Prolonged Extrication as a Risk Factor for Pneumonia in Trauma Patients Involved in a Motor Vehicle Accident

CHEST Journal ◽  
2013 ◽  
Vol 144 (4) ◽  
pp. 379A
Author(s):  
Doug Moore ◽  
Lee Morrow ◽  
Mark Malesker
Keyword(s):  
Risk Factor ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Trauma Patients ◽  
Vehicle Accident

An uncommon potentially lethal injury: Traumatic pericardial rupture with herniation of the heart

Trauma ◽  
2016 ◽  
Vol 19 (2) ◽  
pp. 139-141
Author(s):  
TA Yuvaraj Davidson ◽  
Parma Nand
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Fatal Outcome ◽  
Traumatic Rupture ◽  
Trauma Patients ◽  
Vehicle Accident ◽  
Life Threatening ◽  
High Index Of Suspicion ◽  
Treatable Condition ◽  
Insight Into

Traumatic rupture of the pericardium with herniation of the heart can be a potentially lethal injury that can be easily overlooked. Prompt diagnosis and repair can be lifesaving. We report such a case with successful repair of this injury in a 45-year-old male who sustained multiple injuries following a motor vehicle accident. CT scan revealed rupture of the pericardium with herniation of the heart. The pericardial tear was promptly repaired by primary closure. This report gives an insight into this life threatening, yet promptly treatable condition, which can be easily missed resulting in a fatal outcome. Having a high index of suspicion while treating thoracic trauma patients can prevent fatalities. Immediate referral to a cardiothoracic service or closure of the tear through a thoracotomy, if the expertise is available, can be lifesaving.

scholarly journals Ipsilateral facial nerve injury with contralateral labyrinthine concussion and subdural hematoma in a case of longitudinal temporal bone fracture

2017 ◽  
Vol 16 (4) ◽  
pp. 594-596
Author(s):  
Khim Soon Vong ◽  
Mohd Khairi Md Daud
Keyword(s):  
Hearing Loss ◽  
Head Trauma ◽  
Subdural Hematoma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Medical Science ◽  
Trauma Patients ◽  
Temporal Bone Fracture ◽  
Vehicle Accident ◽  
Hearing Assessment

Head trauma can lead to hearing loss. Both sensorineural and conductive hearing loss has been reported in cases of head injury. We report a case of labyrinthine concussion and subdural hematoma in the opposite ear of a patient who had head trauma after involved in motor vehicle accident. A complete hearing assessment for head trauma patients should be advised as it can avoid misdiagnosis and negligence in management.Bangladesh Journal of Medical Science Vol.16(4) 2017 p.594-596

scholarly journals Profile of Abdominal Trauma Patient Underwent Surgery in Emergency Operating Room of Sanglah General Hospital from January until December 2015

2018 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Reza Halim ◽  
Made Agus Dwianthara Sueta
Keyword(s):  
General Hospital ◽  
Operating Room ◽  
Abdominal Trauma ◽  
Medical Records ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Trauma Patients ◽  
Vehicle Accident ◽  
Liver Repair ◽  
Emergency Operating

Objective: to investigate the characteristics of patients, presentation of the abdominal organ that involved, and clinical data associated with this event. Methods: this is a descriptive study with retrospective design. Total samples were all patients with abdominal trauma who underwent surgery on the emergency operating theatre of Sanglah General Hospital between January and December 2015. Baseline data of patients were obtained from the medical records. Results: within the study period, a total of 104 patients with abdominal trauma who underwent surgery in the emergency operating room of Sanglah General Hospital were identified. Man comprised 87.5% of the patients and mostly were 17-45 years old (75%). The motor vehicle accident occurred majority on the weekend (65%). Liver and spleen were the most affected organ (55%). Splenectomy (35%) and liver repair surgery (33%) were the most often performed procedures. Conclusion: Abdominal trauma caused by motor vehicle accident occurred mostly on the weekend. Two most affected organs in abdominal trauma were liver and spleen. Splenectomy and liver repair surgery were the procedures performed for these trauma patients.

scholarly journals Motor vehicle accident is a risk factor for traumatic head injury among children in Abuja: analysis of the first trauma registry in Nigeria

2019 ◽  
Vol 33 ◽  
Author(s):  
Abdul Rahman Shour ◽  
Benjamin Holmes ◽  
Emmanuel Adoyi Ameh ◽  
Oluwole Olayemi Olaomi ◽  
Ronald Anguzu ◽  
...  
Keyword(s):  
Risk Factor ◽  
Head Injury ◽  
Trauma Registry ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Traumatic Head Injury ◽  
Vehicle Accident ◽  
Traumatic Head

scholarly journals P058: Accuracy of the trauma triage protocol Échelle québécoise de triage préhospitalier en traumatologie (EQTPT) in selecting patients requiring specialized trauma care

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S85-S85
Author(s):  
E. Mercier ◽  
R. Beaumont-Beaulieu ◽  
C. Malo ◽  
P. Tardif ◽  
L. Moore ◽  
...  
Keyword(s):  
Trauma Care ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Trauma Centre ◽  
Urgent Care ◽  
Trauma Patients ◽  
Urgent Surgery ◽  
Vehicle Accident ◽  
Triage Protocol ◽  
Trauma Triage

Introduction: This study aims to evaluate the accuracy of the Échelle québécoise de triage préhospitalier en traumatologie (EQTPT) to identify patients who will need urgent and specialized trauma care in the La Capitale-Nationale region, province of Quebec. Methods: A detailed review of prehospital and in-hospital medical charts was conducted for a sample of patients transported following a trauma by ambulance to one of the five CHU de Quebec's emergency departments (ED) between November 2016 and March 2017. Data related to the trauma mechanism, population, injuries sustained, diagnosis, intervention and patient outcomes were extracted. The study primary outcome was the use of at least one urgent and specialized trauma care defined as: admission to the intensive care unit (ICU), urgent surgery within less than 24 hours after arrival (excluding orthopedic surgery for one limb only), intubation in ED, angioembolization within 24 hours after ED arrival, activation of a massive transfusion protocol in the ED. Also, patients who died secondary to their trauma were also considered as requiring urgent care. Results: 902 patients were included. The mean age (SD) was 59 (28.5) years old, 494 (54.8%) were female. The main trauma mechanisms were falls (592 (65.6%)) followed by motor vehicle accident (201 (22%)). 367 (40.7%) patients were transported directly to the tertiary trauma centre from the field. 231 (25.6%) patients had at least one criteria included in the steps 1, 2 or 3 of the EQTPT. Subsequently, most patients (649 (71.9%) were discharged home from the ED while 177 (19.6%) patients were admitted to the hospital. 82 (9.1%) patients required urgent and specialized trauma care. Of these 82 patients, 27 patients (32%) were identified in step 1 of the protocol, 12 patients (14.6%) in step 2, 5 patients (6.1%) in step 3, 13 patients (15.9%) in step 4 and 2 patients (2.4%) in step 5 while 23 (28.0%) patients were not identified by any steps of the EQTPT protocol. Therefore, 44 (53.6%) of the patients requiring urgent and specialized trauma care were identified by the criteria proposed in the steps 1, 2 or 3. Conclusion: In this retrospective cohort study, the EQTPT was insensitive to identify trauma patients who will need prompt and complex trauma management. Studies are required to determine the factors that could help improve its accuracy.

scholarly journals Aversion for Avulsion: A Case of Delayed Diagnosis of Traumatic Tricuspid Rupture

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Wendy K. Bernstein ◽  
Nicholas Goehner
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Delayed Diagnosis ◽  
Detection Methods ◽  
Trauma Patients ◽  
Blunt Force ◽  
Hemodynamic Compromise ◽  
Vehicle Accident ◽  
Blunt Force Trauma ◽  
Rare Diagnosis

Tricuspid rupture secondary to blunt force trauma is a rare diagnosis. However, the incidence of this injury is rising due to the improved initial treatment of complex trauma patients as well as enhanced early detection methods through the use of cardiac ultrasound. We report the case of an otherwise healthy 42 year old male who sustained significant blunt force trauma after a single motor vehicle accident. The diagnosis of traumatic papillary rupture and disruption of the valve apparatus was made on the day of admission after perioperative hemodynamic compromise and the use of intraoperative transesophageal echocardiography. However, treatment was delayed due to concerns of systemic anticoagulation leading to his eventual demise.

Virtual reality and computer games in the treatment of driving phobia induced by a motor vehicle accident

2003 ◽  
Author(s):  
David Walshe ◽  
Elizabeth Lewis ◽  
Kathleen O'Sullivan ◽  
Brenda K. Wiederhold ◽  
Sun I. Kim
Keyword(s):  
Virtual Reality ◽  
Computer Games ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Vehicle Accident
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