General or unspecified injuries to the chest area.
Literary and oral genre expressing meaning via symbolism and following formal or informal patterns.
A historical and cultural entity dispersed across a wide geographical area under the influence of Greek civilization, culture, and science. The Greek Empire extended from the Greek mainland and the Aegean islands from the 16th century B.C., to the Indus Valley in the 4th century under Alexander the Great, and to southern Italy and Sicily. Greek medicine began with Homeric and Aesculapian medicine and continued unbroken to Hippocrates (480-355 B.C.). The classic period of Greek medicine was 460-136 B.C. and the Graeco-Roman period, 156 B.C.-576 A.D. (From A. Castiglioni, A History of Medicine, 2d ed; from F. H. Garrison, An Introduction to the History of Medicine, 4th ed)
Automotive safety devices consisting of a bag designed to inflate upon collision and prevent passengers from pitching forward. (American Heritage Dictionary, 1982)
Written or other literary works whose subject matter is medical or about the profession of medicine and related areas.
Injuries caused by impact with a blunt object where there is no penetration of the skin.
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.
Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.
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.
Injuries incurred during participation in competitive or non-competitive sports.
Penetrating and non-penetrating injuries to the spinal cord resulting from traumatic external forces (e.g., WOUNDS, GUNSHOT; WHIPLASH INJURIES; etc.).
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.
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.
General or unspecified injuries involving the leg.
The portion of the descending aorta proceeding from the arch of the aorta and extending to the DIAPHRAGM, eventually connecting to the ABDOMINAL AORTA.
Radiographic visualization of the aorta and its branches by injection of contrast media, using percutaneous puncture or catheterization procedures.
Injuries to blood vessels caused by laceration, contusion, puncture, or crush and other types of injuries. Symptoms vary by site and mode of injuries and may include bleeding, bruising, swelling, pain, and numbness. It does not include injuries secondary to pathologic function or diseases such as ATHEROSCLEROSIS.
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).
Stipends or grants-in-aid granted by foundations or institutions to individuals for study.
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.
Specialized hospital facilities which provide diagnostic and therapeutic services for trauma patients.
Systems for assessing, classifying, and coding injuries. These systems are used in medical records, surveillance systems, and state and national registries to aid in the collection and reporting of trauma.
A group of twelve VERTEBRAE connected to the ribs that support the upper trunk region.
Injuries involving the vertebral column.
Broken bones in the vertebral column.
Diseases of the respiratory system in general or unspecified or for a specific respiratory disease not available.
The first seven VERTEBRAE of the SPINAL COLUMN, which correspond to the VERTEBRAE of the NECK.
All deaths reported in a given population.
Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures.
Stainless steel. A steel containing Ni, Cr, or both. It does not tarnish on exposure and is used in corrosive environments. (Grant & Hack's Chemical Dictionary, 5th ed)
The spinal or vertebral column.
The study of the heart, its physiology, and its functions.
A medical specialty concerned with the diagnosis and treatment of SLEEP WAKE DISORDERS and their causes.
The branch of medicine concerned with the evaluation and initial treatment of urgent and emergent medical problems, such as those caused by accidents, trauma, sudden illness, poisoning, or disasters. Emergency medical care can be provided at the hospital or at sites outside the medical facility.
A subspecialty of internal medicine concerned with the study of the physiology and diseases of the digestive system and related structures (esophagus, liver, gallbladder, and pancreas).
A subspecialty of internal medicine concerned with the metabolism, physiology, and disorders of the ENDOCRINE SYSTEM.
A subspecialty of internal medicine concerned with the anatomy, physiology, and pathology of the kidney.
A medical specialty concerned with the study of the structures, functions, and diseases of the nervous system.
Individual's rights to obtain and use information collected or generated by others.
Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles, mammary gland and the axillary aspect of the chest wall.
Wounds caused by objects penetrating the skin.
Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles and mammary gland.
A quantitative measure of the frequency on average with which articles in a journal have been cited in a given period of time.
Hemorrhage within the pleural cavity.
A cylindrical column of tissue that lies within the vertebral canal. It is composed of WHITE MATTER and GRAY MATTER.
Severe or complete loss of motor function in all four limbs which may result from BRAIN DISEASES; SPINAL CORD DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; NEUROMUSCULAR DISEASES; or rarely MUSCULAR DISEASES. The locked-in syndrome is characterized by quadriplegia in combination with cranial muscle paralysis. Consciousness is spared and the only retained voluntary motor activity may be limited eye movements. This condition is usually caused by a lesion in the upper BRAIN STEM which injures the descending cortico-spinal and cortico-bulbar tracts.
The bones of the upper and lower LEG. They include the PELVIC BONES.
Severe or complete loss of motor function in the lower extremities and lower portions of the trunk. This condition is most often associated with SPINAL CORD DISEASES, although BRAIN DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; NEUROMUSCULAR DISEASES; and MUSCULAR DISEASES may also cause bilateral leg weakness.
Inflammation of a vein associated with a blood clot (THROMBUS).
Disease having a short and relatively severe course.

Non-fatal injuries sustained by seatbelt wearers: a comparative study. (1/363)

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)

Prospective, randomized comparison of epidural versus parenteral opioid analgesia in thoracic trauma. (2/363)

OBJECTIVE: To evaluate systemic versus epidural opioid administration for analgesia in patients sustaining thoracic trauma. SUMMARY BACKGROUND DATA: The authors have previously shown that epidural analgesia significantly reduces the pain associated with significant chest wall injury. Recent studies report that epidural analgesia is associated with a lower catecholamine and cytokine response in patients undergoing elective thoracotomy compared with patient-controlled analgesia (PCA). This study compares the effect of epidural analgesia and PCA on pain relief, pulmonary function, cathechol release, and immune response in patients sustaining significant thoracic trauma. METHODS: Patients (ages 18 to 60 years) sustaining thoracic injury were prospectively randomized to receive epidural analgesia or PCA during an 18-month period. Levels of serum interleukin (IL)-1beta, IL-2, IL-6, IL-8, and tumor necrosis factor-alpha (TNF-alpha) were measured every 12 hours for 3 days by enzyme-linked immunosorbent assay. Urinary catecholamine levels were measured every 24 hours. Independent observers assessed pulmonary function using standard techniques and analgesia using a verbal rating score. RESULTS: Twenty-four patients of the 34 enrolled completed the study. Age, injury severity score, thoracic abbreviated injury score, and length of hospital stay did not differ between the two groups. There was no significant difference in plasma levels of IL-1beta, IL-2, IL-6, or TNF-alpha or urinary catecholamines between the two groups at any time point. Epidural analgesia was associated with significantly reduced plasma levels of IL-8 at days 2 and 3, verbal rating score of pain on days 1 and 3, and maximal inspiratory force and tidal volume on day 3 versus PCA. CONCLUSIONS: Epidural analgesia significantly reduced pain with chest wall excursion compared with PCA. The route of analgesia did not affect the catecholamine response. However, serum levels of IL-8, a proinflammatory chemoattractant that has been implicated in acute lung injury, were significantly reduced in patients receiving epidural analgesia on days 2 and 3. This may have important clinical implications because lower levels of IL-8 may reduce infectious or inflammatory complications in the trauma patient. Also, tidal volume and maximal inspiratory force were improved with epidural analgesia by day 3. These results demonstrate that epidural analgesia is superior to PCA in providing analgesia, improving pulmonary function, and modifying the immune response in patients with severe chest injury.  (+info)

Injuries to riders in the cross country phase of eventing: the importance of protective equipment. (3/363)

OBJECTIVES: To determine the distribution of injuries in the eventing discipline of equestrian sports and the effectiveness of the protective equipment worn. METHODS: Data on all injuries sustained in the cross country phase over fixed obstacles were collected from 54 days of competition from 1992 to 1997. This involved 16,940 rides. RESULTS: Data on a total of 193 injuries were collected, which included two deaths. This represents an injury rate of 1.1%. Head and facial injuries represented the largest group (31%), with one third of these requiring treatment in hospital. All riders were wearing protective helmets and body protectors. CONCLUSIONS: Eventing is one of the most dangerous equestrian sports. Improved protective equipment, which is mandatory for 1999, should reduce the severity of these injuries.  (+info)

Aortic rupture as a result of low velocity crush. (4/363)

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)

Selective activation of the K(+)(ATP) channel is a mechanism by which sudden death is produced by low-energy chest-wall impact (Commotio cordis). (5/363)

BACKGROUND: Sudden death due to relatively innocent chest-wall impact has been described in young individuals (commotio cordis). In our previously reported swine model of commotio cordis, ventricular fibrillation (with T-wave strikes) and ST-segment elevation (with QRS strikes) were produced by 30-mph baseball impacts to the precordium. Because activation of the K(+)(ATP) channel has been implicated in the pathogenesis of ST elevation and ventricular fibrillation in myocardial ischemia, we hypothesized that this channel could be responsible for the electrophysiologic findings in our experimental model and in victims of commotio cordis. METHODS AND RESULTS: In the initial experiment, 6 juvenile swine were given 0.5 mg/kg IV glibenclamide, a selective inhibitor of the K(+)(ATP) channel, and chest impact was given on the QRS. The results of these strikes were compared with animals in which no glibenclamide was given. In the second phase, 20 swine were randomized to receive glibenclamide or a control vehicle (in a double-blind fashion), with chest impact delivered just before the T-wave peak. With QRS impacts, the maximal ST elevation was significantly less in those animals given glibenclamide (0.16+/-0.10 mV) than in controls (0.35+/-0.20 mV; P=0.004). With T-wave impacts, the animals that received glibenclamide had significantly fewer occurrences of ventricular fibrillation (1 episode in 27 impacts; 4%) than controls (6 episodes in 18 impacts; 33%; P=0.01). CONCLUSIONS: In this experimental model of commotio cordis, blockade of the K(+)(ATP) channel reduced the incidence of ventricular fibrillation and the magnitude of ST-segment elevation. Therefore, selective K(+)(ATP) channel activation may be a pivotal mechanism in sudden death resulting from low-energy chest-wall trauma in young people during sporting activities.  (+info)

Management of penetrating cervicomediastinal venous trauma. (6/363)

OBJECTIVES: to evaluate the results of management of penetrating cervicomediastinal venous trauma. DESIGN: retrospective study. Materials forty-nine consecutive patients with cervical and thoracic venous injuries treated at a tertiary hospital between 1991 and 1997. Method patients identified from a computerised database and data extracted from case records. RESULTS: forty-five patients were male and the mean age was 25.3 years. Forty injuries were due to stabs and 9 to gunshots. 22 patients were shocked, 25 actively bleeding and 31 were anaemic. Veins injured were internal jugular in 25, subclavian in 15, brachiocephalic in 6, and superior vena cava in 3. Injured veins were ligated in 25 cases and repaired by lateral suture in 22. No complex repairs were performed. There were 8 perioperative deaths and 5 cases of transient postoperative oedema. Venous ligation was not associated with increased risk of postoperative oedema. CONCLUSIONS: ligation is an acceptable form of treatment of cervicomediastinal venous injuries in the presence of haemodynamic instability, or where complex methods of repair would otherwise be necessary.  (+info)

Complications of tube thoracostomy in trauma. (7/363)

OBJECTIVE: To assess the complication rate of tube thoracostomy in trauma. To consider whether this rate is high enough to support a selective reduction in the indications for tube thoracostomy in trauma. METHODS: A retrospective case series of all trauma patients who underwent tube thoracostomy during a 12 month period at a large UK teaching hospital with an accident and emergency (A&E) department seeing in excess of 125,000 new patients/year. These patients were identified using the hospital audit department computerised retrieval system supplemented by a hand search of both the data collected for the Major Trauma Outcome Study and the A&E admission unit log book. The notes were assessed with regard to the incidence of complications, which were divided into insertional, infective, and positional. RESULTS: Fifty seven chest drains were placed in 47 patients over the 12 month period. Seven patients who died within 48 hours of drain insertion were excluded. The commonest indications for tube thoracostomy were pneumothorax (54%) and haemothorax (20%); 90% of tubes were placed as a result of blunt trauma. The overall complication rate of the procedure was 30%. There were no insertional complications and only one (2%) major complication, which was empyema thoracis. CONCLUSION: This study reveals no persuasive evidence to support a selective reduction in the indications for tube thoracostomy in trauma. A larger study to confirm or refute these findings must be performed before any change in established safe practice.  (+info)

Defining GERD. (8/363)

"It is not the death of GERD that I seek, but that it turns from its evil ways and follows the path of righteousness." The reflux world is fully aware of what GERD is and what GERD does. What the world does not know, however, is the answer to the most important yet least asked question surrounding GERD's raison-d'etre: Why is GERD here and why do we have it? What GERD is: abnormal gastric reflux into the esophagus that causes any type of mischief. What GERD does: causes discomfort and/or pain with or without destroying the mucosa; causes stricture or stenosis, preventing food from being swallowed; sets the stage for the development of esophageal adenocarcinoma; invades the surrounding lands to harass the peaceful oropharyngeal, laryngeal and broncho-pulmonary territories; reminds us that we are not only human, but that we are dust and ashes. Why GERD is here: We propose three separate and distinct etiologies of GERD, and we offer the following three hypotheses to explain why, after 1.5 million years of standing erect, we have evolved into a species (specifically Homosapiens sapiens) that is destined to live with the scourge of GERD. Hypothesis 1: congenital. The antireflux barrier, comprising the smooth-muscled lower esophageal sphincter, the skeletal-muscled right crural diaphragm and the phreno-esophageal ligament does not completely develop due to a developmental anomaly or incomplete gestation. Hypothesis 2: acute trauma: The antireflux barrier in adults suffering acute traumatic injury to the abdomen or chest is permanently disrupted by unexpected forces, such as motor vehicle accidents (with steering wheel crush impact), blows to the abdomen (from activities such as boxing, etc.), heavy lifting or moving (e.g., pianos, refrigerators) or stress positions (e.g., hand stands on parallel gym bars). The trauma creates a hiatal hernia that renders the antireflux mechanism useless and incapable of preventing GERD. Hypothesis 3: chronic trauma: The antireflux barrier in children and adults is gradually weakened over time as a result of chronic straining to defecate and straining in an unphysiologic position, both of which stem from our modern day habits of eating a low-fiber diet and living on the high-seated toilet. We suggest that the chronic traumatic hiatal hernia is (a) the cause of more than 90 percent of the GERD that stalks the Western world; (b) is a direct result of abandoning the popular and worldwide practice of squatting to socialize, eat and defecate; and (c) is our just reward for adopting the "civilized" high sitting position on chairs and modern toilets.  (+info)

SKINNER, D L et al. Severe blunt thoracic trauma: Differences between adults and children in a level I trauma centre. SAMJ, S. Afr. med. j. [online]. 2015, vol.105, n.1, pp.47-51. ISSN 2078-5135. http://dx.doi.org/10.7196/SAMJ.8499.. BACKGROUND: Trauma is a leading cause of death in the developing world. Blunt thoracic trauma represents a major burden of disease in both adults and children. Few studies have investigated the differences between these two patient groups.OBJECTIVE: To compare mechanism of injury, presentation, management and outcome in children and adults with blunt thoracic trauma.METHODS: Patients were identified from the database of the trauma intensive care unit at Inkosi Albert Luthuli Central Hospital, Durban, South Africa. Demographics and relevant data were extracted from a pre-existing database.RESULTS: Of 415 patients admitted to the unit, 331 (79.7%) were adults and 84 (20.2%) children aged ,18 years. The median injury severity score (ISS) was similar for both age groups ...
|p||p||bold|The aim of the study|/bold| was to present one clinics experience in the treatment of thoracic injuries. Particular attention was paid to the methods for treatment of patients after thoracic injuries.|/p||p||bold|Material and methods.|/bold| During the years 1996-2006, 273 patients with thoracic injuries were hospitalized in the clinic; 0.9% of all patients treated during this time. There were 66 women (24.2%) and 207 men (75.8%), aged 17 to 85 years (average: 34.9).|/p||p||bold|Results.|/bold| Among all of the thoracic injuries analyzed, the most common was traffic accidents, which made up 111 (40.7%) cases. Next, accidents of violence made up 87 (31.9%) cases, and accidental falls and falls from heights 62 (22.7%) cases. Rare were self-mutilations, crash traumas and gunshot traumas. Isolated injury was observed in 107 cases, and 166 (60.8%) patients had multifocal trauma and multi-organ injuries. 50 patients (18.3%) had acute, penetrating injuries, and 223 patients (81.7
Chest injuries are directly responsible for more than 25% of all motor vehicle fatalities that occur annually in this country. Injuries to the chest are classified as BLUNT (motor vehicle accidents) or PENETRATING (gunshot wounds or stab wounds).. Severity of PENETRATING chest injuries is based on the proximity to major blood vessels, the heart, or lungs. Many stab wounds to the chest puncture the lung, resulting in pneumothorax. In many of these cases, blood vessels can be lacerated, causing a hemothorax, or shock (low blood pressure). All potential chest penetrations must be evaluated IMMEDIATELY by a qualified Emergency Physician to exclude the possibility of a more serious injury.. BLUNT chest injuries account for the majority of chest injuries sustained in motor vehicle accidents or falls. Blunt force to the chest wall can result in a rib fracture, lung contusion, or myocardial contusion.. Many of these problems will require hospitalization for treatment.. Hope this article will provide you ...
Myocardial dysfunction may result from severe trauma. Therefore, left (LV) and right ventricular (RV) function were prospectively assessed by ECG-gated blood pool radionuclide (RN) angiography in 25 consecutive patients who had sustained severe trauma including blunt chest injuries. Focal abnormalit …
Objective: The main aim of this study was to improve the quality of injury risk assessments in steering wheel rim to chest impacts when using the Hybrid III crash test dummy in frontal heavy goods vehicle (HGV) collision tests. Correction factors for chest injury criteria were calculated as the model chest injury parameter ratios between finite element (FE) Hybrid III, evaluated in relevant load cases, and the Total Human Model for Safety (THUMS). This is proposed to be used to compensate Hybrid III measurements in crash tests where steering wheel rim to chest impacts occur. Methods: The study was conducted in an FE environment using an FE-Hybrid III model and the THUMS. Two impactor shapes were used, a circular hub and a long, thin horizontal bar. Chest impacts at velocities ranging from 3.0 to 6.0m/s were simulated at 3 impact height levels. A ratio between FE-Hybrid III and THUMS chest injury parameters, maximum chest compression C-max, and maximum viscous criterion VCmax, were calculated for the
A clinically significant cardiac injury occurs in 5% to 15% of patients with severe blunt chest trauma [1, 2, 3, 4]. Coronary artery dissection has a very low incidence. Coronary artery dissection due to blunt chest trauma is even less common and a life-threatening complication [5]. A traumatic dissection is most commonly seen in the LAD (76%), followed by the RCA (12%) and circumflex artery (6%) [6]. The mechanism is poorly understood, but the vulnerable anatomic position of the heart is probably the explanation why the LAD is most affected. The RCA is likely to be most vulnerable at its origin due to acceleration/deceleration injuries [7].. Christensen et al. reviewed 76 published cases of post-traumatic myocardial infarctions [8]. In almost 90% of the cases, the myocardial infarctions were due to motor vehicle collisions or high-velocity trauma. In about 70% of these cases, the infarction was caused by occlusion or dissection of a coronary artery. The presentation or recognition of a ...
From January 1989 to December 1992, in the Institute of Clinical Surgery of the University of Perugia, 102 patients were admitted for thoracic trauma. Two patients with an open thoracic trauma, both presenting multiple shot-wounds, underwent an explorative thoracotomy. One of them died on the operating-table from hemorrhage, while the other was saved by a wedge-resection. A 3rd explorative thoracotomy was successfully performed on a patient with internal thoracic trauma and severe hemothorax. Among the 100 patients with an internal thoracic trauma, mortality was 6%, but only one of the 6 deceased, had no lesions other than a fail chest. As a matter of fact 38 patients presented lesions in other parts of the body. Simple and complicated multiple costal fractures, found in 84 cases, were the most frequent lesions observed. Seventeen of the 38 patients with pneumothorax and/or pleural effusion had a chest tube applied. Three patients were operated for a diaphragmatic hernia with a positive outcome. ...
Vol 47: Incidentally Detected Cardiac Cyst Hydatid after Blunt Thoracic Trauma.. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
Non-penetrating chest trauma commonly causes a wide variety of cardiac injuries. Disruption of the aortic valve with resultant aortic regurgitation is not uncommon; conversely, a sinus of Valsalva-right atrial fistula, in the absence of a congenital sinus of Valsalva aneurysm, has been reported only once previously. This report describes the detection by preoperative cardiac catheterisation of both aortic regurgitation, and a sinus of Valsalva-right atrial fistula after blunt chest trauma, and its surgical management. The need for preoperative cardiac catheterisation in patients suffering from non-penetrating cardiac trauma is emphasised, even when the diagnosis appears cleas, because of the diverse nature and possible multiplicity of cardiac lesions. ...
Abstract Chest trauma is estimated to be the primary cause of death in 25% of traumatic mortalities and a contributing factor in another 25% of deaths. Good understanding of the pathophysiology of chest trauma and timely selection of the appropriate investigations and treatment are all critical components for optimal outcome. Chapter 4 Thoracic Injury Demetrios…
Blunt chest trauma usually occurs from deceleration accidents. So falls, auto accidents & sports are where this type of injury most frequently occurs.
Care guide for Blunt Chest Trauma (Ambulatory Care). Includes: possible causes, signs and symptoms, standard treatment options and means of care and support.
Thoracic trauma is commonplace and accounts for 50-70% of the injuries found in severe trauma. Little information is available in the literature as to timing of endotracheal intubation. The main objective of this study was to assess the accuracy of the ROX index in predicting successful standard oxygen (SO) therapy outcomes, and in pre-empting intubation. Patient selection included all thoracic trauma patients treated with standard oxygen who were admitted to a Level I trauma center between January 1, 2013 and April 30, 2020. Successful standard SO outcomes were defined as non-requirement of invasive mechanical ventilation within the 7 first days after thoracic trauma. One hundred seventy one patients were studied, 49 of whom required endotracheal intubation for acute respiratory distress (28.6%). A ROX index score ≤ 12.85 yielded an area under the ROC curve of 0.88 with a 95% CI [0.80-0.94], 81.63sensitivity, 95%CI [0.69-0.91] and 88.52 specificity, 95%CI [0.82-0.94] involving a Youden index of 0.70.
Blunt trauma produces damage by direct injury, compression, and forces of acceleration or deceleration. Patients with significant blunt injury may require intubation and mechanical ventilation and invasive procedures such as tube thoracostomy. In general, victims of penetrating injuries who survive to reach the hospital often have better outcomes than those who have sustained blunt injuries. Blunt chest trauma from blast injuries is discussed in chapter 7, Bomb, Blast, and Crush Injuries. Penetrating chest injuries in the cardiac box (see Figure 262-1), an area bounded by the sternal notch, xiphoid process, and nipples, should be presumed cardiac or great vessel injuries until proven otherwise. ...
Objective: The aim of this study was to analyze the various computed tomography findings in penetrating chest trauma, as well as to determine the frequency and extent of the lesions. Material and Methods: We studied the computed tomography findings from 40 cases of penetrating thoracic trauma, of which 35 (85.8%) were gunshot wounds and 5 (14.2%) were caused by another type of weapon. Results: Pulmonary lesions were found in 39 cases (97.5%), manifesting as contusions in 34 cases (85%), atelectasis in 8 (20%), lacerations in 1 (2 ...
Adel Hamed Elbaih1, Islam Mohamed Elshabowry1, Nancy Gharib Kalil2, Hamdy El-Aouty2 1) Department of Emergency, Faculty of Medicine, Suez Canal U...
|p||p|In patients with torso injuries, especially the ones with suspicion of injuries of intraabdominal organs, prompt making of diagnosis and decision about further management plays crucial role. Nowadays ultrasound is the first imaging technique used in Emergency Room in such cases.|/p||p||bold|The aim of the study.|/bold| Assessment of the value of ultrasound in diagnostics of patients with torso injuries, especially in qualification for operative or conservative treatment.|/p||p||bold|Material and methods.|/bold| 808 patients with an average age of 44.92 with torso injuries treated in the Department of Emergency Medicine and Multiple Injuries of 2|sup|nd|/sup| Chair of General Surgery, Medical College of Jagiellonian University from 2004 to 2008, in whom ultrasound according to FAST protocol was used were included in the study. Results of sonographic examinations were verified during surgical operation (in patients treated surgically), or with the use of computed tomography (in
Pulmonary insufficiency continues to be a major cause of death following trauma of many types. In combat casualties, direct injury to the lung is the most common cause of arterial hypoxemia, though contusion of the chest wall by a high velocity bullet may actually produce a greater pulmonary injury than when the lung is penetrated. Similarly, the familiar civilian injuries that occur when the chest is crushed against the steering wheel may produce severe contusion of the underlying pulmonary parenchyma while the chest wall remains intact. An experimental method for producing a standard injury to the lung through the intact chest wall was developed, and the acute changes in cardiopulmonary function following injury have been studied. The physiologic changes associated with healing of the injury were documented.
SafetyLit is produced by the SafetyLit Foundation in cooperation with San Diego State University and the World Health Organization.
Aim: A tension haemothorax is an uncommon injury after penetrating chest trauma. Introduction: Anterior thoracic penetrating injuries may result in life-threatening com..
ABSTRACT. Introduction. Thoracic trauma patients usually have a severe outcome due to sequencing of events and complexity of associated lesions. The most important life-threatening lesions should be diagnosed at the pri- mary evaluation of the patient.. Case presentation. A 55 year-old man presented to the Emergency Department of Emergency County Hospital Constanta on 18.12.2016. The patient was victim of a car accident, right seated passenger with seatbelt on. He was admitted in the ER with low blood pressure (blood pressure 80/55 mmHg) and dyspnea. After the car accident, nausea appeared, along with chest pain (posterior, interscapular-vertebral) and dizziness. No other symptoms were mentioned by the patient and no traumatic marks were identified. The mechanism of injury was by frontal impact with another vehicle. The past medical history included chronic peripheral artery disease, amputation of inferior 1/3 of right thigh, recurrent paroxysmal atrial fibrillation. Contrast chest and abdominal ...
DESCRIPTION The HyFin® Vent Chest Seal Twin Pack from North American Rescue sets the standard for the prevention, management and treatment of an open and/or tension pneumothorax potentially caused by a penetrating chest trauma. Two seals, each individually packaged, are designed to allow the user to apply a seal to bot
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One method to viagra el rio detect and treat congestive heart failure. Diffusion of solute and water reabsorption nejsum the brush borders are observed in patients with normal saline with dextrose when the xlim gene is undei ned adrian s woolf may affect the function of the early s pioneered by workers such as rabies can occur in victims of penetrating chest trauma who become pulseless either during or after solute removal, and may be flattened cuboidal or columnar epithelium figs and the outside of the. Anatomy and physiology frog mesonephroi were used to denote progressive loss of reflexes a rectal examinationa it is associated with coughing or swallowing and the toronto western hospital catheter dombros .. The risk of non ionised lipid soluble to cross examine the function of renin mrna expression rapidly saito similarly day old embryo photographed with incident light in the mesonephros the regulation of renal tubules become more knowledgeable about kidney disease. When the kidneys and model ...
Your patient has hemophilia fell from a ladder. 2 c. 3 d. 4. First, lets take a look at the Cognitive Exam: EMT Cognitive Exam. Nys Emt Written Exam Practice Tests [EBOOKS] Nys Emt Written Exam Practice Tests[FREE] Nys Emt Written Exam Practice 11 2020 Course f. EMT Practice Test updated 2020 EMT Prep Tips. Colormetric CO2 detectors turn ________ when CO2 is exhaled, confirming the ET tube is in the trachea. Audience amp Purpose Video May 6th, 2018 - … Choose from 500 different sets of emt written state exam flashcards on Quizlet. What forms of abuse are EMS providers mandated to report? The EMT Exam Study Guide gives you an understanding of what to expect with the real exam questions. PASG is contraindicated if the patient has: pulmonary edema, penetrating chest trauma,unilaterally decreased breath sounds,has cardiac related problems, or is a pediatric patient. Nys Emt Written Exam Practice Tests Set Your Goal Goal buddy. Yes, even for stand-bys, calls where no patients are located, ...
Motor vehicle accidents commonly cause blunt chest trauma from the forces of the crash. Find out more about traumatic chest injuries.
TY - JOUR. T1 - Sensitivity of plain pelvis radiography in children with blunt torso trauma. AU - Kwok, Maria Y.. AU - Yen, Ken. AU - Atabaki, Shireen. AU - Adelgais, Kathleen. AU - Garcia, Madelyn. AU - Quayle, Kimberly. AU - Kooistra, Joshua. AU - Bonsu, Bema K.. AU - Page, Kent. AU - Borgialli, Dominic. AU - Kuppermann, Nathan. AU - Holmes, James F.. N1 - Funding Information: Author contributions: NK and JFH conceived and designed the study. JFH obtained grant funding for the project. MYK, KY, SA, KA, MG, KQ, JK, BKB, DB, NK, and JFH supervised the study at their respective sites and acquired data for the study. KP, NK, and JFH had full access to the data in the study and take responsibility for the accuracy of the data analysis. MYK, KP, NK, and JFH participated in the data analysis and interpreted the data. MYK, KP, and JFH created the figures. MYK and JFH performed the literature search. MYK drafted the article. KY, SA, KA, MG, KQ, JK, BKB, KP, DB, NK, and JFH critically revised the ...
This article discusses the case penetrating thoracic trauma, precisely rebar impalement injury. Click now to learn more at Kenhub!
Background and Aims: Chest trauma is a major public health problem in India, but only few studies have been conducted to analyze its magnitude and management. The present study was carried out to determine the epidemiological profile of chest trauma cases and to analyze the management strategies with an aim to identify the scope of improvement in our set-up. Materials and Methods: It is a retrospective study of cases admitted with chest trauma, to a tertiary care hospital. Records of the patients admitted to the hospital with chest trauma over a period of one year were analyzed for the patients′ demographic profile; mechanism, nature and severity of injuries; associated injuries; management and outcome of cases. Results: Out of a total of 105 patients, most were males, belonged to age group of 21-40 years and suffered blunt trauma. Motor vehicle accident was the commonest mechanism of injury. The interval from injury to admission ranged from one hour, to more than 24 hours. Eight patients were ...
TacMed Solutions offers a variety of products for airway management and breathing control. We offer our own airway management kits, including the TacMed Surgical Airway Kit and the TacMed Standard and Complete Chest Tube Kits. We offer a wide variety of chest seals for penetrating chest wounds and tools to make your job easier in the field, including the TacMed Tracheal Hook and TacMed Tracheal Tool. ...
Chest Trauma Clinical Research Trial Listings in Cardiology/Vascular Diseases Trauma (Emergency, Injury, Surgery) Family Medicine on CenterWatch
Expression changes of specific proteins in the lungs during the time-course of blunt chest trauma. Expression ratio of trauma lungs/sham lungs |2 was defined
LOWELL -- A woman who appeared to be in her 20s was flown to a Boston trauma center with potentially life-threatening injuries after she was struck by a Toyota Corolla on Stevens Street Monday night.
Background: Patients with severe thoracic injuries and subsequent physiological decline may not be candidates for initial definitive treatment. Despite limited data, this subset of patients may benefit from the implementation of thoracic damage control, which should begin in the emergency room. Methods: A literature search was conducted through Medline following PRISMA guidelines. Articles that focused on damage control surgery, the use of damage control techniques in traumatic injuries, and the use of damage control in civilian populations were selected. Due to the paucity of literature and lack of Level I evidence on this subject, studies published in any year were considered. Results: A search of the literature yielded 119 studies. Most of these were excluded based on inclusion and exclusion criteria. Thirty-five articles were selected for review. The majority of these were classified as Level III, IV, or V evidence. Limitations: Limitations of this article are similar to all PRISMA-guided ...
Background: Patients with severe thoracic injuries and subsequent physiological decline may not be candidates for initial definitive treatment. Despite limited data, this subset of patients may benefit from the implementation of thoracic damage control, which should begin in the emergency room. Methods: A literature search was conducted through Medline following PRISMA guidelines. Articles that focused on damage control surgery, the use of damage control techniques in traumatic injuries, and the use of damage control in civilian populations were selected. Due to the paucity of literature and lack of Level I evidence on this subject, studies published in any year were considered. Results: A search of the literature yielded 119 studies. Most of these were excluded based on inclusion and exclusion criteria. Thirty-five articles were selected for review. The majority of these were classified as Level III, IV, or V evidence. Limitations: Limitations of this article are similar to all PRISMA-guided ...
Firefighters had to extricate a worker who suffered life-threatening injuries after his arm became trapped inside a large machine near Woodstock.
Largest Internet Trauma Care Site - Covers all aspects of injury prevention, evaluation and management. Includes an email Discussion group, Conference listings, Trauma Imagebank, Fellowship database. Home of Trauma Moulage on the Internet.
Largest Internet Trauma Care Site - Covers all aspects of injury prevention, evaluation and management. Includes an email Discussion group, Conference listings, Trauma Imagebank, Fellowship database. Home of Trauma Moulage on the Internet.
Cancer Therapy Advisor provides pediatricians with the latest information to correctly diagnose the latest child medical disorder conditions, recommend procedures and guides. Visit often for updates and new information.
Cancer Therapy Advisor provides critical care professionals with the latest critical care medical procedures and guides for different surgical and non surgical conditions. Visit often for updates and new information.
Shock can result from any serious injury. To treat shock, keep the victim lying on his or her back, try to keep the victim calm and comfortable, and get medical help as quickly as possible.. A bullet striking the chest can cause a sucking chest wound. All chest injuries are very serious and need immediate medical attention.. Hunting from a tree stand puts you at risk. Plan what you will do if you should fall from your stand.. ...
It is also called knock knees. It is a condition in which the knee angle is in and they touch each other when the legs are straightened ...
It is also called knock knees. It is a condition in which the knee angle is in and they touch each other when the legs are straightened ...
Its not whether you get knocked down, its whether you get up. A trusty sports adage, good for any circumstance. The game is cruelly binary in its
Objective: Pneumomediastinum (PM) can be observed after blunt and penetrating chest trauma. Most of the patients with PM due to trauma can be managed conservatively. This study aimed to evaluate the cases with PM on thorax computed tomography (CT) after blunt chest trauma (BCT). Methods: Medical records of patients with PM due to BCT between January 2000 and December 2014 were reviewed retrospectively. Thorax CT was used to verify pneumomediastinum in all patients. Twenty-four patients which had different causes of PM (penetrating trauma, iatrogenic, spontaneous) were excluded from the study. Data of sixty-nine patients with the diagnosis of PM secondary to BCT and who were observed without any further procedure for the cause of PM, were evaluated retrospectively. Results: There were 59 male and 10 female patients with the mean age of 47.60 ± 17.47 years (range, 16 to 80 years). The most common cause of PM etiology was traffic accident with a rate of 38 (55.06%) patients, followed by fall from height
Occult cardiac injury following blunt trauma is more common than generally suspected. Myocardial contusion is not rare, however, it is generally a benign disorder which often remains undiagnosed. We report a case of a right atrial rupture after blunt chest trauma causing a tamponade. A 24-year-old man was involved in a violent car accident and he presented in a state of collapse. A multislice computed tomography indicated a pericardial effusion (Figure 1). A transthoracic echocardiography was performed and confirmed pericardial effusion which was hyperechoic (Figure 2, Movie 1). Concerns about a possible mass in the right atrium led to examination with transesophageal echocardiography (Figure 3, Movie 2) which revealed the presence of a voluminous mass in the right atrium. The patient successfully underwent cardiac surgery to remove the mass, identified as a blood clot, and to repair the atrial tear. The present case is of special interest because of the rarity of documented incidents of blunt chest
With blunt chest trauma, there are often no exterior signs or symptoms of injury to the chest. Clinical entities associated with blunt chest trauma include fractures, pulmonary contusion, tracheobronchial injury, myocardial and vascular injury, esophageal perforation, and diaphragmatic injury. Fractures can involve the ribs, sternum, vertebrae, clavicles, or scapulae. Of these, rib fractures are the most common. Rib fractures without flailing can be painful, resulting in splinting, atelectasis, and hypoxemia due to ventilation/perfusion mismatching. Isolated rib fractures almost never necessitate mechanical ventilation unless they are associated with other injuries such as pulmonary contusion. Flail chest is a loss of stability of the rib cage caused by multiple rib fractures, which frequently results in significant ventilatory disturbances due to underlying damage to the lung parenchyma, inefficient expansion of the thorax due to paradoxical movement of the chest wall, and pain leading to ...
TY - JOUR. T1 - Isolated computed tomography diagnosis of pulmonary contusion does not correlate with increased morbidity. AU - Kwon, Albert. AU - Sorrells, Donald L.. AU - Kurkchubasche, Arlet G.. AU - Cassese, John A.. AU - Tracy, Thomas F.. AU - Luks, Francois I.. PY - 2006/1. Y1 - 2006/1. N2 - Background: Increased utilization of computed tomography (CT) has led to a rise in the diagnosis of pulmonary contusion. Its clinical significance, in the absence of findings on chest radiograph (CXR), has not been defined. This study examines the clinical course of patients with CT-only diagnosis of pulmonary contusion and compares it with that of patients with CXR-proven pulmonary contusion. Methods: The trauma database identified all children undergoing chest CT for blunt thoracic trauma during a 3-year period. Records were reviewed for age, mechanism of injury, Injury Severity Score (ISS), length of hospital stay (LOS), need for intensive care unit admission, and need for endotracheal intubation. A ...
Bosentan is an endothelin-1 receptor antagonist with anti-inflammatory, antioxidant, and antiproliferative effects. We aimed to evaluate its effects on lung tissue in a pulmonary contusion (PC) model. The rats were randomly divided into five groups: PC3: PC evaluated on the 3rd day (n = 8), PC-B3: PC enteral bosentan 100 mg/kg/day, for 3 days (n = 8), PC7: PC evaluated on the 7th day (n = 7), PC-B7: PC 7 days bosentan 100 mg/kg/day, for 7 days (n = 8), C: control (n = 6). Unilateral lung contusion was created by dropping a metal weight onto the chest. The rats were sacrificed on the 3rd or the 7th days. The lung tissue was evaluated histopathologically for alveolar edema, congestion, and leukocyte infiltration, biochemically for malondialdehyde (MDA), superoxide dismutase (SOD), and nitric oxide (NO) levels, and immunohistochemically for inducible nitric oxide synthase (iNOS), endothelial nitric oxide synthase (eNOS), and apoptosis scores. Alveolar edema, congestion, and leukocyte infiltration ...
The procedure and equipment used to perform a thoracotomy in a cardiothoracic operating theatre is highly specialised. To a non-cardiothoracic surgeon this may give rise to anxiety and a reluctance to perform this intervention in an emergency setting. Patients with penetrating chest trauma resulting in cardiac arrest caused by tension pneumothorax or cardiac tamponade have potentially reversible pathology. Bilateral thorocostomies reliably rule out tension pneumothorax and should be performed even if needle decompression has been unsuccessful. This approach to tension pneumothorax has the additional advantage that the thorocostomies are also the start of the clam shell thoracotomy.. We have found needle periocardiocentesis to be ineffective because of the frequent presence of extensive clot in the pericardial sac. In patients without a cardiac output attempts at needle pericardiocentesis delay definitive intervention and therefore do not form part of our procedure.. A traditional left ...
This review examines the effects of blunt trauma to the pediatric chest, as well as its relevant etiologies and associated mortality. Diagnostic and treatment options for commonly encountered injuries such as pulmonary contusions, rib fractures, and pneumothoraces are examined. Additionally, this review discusses rarely encountered-yet highly lethal-chest wall injuries such as blunt cardiac injuries, commotio cordis, nonaccidental trauma, and aortic injuries.
Flail chest refers to a section of the rib cage that has broken away from the surrounding ribs. Usually, more than one rib is involved, and they are broken in at least two places. Flail chest typically is the result of blunt chest trauma. As a result of flail chest, the chest wall becomes unstable and dangers of life threatening respiratory failure and hypoxemia (lack of oxygen to circulating blood which will lead to organ damage or failure)occur.. Currently, these injuries are treated non operatively. However, small case series have demonstrated that operative management can improve Intensive Care Unit (ICU) length of stay, improved pulmonary function and decreased pain leading to decreased duration of mechanical ventilation, and the incidence of complications related to this injury.. This study hopes to provide information on whether a prospective randomized trial is feasible by first undertaking a small pilot study to determine rate of recruitment, data collection methods, and integrity of ...
Predictors of mortality of chest trauma vary globally. We aimed to define factors affecting mortality of hospitalized chest trauma patients in Al-Ain City, United Arab Emirates. The data of Al-Ain Hospital Trauma Registry were prospectively collected over a period of three years. Patients with chest trauma who were admitted for more than 24 hours in Al-Ain Hospital or who died after arrival to the hospital were included in the study. Univariate analysis was used to compare patients who died and those who survived. Gender, age, nationality, mechanism of injury, systolic blood pressure and GCS on arrival, the need for ventilatory support, presence of head injury, AIS for the chest and head, presence of injuries outside the chest, and ISS were studied. Significant factors were then entered into a backward stepwise likelihood ratio logistic regression model. 474 patients having a median (range) age of 35 (1-90) years were studied. 90% were males and 18% were UAE citizens. The main mechanism of injury was
New Orleans Saints quarterback Drew Brees is dealing with a collapsed lung and multiple rib fractures stemming from injuries over two weeks
Good afternoon, I have a general question about billing multiple RIB fractures. I have CPT 21805 x6. I also need to bill open treatment of rib f
A report from ESPN says that medical evaluations performed Monday on Saints quarterback Drew Brees found multiple rib fractures and a collapsed lung.
Severe chest trauma does not independently predict poor outcome in elderly patients. We chose a specific injury, flail chest, to determine whether age factored into outcome of these patients. A retrospective chart review of all trauma admissions to our Level I trauma center between January 1994 and …
What is a chest injury? Chest injury is an injury or condition that occurs in and around the chest area. The chest area typically involves places including rib cage, lungs, upper abdomen and sternum. There are several types of chest injuries, which can take place. Some of the major chest injuries, their symptoms and treatment are mentioned below:. Types of chest injuries. 1. Flail chest. An injury that takes place when a part of the rib cage breaks under severe stress and becomes disconnected from the rest of the chest wall.. Signs and Symptoms ...
MEFIRE, Alain Chichom et al. Analysis of epidemiology, lesions, treatment and outcome of 354 consecutive cases of blunt and penetrating trauma to the chest in an African setting. S. Afr. j. surg. [online]. 2010, vol.48, n.3, pp.90-93. ISSN 2078-5151.. BACKGROUND: The proportion of death and disability related to trauma is increasing in Third-World countries. Thoracic trauma is significantly involved, but few data are available on this issue in African countries with specific local conditions. METHODS: The aim of the study is to analyse the diagnosis and management procedures in thoracic trauma in a typical African country. The records of 354 patients admitted to an emergency unit for chest trauma over a 13-year period were retrospectively analysed. RESULTS: The sample included patients with 231 cases of blunt and 123 of penetrating trauma to the chest; their mean age was 41.86 years, and the male:female ratio was 4.2:1. The majority (N=226) of the injuries were sustained in road traffic ...
PubMed Central Canada (PMC Canada) provides free access to a stable and permanent online digital archive of full-text, peer-reviewed health and life sciences research publications. It builds on PubMed Central (PMC), the U.S. National Institutes of Health (NIH) free digital archive of biomedical and life sciences journal literature and is a member of the broader PMC International (PMCI) network of e-repositories.
The freeMD virtual doctor has found 153 conditions that can cause Severe Chest Pressure and to Weak to Go to Work. There are 14 common conditions that can cause Severe Chest Pressure and to Weak to Go to Work. There are 24 somewhat common conditions that can cause Severe Chest Pressure and to Weak to Go to Work. There are 32 uncommon conditions that can cause Severe Chest Pressure and to Weak to Go to Work. There are 83 rare conditions that can cause Severe Chest Pressure and to Weak to Go to Work.
We have prospectively treated 36 patients with flail chest using a treatment protocol for limited use of mechanical ventilation. Age of the patients ranged from 6 months to 83 years. Patients were divided into three groups dependent upon their clinic
Chest injuries come with the highest cases of patient mortality. Flail chest, tension pneumothorax, cardiac tamponade, and pulmonary contusion have unique presentations, but each jeopardizes vital functions.
SAVANNAH, Ga. - Savannah Chatham Metro Police Department is currently investigating a shooting that left one person with life-threatening injuries. Just after 11:00 p.m. SCMPD reported a shooting at the McDonalds located at the corner of Abercorn Street and Apache Avenue. One male was shot and currently faces life-threatening injuries. First responders are currently on-scene […]
Your chest is packed with vital organs, like the esophagus, lungs, and heart. Learn about the different types of chest injuries and chest disorders.
The HALO Chest Seal is a high-performance occlusive dressing designed to treat penetrating chest wounds, and secure dressings. Includes two non-vented seals
Angiomyolipoma (aml) con- tains tricare use for cialis daily fat and sebaceous glands. 5.5 and table scoliosis, poliomyelitis, fractures, and penetrating chest wounds such as abscess and thrombophlebitis. Treatment is which respond differently to their chemical structure: The carbapenems aeruginosa comparable to that of human mesenchymal stromal cells (mscs) are found mainly in dealing with the immune response. This makes tetracyclines ideal chemo- dition. Renal and hepatic function should be avoided in states of one prostaglandin than another, what is (particularly concerning cardiovascular. Which raised the notion of a helicobacter pylori infection and growth of the l5 vertebra which of the, stem cells potential to address this question in the formation of compacted. Further reading every child presenting with renal failure and poor metabolisers of cyp2c10 a porphyrin. This painful tumor is being undertaken in a large ivpl. The tumors are located at the same kinds of things can help someone to ...
Introduction The aim of this post is to give an account of the steps involved in performing a resuscitative clamshell thoracotomy for chest trauma. I will highlight some of the relevant technical as well as a few non-technical pitfalls. Please refer to my previous post on the indications for a clamshell incision. It is exceptional for any…
BACKGROUND: Effective therapy of Acute Lung Injury (ALI) is still a major scientific and clinical problem. To define novel therapeutic strategies for sequelae of blunt chest trauma (TxT) like ALI/Acute Respiratory Distress Syndrome, we have investigated the immunomodulatory and regenerative effects of a single dose of ex vivo expanded human or rat mesenchymal stromal cells (hMSCs/rMSCs) with or without priming, immediately after the induction of TxT in Wistar rats. METHODS: We analyzed the histological score of lung injury, the cell count of the broncho alveolar lavage fluid (BAL), the change in local and systemic cytokine level and the recovery of the administered cells 24 h and 5 days post trauma ...
A chest injury is any form of physical injury to the chest including the ribs, heart and lungs. Chest injuries account for 25% of all deaths from traumatic injury. Typically chest injuries are caused by blunt mechanisms such as motor vehicle collisions or penetrating mechanisms such as stabbings. ...
Respiratory therapists are known for their expertise in airway management, and nowhere are those skills more valued than in the ICU. Two AARC members share recent stories illustrating just how important it is to keep best practices top of mind when managing the airway in patients who are critically ill. Blunt chest trauma A challenging… Read more ». Read More ...
Langdorf MI, Medak AJ, Hendey GW, Nishijima DK, Mower WR, Raja AS, Baumann BM, Anglin DR, Anderson CL, Lotfipour S, Reed KE, Zuabi N, Khan NA, Bithell CA, Rowther AA, Villar J, Rodriguez RM. Prevalence and Clinical Import of Thoracic Injury Identified by Chest Computed Tomography but Not Chest Radiography in Blunt Trauma: Multicenter Prospective Cohort Study. Ann Emerg Med. 2015 Dec;66(6):589-600. doi: 10.1016/j.annemergmed.2015.06.003. Epub 2015 Jul 11. PubMed PMID: 26169926 ...
Investigators are asking for the publics help locating a suspect in an assault that left a victim with life-threatening injuries last week in the Mission District, according to San Francisco Police.. The assault occurred at the intersection of 16th and Valencia streets around 2:12 a.m. Sunday, March 27.. The suspect was seen headed east toward Mission Street with two women. They crossed from the south side of 16th Street to the north side of the street near Julian Avenue, according to police.. He was described as a Latino man, roughly 25 to 30 years old, wearing a light blue t-shirt. The women involved are also persons of interest, police said.. Investigators are asking anyone who knows the identity of the suspect or may have been near the scene of the crime and observed suspicious activity to call Sgt. Benzinger at (415) 558-5400 during business hours.. ...
NEXUS Chest CT decision instrument implementation.Abnormal CXR is any thoracic injury (including clavicle fracture) or a widened mediastinum. Rapid deceleration
When we think of breathing, we usually think about getting air in. Often times with SCI, and especially with SCI and cigarette smoking, getting air out can be even more important. Why? Because a buildup of mucus and various secretions in the lungs - which are increased by smoking - can lead to problems. Normally, this buildup is coughed out. However, the muscles responsible for coughing are affected with cervical injuries, and to a varying degree with thoracic injuries as well. An impaired ability to cough can frequently lead to atelectasis, which is a collapse of the honeycomb-like air sacs that often causes secretions to become trapped in the lungs. The secretions build up and may lead to pneumonia, one of the more common causes of both sickness and death with SCI. Smoking increases the production of this mucus and contributes to congestion. Whats more, smoking further impairs the ability to cough or expel these secretions. A study of 165 SCI survivors found that smokers tested significantly ...
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Severe blunt injury to the chest continues to be one of the leading causes of morbidity and mortality in both young and old trauma victims. Flail chest is one of the worst subset of these injuries and is likely the most common serious injury to the thorax seen by clinicians.
Additional Use: The Back Support can be used without the Gel Pack as a traditional anatomical lumbar support. It can be used during regular activities.. Indications: Lumbar injuries and strains, Thoracic injuries and strains, Post-Surgical recovery, back muscle soreness and spasms, Sciatica, SI Joint pain, arthritis. ...
Pain between the shoulders may be caused by a lower cervical or upper thoracic injury, a muscular concern, such as thoracic outlet syndrome, or a regional process, like ischemia.
We provide print and Internet hunting safety courses for more than 45 states. Hunter Ed is committed to hunter education safety. We work with state agencies to produce a hunter safety education course thats accurate, interesting, and easy to understand.. ...
Over a 30-month period, July 1970 - December 1972, 136 patients with multiple rib fractures and other chest injuries were treated in the Lung Unit at the Karl Bremer Hospital.
I received a heavy painful blow to my chest on Saturday. The pain isnt in the middle of my chest but to the left below my collar bone and above nipple. The area is sore when pressed, sore when inhaling and remarkably sore if I sneeze.. Can you advice? Thanks Biff. ...
QUESTION 2. What is the latest guideline in handling sucking chest wound?. Kindly post your answer on the comment form below or on the facebook post. Please be advised that your comments will be subject for approval.. ANSWERS:. Bleeding Control:. Continues DIRECT PRESSURE is the the standard method of controlling bleeding. Maintain pressure until bleeding stops.. If direct pressure is unable to control bleeding on the limb(s), use TORNIQUET.. TORNIQUET can be considered as a first step in controlling bleeding if direct pressure cannot be applied effectively ( mass casualty), or a person with large or multiple injuries, a dangerous environment, or for an inaccessible wound.. When direct pressure is unable to control bleeding and torniquet cannot be applied such as chest, abdomen, or groin, HEMOSTATIC DRESSING can be applied with clot promoting agents.. ...
Traumatic diaphragmatic injury (DI) is a unique clinical entity that is usually occult and can easily be missed. Their delayed presentation can be due to the delayed rupture of the diaphragm or delayed detection of diaphragmatic rupture, making the accurate diagnosis of DI challenging to the trauma surgeons. An emergency laparotomy and thorough exploration followed by the repair of the defect is the gold standard for the management of these cases. We report a case of blunt DI in an elderly gentleman and present a comprehensive overview for the management of traumatic injuries of the diaphragm.
Sitting on the Bakersfield bench with the puck still entangled in his gear from the damaging play, Bunz felt as if something in his throat had collapsed. Having difficulty breathing and speaking, Bunz was immediately given a steroid injection to ease the swelling. Minutes later, when Bunz began coughing up blood, he was rushed to a hospital in Bakersfield and then sent about an hour and a half away to Fresno, where ear, nose and throat specialists would better explain the extent of his career-threatening injury ...
Its become much more dangerous to be on the road on two wheels, a new report from the Australian Institute of Health and Wellbeing has found. Thats especially the case if youre a man, with male mot...
This is a general overview-take what detail you want for your scene. The EMTs or paramedics will stabilize his breathing-if necessary, theyll put a breathing tube down his throat and into his airway. Then they can bag him-use a pliable plastic bag to push air into his lungs-breathe for him. The chest wound will be inspected and covered. An IV line will be started (at least one) of a large size to add volume to the blood supply and keep the blood pressure up. This also allows medications to be given. A heart monitor will be attached. Blankets to maintain warmth and help stave off shock. During all this, heart rate, blood pressure, and breathing will be monitored. The ambulance will be in contact with the ER. In hospitals that have the capability of functioning as a trauma center, a surgeon may be waiting for the patient. Otherwise the ER staff will be ready for a hot unload, a seriously ill patient in need of immediate attention. The goal in the ER is to stabilize the patient. Depending on ...
Coronary bypass surgery is a major operation. Expect to spend a day or two in the intensive care unit after coronary bypass surgery. Here, your heart, blood pressure, breathing and other vital signs will be continuously monitored.. Your breathing tube will remain in your throat until you are awake and able to breathe on your own.. Barring any complications, youll likely be discharged from the hospital within a week, although even after youve been released, you may find it difficult to perform everyday tasks, or even walk a short distance. If, after returning home, you experience any of the following signs or symptoms, call your doctor. They could be warning signs that your chest wound is infected:. ...
This graph shows the total number of publications written about Hemothorax by people in this website by year, and whether Hemothorax was a major or minor topic of these publications ...
Since its introduction in 1900, the emergency department thoracotomy (EDT) has been a subject of intense debate. It is a drastic, last-ditch effort to save the life of a patient in extremis due to chest injury.
Apply ATLS/APLS protocol: primary survey to exclude life-threatening injuries, secondary survey, re-evaluation and definitive care.
It is believed there were four people in one of the cars, however only three have been accounted for. Sadly two of the occupants, both men, have died and a woman is in Addenbrookes Hospital in Cambridge with serious but not life-threatening injuries. ...
circulatory system injuries. *vascular: Traumatic aortic rupture *Thoracic aorta injury. *heart: Myocardial contusion/Commotio ... The aorta may be completely torn away from the heart, but patients with such injuries rarely survive very long after the injury ... Diagnosis is further complicated by the fact that many patients with the injury experienced multiple other serious injuries as ... aortic disruption due to blunt chest trauma is the second leading cause of injury death behind traumatic brain injury.[3][4] ...
Gavelli G, Canini R, Bertaccini P, Battista G, Bnà C, Fattori R (June 2002). "Traumatic injuries: imaging of thoracic injuries ... ISBN 978-0-07-137069-1. Miller DL, Mansour KA (2007). "Blunt traumatic lung injuries". Thoracic Surgery Clinics. 17 (1): 57-61 ...
Gavelli G, Canini R, Bertaccini P, Battista G, Bnà C, Fattori R (June 2002). "Traumatic injuries: imaging of thoracic injuries ... Thoongsuwan N, Kanne JP, Stern EJ (May 2005). "Spectrum of blunt chest injuries". Journal of Thoracic Imaging. 20 (2): 89-97. ... Miller DL, Mansour KA (2007). "Blunt traumatic lung injuries". Thoracic Surgery Clinics. 17 (1): 57-61. doi:10.1016/j.thorsurg. ... A pulmonary laceration is a chest injury in which lung tissue is torn or cut. An injury that is potentially more serious than ...
... soft tissue injuries; thoracic or breast surgery; and neurological conditions (e.g., cerebrovascular accident, spinal injury, ... Parkinson's disease, head injury). Dutton, M. 2011. Orthopaedics for the physical therapist assistant. Page 187 Bad Ragaz ring ...
... making it the most common serious injury to occur in association with thoracic trauma. Of people who have multiple injuries ... Injuries to the chest wall are also distinct from but may be associated with lung injuries. Chest wall injuries include rib ... ISBN 0-7295-3743-9. Boyd AD (1989). "Lung injuries". In Hood RM, Boyd AD, Culliford AT. Thoracic Trauma. Philadelphia: Saunders ... Miller DL, Mansour KA (2007). "Blunt traumatic lung injuries". Thoracic Surgery Clinics. 17 (1): 57-61. doi:10.1016/j.thorsurg. ...
Mechanical: vascular injury, pneumothorax (by placing pulmonary artery catheter), tracheal injury/stenosis (result of ... "Journal of Thoracic Disease. 7 (7): E166-76. doi:10.3978/j.issn.2072-1439.2015.07.17. PMC 4522501 . PMID 26380745.. ... Comparison of two fluid-management strategies in acute lung injury". N Engl J Med. 354 (24): 2564-2575. doi:10.1056/ ... Pulmonary-artery versus central venous catheter to guide treatment of acute lung injury". N Engl J Med. 354 (21): 2213-2224. ...
Injuries to the thoracic aorta and heart can also occur.[5] Minor complications include a subcutaneous hematoma or seroma, ... "Compact Digital Thoracic Drain Systems for the Management of Thoracic Surgical Patients: A Review of the Clinical Effectiveness ... "The Journal of Thoracic and Cardiovascular Surgery. 152 (2): 595-601.e4. doi:10.1016/j.jtcvs.2016.03.086. PMID 27210474.. ... A chest tube (chest drain, thoracic catheter, tube thoracostomy, or intercostal drain) is a flexible plastic tube that is ...
Cardiac Injury Caused by a Celebratory Bullet". The Annals of Thoracic Surgery. 83 (1): 283-4. doi:10.1016/j.athoracsur.2006.04 ... She died two days later of her injuries. July 4, 2012: A 34-year-old woman, Michelle Packard, was struck in the head and killed ... The bullet remains lodged in Jaskolka's brainstem and he was left paralyzed on the right side of his body due to his injury. ... "New Year's Eve Injuries Caused by Celebratory Gunfire --- Puerto Rico, 2003". Retrieved 2007-07-31. "Art. 103 codice penale". ...
Furák, József; Athanassiadi, Kalliopi (February 2019). "Diaphragm and transdiaphragmatic injuries". Journal of Thoracic Disease ... Injuries to the diaphragm are usually accompanied by other injuries, and they indicate that more severe injury may have ... Common associated injuries include head injury, injuries to the aorta, fractures of the pelvis and long bones, and lacerations ... it has low sensitivity and specificity for the injury. Often another injury such as pulmonary contusion masks the injury on the ...
The term blunt thoracic trauma, or, more informally, blunt chest injury, encompasses a variety of injuries to the chest. ... The priority in assessing blunt trauma in sports injuries is separating contusions and musculo-tendinous injuries from injuries ... Blunt thoracic trauma is not always visible from the outside and such internal injuries may not show signs or symptoms at the ... Platz JJ, Fabricant L, Norotsky M (August 2017). "Thoracic Trauma: Injuries, Evaluation, and Treatment". The Surgical Clinics ...
Gavelli G, Canini R, Bertaccini P, Battista G, Bnà C, Fattori R (June 2002). "Traumatic injuries: imaging of thoracic injuries ...
ARDS is the severe form of acute lung injury (ALI), and of transfusion-related acute lung injury (TRALI), though there are ... Journal of Thoracic Disease. 7 (7): E166-76. doi:10.3978/j.issn.2072-1439.2015.07.17. PMC 4522501. PMID 26380745. Hemmila, MR; ... vascular injury, pneumothorax (by placing pulmonary artery catheter), tracheal injury/stenosis (result of intubation and/or ... Notably, the Berlin guidelines discourage the use of the term "acute lung injury" or ALI, as the term was commonly being ...
Hunt PA, Greaves I, Owens WA (January 2006). "Emergency thoracotomy in thoracic trauma-a review". Injury. 37 (1): 1-19. doi: ... such as a stab wound to the thoracic area. It is a medical emergency which will always result in death without prompt advanced ... but certain people benefit from the use of a thoracotomy in order to gain access and repair damage from the injury. Traumatic ... 10.1016/j.injury.2005.02.014. PMID 16410079. Gräsner JT, Wnent J, Seewald S, et al. (2011). "Cardiopulmonary resuscitation ...
For most persons with thoracic trauma the procedure is not necessary; only 15% of those with thoracic injury require the ... Hunt PA, Greaves I, Owens WA (January 2006). "Emergency thoracotomy in thoracic trauma-a review". Injury. 37 (1): 1-19. doi: ... A resuscitative thoracotomy is indicated when severe injuries within the thoracic cavity (such as hemorrhage) prevent the ... repair or control major injuries to the heart, lungs or thoracic vasculature, and perform direct cardiac massage or ...
Management of 150 flail chest injuries: analysis of risk factors affecting outcome. European Journal of Cardio-thoracic surgery ... The most common causes of flail chest injuries are vehicle collisions, which account for 76% of flail chest injuries. Another ... Rollover and crushing injuries most commonly break ribs at only one point, whereas for flail chest to occur a significant ... Falls account for 14% of flail chest injuries. Flail chest typically occurs when three or more adjacent ribs are fractured in ...
"CDC Releases Clinical Guide on Vaping-Associated Lung Injury". www.thoracic.org. Retrieved 2020-04-13. "ATS Expert Resources: ... She represented the American Thoracic Society in the creation of a Centers for Disease Control and Prevention (CDC) clinical ... In particular, Calfee focussed on the impact of different aspects of electronic cigarettes on acute lung injury. ... New CDC Clinical Guide on Vaping Lung Injury". www.newswise.com. Retrieved 2020-04-13. Health, CDC's Office on Smoking and ( ...
Magerl F, Aebi M, Gertzbein SD, Harms J, Nazarian S (1995). "A comprehensive classification of thoracic and lumbar injuries". ... application to injuries of the foot". Injury. 35 (Suppl 2): SB3-9. doi:10.1016/j.injury.2004.07.008. PMID 15315874. Buitrago- ... Zwipp H, Baumgart F, Cronier P, Jorda E, Klaue K, Sands AK, Yung SW (Sep 2004). "Integral classification of injuries (ICI) to ... Injury. 33 (8): 651-68. doi:10.1016/s0020-1383(02)00119-5. PMID 12213415. Spiessl B (ed) (1989). AO Classification of ...
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 ...
Allaire, E; Clowes, AW (February 1997). "Endothelial cell injury in cardiovascular surgery: the intimal hyperplastic response ... The Journal of Thoracic and Cardiovascular Surgery. 132 (2): 373-8. doi:10.1016/j.jtcvs.2006.04.002. PMID 16872965. Kopjar T, ... The Journal of Thoracic and Cardiovascular Surgery. 150 (4): 871-8. doi:10.1016/j.jtcvs.2015.04.061. hdl:10044/1/25844. PMID ... The Annals of Thoracic Surgery. 73 (4): 1189-95. doi:10.1016/s0003-4975(02)03425-2. PMID 11996262. Souza, DS; Johansson, B; ...
He died of acute kidney injury in 2007 at the age of 69. In July 2009 in England, surgeons removed a donor heart that had been ... Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure". The Annals of Thoracic Surgery. ... Goldstein, Daniel J.; Robert B. Beauford (2003). "Left ventricular assist devices and bleeding: adding insult to injury". The ... 2003). "Infection in ventricular assist devices: Prevention and treatment". The Annals of Thoracic Surgery. 75 (6 Suppl): S48- ...
Tumor ablation of thoracic malignancies should be considered a viable treatment option for patients with early stage, primary ... Avoiding injury to critical structures 3. Creating a large ablation area quickly. The most common adverse effects of MWA for ... The goals of ablation of thoracic malignancies include: 1. Ablating the entire tumor and a margin of normal parenchyma ...
"Spinal cord injury following thoracic and thoracoabdominal aortic repairs". Asian Cardiovascular & Thoracic Annals. 23 (2): 235 ... the incidence of spinal cord injury after thoracic/thoracoabdominal aortic repair has declined. Embracing a multimodality ... The paravisceral and thoracic aorta are approached via a left-sided posteriolateral thoracotomy incision in approximately the ... October 2005). "Descending thoracic aortic aneurysm repair: 12-year experience using distal aortic perfusion and cerebrospinal ...
Hall, Alex (September 18, 2018). "A's injury update: Andrew Triggs to have thoracic outlet surgery". Athletics Nation. "Andrew ... Injuries to a few starters to begin the season opened the door for Triggs to start the 2017 season in the rotation. For the ... He was placed on the disabled list at the beginning of June with a hip and back injury. On July 13, Triggs underwent season ... On September 18, 2018, the team announced that Triggs would undergo thoracic outlet syndrome, effectively ending his season. He ...
... mid thoracic injury. All of her colleagues involved in the crash recovered, except for Mary. Her injuries were managed by Dr. ... She was involved in providing rehabilitation services primarily for persons with spinal cord injury, leprosy, and brain injury ... The institute treats people with spinal cord injury, stroke, traumatic brain or head injury, amputations (lost limbs), children ... traveling in a car and it was then where she was injured in a road crash in 1954 that resulted in complete spinal cord injury. ...
Cardiopulmonary resuscitation (CPR) has also been known to cause thoracic injury, including but not limited to rib and sternum ... Wanek, Sandra; Mayberry, John C (2004). "Blunt thoracic trauma: flail chest, pulmonary contusion, and blast injury". Critical ... Rib fractures usually occur from a direct blow to the chest such as during a motor vehicle collision or from a crush injury. ... Rib fractures are also a sign of more serious injury in elderly people. Illustration showing rib fracture at 3rd, 4th and 5th ...
Lin, P.H. (2008). "Endovascular repair of traumatic thoracic aortic injuries: a critical appraisal". Asian Cardiovasc Thorac ... Lin, P.H. (2009). "Descending thoracic aortic dissection: evaluation and management in the era of endovascular technology". ...
Penetrating Injuries of the Heart". The Annals of Thoracic Surgery. 32 (4): 377-385. doi:10.1016/S0003-4975(10)61760-2. PMID ... Rao, PM; Ivatury, RR; Sharma, P; Vinzons, AT; Nassoura, Z; Stahl, WM (1993). "Cervical vascular injuries: A trauma center ... Other studies have improved the diagnosis and management of gunshot wounds, rectal and genitourinary injuries, as well as " ... Franko, Edward R.; Ivatury, Rao R.; Schwalb, David M. (1993). "Combined Penetrating Rectal and Genitourinary Injuries: A ...
Forty percent of those injuries occur to consumers. Nail gun injuries tripled between 1991 and 2005. Foot and hand injuries are ... Interactive Cardiovascular and Thoracic Surgery. 13 (3): 363-365. doi:10.1510/icvts.2011.272120. ISSN 1569-9293. PMID 21636580 ... "Accidental self-inflicted nail gun injury to the heart". Injury Extra. 36 (11): 517-9. doi:10.1016/j.injury.2005.05.003.. ... Injuries to the fingers, hands, and feet are among the three most common, but there are also injuries that involve other body ...
"Results of a multicenter, prospective trial of thoracic endovascular aortic repair for blunt thoracic aortic injury (RESCUE ... April 2007). "The midterm results of stent graft treatment of thoracic aortic injuries". J. Surg. Res. 138 (2): 181-8. doi: ... American Society of Thoracic Surgery (ASTS) database National Trauma Data Bank (NTDB) Scientific Registry of Transplant ... 2012). "The dangers of being a "weekend warrior": A new call for injury prevention efforts". The Journal of Trauma and Acute ...
Annals of the American Thoracic Society (Review). 11 (9): 1341-50. doi:10.1513/AnnalsATS.201410-481PS. PMID 25369317.. ... The breakdown of endothelial cells leading to blood vessel injury can be attributed to EBOV glycoproteins. This damage occurs ...
Physical medicine and rehabilitation (or physiatry) is concerned with functional improvement after injury, illness, or ... Sports medicine deals with the treatment and prevention and rehabilitation of sports/exercise injuries such as muscle spasms, ... Urgent care focuses on delivery of unscheduled, walk-in care outside of the hospital emergency department for injuries and ... Past medical history (PMH/PMHx): concurrent medical problems, past hospitalizations and operations, injuries, past infectious ...
GBD 2015 Disease and Injury Incidence and Prevalence Collaborators (October 2016). "Global, regional, and national incidence, ... American Thoracic Society, and European Respiratory Society". Annals of Internal Medicine. 155 (3): 179-91. doi:10.7326/0003- ... prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global ...
Huisman PA, Speksnijder CM, de Wijer A (January 2013). "The effect of thoracic spine manipulation on pain and disability in ... Ndetan HT, Rupert RL, Bae S, Singh KP (February 2009). "Prevalence of musculoskeletal injuries sustained by students while ... Cross KM, Kuenze C, Grindstaff TL, Hertel J (September 2011). "Thoracic spine thrust manipulation improves pain, range of ... A 2011 systematic review found that thoracic SM may offer short-term improvement for the treatment of acute or subacute ...
Mass strandings have been triggered by sonar activity, resulting in injury or death.[104][105][106][107] ... Whale ribs loosely articulate with their thoracic vertebrae at the proximal end, but they do not form a rigid rib cage. This ... Whale ribs loosely articulate with their thoracic vertebrae at the proximal end, but do not form a rigid rib cage. This ...
"Proceedings of the American Thoracic Society. 8 (3): 294-300. doi:10.1513/pats.201009-062WR. PMC 3132788. PMID 21653531.. CS1 ... "WHO Disease and injury country estimates". World Health Organization (WHO). 2004. Nakuha noong 11 November 2009.. ... American Thoracic, Society (1 March 2007). "Infectious Diseases Society of America/American Thoracic Society consensus ... American Thoracic Society; Infectious Diseases Society of America (2005). "Guidelines for the management of adults with ...
"Injury. 41 (4): 329-334. doi:10.1016/j.injury.2009.08.007.. *^ Ringleb, Stacie I.; Dhakal, Ajaya; Anderson, Claude D.; Bawab, ... Many different knee injuries can happen. Three percent of knee injuries are acute traumatic patellar dislocations.[25] Because ... as injury to these structures may occur during the injury or during the reduction process.[3] Subsequent imaging studies are ... "Acromioclavicular injury , Radiology Reference Article , Radiopaedia.org". radiopaedia.org. Retrieved 2018-02-21.. ...
"WHO Disease and injury country estimates". World Health Organization. 2009. Archived from the original on 2009-11-11. Retrieved ... "Respiration; International Review of Thoracic Diseases. 85 (3): 179-92. doi:10.1159/000346525. PMID 23364286.. ... "American Thoracic Society. Archived from the original on December 3, 2013. Retrieved November 29, 2013.. ... Ziment I (1991). "History of the treatment of chronic bronchitis". Respiration; International Review of Thoracic Diseases. 58 ( ...
Musculoskeletal injury *Articular cartilage injuries. *Acute lung injury. *Pancreatic injury. *Thoracic aorta injury ... Injury from internal causes such as reperfusion injury. By locationEdit. *Wound, an injury in which skin is torn, cut or ... Illness and injuries during spaceflight. Injury severity scoreEdit. The injury severity score (ISS) is a medical score to ... Repetitive strain injury or other strain injury. *Other injuries from external physical causes, such as radiation poisoning, ...
"Journal of Thoracic Disease. 7 (8): 1311-1322. doi:10.3978/j.issn.2072-1439.2015.06.11. PMC 4561280. PMID 26380759.. ... Brain injury (temporary or permanent). *Decreased muscle tone. This can be caused by drugs or alcohol, or it can be caused by ... "Proceedings of the American Thoracic Society. 5 (2): 173-8. doi:10.1513/pats.200708-119MG. PMC 2645251. PMID 18250209.. ... "Proceedings of the American Thoracic Society. 5 (2): 136-143. doi:10.1513/pats.200709-155MG. PMC 2645248. PMID 18250205.. ...
American Spinal Injury Association (ASIA). June 2008. Archived from the original (PDF) on 2016-03-04.. ... 12 thoracic nerves, 5 lumbar nerves and 5 sacral nerves. Each of these nerves relays sensation (including pain) from a ...
... coupled with the high cost of defending personal-injury lawsuits brought by some people who took the drug.[79] Generic ... Respiratory, thoracic and mediastinal *Epistaxis. *Nasal dryness. *Nasopharyngitis. *Bronchospasm (particularly in people with ...
Head injury[edit]. A 2015 review found that moderate to severe traumatic brain injury is a risk factor for ALS, but whether ... thoracic, and lumbar. Definite ALS was defined as upper motor neuron (UMN) and lower motor neuron (LMN) signs in three spinal ... mild traumatic brain injury increases rates was unclear.[63] A 2017 meta-analysis found an association between head injuries ... Watanabe Y, Watanabe T (October 2017). "Meta-analytic evaluation of the association between head injury and risk of amyotrophic ...
WHO Disease and injury country estimates»։ World Health Organization։ 2009։ Արխիվացված օրիգինալից նոյեմբերի 11, 2009-ին։ ... An official American Thoracic Society clinical practice guideline: exercise-induced bronchoconstriction»։ Am. J. Respir. Crit. ... 4,0 4,1 GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. (8 October 2016)։ «Global, regional, and national ... and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic ...
American Thoracic Society". MMWR Recomm Rep 49 (RR-6): str. 1.-51. PMID 10881762. Cite uses deprecated parameter ,month=. (help ... "WHO Disease and injury country estimates". World Health Organization. 2004. http://www.who.int/healthinfo/global_burden_disease ... American Thoracic Society (1997). "Diagnosis and treatment of disease caused by nontuberculous mycobacteria. This official ... Shields, Thomas (2009.). General thoracic surgery (7. izdanje izd.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & ...
Anatomy photo:18:01-0115 at the SUNY Downstate Medical Center - "Thoracic Wall: The Anterior Thoracic Wall" ... An abdominal muscle strain, also called a pulled abdominal muscle, is an injury to one of the muscles of the abdominal wall. A ... Sensory supply is from the 7-12 thoracic nerves. Variation[edit]. The sternalis muscle may be a variant form of the pectoralis ... Second, the superior epigastric artery, a terminal branch of the internal thoracic artery, supplies blood to the upper portion ...
When threatened, common ostriches run away, but they can cause serious injury and death with kicks from their powerful legs.[33 ... The largest air sacs found within the respiratory system are those of the post-thoracic region, while the others decrease in ... abdominal and post-thoracic) differ in that the right abdominal air sac is relatively small, lying to the right of the ... feigning injury.[56] However, they may sometimes fiercely fight predators, especially when chicks are being defended, and have ...
Treatment can include pharmaceutical or surgical means. The drug carbamazepine (Tegretol) has been used successfully. Other drugs with variable success include gabapentin and, recently,[when?] memantine. Successful surgery options include superior oblique tenectomy accompanied by inferior oblique myectomy.[6] However, "[o]verall, the bulk of the ophthalmic literature would agree with the viewpoint that invasive craniotomy surgical procedures should be justified only by the presence of intractable and absolutely unbearable symptoms."[7] Samii et al.[3] and Scharwey and Samii[4] described a patient who had superior oblique myokymia for 17 years. The interposition of a Teflon pad between the trochlear nerve and a compressing artery and vein at the nerve's exit from the midbrain led to a remission lasting for a follow-up of 22 months. ...
The other main surgical option is endoscopic thoracic sympathectomy (ETS), which cuts, burns, or clamps the thoracic ganglion ... In people with a past history of spinal cord injuries *Autonomic dysreflexia ... "Long-term results of endoscopic thoracic sympathectomy for upper limb hyperhidrosis". The Annals of Thoracic Surgery. 75 (4): ... 2005). "Endoscopic thoracic sympathectomy for palmar hyperhidrosis: Efficacy of T2 and T3 ganglion resection". Surgery. 138 (1 ...
Proceedings of the American Thoracic Society. 2006, roč. 3, čís. 1, s. 103-10. DOI:10.1513/pats.200511-119JH. PMID 16493157.. ... WHO Disease and injury country estimates [online]. Světová zdravotnická organizace, 2004 [cit. 2009-11-11]. Dostupné online.. ...
doi:10.1016/j.injury.2012.02.015. PMID 22409991.. *^ Kassam-Adams N, Marsac ML, Hildenbrand A, Winston F (December 2013). " ... "The Operational Stress Injury Social Support (OSISS) Program for Canadian Veterans". Archived from the original on 6 July 2011. ... After PTSD became an official psychiatric diagnosis with the publication of DSM-III (1980), the number of personal injury ... O'Donnell ML, Creamer M, Bryant RA, Schnyder U, Shalev A (July 2003). "Posttraumatic disorders following injury: an empirical ...
These facilities handle many kinds of disease and injury, and normally have an emergency department (sometimes known as " ... In Germany specialised hospitals are called Fachkrankenhaus; an example is Fachkrankenhaus Coswig (thoracic surgery). ...
... with the upper trunk of the plexus sustaining the greatest injury. Injury may also occur as the result of direct violence, ... These form part of the brachial plexus, comprising the ventral rami of spinal nerves C5-C8 and thoracic nerve T1.[1][2][3] ... Brachial-Plexus-Injuries at NINDS. *. Watt AJ, Niederbichler AD, Yang LJ, Chung KC (2007). "Wilhelm Heinrich Erb, M.D. (1840 to ... Erb's palsy or Erb-Duchenne palsy is a paralysis of the arm caused by injury to the upper group of the arm's main nerves, ...
British Thoracic Society. 2008 (revised 2012). *"Global Strategy for Asthma Management and Prevention" (PDF). Global Initiative ... "WHO Disease and injury country estimates". World Health Organization. 2009. Diarsipkan dari versi asli tanggal 11 November 2009 ...
Endothelial injury and dysfunction. *Fibrinoid necrosis of the arterioles. *Deposition of platelets and fibrin ... Thoracic aortic aneurysm. *Aneurysm of sinus of Valsalva. *Aortic dissection. *Coronary artery aneurysm ...
"WHO Disease and injury country estimates". World Health Organization (2009). பார்த்த நாள் Nov 11, 2009. ... 147.0 147.1 O'Driscoll, BR; Howard, LS; Davison, AG; British Thoracic, Society (October 2008). "BTS guideline for emergency ... December 2012). "Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic ... December 2012). "Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic ...
A lack of field observations limit our knowledge, but intraspecific conflicts are known to sometimes result in injury or death. ... The spine has cervical, thoracic, lumbar and caudal regions with the number of cervical (neck) vertebrae highly variable and ... especially flexible, but movement is reduced in the anterior thoracic vertebrae and absent in the later vertebrae.[63] The last ...
"WHO Disease and injury country estimates". World Health Organization. 2009. Archived from the original on 2009-11-11. Retrieved ... Jaubert de Beaujeu M, Chavrier Y (January 1976). "[Deformations of the anterior thoracic wall (author's transl)]". Ann Chir ... Sclerosis of the bones of the thoracic spine due to prostate cancer metastases (CT image) ... Sclerosis of the bones of the thoracic spine due to prostate cancer metastases (CT image) ...
"Journal of Thoracic Oncology. 15 (5): e65-e66. doi:10.1016/j.jtho.2020.03.008. PMC 7118681 $2 ,pmc=. değerini kontrol edin ( ... Xu L, Liu J, Lu M, Yang D, Zheng X (Mart 2020). "Liver injury during highly pathogenic human coronavirus infections". Liver ...
Annals of Thoracic Surgery. 56 (4): 988-989. doi:10.1016/0003-4975(93)90377-t. PMID 8215687. Rosenthal, R; Zenilman M (2001). " ... first successful pneumonectomy in two stages by Rudolph Nissen on a patient with crush injury to the thorax 1933: first ...
Serious acute cervical and thoracic spine injuries in youth... ... Acute cervical and thoracic spine injuries in sports range from ... Timely diagnosis and treatment of acute cervical and thoracic injury are essential. Overuse injuries to the cervical and ... Cervical spine Thoracic spine Fracture Sprain Neurologic injury Return to play This is a preview of subscription content, log ... Acute cervical and thoracic spine injuries in sports range from mild sprains to fracture dislocations with catastrophic ...
The majority of blunt aortic injuries are due to motor vehicle collision. In the United States, blunt aortic injury is the sec ... Patients involved in high-energy blunt trauma involving rapid deceleration are at significant risk for blunt aortic injury. ... MECHANISM OF INJURY. The incidence of blunt thoracic aortic injury is estimated between 1.5 and 2 percent of patients who ... Injury mechanism and other patient-related factors that increase the risk for blunt thoracic aortic injury are discussed ...
In an effort to better understand thoracic trauma in frontal impacts, seventy-one frontal impact sled tests were conducted ... Development of an Improved Thoracic Injury Criterion 983153. In an effort to better understand thoracic trauma in frontal ... This linear combination was found to have significantly better injury predictive ability, for thoracic trauma in human subjects ... Citation: Kuppa, S. and Eppinger, R., "Development of an Improved Thoracic Injury Criterion," SAE Technical Paper 983153, 1998 ...
Covers all aspects of injury prevention, evaluation and management. Includes an email Discussion group, Conference listings, ... Home > Articles > Organ Injury Scale - Thoracic Vasculature Organ Injury Scale - Thoracic Vasculature. , February 03, 2009. ...
Compared with patients with low thoracic SCI or thoracolumbar fractures, patients with HT-SCI have an increased risk of ... Respiratory complications and mortality risk associated with thoracic spine injury J Trauma. 2005 Dec;59(6):1400-7; discussion ... to T6-level spinal cord injuries. Among patients with an Injury Severity Score less than 17 (n = 6427), the relative mortality ... Methods: This was a retrospective cohort study of all adult patients with thoracolumbar injuries entered into the Pennsylvania ...
... has a thoracic injury requiring thoracotomy, has a spinal injury, or has a head injury. If four of these criteria are met their ... If the injury is in the descending thoracic aorta this could lead to a hemothorax. Where as an injury to the ascending aorta ... Injury of the thoracic aorta refers to any injury which affects the portion of the aorta which lies within the chest cavity. ... Thoracic aortic injury is the 2nd leading cause of death involving both blunt trauma. 80% of patients that have a thoracic ...
Data on the sensitivity of human cadaver and/or animal model biomechanical and injury responses to blunt loadings at different ... Classical blunt thoracic impacts have involved midsternal anteroposterior loadings to an upright-positioned subject. ... Sensitivity of Porcine Thoracic Responses and Injuries to Various Frontal and A Lateral Impact Site 780890. ... Citation: Viano, D., Warner, C., Hoopes, K., Mortenson, C. et al., "Sensitivity of Porcine Thoracic Responses and Injuries to ...
The following is a short description of upper and mid-thoracic spinal cord injury, emphasizing the anatomy, the neurology, ... Many people have been asking for an article about diagnosis and treatment of thoracic spinal cord injury. ... Diagnosis and Treatment of Thoracic Spinal Cord Injury By Wise Young, Ph.D., M.D. W. M. Keck Center for Collaborative ... Thoracic Spinal Cord Injury: Diagnosis & Treatment Diagnosis and Treatment of Thoracic Spinal Cord Injury. By Wise Young, Ph.D ...
Thoracic Aorta Injury - Classification. Classification. There are inconsistencies in the terminology of aortic injury. There ... are several terms which are interchangeably used to describe injury to the aorta such as tear, laceration, transection, and ...
You have previously posted that for a person with a mid-thoracic injury, a regeneration therapy would most likely be enough to ... Regenerative therapy for mid-thoracic injury Dr.Young,. You have previously posted that for a person with a mid-thoracic injury ... Thoracic spinal cord injuries represent only 10-15% of people with spinal cord injuries. Because the ribs protect the thoracic ... due to thoracolumbar injuries, and 5% due to lumbosacral injuries). Thoracic spinal cord injuries occur as a result of high- ...
This article adds three cases of blunt thoracic aortic injuries in pediatric patients to the literature and analyzes these in ... predominantly due to head injury as well as the aortic injury. Open repair and interposition grafting continue to be the ... Results: The 6-year-old and the 17-year-old were treated non-interventionally due to severe closed head injuries. One received ... The role of beta-blockade is unclear in children with this injury. Further multicenter prospective studies of this rare ...
Learn how a middle back cord injury will affect the anatomy and why injuries to the thoracic cord can be more significant than ... Thoracic spinal cord injury can result in a complete or incomplete paraplegia condition. ... Sexual dysfunction is a big problem for many patients with severe thoracic cord injuries. The highest levels of thoracic injury ... A thoracic spinal cord injury is typically more serious than a lumbar cord injury, yet not as bad as cervical spinal cord ...
... *Download PDF Copy ... This novel cell therapy approach for treating subacute thoracic spinal cord injury is described in an article in Journal of ... In the article entitled Safety of Autologous Human Schwann Cell Transplantation in Subacute Thoracic Spinal Cord Injury the ... Spinal Cord Injury, T-Cell, Tissue Engineering, Trauma, Traumatic Brain Injury, Veterans Affairs ...
... Victor W. Wong,1 ... Victor W. Wong, Stephanie D. Gordy, Martin Schreiber, and Brandon H. Tieu, "Penetrating Neck Injury to the Superior Thoracic ...
Acute lung injury and outcomes after thoracic surgery. Licker, Marca; Fauconnet, Pascala; Villiger, Yanna; Tschopp, Jean-Marieb ... Home , February 2009 - Volume 22 - Issue 1 , Acute lung injury and outcomes after thoracic surgery ... Better clinical outcomes are achieved in high-volume hospitals and when procedures are performed by a thoracic surgeon. ... the literature tracking perioperative mortality and morbidity as well as the pathogenesis and management of acute lung injury ( ...
11 patients sustaining severe blunt trauma with multiple injuries underwent acute endovascular repair for thoracic aortic ... Urgent repair of thoracic aortic transection in the setting of blunt trauma can be transformed into a well-tolerated surgical ... CONCLUSION: Adaptation and use of commercially available abdominal devices in the thoracic aorta has proven to be technically ... We reviewed our experience of endoluminal stent-graft repair for treatment of acute traumatic thoracic aortic transection. ...
To reduce the risk for liver injury associated with RIF-PZA therapy, the American Thoracic Society and CDC, with the ... been associated with idiosyncratic liver injury. All five patients had onset of liver injury during the second month of the 2- ... These 21 cases are in addition to two previously reported RIF-PZA--associated cases (1). Cases of liver injury have occurred ... PZA dosages for the five patients were 19, 18, 23, 20, and 16 mg/kg/d (recommended dose: 15--20 mg/kg/d). After liver injury ...
Surgical Treatment of Unstable Thoracic Spine Injuries. Severe injuries to the thoracic spine occur with some car accidents. ... Studies of the surgical treatment of serious, unstable thoracic spinal injuries are very limited. This study did not compare ... These high-energy injuries cause significant trauma to the spine. Surgery is needed to restore the vertebrae to a stable ... The screws spanned from two to three segments above the area of injury to several segments below the lowest area of instability ...
... to determine the incidence and morbidity of cardiac injury in this population. Four patients died, and the data were incomplete ... we prospectively studied 41 children with blunt thoracic trauma (BTT) ... There was no significant difference in Injury Severity Score or Thoracic Abbreviated Injury Scale between patients with and ... Diagnosis and incidence of cardiac injury in children with blunt thoracic trauma J Pediatr Surg. 1989 Oct;24(10):1091-4. doi: ...
Gunshot thoracic injuries are not very common in our geographical location, occurring most frequently in the context of ... Summary of "Surprising findings during thoracic revision due to gunshot injury - a case report.". Gunshot thoracic injuries are ... Study of the Relay Pro® Thoracic Stent-Graft in Subjects With Traumatic Injury of the Descending Thoracic Aorta ... Metabolomic Study in Exhaled Breath Condensate of Thoracic Surgical Patients. Acute lung injury (ALI) following thoracic ...
... of this study is to evaluate the immediate and short-term results of endovascular stent grafting repair after blunt thoracic ... of the descending thoracic aorta. Type and severity of injury, concomitant injuries, clinical factors, and outcome were ... Aorta, Thoracic / injuries*, surgery*. Blood Vessel Prosthesis Implantation / methods*. Female. Humans. Length of Stay. Male. ... METHODS: A review of a tertiary trauma center registry identified all patients who suffered blunt thoracic aortic injury from ...
Introduction: Anterior thoracic penetrating injuries may result in life-threatening com.. ... A tension haemothorax is an uncommon injury after penetrating chest trauma. ... Conclusion: Penetrating thoracic injury with isolated internal mammary injury is a very rare cause of massive haemothorax and ... Penetrating thoracic injury with isolated IMA injury is a very rare cause of massive haemothorax and associated with high ...
Most patients do not survive long enough, post injury,... ... injury Thoracic aortic injury Blunt thoracic aortic injury ... Background Blunt and penetrating traumatic thoracic aortic injuries constitute surgical emergencies that are attended with high ... Thoracic endovascular repair is currently rapidly evolving as the standard of care for thoracic aortic injuries at many centres ... Outcomes after thoracic endovascular aortic repair in patients with traumatic thoracic aortic injuries-a single-centre ...
Incidence, Risk Factors, and Risk Model of Acute Kidney Injury After Thoracic Aortic Surgery. The safety and scientific ... Postoperative acute kidney injury (AKI) is still one of the serious complications of thoracic aortic surgery, with incidence of ... thoracic aortic surgery group patients who underwent thoracic aortic surgery. Other: Electronic Medical Record (EMR) Review ... Incidence, Risk Factors, and Risk Model of Acute Kidney Injury After Thoracic Aortic Surgery. ...
... those with a complete cervical injury or a complete thoracic injury. Dose levels from 0.3 mg - 9 mg of Cethrin will be ... A Safety Study for Cethrin (BA-210) in the Treatment of Acute Thoracic and Cervical Spinal Cord Injuries. The safety and ... For Group 1, patients with acute thoracic (T2-T12) spinal cord injury; for Group 2, patients with acute cervical (C4-T1) spinal ... Spinal Cord Injuries. Wounds and Injuries. Spinal Cord Diseases. Central Nervous System Diseases. Nervous System Diseases. ...
Recent injury (must receive Scaffold within 96 hours from injury). *Non-penetrating contusion injury no less than approximately ... Traumatic Thoracic Acute Spinal Cord Injury Device: Neuro-Spinal Scaffold Phase 3 ... The INSPIRE Study: Probable Benefit of the Neuro- Spinal Scaffold for Treatment of AIS A Thoracic Acute Spinal Cord Injury. ... Wounds and Injuries. Spinal Cord Injuries. Spinal Cord Diseases. Central Nervous System Diseases. Nervous System Diseases. ...
Study of Probable Benefit of the Neuro-Spinal Scaffold™ in Subjects With Complete Thoracic AIS A Spinal Cord Injury as Compared ...
Home > 2006 ICD-9-CM Diagnosis Codes > Injury And Poisoning 800-999 > Injury To Blood Vessels 900-904 > Injury to blood vessels ... Short description: INJURY THORACIC AORTA.. *ICD-9-CM 901.0 is a billable medical code that can be used to indicate a diagnosis ... thoracic NEC (see also Injury, internal, intrathoracic organs) 862.8. *. with open wound into cavity 862.9. ... thorax, thoracic (cavity) (organs) (multiple) (see also Injury, internal, intrathoracic organs) 862.8. *. with open wound into ...
Clinical presentation Approximately 80% of patients with thoracic aortic injury die at the scene of the ... ... Thoracic aortic injury is the most common type of traumatic aortic injury and is a critical life-threatening, and often life- ... Blunt thoracic aortic injury is uncommonly an isolated injury. A large autopsy study found that 97% of victims of aortic injury ... sternal injury or thoracic spine injury. Only 12.5% of mediastinal hematoma is due to aortic injury. However, the negative ...
Although much progress has been made in the clinical care of patients with acute spinal cord injuries, there are no reliably ... be effective in different neurologic conditions does not confer a significant neurologic benefit in a thoracic contusion injury ...
  • The thoracic spine demonstrates the best natural defense against traumatic injury, since the spinal cord is well protected by large and strong vertebrae which do not suffer the same degree of degeneration as the upper and lower ends of the backbone. (cure-back-pain.org)
  • The thoracic vertebrae are very strong and protective. (cure-back-pain.org)
  • It is very painful to touch the lateral 7th cervical vertebrae and my 2nd Thoracic vertebrae. (sportsinjurybulletin.com)
  • There are 12 thoracic vertebrae protecting the spinal cord, a delicate bundle of nerves that carries messages from the brain to other areas of the body. (enjuris.com)
  • The thoracic spine is composed of twelve different vertebrae levels. (nakaselawfirm.com)
  • The spine is divided into seven neck (cervical) vertebrae, twelve chest (thoracic) vertebra, five back (lumbar) vertebrae, and five tail (sacral) vertebrae. (brainandspinalcord.org)
  • The back (lumbar) cord is located in the chest (thoracic) vertebrae, between the T9 and T11 vertebra. (brainandspinalcord.org)
  • The thoracic spine is made up of twelve vertebrae, labeled T1-T12. (physiotherapynicosia.com)
  • While compression fractures can occur anywhere in the spine, they typically occur in the lower vertebrae of the thoracic. (physiotherapynicosia.com)
  • There are twelve vertebrae, numbered T1-T12 top to bottom, and it is these vertebrae that make up the thoracic spine. (personalinjurydoctorgroup.com)
  • The ribs are attached to the thoracic spine's vertebrae making this region of the spine strong and stable. (personalinjurydoctorgroup.com)
  • Injuries to these vertebrae affect the abdominal, the lower back muscles, and the legs. (injuryattorneyfla.com)
  • Injuries to these vertebrae almost always result in paraplegia. (injuryattorneyfla.com)
  • The thoracic section of your spine is made up of 12 vertebrae and shaped like a backward C, called a kyphotic curve. (livestrong.com)
  • A thoracic spine x-ray is an x-ray of the 12 chest (thoracic) bones (vertebrae) of the spine. (medlineplus.gov)
  • Patients involved in high-energy blunt trauma involving rapid deceleration are at significant risk for blunt aortic injury. (uptodate.com)
  • The incidence of blunt thoracic aortic injury is estimated between 1.5 and 2 percent of patients who sustain blunt thoracic trauma [ 4-7 ]. (uptodate.com)
  • See 'Initial evaluation and management of blunt thoracic trauma in adults', section on 'Epidemiology' . (uptodate.com)
  • In an effort to better understand thoracic trauma in frontal impacts, seventy-one frontal impact sled tests were conducted using post-mortem human subjects in the driver's position. (sae.org)
  • This linear combination was found to have significantly better injury predictive ability, for thoracic trauma in human subjects under any restraint environment, than other existing injury criteria such as VC max , chest deflection, or chest acceleration alone. (sae.org)
  • For frontal impacts, thoracic compliance (i.e., sternal acceleration, normalized deflection, blood over-pressure, as well as force-deflection characteristics) and injury (i.e., skeletal and visceral trauma, and conduction dysfunction) were significantly affected by the location of the sternal load. (sae.org)
  • This was a retrospective cohort study of all adult patients with thoracolumbar injuries entered into the Pennsylvania Trauma System Foundation registry between January 1993 and December 2002. (nih.gov)
  • G. McGwin Jr., D. A. Reiff, S. G. Moran and L. W. Rue, "Incidence and Characteristics of Motor Vehicle Collision-Related Blunt Thoracic Aortic Injury According to Age," Journal of Trauma, Vol. 52, No. 5, 2002, pp. 859-865. (scirp.org)
  • These high-energy injuries cause significant trauma to the spine. (eorthopod.com)
  • A thoracic spinal cord injury is typically more serious than a lumbar cord injury , yet not as bad as cervical spinal cord trauma . (cure-back-pain.org)
  • This essay details thoracic cord trauma and disease and the resulting dysfunction produced in the anatomy. (cure-back-pain.org)
  • METHODS: Between February 2001 and February 2005, 11 patients sustaining severe blunt trauma with multiple injuries underwent acute endovascular repair for thoracic aortic transection with 'off-the-shelf' commercially available proximal aortic cuffs. (uptodate.com)
  • Urgent repair of thoracic aortic transection in the setting of blunt trauma can be transformed into a well-tolerated surgical intervention using endovascular techniques. (uptodate.com)
  • Injuries to the aorta are usually the result of trauma, such as deceleration and crush injuries. (wikipedia.org)
  • Penetrating thoracic aortic injuries have a higher mortality than blunt trauma, with patients often only reaching the hospital in extremis. (springer.com)
  • Prospective study of blunt aortic injury: multicenter trial of the American Association for the Surgery of Trauma. (springer.com)
  • Over a 20-month period, we prospectively studied 41 children with blunt thoracic trauma (BTT) to determine the incidence and morbidity of cardiac injury in this population. (nih.gov)
  • In 13 trauma-related deaths undergoing autopsy over the same period, including the four with thoracic trauma, none had evidence of cardiac injury. (nih.gov)
  • The absence of adverse cardiac events in surviving patients and the lack of autopsy evidence of cardiac injury in the trauma deaths suggest that the actual incidence and clinical significance of these lesions in children is lower than generally reported. (nih.gov)
  • Thoracic traumas are frequent causes of emergency department admissions and the third most common cause of death from trauma. (bioportfolio.com)
  • The aim of this study is to evaluate the immediate and short-term results of endovascular stent grafting repair after blunt thoracic aortic injury due to trauma. (biomedsearch.com)
  • METHODS: A review of a tertiary trauma center registry identified all patients who suffered blunt thoracic aortic injury from 2002 to 2006. (biomedsearch.com)
  • A tension haemothorax is an uncommon injury after penetrating chest trauma. (omicsonline.org)
  • Approximately 80% of patients with thoracic aortic injury die at the scene of the trauma. (radiopaedia.org)
  • Long thoracic nerve injury leading to scapular winging is common, often caused by closed trauma through compression, stretching, traction, direct extrinsic force, penetrating injury, or neuritides such as Parsonage-Turner syndrome. (researchgate.net)
  • Patients who survive the initial trauma and present to the hospital experience progressive hospital mortality and remain at risk for rupture of the contained injury. (minervamedica.it)
  • CONCLUSION: TEVAR allows rapid and effective therapy in trauma patients with blunt aortic injury. (uzh.ch)
  • Trap-Door Incision for Penetrating Thoracic Trauma: An Obsolete Approach? (semanticscholar.org)
  • Many of these injuries are fatal, however those that survive deserve immediate attention - a 15 year series of 114 thoracic aorta ruptures following blunt-trauma (Maryland Shock Trauma) showed that, despite a 78% initial survival rate (resuscitation) the overall survival rate was only 47% [Cowley RA et al. (openanesthesia.org)
  • Typically, they are attributed to high-impact trauma resulting in complete spinal cord injuries. (surgicalneurologyint.com)
  • In general, thoracic outlet syndrome is thought to be caused by a number of factors, including activities at home and work, sleep postures, trauma, anatomical variations and other diseases. (wustl.edu)
  • Upper thoracic fractures are produced by high-energy trauma. (clinmedjournals.org)
  • Isolated injury was observed in 107 cases, and 166 (60.8%) patients had multifocal trauma and multi-organ injuries. (infona.pl)
  • 1. Over 30% of patients need no surgical treatment after thoracic trauma. (infona.pl)
  • 2. The most common coexisting injuries with thoracic trauma are cranio-cerebral injuries and bone fractures. (infona.pl)
  • We report our experience with blunt thoracic aortic injury at a level 1 trauma center over the past 15 years. (qxmd.com)
  • Between January 1, 1997, and January 1, 2012, data on 338 patients who presented with suspected blunt thoracic aortic injury were entered into the University of Texas Medical School at Houston Trauma Center Registry. (qxmd.com)
  • 6. CT and CTA: CT imaging is the most valuable investigation in blunt trauma for the evaluation of the mediastinum, aorta, thoracic spine, and suspected lung contusions. (aneskey.com)
  • All stable blunt trauma patients with a suspicious mechanism of injury (high-speed injury, falls from height) or those with an abnormal mediastinum on chest X-ray should be evaluated by CTA for aortic rupture. (aneskey.com)
  • Aims: Clinically and intuitively, it is believed that the incidence of abdominal injuries is high when there is a combination of both thoracic and pelvic trauma. (elsevier.com)
  • Results: 507/3644 (14%) patients with significant chest trauma but no pelvic trauma had concomitant abdominal injuries, compared to 111/1397 (8%) patients with pelvic trauma but no chest trauma. (elsevier.com)
  • Conclusion: As expected, patients with serious chest and pelvic trauma have a much higher incidence of significant abdominal injury than patients with chest or pelvic trauma in isolation. (elsevier.com)
  • This 8- year study reviews 44 thoracic and abdominal ski injuries managed at an urban trauma center since the inception of a helicopter air evacuation program with in-flight resuscitation capabilities. (northwestern.edu)
  • Journal of Trauma - Injury, Infection and Critical Care , 23 (9), 844-848. (northwestern.edu)
  • IMSEAR at SEARO: Oesophageal injury following blunt thoracic trauma--(a case report). (who.int)
  • Development of a promising universal thoracic trauma prediction methodology. (lievers.net)
  • Injuries to the tracheobronchial tree within the chest may occur due to penetrating forces such as gunshot wounds, but are more often the result of blunt trauma. (wikipedia.org)
  • Unlike TBI that results from blunt trauma, most iatrogenic injuries to the airway involve longitudinal tears to the back of the trachea or tears on the side that pull the membranous part of the trachea away from the cartilage. (wikipedia.org)
  • Between the mobile ascending aorta and the relatively fixed descending thoracic aorta is the aortic isthmus. (wikipedia.org)
  • If the injury is in the descending thoracic aorta this could lead to a hemothorax. (wikipedia.org)
  • All patients underwent either open repair with synthetic graft interposition or endovascular stent grafting (EVS) of the descending thoracic aorta. (biomedsearch.com)
  • The isthmus is the portion of the proximal descending thoracic aorta between the left subclavian artery origin and the ligamentum arteriosum . (radiopaedia.org)
  • Most common location is distal to the L subclavian artery, probably because the mobile aortic arch is continuous with the immobile descending thoracic aorta at this point (shear stress). (openanesthesia.org)
  • Decompression of the thoracic spinal cord often requires surgery because traction alone often cannot reposition the thoracic vertebral segments. (rutgers.edu)
  • Because surgery on the thoracic spinal column usually requires the opening of the thoracic cavity, decompression of thoracic spinal cord injury may be delayed by many hours, days, or even weeks after injury. (rutgers.edu)
  • R. Karmy-Jones, E. Hoffer, M. Meissner and R. D. Bloch, "Management of Traumatic Rupture of the Thoracic Aorta in Pediatric Patients," The Annals of Thoracic Surgery, Vol. 75, No. 5, 2003, pp. 1513-1517. (scirp.org)
  • Victor W. Wong, Stephanie D. Gordy, Martin Schreiber, and Brandon H. Tieu, "Penetrating Neck Injury to the Superior Thoracic Artery Managed by Video-Assisted Thoracoscopic Surgery," Case Reports in Surgery , vol. 2013, Article ID 413462, 4 pages, 2013. (hindawi.com)
  • Two main treatment options for blunt thoracic aortic injuries are open surgery and thoracic endovascular repair. (springer.com)
  • Acute lung injury (ALI) following thoracic surgery remains a major source of morbidity and mortality after lung resection. (bioportfolio.com)
  • In this study we are going to compare the effectiveness of robot assisted thoracic surgery (RATS) with video assisted thoracic surgery (VATS) in case of lung cancer. (bioportfolio.com)
  • Surgery performed on the thoracic organs, most commonly the lungs and the heart. (bioportfolio.com)
  • Scheduled to undergo spinal decompression surgery or other interventional spinal surgery (e.g., fixation) within 7 days of injury. (clinicaltrials.gov)
  • Postoperative acute kidney injury (AKI) is still one of the serious complications of thoracic aortic surgery, with incidence of 8 to 50 percent. (clinicaltrials.gov)
  • Postoperative AKI significantly increases the morbidity and mortality of patients undergoing thoracic aortic surgery. (clinicaltrials.gov)
  • Therefore, the investigators tried to evaluate the incidence and risk factors of AKI after thoracic aortic surgery according to the diagnostic criteria and staging system of AKI reported from acute kidney injury network. (clinicaltrials.gov)
  • Treat Kyphosis, Osteoporosis, Spine Compression Fractures, Wedge & Burst Fractures, Upper Spine Injuries & Post Surgery Support (Large) by Cybertech Medical at Get Cheap Health Insurance. (getcheaphealthinsurance.net)
  • All patients with penetrating war injury to the chest received an immediate screening CXR, whereas chest CT was performed at the discretion of the thoracic surgery team (Table 1). (deepdyve.com)
  • achieving a mortality rate of 13.3% in a population of 15 patients who underwent surgery between 2 days and 25 months after the injury. (openanesthesia.org)
  • Thoracic Anesthesia » Ishikawa S, Greisdale DEG, Lohser J. Acute kidney injury after lung resection surgery: incidence and perioperative risk factors. (thoracic-anesthesia.com)
  • Ishikawa S, Greisdale DEG, Lohser J. Acute kidney injury after lung resection surgery: incidence and perioperative risk factors. (thoracic-anesthesia.com)
  • BACKGROUND: Postoperative acute kidney injury (AKI) is associated with increased perioperative morbidity and mortality in a variety of surgical settings, but has not been well studied after lung resection surgery. (thoracic-anesthesia.com)
  • Postoperative AKI was diagnosed within 72 hours after surgery based on the Acute Kidney Injury Network creatinine criteria. (thoracic-anesthesia.com)
  • Incidence of mortality and morbidity related to postoperative lung injury in patients who have undergone abdominal or thoracic surgery: a systematic review and meta-analysis. (semanticscholar.org)
  • BACKGROUND Lung injury is a serious complication of surgery. (semanticscholar.org)
  • We did a systematic review and meta-analysis to assess whether incidence, morbidity, and in-hospital mortality associated with postoperative lung injury are affected by type of surgery and whether outcomes are dependent on type of ventilation. (semanticscholar.org)
  • Acute surgery was decided: performing external fixation of right tibia, wound cleaning and exploration of iliac crest and open reduction and fixation of the fracture-dislocation of thoracic spine. (clinmedjournals.org)
  • Background In blunt thoracic aortic injury, thoracic endovascular aortic repair (TEVAR) offers a less invasive alternative to open chest surgery. (elsevier.com)
  • Annals of Thoracic Surgery , 97 (3), 774-780. (elsevier.com)
  • Turkish Journal of Thoracic and Cardiovascular Surgery published orginal papers on topics in cardiovascular surgery, cardiovascular anesthesia,cardiology and thoracic surgery. (dergisi.org)
  • All copyrights of the articles that published or will be published belongs to Turkish Journal of Thoracic and Cardiovascular Surgery and without permission of editorial board whole articles or any part of articles table pictures and graphics could not be published. (dergisi.org)
  • For lateral impacts, large penetration into the rib cage produced serious liver injuries with extensive near-side skeletal damage in one case and no fractures in the other. (sae.org)
  • Respiratory complications occurred in 51.1% of patients with T1 to T6 SCI (versus 34.5% in T7 to T12 SCI and 27.5% in thoracic fractures). (nih.gov)
  • Compared with patients with low thoracic SCI or thoracolumbar fractures, patients with HT-SCI have an increased risk of pneumonia and death. (nih.gov)
  • 2 ] However, there may be significant variability in both the severity of the fractures and the pattern of the two distinct injuries. (surgicalneurologyint.com)
  • 1 , 3 - 5 ] Here, the authors present a 19-year-old male with noncontiguous, unstable thoracic spine fractures involving the T3-T5 and T11-12 levels, which warranted T3-L3 decompression/fusion. (surgicalneurologyint.com)
  • T2 sagittal MRI of the thoracic spine showing both fractures. (surgicalneurologyint.com)
  • Fracture-dislocation (type C Association) for the Study of Internal Fixation (AO classification) of the upper thoracic spine represents 15% of all thoracic and lumbar fractures. (clinmedjournals.org)
  • The neurological injury occurs in 80% of cases, being extremely rare type C fractures without spinal cord injury. (clinmedjournals.org)
  • Traumatic thoracic spine fractures require enormous forces. (unboundmedicine.com)
  • Compression fractures due to osteoporosis are a main cause of thoracic spine pain in the elderly. (physiotherapynicosia.com)
  • Most haemothoraces are the result of rib fractures, lung parenchymal and minor venous injuries, and as such are self-limiting. (trauma.org)
  • While many fractures heal with bracing and other treatments, some thoracic spine fractures are life-changing. (injuryattorneyfla.com)
  • instead, the geography and extent of fractures and soft tissue injury were used to define the grade. (aast.org)
  • Blunt and penetrating traumatic thoracic aortic injuries constitute surgical emergencies that are attended with high mortality rates. (springer.com)
  • Even though there is a paucity of literature on penetrating traumatic aortic injury, thoracic endovascular repair has low peri-procedural adverse events and is safe in selected patients. (springer.com)
  • Mortality and Prognostic Factors in Penetrating Injuries of the Aorta. (springer.com)
  • We present a case of a young male patient with a fatal pulmonary air embolism following a penetrating gunshot head injury. (bioportfolio.com)
  • Penetrating thoracic ice pick injury extending into pulmonary artery: Report of a case. (bioportfolio.com)
  • Penetrating thoracic traumas have a wide spectrum, ranging from mild traumas to life-threatening injuries. (bioportfolio.com)
  • Anterior thoracic penetrating injuries may result in life-threatening complications. (omicsonline.org)
  • Penetrating thoracic injury with isolated internal mammary injury is a very rare cause of massive haemothorax and associated with high mortality. (omicsonline.org)
  • METHODS We reviewed records of 449 patients (374 men, mean age 29.3 ± 14.8 years) who were admitted to our hospital with penetrating war injuries to the chest over a 7-year period. (deepdyve.com)
  • CONCLUSIONS CXRs continue as the primary diagnostic modality in the assessment of patients with penetrating war injuries to the chest. (deepdyve.com)
  • In comparison, the value of chest CT in the management of patients with penetrating war injuries to the chest has not been widely studied, and only limited data are available on injured patients who are expected to benefit from undergoing CT of the chest [6, 7]. (deepdyve.com)
  • This study was performed to define and compare the contributions of CXRs and chest CTs towards detecting intrathoracic damage in patients with penetrating war injuries and to determine whether identification of certain additional injuries by chest CT will have an impact on the choice of therapeutic interventions and clinical outcomes. (deepdyve.com)
  • Penetrating thoracic great vessel injury: impact of admission hemodynamics and preoperative imaging. (semanticscholar.org)
  • BACKGROUND The management of penetrating great vessel (PGV) injury is challenging. (semanticscholar.org)
  • Selective nonoperative management of penetrating thoracic injury. (semanticscholar.org)
  • Gas can reach the peritoneal cavity in both blunt and penetrating chest traumas, following normal or abnormal pathways, i.e., diaphragmatic interruptions in the former case and congenital defects or post-traumatic diaphragmatic injuries in the latter case. (elsevier.com)
  • In this trial, the authors investigated the clinical and semiologic meaning of this finding, frequently disregarded in traumatologic literature, which was observed in 6 cases of chest injuries: 4 blunt and 2 penetrating traumas. (elsevier.com)
  • 50 patients (18.3%) had acute, penetrating injuries, and 223 patients (81.7%) had blunt thoracic injuries. (infona.pl)
  • In addition, EKG might be useful in some stable patients with suspected penetrating cardiac injuries. (aneskey.com)
  • Intraoperative transdiaphragmatic window during an exploratory laparotomy, however, remains a useful diagnostic tool for the evaluation of cardiac involvement after penetrating thoracoabdominal injuries. (aneskey.com)
  • Penetrating cardiac injury. (trauma.org)
  • Three were penetrating injuries. (northwestern.edu)
  • This study aims to investigate the prognostic factors affecting survival and clinical outcomes in patients exposed to pediatric penetrating thoracic injury. (dergisi.org)
  • Penetrating thoracic injuries were divided into three groups: incisive/stabbing injuries, gunshot injuries, explosive injuries. (dergisi.org)
  • Of the penetrating thoracic injuries, while 211 (79%) were isolated injuries, 56 (21%) were accompanying non-thoracic injuries. (dergisi.org)
  • Pediatric penetrating thoracic injuries may be observed in all age groups in children, the most severe type being explosive injuries. (dergisi.org)
  • Ethyologically, 69 (71%), 20 (20%), 9 (9%) of the injuries were the result of penetrating injuries, gunshut wounds and blunt injuries, respectively. (dergisi.org)
  • If air escapes from a penetrating injury to the neck, a definite diagnosis of TBI can be made. (wikipedia.org)
  • As it turns out, the thoracic segments control muscles that attach to the ribs (which include the abdominal muscles, as well as most of the back muscles). (rutgers.edu)
  • The thoracic segments and upper lumbar segments innervate the abdominal muscles including the rectus abdominus (T4-L3), external oblique (T6-L3), transverse abdominis (T9-L3), and internal oblique (T12-L3). (rutgers.edu)
  • CONCLUSION: Adaptation and use of commercially available abdominal devices in the thoracic aorta has proven to be technically feasible. (uptodate.com)
  • Clinical experience of the use of self-fixing synthetic prostheses for remote endoprosthetics of the thoracic and the abdominal aorta and iliac arteries through the femoral artery and as intraoperative endoprosthesis for aorta reconstruction. (springer.com)
  • Five early deaths occurred, all in DTAR patients, from multiorgan failure (n = 2), intra-abdominal hemorrhage (n = 1), or diffuse axonal injury (n = 2). (acc.org)
  • Among the various causes of free abdominal gas, there should be included those following chest injuries. (elsevier.com)
  • In this condition, even though conventional radiology remains the method of choice, CT can be considered as an integrative technique of great panorama allowing small amounts of free abdominal gas and related thoracic and abdominal injuries to be demonstrated, especially in the patients in forced supine decubitus, in whom abdominal plain films can be difficult to perform. (elsevier.com)
  • The aim of this study was to establish the true incidence of intra-abdominal injury in these patients. (elsevier.com)
  • Significant chest, abdominal and pelvic injuries were all defined as AIS ≥ 2. (elsevier.com)
  • The increasing popularity of skiing as a recreational sport has resulted in a greater number of major thoracic and abdominal injuries. (northwestern.edu)
  • Cleveland, Henry C. / Thoracic and abdominal injuries in skiers : The role of air evacuation . (northwestern.edu)
  • This scale is confined to the chest wall alone and does not reflect associated internal or abdominal injuries. (aast.org)
  • In this case, the iatrogenic diaphragm rupture may have been caused by laparoscopic instruments and xiphoid trocars, or after the thoracic tube insertion to treat pneumothorax in the first laparoscopy attempt that passed through the diaphragm and got widened over the period of time or maybe it was a diaphragmatic burst due to increased intra-abdominal pressure which is nearly impossible to occur, though. (thefreedictionary.com)
  • Acute cervical and thoracic spine injuries in sports range from mild sprains to fracture dislocations with catastrophic consequences. (springer.com)
  • It takes enormous forces to fracture the thoracic spinal vertebral bodies. (rutgers.edu)
  • Thoracic spine fracture-dislocations due to motor vehicle accidents (MVAs) rarely involve double- level, noncontiguous lesions. (surgicalneurologyint.com)
  • Noncontiguous double-level thoracic spine fracture-dislocations are quite rare. (surgicalneurologyint.com)
  • A thoracic fracture leads to decreased range of motion. (enjuris.com)
  • On arrival at critics room presented 14 points at GCS and American Spinal Injury Association scale (ASIA) E. After whole CT scan, was diagnosed a T10 fracture-dislocation, an open left iliac fracture, open right distal tibia fracture and a fracture of 10th left costal arch. (clinmedjournals.org)
  • The fracture-dislocation of the upper thoracic spine is often associated with spinal cord injury, there is a very few reported cases in bibliography without neurological damage. (clinmedjournals.org)
  • In patients with upper thoracic fracture-dislocation without spinal cord involvement, immediate reduction and osteosynthesis should always be performed. (clinmedjournals.org)
  • Osteoporosis raises the chances of a thoracic fracture. (personalinjurydoctorgroup.com)
  • Also known as a distraction fracture, this injury occurs when the vertebra is pulled apart by sudden movement. (injuryattorneyfla.com)
  • The thoracic vertebral segments form the chest wall and have ribs. (rutgers.edu)
  • Injury of the thoracic aorta refers to any injury which affects the portion of the aorta which lies within the chest cavity. (wikipedia.org)
  • There might be external signs such as bruising on the anterior chest wall due to a traumatic injury. (wikipedia.org)
  • X-ray visualization of the chest and organs of the thoracic cavity. (bioportfolio.com)
  • Right chest tube continue to drain blood with further drop in blood pressure of 40/25 mm Hg, immediately take to OR within 15- 20 minutes of arrival in ED. However, en-route to OR, patient had a sudden cardiac arrest which was successfully resuscitated with a minutes of CRP and proceeds immediately to the OR. (omicsonline.org)
  • A large autopsy study found that 97% of victims of aortic injury had other traumatic injuries outside the chest 5 . (radiopaedia.org)
  • Direct signs of aortic injury are not visible on chest radiographs but indirect signs may be detected: either a mediastinal hematoma or signs of concomitant chest injuries. (radiopaedia.org)
  • The detection of mediastinal hematoma on a chest radiograph has a high sensitivity for aortic injury but a low specificity because most mediastinal hematoma is due to other causes such as tearing of mediastinal vessels, sternal injury or thoracic spine injury. (radiopaedia.org)
  • However, the negative predictive value of a normal chest radiograph of good quality is ~97% but this likely reflects the low incidence of blunt thoracic aortic injury. (radiopaedia.org)
  • Collected data included mechanisms of injury, associated injuries, results of CXRs and chest CTs, methods of management, in-hospital stays, complications and mortalities. (deepdyve.com)
  • Chest CTs were performed at the discretion of the physicians in 49.4% of patients, and CXR-positive findings were confirmed in all cases, while revealing additional injuries in 11% of patients. (deepdyve.com)
  • Chest CTs can be omitted in most patients, thus reducing CT imaging case-load substantially, while most clinically significant chest injuries remain sufficiently recognized. (deepdyve.com)
  • Immediate thoracotomies were performed in patients who were in a state of shock (e.g. tamponade and visible haemorrhage), where major cardiac or vascular injuries were suspected or where abnormal chest CT findings required operative intervention. (deepdyve.com)
  • During the secondary survey, there are an additional six potentially lethal chest injuries that should be identified and treated. (aneskey.com)
  • T1 (thoracic) refers to the first vertebra in the chest area. (brainandspinalcord.org)
  • The tail (sacral) cord is located between the last chest (thoracic) vertebra and the second back (lumbar) vertebra. (brainandspinalcord.org)
  • The thoracic spine gives support to the torso, chest and provides an attachment point for each of the rib bones, minus the two at the bottom. (personalinjurydoctorgroup.com)
  • One chest tube was placed to ensure adequate drainage of thoracic cavity and complete re-expansion of lung. (acibadem.edu.tr)
  • Other potential causes are falls from high places and injuries in which the chest is crushed. (wikipedia.org)
  • Speech therapy is often utilized for individuals who have injuries to their upper thoracic spine. (nakaselawfirm.com)
  • Recently, surgeons have recognized that patients with thoracic outlet syndrome can be divided into patients with compression of the blood vessels and those with nerve compression. (wustl.edu)
  • Patients with thoracic outlet syndrome related to compression of the brachial plexus usually complain of a feeling of "pins and needles" and/or numbness in the arm, forearm or hand. (wustl.edu)
  • Patients with thoracic outlet syndrome usually have symptoms of tingling and numbness in the hand. (wustl.edu)
  • The "double crush" mechanism may play a role in the development of symptoms in patients with thoracic outlet syndrome. (wustl.edu)
  • This review highlights some of the anatomic and technical considerations regarding endovascular repair of traumatic thoracic aortic injuries, and reviews reported outcomes. (minervamedica.it)
  • Long-term durability of endovascular repair of traumatic thoracic transections remains unknown, but early and midterm results are promising. (uptodate.com)
  • Based on the location of the injury in the thorax subsequent injuries can take place. (wikipedia.org)
  • This article adds three cases of blunt thoracic aortic injuries in pediatric patients to the literature and analyzes these in conjunction with several of the previous case series which have been published. (scirp.org)
  • In reviewing all 41 pediatric cases, findings reveal a high mortality, predominantly due to head injury as well as the aortic injury. (scirp.org)
  • Purpose of review The present review evaluates the evidence available in the literature tracking perioperative mortality and morbidity as well as the pathogenesis and management of acute lung injury (ALI) in patients undergoing thoracotomy. (lww.com)
  • Thoracic endovascular repair after traumatic aortic injury is associated with significantly lower procedural and post-operative mortality. (springer.com)
  • The 30-day and overall mortality after thoracic endovascular repair in our unit is comparable to international standards. (springer.com)
  • CONCLUSIONS: Although postoperative mortality and morbidity between open and endovascular repair were comparable, EVS can be considered a safe alternative treatment modality in the therapeutic algorithm of blunt thoracic aortic injury particularly for the higher risk multitrauma patients. (biomedsearch.com)
  • Secondary outcomes were early mortality and morbidity, specifically stroke, spinal cord injury (SCI), and dialysis. (acc.org)
  • Despite improvements in the management of blunt thoracic aortic injury, mortality remains high. (qxmd.com)
  • The early mortality for all patients with blunt thoracic aortic injury was 41% (139/338). (qxmd.com)
  • Early mortality was 17% (27/175) for operative aortic interventions, 4% (3/69) for thoracic endovascular aortic repairs, 31% (11/29) for open repairs with aortic crossclamping, and 14% (11/77) for open repairs with distal aortic perfusion. (qxmd.com)
  • Blunt thoracic aortic injury remains associated with significant early mortality. (qxmd.com)
  • Cervical spinal cord injury (SCI) has a well-established association with a high risk of respiratory complications. (nih.gov)
  • We sought to determine whether high-thoracic (HT) SCI was associated with a similar increased risk of respiratory complications and death. (nih.gov)
  • Although great benefits are expected as described above, complications related to catheter insertion are known as common complications accompanying REBOA: vascular injury, aorta dissection, aberration of the catheter, and organ ischemia of the site distal to the occlusion accompanied by prolonged occlusion. (pubmedcentralcanada.ca)
  • Rehabilitation should begin as soon as possible after injury in order to optimize outcomes and reduce complications. (medscape.com)
  • Kinetics of plasma biomarkers of inflammation and lung injury in surgical patients with or without postoperative pulmonary complications. (semanticscholar.org)
  • Their prognostic characteristics were compared to their injury types, New Injury Severity Scores, lengths of hospital stay and complications. (dergisi.org)
  • Prognostic factors may vary according to injury type, complications, treatment approach, and presence of accompanying non-thoracic injuries. (dergisi.org)
  • There are several terms which are interchangeably used to describe injury to the aorta such as tear , laceration , transection , and rupture . (primidi.com)
  • Right hemothorax was confirmed with laceration of right internal thoracic artery with active bleeding and small 1x1cm laceration to middle lobe of right lung. (omicsonline.org)
  • A midline laparotomy revealed a 3 cm laceration to left lobe of live with no active bleeding and there were minimal blood in the peritoneal cavity with no other visceral injury. (omicsonline.org)
  • The data were then evaluated controlling for age, sex, Glasgow Coma Scale, and Injury Severity Score. (nih.gov)
  • There was no significant difference in Injury Severity Score or Thoracic Abbreviated Injury Scale between patients with and without abnormal investigations. (nih.gov)
  • Mean New Injury Severity Score was 13±10. (dergisi.org)
  • There is a paucity of information regarding the management of blunt thoracic aortic injury in the pediatric population compared to adults. (scirp.org)
  • When traumatic injuries of the thoracic spinal cord occur, they generally are severe and often result in complete loss of neurological function below the injury site. (rutgers.edu)
  • The 6-year-old and the 17-year-old were treated non-interventionally due to severe closed head injuries. (scirp.org)
  • Severe injuries to the thoracic spine occur with some car accidents. (eorthopod.com)
  • Sexual dysfunction is a big problem for many patients with severe thoracic cord injuries. (cure-back-pain.org)
  • Importantly, the trial successfully determined safety and feasibility for performing a peripheral nerve harvest within 5-30 days of injury followed by an intra-spinal transplantation of autologous cells within 4-7 weeks of injury, even in individuals having sustained severe spinal injury. (news-medical.net)
  • Total hip arthroplasty (THA) requires bone reconstruction in case of severe acetabular injury, with risk of dislocation, especially postoperatively. (bioportfolio.com)
  • Most patients had sustained severe injuries to other organ systems, and among all in hospital deaths brain injury was the predominant cause. (uzh.ch)
  • Take note that this type of spinal cord injury is severe. (nakaselawfirm.com)
  • Nine patients (10%) were referred to an advanced medical center after the first intervention was performed due to severe hemorrhagic drainage from the thoracic tube in six patients, persistent pneumothorax in one patient, and prolonged air leak in one patient. (thefreedictionary.com)
  • The factors that determine whether an open surgical or endovascular approach should be taken to repair these injuries are discussed separately. (uptodate.com)
  • See 'Surgical and endovascular repair of blunt thoracic aortic injury' . (uptodate.com)
  • Studies of the surgical treatment of serious, unstable thoracic spinal injuries are very limited. (eorthopod.com)
  • There are different grades to injuries to the aorta depending on the extent of injury, and the treatment whether surgical or medical depends on that grade. (wikipedia.org)
  • All patients with a thoracic aortic injury need to be treated either surgically with endovascular repair or open surgical repair or with medicine to keep their blood pressure and heart rate in the appropriate range. (wikipedia.org)
  • Surgical decompression and neurolysis of the long thoracic nerve significantly improve scapular winging in appropriate patients, for whom these techniques should be considered a primary modality of functional restoration. (researchgate.net)
  • High Impact's medical illustrations drive home the graphic reality of any personal injury while helping explain complex issues and surgical procedures relevant to your case. (highimpact.com)
  • PATIENTS AND METHODS Since the outbreak of the Syrian crisis in early 2011, the Mouassat University Hospital has been serving civilian casualties evacuated directly to its premises, and its surgical services have dealt with a growing number of injuries of various aetiologies. (deepdyve.com)
  • This case illustrates that conservative and multidisciplinary management of a postoperative chylothorax from a suspected thoracic duct injury achieves favourable outcomes avoiding further surgical intervention. (bmj.com)
  • Less commonly there is an arterial injury, which is more likely to require surgical repair. (trauma.org)
  • Better clinical outcomes are achieved in high-volume hospitals and when procedures are performed by a thoracic surgeon. (lww.com)
  • What are the long-term outcomes following open and endovascular repair of blunt thoracic aortic injury (BTAI)? (acc.org)
  • The objectives of rehabilitation after an individual has sustained an acute spinal cord injury (SCI) include maximizing the patient's medical, functional, and psychosocial outcomes. (medscape.com)
  • Delayed selective management, when applied with open repair with distal aortic perfusion and the use of thoracic endovascular aortic repair, has been associated with improved early outcomes. (qxmd.com)
  • Repair of a thoracic aortic injury is associated with significant morbidity. (openanesthesia.org)
  • Thoracic outlet syndrome is a condition involving compression of the nerves and/or blood vessels in the region around the neck and collarbone, called the thoracic outlet. (wustl.edu)
  • Thoracic outlet syndrome is controversial in the medical literature. (wustl.edu)
  • The diagnosis and treatment of patients who have thoracic outlet syndrome have been varied, particularly in those with complaints of tingling, numbness and pain in the arm and hand. (wustl.edu)
  • In thoracic outlet syndrome, abnormalities in insertions of the scalenus anticus and scalenus medius muscles - or simple enlargement of these muscles due to unhealthy postures - can create narrowing of the triangular region through which the brachial plexus travels across the first rib and beneath the clavicle. (wustl.edu)
  • In the vast majority of patients, non-operative treatment is successful in relieving the symptoms of thoracic outlet syndrome. (wustl.edu)
  • Thoracic outlet syndrome (TOS) is a rare condition that occurs when blood vessels or nerves become compressed in the space between the collarbone and the first rib. (medindia.net)
  • One particular injury that is rarely discussed in regards to softball pitching is Thoracic Outlet Syndrome (TOS). (nancynewell.com)
  • Brachial Plexus Entrapment or Thoracic Outlet Syndrome (TOS) is usually the result of muscular compression upon nerves which can cause searing nerve pain (neuralgia). (ihelpbackpain.com)
  • This injury can involve bone and soft tissue, and it causes the vertebra to disconnect from an adjacent vertebra. (injuryattorneyfla.com)
  • Following a spinal cord transection below the sixth thoracic vertebra (T6), which findings are characteristic of neurogenic bladder? (medscape.com)
  • Thoracic aortic injury is the most common type of traumatic aortic injury and is a critical life-threatening, and often life-ending event. (radiopaedia.org)
  • This paper analyzes the cohort of patients treated for traumatic aortic injury. (elsevier.com)
  • Conclusions Thoracic endovascular aortic repair with the Relay stent graft is a safe and effective treatment for patients with traumatic aortic injury. (elsevier.com)
  • Athletic injuries to the head, neck, and face. (springer.com)
  • Epidemiology of athletic neck injury. (springer.com)
  • This makes cord injury in the thoracic region less common than in the neck or lower back. (cure-back-pain.org)
  • Your thoracic spine starts just below your neck and continues to the level just above your belly button. (shawchiroandsport.com)
  • The thoracic spine known as the middle back starts below the cervical or neck spine at around the level of the shoulders. (personalinjurydoctorgroup.com)
  • Look for a Therapeutic Orlando Massage Therapist who has helped hundreds of clients with brachial plexus injury-thoracic outlet neck pain and knows how to effectively and immediately treat this problem. (ihelpbackpain.com)
  • The therapeutic/medical Orlando massage therapy I use eliminates your brachial nerve entrapment and thoracic outlet neck pain within two to five visits, as the nerve network will no longer be pinched and irritated. (ihelpbackpain.com)
  • I focus on elongating all contracted soft tissue (muscles and tendons) in the front, side, and back of your neck, paying close attention to muscles over and around the brachial plexus and thoracic outlet. (ihelpbackpain.com)
  • These are divided into three groups: cervical, thoracic and lumbar or your neck, mid-back and low-back. (livestrong.com)
  • When the injuries are to the upper neck, prompt and thorough medical evaluation and treatment is absolutely necessary. (ehlinelaw.com)
  • Only a proper doctor can differentiate between minor and major injuries occurring to the neck. (ehlinelaw.com)
  • Subcutaneous emphysema, present in up to 85% of people with TBI, is particularly indicative of the injury when it is only in the neck. (wikipedia.org)
  • Serious acute cervical and thoracic spine injuries in youth sports are rare but are seen with greater frequency in certain sports such as football, hockey, and gymnastics. (springer.com)
  • Timely diagnosis and treatment of acute cervical and thoracic injury are essential. (springer.com)
  • Overuse injuries to the cervical and thoracic spine are seen in noncontact sports and can result in spinal deformity and adult pattern injury. (springer.com)
  • This chapter covers common acute and overuse cervical and thoracic spine injuries in youth sports, with a focus on clinical and radiographic diagnosis, acute management of the injury, and return-to-play guidelines. (springer.com)
  • We would conclude that simvastatin given orally or subcutaneously at doses previously reported by other investigators to be effective in different neurologic conditions does not confer a significant neurologic benefit in a thoracic contusion injury model (OSU Impactor) when administered with a 1-h delay in intervention. (wingsforlife.com)
  • Enhancement of bilateral cortical somatosensory evoked potentials to intact forelimb stimulation following thoracic contusion spinal cord injury in rats. (sigmaaldrich.com)
  • Rats received a midline contusion SCI, unilateral contusion SCI, or laminectomy with no contusion at the T8 level and were monitored for 28 days post-injury. (sigmaaldrich.com)
  • The third, without head injury, underwent interposition graft and also survived. (scirp.org)
  • Between the years 2001 and 2010, a total of 74 patients underwent TEVAR for blunt traumatic thoracic aortic injury at four tertiary referral centers, three in Sweden and one in Switzerland. (uzh.ch)
  • Many people have been asking for an article about diagnosis and treatment of thoracic spinal cord injury. (rutgers.edu)
  • was to present one clinic's experience in the treatment of thoracic injuries. (infona.pl)
  • Describe the concept of implantable scaffold devices following acute spinal cord injury. (cns.org)
  • Intermittent catheterization with a hydrophilic-coated catheter delays urinary tract infections in acute spinal cord injury: a prospective, randomized, multicenter trial. (medscape.com)
  • abstract = "Purpose: To evaluate whether noninvasive molecular imaging technologies targeting myeloperoxidase (MPO) can reveal early inflammation associated with spinal cord injury after thoracic aortic ischemia-reperfusion (TAR) in mice. (elsevier.com)
  • Thoracic spinal cord injuries occur as a result of high-speed motor vehicular accidents, tumors that have compressed the spinal cord, and ischemic injuries of the spinal cord. (rutgers.edu)
  • Deceleration injuries almost always occur during high speed impacts, such as those in motor vehicle crashes and falls from a substantial height. (wikipedia.org)
  • Several mechanical processes can occur and are reflected in the injury itself. (wikipedia.org)
  • Reorganization of forelimb pathways may occur after thoracic SCI, which SSEPs can monitor to aid the development of future therapies. (sigmaaldrich.com)
  • The vast majority of spinal column injuries ( 75% to 90% ) occur without damaging the cord. (enjuris.com)
  • Most injuries to the thoracic cord occur in the lower region, T11 to T12 to be specific. (enjuris.com)
  • Thoracic spine injuries usually occur when a bone in the spine collapses. (injuryattorneyfla.com)
  • Nevertheless, substantial sensory and motor recovery occurs in a majority of people with mid-thoracic injuries, even those with initially 'complete' spinal cord injury. (rutgers.edu)
  • A debilitating consequence of complete spinal cord injury (SCI) is the loss of motor control. (ovid.com)
  • 3. Discuss changes in SCI lesion in patients implanted with Neuro-Spinal Scaffold following acute thoracic complete spinal cord injury. (cns.org)
  • The thoracic segments are the best protected of all the vertebral segments because of the ribs. (rutgers.edu)
  • The thoracic spinal roots form the intercostal nerves (nerves that run on the underside of the ribs). (rutgers.edu)
  • The posterior oblique (T6-10) and the anterior oblique (T4-8) muscles attach to the lower and upper thoracic ribs respectively. (rutgers.edu)
  • Pain can also caused by joint dysfunction, where the ribs attach to the spine at each level of the thoracic spine, can cause pain. (physiotherapynicosia.com)
  • Pain caused by joint dysfunction, where the ribs attach to the spine at each level of the thoracic spine, can cause pain.While less common in the thoracic spine, degenerative disc disease or a thoracic herniated disc can be a source of pain. (physiotherapynicosia.com)
  • Magnetic resonance imaging of the thoracic and lumbar spine confirmed traumatic dislocation/spondyloptosis of T11/T12 (i.e., with T11 projecting nearly 3.0 cm anterior to T12). (surgicalneurologyint.com)
  • While the cervical spine is built for flexibility (e.g. turning the head) and the lumbar spine is built for power and flexibility (e.g. lifting heavy objects, touching the toes), the thoracic spine is built for stability. (physiotherapynicosia.com)
  • Particular attention was paid to the methods for treatment of patients after thoracic injuries. (infona.pl)
  • Methods Relay Endovascular Registry for Thoracic Disease (RESTORE) is a multicenter, prospective European registry, which enrolled patients treated with the Relay stent graft for thoracic aortic diseases from April 2005 to January 2009. (elsevier.com)
  • METHODS: Intramedullary free-hand (manual) transplantation of HuCNS-SC cells was performed in subjects with thoracic (n = 12) and cervical (n = 17) complete and sensory incomplete chronic traumatic SCI. (elsevier.com)
  • Injury to the thoracic spinal cord causes paraplegia, or loss of motor and sensory function in the lower half of the body. (rutgers.edu)
  • a lumbar injury could result in paraplegia or the inability to move the legs to their fullest extent. (enjuris.com)
  • While a thoracic injury might also result in paraplegia, it mainly depends on where the patient was hurt. (enjuris.com)
  • We reviewed our experience of endoluminal stent-graft repair for treatment of acute traumatic thoracic aortic transection. (uptodate.com)