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. ...
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.
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 ...
|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.
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Aim: A tension haemothorax is an uncommon injury after penetrating chest trauma. Introduction: Anterior thoracic penetrating injuries may result in life-threatening com..
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Motor vehicle accidents commonly cause blunt chest trauma from the forces of the crash. Find out more about traumatic chest injuries.
This article discusses the case penetrating thoracic trauma, precisely rebar impalement injury. Click now to learn more at Kenhub!
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.
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.
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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 ...
NICK BLACKWELL is desperate that Eduard Gutknecht can follow his lead and make a full recovery after he was rushed to hospital following his bout with George Groves.
Im looking around and Im getting really sleepy, University of Houston cornerback D.J. Hayden recounted to The Morning Journal s Jeff Schudel during Februarys NFL Scouting Combine...
Jan Hartland suffered severe chest injuries and a perforated lung after falling - but she is now back in work and has praised those who saved her life
Selecting the right bath bench for your situation can help you or your loved ones prevent life-threatening injuries due to falls in the bathroom - something that happens thousands of times a day across the world.. Bathing is a necessary part of everyones life. However, it happens to be one of the most dangerous activities that someone with limited mobility (due to age or disability) has to complete on a regular basis. Choosing the right tub bench is a very important task.. ...
The man hit by a semitrailer truck on northbound Interstate 90/39 on Monday morning is said to have suffered life-threatening injuries.
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 ...
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 ...
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
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
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 ...
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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
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