Successful Management of Penetrating Cardiac Injury: Case Report
Carlos Pacheco Molina, Hector Vergara Miranda, Oscar Rene Garcia de Leon, Ilse Andrea Moreno Arquieta and Gerardo Enrique Munoz Maldonado
Article Type: Case Report | First Published: April 30, 2020
Penetrating Cardiac Injury (PCI) is a rare but life-threatening clinical condition in trauma patients. According to previous reports, incidence of PCI admissions to trauma centers has been reported to be of 0.16%, with heterogeneous survival rates being as low as 3% and as high as 84%. This type of injury is a clinical challenge for surgeons due to its short therapeutic window and the fact that its treatment is dictated by the underlying mechanism of injury and hemodynamic status of the patient....
Orbital Penetrating Injury by Bamboo-Stick, Mimicking Air in Computed Tomography: A Case Study
Michael Pesis, Navot Givol, Anatoliy Ilgiyaev and Ronit Yagev
Article Type: Case Report | First Published: March 14, 2020
A case report of a penetrating foreign wooden body that was not identified as such on physical examination but was demonstrated on CT scan. A 25-year-old man arrived sedated to the emergency room (ER). On physical examination, a wooden foreign body was observed on the right side of the upper lip. On CT scan, an air mimicking cylinder foreign body was noticed. 3D reconstruction demonstrated a cylinder-shapedobject penetrating into the orbit, breaking the orbital floor, deflecting the globe crania...
Imaging Modality and Management of Hepatic Injury in the Trauma Setting
Anthony J Brusnahan
Article Type: Case Report | First Published: February 20, 2020
Through the use of imaging, liver injuries in the setting of blunt abdominal trauma have become easier to grade. These liver injury grades, formed by The American Association for the Surgery of Trauma, have been used to recommend operative versus non-operative management. However, the utilization of a relatively new approach offered by the World Society of Emergency Surgery is taking hemodynamic stability into account. As a result, more patients with severe liver injuries are being managed non-o...
Complex Thoraco-Abdominal Trauma: Transdiaphragmatic Intercostal Hernia and Rib Fractures
Sally Shepherd, MD, Annelise Cocco, MBBS, FRACS, Phillip Antippa, MBBS, FRACS and Jacob McCormick, MBBS, FRACS
Article Type: Case Report | First Published: October 14, 2019
Injuries to the costal margin which involve herniation of abdominal contents into the chest are rare. Two major mechanisms of transdiaphragmatic intercostal hernia are recognised: post-traumatic and spontaneous. It is hypothesised that disruption of either the diaphragm or intercostal muscles leads to herniation of the abdominal contents, and that negative intra-thoracic pressure then draws the herniated viscera further into the chest. A 66-year-old male was transferred to the emergency departme...
STEMI due to Severe Blunt Chest Trauma
Joseph Shiber, MD, FACP, FACEP, FCCM, David Skarupa, MD, FACS and Timothy Hester, DO
Article Type: Case Report | First Published: April 24, 2019
A 50-year-old man was ejected during an ATV collision. On arrival to the trauma center, he was endotracheally intubated for hypoxemic respiratory distress and was noted to have palpable subcutaneous air and decreased breath sounds; thoracostomy tubes were placed bilaterally. New-onset atrial fibrillation with rapid ventricular response (heart rate > 160) was found with ST-segment elevation most pronounced in Inferior leads (Figure 1) Chest radiograph confirmed severe right-sided pulmonary contus...
Use of Mouthguards by Amateur Basketball Athletes in Greece and The USA
Elena-Lito Exarchou, Ioannis Kotsanos and Nikolaos Kotsanos
Article Type: Original Article | First Published: April 11, 2019
Mouthguard use reduces the consequences of oral trauma in sports with intense physical contact. The use of mouthguards is recommended by the Academy for Sports Dentistry for all sports involving physical contact and collision, and by the American Academy of Pediatric Dentistry for sports in which orofacial injury can occur, e.g. basketball. The aim of this study is to evaluate mouthguard use and relative knowledge by male amateur Greek and collegiate American basketball athletes....
Two-Stage Detected Traumatic Right Diaphragm Rupture after Blunt High-Velocity Trauma
Graulich T, Ringe BP, Wilhelmi M, Zwirner U, Krettek C and Wilhelmi M
Article Type: CASE REPORT | First Published: February 26, 2019
A 30-year-old healthy man was brought to our level-one trauma center after a high-velocity trauma. While riding a quad he was hit by a car with about 60 km/h. Initial scores of Glasgow Coma Scale (GCS) and injury severity score (ISS) were 15. Extremity trauma with moderate craniocerebral injury and abdominal trauma with splenic and hepatic laceration was diagnosed. During follow up on the intensive care unit (ICU) the patient reported unspecific abdominal pain and dyspnea. Sonographic controls o...
Penetrating Abdominal Trauma with Vascular Injury: Case Report
Rodolfo Franco Marquez, Marcela Anahi Narro Martinez, Pedro Chavez Jimenez, Oscar Rene Garcia de Leon and Estefania Boland Rodriguez
Article Type: Case Report | First Published: February 07, 2019
Traumatic injuries account for 9.6% of the global burden of disease, they represent the third most common cause of death in young adults and adolescents among patients admitted to hospital facilities; penetrating abdominal trauma remains an important cause of mortality and morbidity. This type of lesions can cause vascular injuries that are associated with massive hemorrhage and could develop physiologic exhaustion, resulting in high reported mortality. Inferior's cava injuries secondary to pene...
Medial Clavicle Fracture Dislocation Surgically Treated: Case Report
Miguel Frias, Renato Ramos, Marco Bernardes, Tiago Pinheiro Torres and Pedro Lourenco
Article Type: Case Report | First Published: November 30, 2018
The medial clavicle fracture is a rare injury and almost all the times conservatively treated. Therefore, the number of operations reported in the literature are limited. Posterior dislocation can result in serious complications and such injuries require rapid diagnosis followed by effective treatment to avoid future complications. The present case reports a case of a 33-year-old healthy man that was involved in a high-fall, being diagnosed with a rare displaced medial clavicular fracture associ...