds, and those isolated from faecal samples from healthy persons.  (+info)

Abdominal injuries and sport. (4/444)

Serious abdominal injuries resulting from sport are rare. The potential for misdiagnosis is significant and the consequences may be serious. Patients with abdominal pain should be taken very seriously and investigated with appropriate diagnostic equipment. Sporting bodies have a responsibility to address safety within a particular sport and to change the rules where necessary as injury patterns are identified.  (+info)

Aortic rupture as a result of low velocity crush. (5/444)

A case of aortic disruption in a 35 year old lorry driver is described. This occurred as a result of a low velocity crushing force. Clinicians should be aware that this mechanism of injury may result in aortic disruption as well as the more commonly mentioned severe deceleration force.  (+info)

Power Doppler ultrasonography: alternative to computed tomography in abdominal trauma patients. (6/444)

The aim of this study was to determine if power Doppler ultrasonography, contrast enhanced when necessary, can be used as an alternative to computed tomography in the diagnosis of trauma-related organ rupture or hematoma. Fifteen patients who had sustained abdominal trauma but who had normal results on B-mode scans were included in the study. Twenty organs (13 livers and 7 spleens) were examined with both contrast-enhanced computed tomography and power Doppler ultrasonography in a blinded fashion. Ultrasonographic contrast was used in five patients. Lack of contrast enhancement (computed tomography) or lack of color in power color Doppler ultrasonography in all or part of the organ was taken as a sign of rupture or hematoma. Five ruptures were detected with both modalities (two hepatic and three splenic). Thus, ultrasonography showed no false-positive or false-negative studies when compared to the computed tomographic results. No significant difference was found in the estimated size of the damaged area between the two types of investigation. The study indicates that power color Doppler ultrasonography may be considered an alternative when a computed tomographic scan of a trauma patient is impossible.  (+info)

Blunt abdominal injuries. (7/444)

The management of blunt abdominal injury (BAI) has undergone quite significant changes over recent years. The emphasis is now on the recognition and limitation of the underlying metabolic insult associated with severe abdominal injury. The concepts of damage control and non-operative management while seeming diametrically opposed have both found favour in selected patient groups. The interventional radiologist has opened a new dimension in the control of inaccessible bleeding and is able to contribute to non-operative approaches. The complimentary use of the methods of investigation available for BAI will also improve the accuracy and specificity of diagnosis allowing more appropriate management. Embracing these new concepts of management by all institutions dealing with trauma victims will hopefully reduce the morbidity and mortality of BAI.  (+info)

A foreign body in the spinal canal. A case report. (8/444)

An 18-year-old man who presented with weakness in his lower limbs, had an upper motor neurone lesion at the D12-L1 level. At laminectomy two stone-like objects were found which proved to be bundles of tiny pieces of wood. They are thought to have entered the cord through an abdominal penetrating injury sustained six years previously.  (+info)

Small Intestine Perforation, Blunt Abdominal Injury vs. Obstructive Ileus due to Adhesions. Small Intestine Perforation, Blunt Abdominal Injury vs. Obstructive Ileus due to Adhesions Left picture: This child has sustained a blunt abdominal trauma as part of a battered child syndrome. The diagnosis is a free intestinal perforation; according to the findings on revision, the perforation is localized in the jejunum on the antimesenteric side, and is visible in the picture at the bottom on the left side. Right picture: The reason for the described clinical presentation is not a constipation; rather, an obstructive ileus due to postoperative adhesions is present which could have been suspected not only from the clinical presentation, but also by a precise history with former abdominal surgery. Compare that with the picture at the bottom on the right side showing an adhesion running over the mesentery and covering two intestinal loops with already compromised blood supply. Besides a complete history, ...
PURPOSE OF REVIEW: To discuss the emergency department evaluation and management of children with blunt abdominal trauma. The review will focus on both the clinical data that can help reduce the use of computed tomography in the evaluation of patients with blunt abdominal trauma and the evidence for the increased use of nonoperative management of patients with blunt abdominal trauma. RECENT FINDINGS: We will examine the recent literature focusing on the utility of physical examination, laboratory data and imaging (both ultrasonography and computed tomography) in detecting intraabdominal injury. SUMMARY: Recent research suggests that physical examination in combination with bedside ultrasonography may identify children at risk for intraabdominal injury. Screening laboratory data appears to be less sensitive to detect these injuries, but is useful in selected patients. Nonoperative management is appropriate in a majority of cases. Further research is needed to determine which low-risk patients ...
This topic will review the diagnosis and management of liver, spleen, and pancreas injuries in children with blunt abdominal trauma. The general approach to blunt abdominal trauma in children and the diagnosis and management of hollow viscus injury f
Abdominal trauma is an injury to the abdomen. It may be blunt or penetrating and may involve damage to the abdominal organs. Signs and symptoms include abdominal pain, tenderness, rigidity, and bruising of the external abdomen. Abdominal trauma presents a risk of severe blood loss and infection. Diagnosis may involve ultrasonography, computed tomography, and peritoneal lavage, and treatment may involve surgery. Injury to the lower chest may cause splenic or liver injuries. Abdominal trauma is divided into blunt and penetrating types. While penetrating abdominal trauma (PAT) is usually diagnosed based on clinical signs, diagnosis of blunt abdominal trauma is more likely to be delayed or altogether missed because clinical signs are less obvious. Blunt injuries predominate in rural areas, while penetrating ones are more frequent in urban settings. Penetrating trauma is further subdivided into stab wounds and gunshot wounds, which require different methods of treatment. Signs and symptoms are not ...
A 8 year old boy present to your Emergency Department having sustained blunt abdominal trauma in a road traffic collision. You are familiar with the use of FAST in adult patients in similar situations, and wonder whether the investigation is useful in the paediatric patient ...
Tamer Nabil, Wael Aziz, Salah Saaed. Cairo University Medical School.. Introduction: The Key issue in the choice of investigation is the cardiovascular stability of the patient. Diagnostic peritoneal lavage (DPL) is no longer the gold standard for determination of the need for laparotomy in blunt abdominal trauma not only because more specific and sensitive diagnostic procedures are available like delayed laparoscopic exploration (DLE), but also to avoid the unnecessary laparotomies even in cases of true positive DPL. The aim of this study is to compare conservative versus DLE for blunt abdominal trauma management as regards accuracy of diagnosis, decreasing incidence of complication, decreasing the need for unnecessary laparotomies and to shorten the hospital stay.. Material and Methods: 28 hemodynamically stable patients with blunt abdominal trauma (BAT) were selected randomly and divided into two group, there was no statistically significant difference in the mode of trauma between the two ...
Blunt abdominal trauma is regularly encountered in the emergency department (ED). The lack of historical data and the presence of distracting injuries or altered mental status, from head injury or intoxication, can make these injuries difficult to di
A comparative study of three diagnostic methods used in assessing blunt abdominal trauma revealed that contrast-enhanced sonography proved to have a high diagnostic value than the other two methods.
The patient suffered no complications following the procedure and was discharged after 48 hours of clinical observation.. Discussion. Splenic injury most commonly occurs as a result of BAT due to motor vehicle collisions. Less commonly it may present following BAT sustained in an assault.. Following the pioneering work of paediatric surgeons, the traditional management of splenic injuries has shifted from operative exploration and splenectomy to selective non-operative management (SNOM).[1] Progressive development in the quality and accessibility of accurate imaging modalities and interventional technology has extended the window of opportunity for splenic salvage.. The management options for splenic injury include SNOM, angiographic embolisation and surgical exploration. Management selection is dependent on haemodynamic status, the grade of injury and the presence or absence of associated injuries. Availability of the requisite skills and resources also influences the management approach ...
Salt in the Wound: Drier Patients, and Faster Fascial Closure After Penetrating Abdominal Injury. American Association for the Surgery of Trauma. 2019
This Pediatric Trauma EXTRA CME supplement (free to Pediatric Emergency Medicine Practice subscribers) provides evidence-based recommendations for the evaluation and management of pediatric patients who present with blunt abdominal trauma
An abdominal contusion is a soft tissue injury to the abdominal wall (muscles), without significant internal injury. Any direct force applied to the abdomen (fist, foot or seatbelt) can result in this condition. As with other contusions, bleeding occurs to a small degree in the soft tissue and muscles. This may later manifest as a bruise, resulting in pain or tenderness to that area. This type of injury can easily be mistaken for a more serious abdominal injury by the patient.. Common symptoms of abdominal wall contusions include pain that is increased when sitting up, tightening of the abdominal muscles, or straight leg raises.. Treatment of abdominal wall contusions includes the application of ice, with rest. Analgesics such as acetaminophen or anti-inflammatories (ibuprofen) can help reduce pain. Recovery for most abdominal wall contusions is rapid.. ...
The abdominal injury that sidelined Adrian Peterson at Houston and limited him this week at practice should not slow his pursuit of 2,000 yards and Eric Dickersons NFL record or dictate how much the Vikings deploy their running back against Green Bay, according to coach Leslie Frazier.. "He feels pretty good, better than he did Friday at this time (last week)," Frazier said Friday, Dec. 28. "I dont think we have to go into it thinking about limiting his carries or anything like that. I think we go full-speed ahead. Thats what he wants." Petersons work was limited on the field Friday, and he was listed as probable on the weeks final injury report. Questionable is cornerback Antoine Winfield, who did not practice because of a broken bone in his left hand that will require him to wear a soft cast against Green Bay. "Just being cautious today but we think hell be ready," Frazier said. Also questionable is defensive end Brian Robison, whose sprained right shoulder has improved but not enough ...
Clouse J, Coleberd J. Spleen scanning of nonpenetrating abdominal injuries: report of a case. J Am Osteopath Assoc 1972;72(4):374. doi: https://doi.org/.. Download citation file:. ...
Jiri Hudler (abdominal injury) leaves KHL If you play fantasy sports, get breaking news and immerse yourself in the ultimate fan experience.
Fingerprint Dive into the research topics of Duration of Antibiotic Prophylaxis in High-Risk Patients with Penetrating Abdominal Trauma: A Prospective Randomized Trial. Together they form a unique fingerprint. ...
Abdominal trauma and injuries are quite rare in many sports (Ryan, 1999). However, such infrequency of serious abdominal trauma means that serious, albeit rare, conditions are often under-, or worse, undiagnosed. This is because the sports medicine professionals rarely encounter such presentations, and clinical suspicion may be quite low (Barret & Smith, 2012). It is therefore imperative that sports physiotherapists and physical therapists have an awareness of abdominal anatomy, injuries and appropriate management. This is particularly important for those therapists that work closely with sports that have been associated with abdominal trauma. These are often high velocity and contact sports and include:. ...
In the assessment of polytrauma patient, an accurate diagnostic study protocol with high sensitivity and specificity is necessary. Computed Tomography (CT) is the standard reference in the emergency for evaluating the patients with abdominal trauma. Ultrasonography (US) has a high sensitivity in detecting free fluid in the peritoneum, but it does not show as much sensitivity for traumatic parenchymal lesions. The use of Contrast-Enhanced Ultrasound (CEUS) improves the accuracy of the method in the diagnosis and assessment of the extent of parenchymal lesions. Although the CEUS is not feasible as a method of first level in the diagnosis and management of the polytrauma patient, it can be used in the follow-up of traumatic injuries of abdominal parenchymal organs (liver, spleen and kidneys), especially in young people or children.
A 34-year-old man presented with significant intra-abdominal and orthopaedic injuries following a high-speed motorbike crash. The man had a history of an anaphylactic reaction to iodine. As a result, the gold standard CT of the abdomen with contrast was unable to be performed to ascertain the exact nature of the intra-abdominal injuries. After stabilisation, an MRI of the abdomen was performed which localised the injuries. The previous contrast anaphylaxis delayed full assessment of the patient and subsequent management. This case discusses the current literature and the management guidelines in a patient with previous anaphylaxis to contrast. ...
INTRODUCTION. Approximately 8% to 10% of abdominal traumas result in an injury to the kidney; 80% of the injuries are produced by blunt trauma [1]. Traumatic, synchronous multiorgan injury in the setting of anomalous anatomy adds to the complexity of surgical exposure and creates a formidable hemostatic challenge. Thus, early recognition of a congenital anomaly is essential in directing a surgical strategy that aims to achieve unconstrained operative exposure.. We present a case of multiorgan injury secondary to blunt abdominal trauma that was sustained during a motor vehicle accident (MVA). We describe the preoperative evaluation that led to the identification of a horseshoe kidney (HSK) and other associated intra-abdominal injuries.. CASE REPORT. A 30-year-old male was brought to a level I trauma center following a high-speed MVA. At the time of presentation, he was hemodynamically stable. He complained of diffuse abdominal pain and pain over the posterior neck and lower thoracic spine. A ...
Diagnostic peritoneal lavage (DPL) was invented by David Root at this hospital (Ancker Hospital, which then became St. Paul Ramsey, now Regions Hospital) in the 1960s. It enjoyed its heyday during the 70s and 80s, when it was done hundreds of times per year at most major trauma hospitals. Now, we do it about 5 times per year. What happened?. As you know, DPL is a qualitative test. It gives a yes/no answer to the question "does this patient need an operation?" based on red and white blood cell counts. During the mid-1980s, CT scanning was introduced, which provides much more quantitative information about injuries in the abdominal cavity. The improved ability to diagnose abdominal injury, especially solid organ injury, has led to the demise of DPL.. Most solid organ injury results in some free blood in the peritoneal cavity. It doesnt take much blood (10 cc of whole blood mixed with 1 liter of infused crystalloid) to exceed the threshold of 100,000 RBC per ml of aspirate that will send the ...
Damage control surgery is an old type of surgery practiced for many years to save the lives of badly injured patients. Damage control was first practiced in the American navy where a damaged vessel would receive minimal repair to keep it afloat. This translates to the field of medicine where minimal surgery is performed to save the life of a patient, and minimal action is taken to avoid major ailments, including hypothermia, acidosis, and coagulation defects during major trauma. Before World War II damage control surgery was popular, but later this type of surgery was abandoned. However, with a better understanding of the physiology of trauma and a revision of the outcome of badly injured patients, surgeons have reverted to damage control surgery, for example the packing of bleeding organs such as the liver and the controlling of sepsis, rather than taking patients to intensive care for further assessment. Damage control surgery has many benefits for badly injured patients and improves their chances of
The German Pelvic Registry of the German Trauma Society is a multicenter prospective registry which collects data of patients with pelvic injuries since 2003. Beside demographic data (including concomitant injuries) allowing for epidemiological evaluations of the development of surgical care in these patients, namely the operative care is focus of this registry. Beside the chosen procedure or surgical approach, this includes both intraoperative data like time until operation, duration of the procedure or intraoperative blood loss and reduction parameters (pre- and postoperative fracture steps). The clinical course is recorded also including overall morbidity, overall mortality and osteosynthesis-related complications.. The influence of a concomitant abdominal trauma on the quality of care regarding operative parameters like reduction quality or the clinical course in pelvic injuries has not been investigated yet.. The investigators therefore retrospectively analyze the prospective consecutive ...
TY - JOUR. T1 - Role of duodenography in the diagnosis of blunt duodenal injuries. AU - Timaran, C. H.. AU - Daley, B. J.. AU - Enderson, B. L.. PY - 2001. Y1 - 2001. N2 - Background: The differentiation of duodenal perforation from duodenal hematoma is not always possible with computed tomography (CT). Our diagnostic guideline has included duodenography to investigate CT findings of periduodenal fluid or wall thickening. However, the utility of duodenography as a diagnostic study in blunt abdominal trauma is not defined. We evaluated duodenography as a diagnostic test in patients with suspected blunt duodenal injuries (BDIs). Methods: During a 10-year period, 96 patients out of 25,608 trauma admissions had CT findings of possible BDI and underwent duodenography. Demographic and clinical data, diagnostic methods, and management were derived from prospectively collected data. CT and duodenography studies were reviewed and correlated with surgical findings and outcome. All CT scans were obtained ...
Cyberounds is an interactive grand rounds moderated by distinguished academics, exclusively for physicians, medical students and other selected health professionals.
12. Timmermans J, Nicol A, Kairinos N, Teijink J, Prins M, Navsaria P. Predicting mortality in damage control surgery for major abdominal trauma. S Afr J Surg 2010; 48: 6-9 (this issue). [ Links ...
The spleen is an abdominal organ which carries out many importnant bodioly functions . If you have an accident contact out solicitors .
Synposis - This was a planned subanalysis of a prospective, multicenter observational study of children ≤ 18 years of age with blunt torso trauma conducted in 20 EDs in the PECARN. They had clinicians document their suspicion for the presence of intra-abdominal injuries needing acute intervention (defined as death due to abdominal injury, surgical intervention, angiographic embolization, blood transfusion secondary to intra-abdominal hemorrhage, or IV fluids x2 nights in patients with pancreatic or GI injury) as , 1% (low-risk), 1-5%, 6-10%, 11-50%, or ,50% prior to knowledge of abdominal CT scanning. Their total population was 11,919 patients. IAI undergoing acute intervention was diagnosed in 203 (2%) of patients. Abdominal CT scans were obtained in 2,302/2,667 (86% 95% CI 85-88%) with clinician suspicion ≥ 1% and in 3,016/9252 (33% 95% CI 32-34%) with clinician suspicion ,1%. Sensitivity and specificity of the clinical decision rule for IAI requiring acute intervention was 97% (95% CI ...
PHOENIX -- Many of those injured in Mondays Boston Marathon bombing suffered shrapnel wounds. Surgeons were forced to perform numerous amputations.. Medical expert Dr. Art Mollen spoke to Kaley OKelley about how injuries like that are treated, and how doctors deal with a mass catastrophe like Mondays.. Emergency room doctors, they often dont see bombing victims, says Dr. Mollen. So when you have patients coming in with amputations and shrapnel injuries and abdominal injuries and lacerations, and you have basically bone and skin that has been macerated, its very difficult to take care of those injuries when youre not used to taking care of them.. Dr. Mollen says many of the injuries were in the lower extremities, including the legs and abdomen. The bomb was on the ground, he says. So runners had legs amputated, spectators had legs amputated, and they had abdominal injuries as well. And that causes massive tissue and bone degradation.. ...
The Abdominal Pressure Twin Sensors (APTS) for Q3 and Q6 dummies are composed of soft polyurethane bladders filled with fluid and equipped with pressure sensors. Implanted within the abdominal insert of child dummies, they can be used to detect abdominal loading due to the belt during frontal collisions. In the present study - which is part of the EC funded CASPER project - two versions of APTS (V1 and V2) were evaluated in abdominal belt compression tests, torso flexion test (V1 only) and two series of sled tests with degraded restraint conditions. The results suggest that the two versions have similar responses, and that the pressure sensitivity to torso flexion is limited. The APTS ability to detect abdominal loading in sled tests was also confirmed, with peak pressures typically below 1 bar when the belt loaded only the pelvis and the thorax (appropriate restraint) and values above that level when the abdomen was loaded directly (inappropriate restraint). Then, accident reconstructions ...
This case demonstrates severe multi-organ trauma. The patient required angio-embolisation: massive right renal hilar injury with subsequent embolisation mid-left renal artery injury punctate bleeding along internal iliac branches (i.e. active ...
This is a view of the diaphragm and Liver interface. You should notice a bright white echogenic line of the diaphragm around the liver - above which is the pleural space, and below is the Liver. You should appreciate a mirror image artifact of the liver above the diaphragm when there is no thoracic fluid. Pleural effusions (and hemothorax) will appear black above the diaphragm (without a mirror image artifact) and the spine shadows will also be seen extending beyond the diaphragm as fluid allows its visualization. Look between the diaphragm and the liver for any intraperitoneal free fluid as (although rare) fluid may only be located here depending on the location of the laceration ...
Institutional Animal Care and Use Committee (IACUC) of the Faculty of Medicine, Chulalongkorn University. Bangkok, Thailand. We divided 14 mice into equalsized sham and Chr IR surgery groups. The baseline blood chemistry tests were conducted 2 weeks before nephrectomy (-2 wk) using blood samples obtained from a tail vein. One week later a Chr IR injury was made as previously described [ 10 ], with slight modifications as follows. In brief, the surgery was conducted in 2 stages. In the first stage at 1 week after baseline blood collection (-1 wk), an abdominal incision was. ...
Armed men kidnapped 79 children from a school in western Cameroon on Monday and a local pastor said separatist militias were responsible. The abduction happened before dawn in , Armed men kidnapped
AMSTERDAM - With a title bout on the card for his season finale, FC Twente defender Oguchi Onyewu is day-to-day with an abdominal muscle strain suffered in training late last week.. The US stalwart was a late scratch for last Sundays KNVB Cup final triumph over Ajax in Rotterdam. As of yet, his club is unsure whether Onyewu will be ready in time for this Sundays monster league rematch in Amsterdam.. He injured a muscle across his stomach on Thursday, Twente press officer Richard Peters told MLSsoccer.com on Tuesday afternoon. He was not on the training pitch today. We will be looking day-to-day to see [if he will rejoin training].. Having collected the cup for a third time, the Tukkers will now attempt to claim their first-ever domestic double by repeating as Eredivisie champs. Twente need at least a draw to protect their one-point penthouse edge to the finish line.. Onyewu has worked 14 matches across all competitions since arriving at De Grolsch Veste on loan from AC Milan this January. ...
CASE SUMMARY A 31-year-old man with past medical history of hypertension and status post-multiple thoracoabdominal gunshot wounds two weeks prior presented t...
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Question 20 from the first paper of 2011 and Question 21 from the second paper of 2008 discuss the principles of damage control surgery in trauma, the practice of repairing lifethreatening injuries quickly, and leaving the definitive management until physiological normality is restored.
Abdominal trauma is a common complication of multiple-trauma or could be a separated single issue; vehicle accidents, fights, penetrating injuries, falls, hunting dogs and "step-on" accidents with puppies, small dogs or cats are common causes for this condition.. The real challenge is trying to establish each case within 3 groups: Patients that require urgent surgical intervention after previous stabilization, medical conditions that do not require immediate surgical intervention, and other conditions that require only monitoring.. However, medical decisions about the management of these patients can only be made after establishment of an accurate diagnosis. A complete history and physical examination are the most important diagnostic tools for these patients. Physical examination should look for areas of possible external wounds or bruises; gentle palpation in order to identify areas of specific pain, apparent presence of free fluid, changes in size, symmetry and color of the abdomen. Dogs with ...
Abdominal Trauma Causes and Forms Cold weapon, stab Firearm, gunshot Blunt, assault Psychology problen Causes and Forms penetrating blunt Coincidence injuries ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 4cf291-ZmUwO
http://www.shadygroveadventisthospital.com/adam/graphics/images/en/15818.jpg Splenic Injuries Hepatic injuries Renal injuries Pancreatic injury Bowel injury
On Feb. 15, 2006, a 14-year-old girl was brought to Enloe complaining of abdominal pain. The accusation says Mazzarella rushed to do laparoscopic surgery, found what he thought was a tumor, then opened up the girl"s abdomen and discovered the mass would be difficult to remove, so the patient"s abdomen was sewn back up. Later, another doctor advised that a nasogastric tube should be inserted, which resolved the problem. The surgeries were unnecessary, according to the accusation. On March 29, 2006, a 58-year-old woman was taken to Enloe with a possible abdominal injury from a traffic accident. According to the accusation, Mazzarella erred in performing laparoscopic surgery instead of laparotomy (making an incision in the abdomen), which was indicated in this situation. During the operation, he switched to laparotomy, the accusation stated. It also claims he erred by ordering a drug, Levophed, which is to be used in only the most dire circumstances. Another case occurred on April 28, 2006, when an ...
This scale is confined to the chest wall alone and does not reflect associated internal or abdominal injuries. Therefore, further delineation of upper versus lower or anterior versus posterior chest wall was not considered, and a grade VI was warranted. Specifically, thoracic crush was not used as a descriptive term; instead, the geography and extent of fractures and soft tissue injury were used to define the grade. From Moore et al. [2]; with permission ...
Abdominal trauma is an injury to the abdomen. It may be blunt or penetrating and may involve damage to the abdominal organs. Signs and symptoms include abdominal pain, tenderness, rigidity, and bruising of the external abdomen. Abdominal trauma presents a risk of severe blood loss and infection. Diagnosis may involve ultrasonography, computed tomography, and peritoneal lavage, and treatment may involve surgery. Injury to the lower chest may cause splenic or liver injuries. ...
Abdominal trauma is an injury to the abdomen. It may be blunt or penetrating and may involve damage to the abdominal organs. Signs and symptoms include abdominal pain, tenderness, rigidity, and bruising of the external abdomen. Abdominal trauma presents a risk of severe blood loss and infection. Diagnosis may involve ultrasonography, computed tomography, and peritoneal lavage, and treatment may involve surgery. Injury to the lower chest may cause splenic or liver injuries. ...
Aim:Traumatic bowel injuries are rare but lead to important morbidity and mortality. There is discussion about the best management strategy.Method:A retrospective analysis of the clinical records of 102 consecutive patients after surgery for traumatic bowel injury between January 2000 and December 2
Johnny Cash is the only country music star ever to wind up in hospital after picking a fight with an ostrich. In 1983, the Man In Black was kicked in the stomach by the belligerent creature, one of many animals he kept on his private farm. It wasnt funny: Cash developed a severe abdominal injury. This in turn led to a dependence on painkillers, and a disastrous descent into addiction following several years relatively clean. Pic: PA Photos. ...
Oakland Raiders first-round draft pick D.J. Haydens comeback from a near-fatal practice injury last year was dealt a setback when he was hospitalized with an abdominal injury that is expected to keep him sidelined until at least training camp.
[email protected]: Vancouver was without forwards Trent Klatt (abdominal injury) and Harold Druken (ankle sprain). … Detroit recalled C Sean Avery from Cincinnati of the AHL. He made his NHL debut on a line with Darren McCarty and Kirk Maltby. … Detroit D Steve Duchesne left the game with a knee injury after being checked into the boards by Matt Cooke late in the second period. … Detroit hasnt scored in 21 straight power plays.. ...
The abdominal finite element model was created to improve the abdominal part of the human body model ROBBY that should ensure the ability to predict the abdominal injury during various impact conditions. The abdominal model geometry was created on the basis of real anatomical human data. Tissue characteristics completing the organ geometry were obtained from public sources. The created abdominal model was consequently scaled and embedded into the ROBBY model representing a 50th percentile male. The updated ROBBY model was validated with a comparison of the simulation results during abdominal oblique impactor tests and abdominal frontal rigid bar tests with available cadaver experimental results. It was found that the updated ROBBY model with the new deformable abdominal model is able to predict the response of the human abdomen during various impact conditions very well ...
Magdalena Rybáriková (lower back injury). *. Urszula Radwańska (viral illness). Retirements[edit]. *. Sorana Cîrstea (abdominal ...
Head injury[edit]. Pringle developed expertise in head injury, working as assistant to Macewen, a pioneer of neurosurgery. ... Pringle, J. H. (1916). "The interpelvi-abdominal amputation". British Journal of Surgery. 4 (14): 283-296. doi:10.1002/bjs. ... Pringle, J. H. (1909). "Some Notes on the Interpelvi-Abdominal Amputation, with a Report of Three Cases". The Lancet. 173 (4460 ... Wakelin, S. J.; Oliver, C. W.; Kaufman, M. H. (2004). "Hip disarticulation--the evolution of a surgical technique". Injury. 35 ...
... injury to tiger angelfish - head end. Note distended swim bladder and gas space in abdominal cavity ... Lung injuries can also occur during rapid decompression, although the risk of injury is lower than with explosive decompression ... lung over-pressure injury (LOP) and burst lung.[21] Consequent injuries may include arterial gas embolism, pneumothorax, ... "Mechanism of Injury for Pulmonary Over-Inflation Syndrome". DAN Medical Frequently Asked Questions. Diver's Alert Network. ...
Paralysis injuries can cost 300 thousand to 1 million USD to treat in the first year, and one to 4 million over the person's ... Blunt abdominal trauma can be caused by a motorcycle accident, and can damage the testes and intestines. Half of motorcycle ... There is a reported 80% chance of injury or death on a motorcycle in the event of an accident, compared to about 20% for ... When an accident does happen, there is a reported 80% chance of injury or death on a motorcycle in comparison to about 20% for ...
In people with traumatic brain injury, etomidate use is associated with a blunting of an ACTH stimulation test. The clinical ... "etomidate versus etomidate and hydrocortisone for anesthesia induction in abdominal surgical interventions". Anaesthesist. 37 ( ... Etomidate also has interesting characteristics for people with traumatic brain injury because it is one of the only anesthetic ... Schulz-Stubner, S (2005). "Sedation in traumatic brain injury: Avoid etomidate". Crit Care Med. 33 (11): 2723. doi:10.1097/01. ...
Abdullah F, Nuernberg A, Rabinovici R (January 2003). "Self-inflicted abdominal stab wounds". Injury. 34 (1): 35-9. doi:10.1016 ... Oyo-Ita, Angela; Chinnock, Paul; Ikpeme, Ikpeme A. (2015-11-13). "Surgical versus non-surgical management of abdominal injury ... Stab wounds can result from self-infliction, accidental nail gun injuries, and stingray injuries, however, most stab wounds are ... ISBN 0-07-178184-6. Jodati, A.; Safaei, N.; Toufan, M.; Kazemi, B. (2011). "A unique nail gun injury to the heart with a ...
Prevention of infections associated with combat-related thoracic and abdominal cavity injuries. J Trauma;71: S270-S281. ... Craniomaxillofacial Battle Injuries: Injury Patterns, Conventional Treatment Limitations and Direction of Future Research. ... Hale has written extensively on combat-related injuries and complications. His published works include: *Hale RG, Timmis DP, ... Aside from battle, dental emergencies account for 10 per cent of all injuries that cause soldiers to be evacuated from the ...
It was designed to minimize abdominal injuries in the event of a collision. ...
Lack of abdominal development reduces overall strength of movement. Stamina is reduced, and the back is predisposed to injury. ... The horse will wing in, possibly leading to an interference injury or overload injury of the splint bone. Base wide, toed-in: ... injury to the sesamoid bones is likely. Weakness to supporting ligaments due to post leg or injury to suspensory will result in ... Strong abdominals go with a strong back, which is suitable for carrying a rider's weight and engaging the haunches. Should not ...
Lack of abdominal development reduces overall strength of movement. Stamina is reduced, and the back is predisposed to injury. ... The horse will wing in, possibly leading to an interference injury or overload injury of the splint bone. ... Often a result of an injury to the check ligament or to the structures at the back of the knee. The column of the leg is ... The abdominal have more difficulty in compensating, so they are also less likely to develop. Loins and hindquarters may swing ...
Nicolas Kiefer (Third round, retired because of a left wrist injury). *. Lleyton Hewitt (Fourth round) ... David Nalbandian (Semifinals, retired because of a strained abdominal muscle). *. Ivan Ljubičić (Semifinals) ...
Other associated injuries that may occur include damage to blood vessels in the chest, myocardial rupture, head and abdominal ... The injury can also occur when the chest suddenly flexes, in the absence of an impact. In the case of an injury sustained ... In 1864, E. Guilt published a handbook recording sternal fractures as a rare injury found in severe trauma. The injury became ... Management involves treating associated injuries; people with sternal fractures but no other injuries do not need to be ...
Bristol, Wright, 1930 The Abdominal Injuries of Warfare. Bristol, Wright, 1939. Sir Charles Bell, his life and times, with E A ... War injuries of the chest and abdomen. Brit. J. Surg., Supplement 3.,1955. Cecil Wakeley, 'Taylor, Sir Gordon Gordon- (1878- ...
Chepkurgor landed on some stick which caused abdominal injuries. Kenya Wildlife Service officers were finally able to drive the ... He was taken to Rift Valley General Hospital in Nakura where he died from his injuries at the age of 45. He was survived by his ...
It is defined classically as a seat belt sign (seat belt marks on the body) plus an intra-abdominal organ injury (e.g. bowel ... It is indicative of an internal injury in as many as 30% of cases seen in the emergency department. Disruption of the abdominal ... Wotherspoon, Sonya; Chu, Kevin; Brown, Anthony FT (1 March 2001). "Abdominal injury and the seat‐belt sign". 13 (1): 61-65. doi ... In the case of hollow organs injuries, peritoneal signs may appear. While in the case of parenchymal or vascular injuries, ...
CT scan is the best alternative for diagnosing intra-abdominal injury in children.[12] For acute abdominal pain in adults, an ... Abdominal x-ray is therefore not recommended for adults presenting in the emergency department with acute abdominal pain.[13] ... Boermeester, Marie A; Gans, Sarah L.; Stoker, J; Boermeester, Marie A (2012). "Plain abdominal radiography in acute abdominal ... "Foot Injuries". Royal College of Emergency Medicine. Retrieved 2017-07-28.. Published: 23/12/2013. Review Date: 23/12/2017 ...
Simona Halep (Third round, withdrew because of an abdominal injury) 05. Petra Kvitová (Second round) 06. Jelena Janković ( ... Caroline Wozniacki (Withdrew because of a knee injury) 15. Sabine Lisicki (First round) 16. Sloane Stephens (Second round) 17. ...
"Blunt abdominal trauma patients are at very low risk for intra-abdominal injury after emergency department observation". West J ... Blunt abdominal trauma (BAT) comprises 75% of all blunt trauma and is the most common example of this injury. The majority ... When blunt abdominal trauma is complicated by 'internal injury', the liver and spleen (see blunt splenic trauma) are most ... Bansal V, Conroy C, Tominaga GT, Coimbra R (December 2009). "The utility of seat belt signs to predict intra-abdominal injury ...
Richard Gasquet (Withdrew due to abdominal injury) 11. John Isner (Third round) 12. Jo-Wilfried Tsonga (First round) 13. ... Rafael Nadal was the defending champion, but withdrew because of a right wrist injury. Roger Federer won his sixth title at the ... Nick Kyrgios (Withdrew due to left forearm injury) 05. Bernard Tomic (Qualified) 06. Tobias Kamke (First round) 07. Blaž Rola ( ...
Abdominal adhesions[edit]. Abdominal adhesions (or intra-abdominal adhesions) are most commonly caused by abdominal surgical ... Adhesions are fibrous bands that form between tissues and organs,[1] often as a result of injury during surgery. They may be ... Abdominal surgery[edit]. A study showed that more than 90% of people develop adhesions following open abdominal surgery and ... "Abdominal Adhesions (Scar Tissue)". Medicinenet. Retrieved 20 February 2014.. *^ Liakakos, T; Thomakos, N; Fine, PM; Dervenis, ...
Peritoneal closure versus no peritoneal closure for patients undergoing non-obstetric abdominal operations PMID 23828487 https ... Repositioning for pressure injury prevention in adults PMID 24700291 https://doi.org/10.1002/14651858.CD009958.pub2 ... Done Interventions for eye movement disorders due to acquired brain injury PMID 29505103 https://doi.org/10.1002/14651858. ... Triage tools for detecting cervical spine injury in pediatric trauma patients PMID 29215711 https://doi.org/10.1002/14651858. ...
He lost his right arm and eye and sustained severe abdominal injuries. A severe rainstorm was in progress at the time, and in ... He suffered no further permanent injuries. Newton married his wife Jackie in 1974, and they have two children, Kristie and ... After a prolonged rehabilitation from his injuries, Newton returned to public life as a television and radio golf commentator, ...
"Evolution in Damage Control for Exsanguinating Penetrating Abdominal Injury". The Journal of Trauma: Injury, Infection, and ... Eviscerating the intra-abdominal small bowel and packing all four abdominal quadrants usually will allow surgeons to establish ... September 1993). "'Damage control': an approach for improved survival in exsanguinating penetrating abdominal injury". The ... This would not be used in situations where patients might have injuries such as a Traumatic Brain Injury (TBI) considering that ...
Ramsey was furthermore affected by a recurring abdominal injury. His preference for ball play rather than simply clearing it ... On 3 March 1945, against Luton Town at the Dell, Ramsey was switched to inside-left because of injuries elsewhere in the team; ... Ramsey missed matches during the 1954-55 season through injury, and in April 1955 suffered what he called "a terrible roasting ... consecutive international appearances he was left out of the squad for a match against Wales in October 1953 because of injury ...
She was hit by a vehicle, suffering massive injuries.[3] She suffered a broken neck and back, lost five litres of blood, ... suffered severe lacerations to her abdominal area. Her right leg was ripped open, her collarbone and five ribs were fractured, ... "Janine Shepherd overcame a horrific spinal cord injury - now she wants to help others do the same". News.co.au. Retrieved 15 ... Shepherd's career as an athlete ended when she suffered life-threatening injuries when hit by a truck during a training bike ...
... abdominal pain, menstrual abnormalities, miscarriages, skin peeling, or hair loss.[23][141] Inflammation and swelling of the ... The breakdown of endothelial cells leading to blood vessel injury can be attributed to EBOV glycoproteins. This damage occurs ... abdominal pain, and sometimes hiccups.[26][28] The combination of severe vomiting and diarrhoea often leads to severe ... retrosternal abdominal pain, prostration with 'heavy' articulations, and rapid evolution death after a mean of three days."[163 ...
In penetrating abdominal injuries there is a trend towards non-operative care, provided that the patient is hemodynamically ... Gunshot injuries in civilians have more focal injury patterns and should be considered distinct entities. A search of the ... Civilian gunshot injuries to the torso mostly intend to kill; however for those patients who do not die at the scene and are ... Gunshot injuries of the extremities are rarely life-threatening but can be associated with severe morbidity. With the exception ...
Efficacy, safety and other advantages (analgesic requirements, etc.) make it an ideal abdominal field block in elderly patients ... The laparoscopic-guided TAP block can easily be performed and has potential for lower visceral injury risk and shorter ... Kadam RV, Field J. Ultrasound-guided continuous transverse abdominis plane block for abdominal surgery. J Anaesthesiol Clin ... Clinical effectiveness of transversus abdominis plane (TAP) block in abdominal surgery: A systematic review and meta-analysis. ...
The wound should be explored under local anesthesia and if there is no injury to the aponeurosis the patient can be discharged ... In the presence of penetration into the abdominal cavity, serial abdominal examinations are safe without CT. Laparoscopy is ... The first study looked at the role of computed tomography (CT) in the treatment of patients with stab wounds to the abdominal ... The third did a review of surgical exploration of the abdominal wound, use of diagnostic peritoneal lavage and CT for the early ...
... or by penetration of the anterior abdominal wall. The diaphragm, at the end of full expiration, may rise as high as the... ... Abdominal trauma may be caused by injury to the lower chest, back, flanks, ... Gunshot Wound Abdominal Injury Stab Wound Visceral Injury Serial Examination These keywords were added by machine and not by ... Abdominal trauma may be caused by injury to the lower chest, back, flanks, or by penetration of the anterior abdominal wall. ...
Injuries to major abdominal vessels are uncommon but highly lethal vascular crises. Predictably, exsanguinating hemorrhage is ... encoded search term (Abdominal%20Vascular%20Injuries) and Abdominal Vascular Injuries What to Read Next on Medscape. Medscape ... Abdominal vascular injuries. Tangential gunshot injury to the inferior vena cava repaired by means of lateral venorrhaphy ( ... Abdominal vascular injuries. Tangential gunshot injury to the inferior vena cava repaired by means of lateral venorrhaphy ( ...
We look at external injuries as well as internal ones that cause acute abdominal pain. ... Some of the more common acute abdominal injuries and conditions. ... Acute abdominal pain. The following are all possible injuries ... Abdominal muscle strain. An abdominal strain is a tear or rupture of part of the abdominal muscles, usually at the point where ... Abdominal pain can result from direct impact or trauma to the stomach. Or it could be gastrointestinal related with abdominal ...
Care guide for Penetrating Abdominal Injury. Includes: possible causes, signs and symptoms, standard treatment options and ... What is a penetrating abdominal injury?. A penetrating, or piercing, abdominal injury may tear, puncture, or damage an organ. ... These injuries may cause internal bleeding.. What are the signs and symptoms of a penetrating abdominal injury?. *An open wound ... How is penetrating abdominal injury treated?. Your healthcare provider will watch you closely to see if your injury is mild and ...
Side impact crash --abdominal injury. My sister had an automobile accident last week --(side impact crash with seatbelt worn). ... Learn what you can do to avoid ski injury and other common winter sports injury. ...
Myocardial injury (MI) as a prelude of the... ... allows for detection of very small amounts of myocardial injury ... Myocardial injury after abdominal surgery in elderly patients has not been described yet. The objectives of this study were to ... Myocardial injury Myocardial infarction Troponin I Abdominal surgery Retrospective study Risk factors ... Myocardial injury (MI) as a prelude of the serious perioperative complication myocardial infarction, should be paid more ...
Care guide for Blunt Abdominal Injury (Discharge Care). Includes: possible causes, signs and symptoms, standard treatment ... Learn more about Blunt Abdominal Injury (Discharge Care). IBM Watson Micromedex. *Blunt Abdominal Injury ... A blunt abdominal injury is a direct blow to the abdomen without an open wound. These injuries are caused by car accidents, ... These injuries may cause internal bleeding.. DISCHARGE INSTRUCTIONS:. Call 911 for any of the following:. *You feel weak, ...
Dental Injury Facial Injury Neck Injury Shoulder Injury Dislocation Ear Injury Elbow Injury Elbow Injury Fracture Elbow Injury ... INJURIES. Abdominal Injury. Abdominal Injury: Contusion. Abrasion. Amputations. Animal Bites. Ankle Fracture. Ankle Injury. ... Shoulder Injury Strains and Sprains Snakebite. Neck Injury Spinal Cord Injury. Abdominal Injury Ruptured Spleen. Foot Injury ... Testicular Injury. Wrist Injury Scuba Related Injuries. Hand Injury Finger Amputaion Lecerations Cold Injury and Hypothermia. ...
... and pancreas injuries in children with blunt abdominal trauma. The general approach to blunt abdominal trauma in children and ... the diagnosis and management of hollow viscus injury f ... Intra-abdominal solid organ injury in children: diagnosis and ... and pancreas injuries in children with blunt abdominal trauma. The general approach to blunt abdominal trauma in children and ... Injury 1992; 23:5.. *Pariset JM, Feldman KW, Paris C. The pace of signs and symptoms of blunt abdominal trauma to children. ...
Covers all aspects of injury prevention, evaluation and management. Includes an email Discussion group, Conference listings, ... Home > Articles > Organ Injury Scaling - Abdominal Vasculature Organ Injury Scaling - Abdominal Vasculature. , February 16, ...
The abdominal injury that sidelined Adrian Peterson at Houston and limited him this week at practice should not slow his ... Petersons work was limited on the field Friday, and he was listed as probable on the weeks final injury report. ...
... Erkan Cure,1 Medine Cumhur Cure,2 ... Gülmen et al., "The protective effect of adrenomedullin on renal injury, in a model of abdominal aorta cross-clamping," ... R. F. Schwabe and D. A. Brenner, "Mechanisms of liver injury. I. TNF-α-induced liver injury: role of IKK, JNK, and ROS pathways ... injury of infrarenal abdominal aorta. Thirty male Wistar-albino rats were divided into three groups: control, I/R, and I/R+ADA ...
... Erkan Cure,1 Medine Cumhur Cure,2 ... injury of infrarenal abdominal aorta. Thirty male Wistar-albino rats were divided into three groups: control, I/R, and I/R+ADA ... Laparotomy without I/R injury was performed in the control group animals. Laparotomy in the I/R group was followed by two hours ... resp.). I/R causes severe histopathological injury to the liver tissue, but ADA leads to much less histopathological changes. ...
Learn when to take abdominal pain seriously by looking for a few basic indicators. *Abdominal Injuries. Abdominal injuries ... CHEST & ABDOMINAL INJURIES. Injuries to the chest and abdomen commonly occur as the result of a fall, usually from some height ... FirstAidGuide.net » Abdominal injuries. These injuries are very serious, and medical attention should always be sought as soon ... First Aid Abdominal Injury. It is highly recommended by the National Safety Council, that all individuals take a training ...
... comeback from a near-fatal practice injury last year was dealt a setback when he was hospitalized with an abdominal injury that ... The injury is 95 percent fatal in the field, according to doctors, and is most commonly associated with high-speed motor ... Allen said he did not know if the latest injury was related to the torn blood vessel that nearly killed Hayden last November ... The cornerback was hospitalized late last week and had surgery to remove scar tissue from the abdominal region. The Raiders ...
American Exports: Onyewu day-to-day with abdominal injury. May 10, 201111:05AM EDT ... FC Twente defender Oguchi Onyewu is day-to-day with an abdominal muscle strain suffered in training late last week. ...
Forums: Climbing Information: Injury Treatment and Prevention: abdominal surgery RSS Feeds for Injury Treatment and Prevention ... Today, feb 19th, i just climbed my first v4 since last october and i didnt have any abdominal pain. what did i learn? first, ... fourth, i didnt lose as much strength as i thought i would - in fact i healed a couple of nagging injuries, so dont worry it ... I primarily boulder and am concerned with lose of core muslces and/or re-injury from pulling too hard or falling. Has anyone ...
Surgery versus observation for people with abdominal injury. Injury to the abdomen is common and can be blunt from road traffic ... Injury to the abdomen can be blunt or penetrating. Abdominal injury can damage internal organs such as the liver, spleen, ... These injuries are usually associated with injury to the abdominal organs such as the liver, spleen, kidneys, intestine and its ... The authors of this review sought to identify every study where people with an abdominal injury were randomised to surgery or ...
These abdominal exercises should not cause or increase pain, but may make you sore. If you experience any discomfort other than ... Weak abdominal muscles affect posture, breathing, appearance, and athletic performance. A weak trunk can also lead to lower ... Beginner action:Tighten your abdominal muscles. Pull your knees up to your chest and hold for one second. Slowly lower your ... Advanced action: Tighten your abdominal muscles. With legs fully extended, lift them straight out in front of you, and slowly ...
Intra-abdominal pressure as a predictor of acute kidney injury in postoperative abdominal surgery.. Demarchi AC1, de Almeida CT ... The purpose of this study was to determine if intra-abdominal pressure (IAP) could predict acute renal injury (AKI) in the ... Consecutive patients undergoing abdominal surgery were included in the study. Initial evaluation, at admission in ICU, was ... IAH was frequent in patients undergoing abdominal surgeries during ICU stay, and it predicted the occurrence of AKI. Serial ...
combined abodominal/pelvic injury Patients with a combined injury of a pelvic fracture and an abdominal injury. ... abdominal injuries are severe injuries, which might require quick general surgical treatment. The combination of both injuries ... Impact of Associated Abdominal Injuries on Clinical and Operative Outcome in Pelvic Injuries. The safety and scientific ... as the abdominal injury might lead to a delayed surgical treatment of the pelvic fracture. Whether an associated abdominal ...
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Centers RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.. ...
  • however for those patients who do not die at the scene and are hemodynamically stable, insertion of a chest tube is usually the only required procedure for the majority of penetrating chest injuries. (biomedcentral.com)
  • Gunshot injuries of the extremities are rarely life-threatening but can be associated with severe morbidity. (biomedcentral.com)
  • With the exception of craniocerebral, bowel, articular, or severe soft tissue injury, the use of antibiotics is controversial and may depend on the surgeon's preference. (biomedcentral.com)
  • The injury is usually less severe as compared with high-velocity wounds, which are caused by military or hunting weapons with a muzzle velocity of more than 600 meter per second. (biomedcentral.com)
  • The laparoscopic-guided TAP block can easily be performed and has potential for lower visceral injury risk and shorter operational time. (bjbms.org)
  • As seen in the United States, gunshot violence has besides its medical importance also an enormous economic impact as the third most costly etiology of injury and the fourth most expensive form of hospitalization [ 4 - 6 ]. (biomedcentral.com)
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