3,254 results match your criteria Abdominal Trauma Penetrating


Management of penetrating intraperitoneal colon injuries: A meta-analysis and practice management guideline from the Eastern Association for the Surgery of Trauma.

J Trauma Acute Care Surg 2019 Mar;86(3):505-515

From the Department of Surgery, Marshfield Clinic, Marshfield, Wisconsin (D.C.C.); Division of Trauma, Stony Brook University School of Medicine, Stony Brook, New York (R.S.J.); Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio (J.J.C.); Department of Surgery, Holmes Medical Center, Melbourne, Florida (A.M.); Department of Surgery, Intermountain Health Care, Murray, Utah (D.S.M.); Department of Surgery, Kern Medical Center, Bakersfield, California (J.C.); Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee (O.D.G.); Department of Surgery, Virginia Commonwealth University, Richmond, Virginia (S.R.G.); Department of Surgery, Baylor University Medical Center, Dallas, Texas (L.P.); Department of Surgery, West Virginia University Medical Center, Morgantown, West Virginia (G.S.); Department of Surgery, Montreal General Hospital, Montreal, Quebec, Canada (K.A.K.); Department of Surgery, Oregon Health & Science University, Portland, Oregon (S.E.R.); Department of Surgery, Legacy Emmanuel Medical Center, Portland, Oregon (R.R.B.); Department of Surgery, St. Vincent's Hospital, Dublin, Ireland (G.A.B.); Department of Surgery, Boston Medical Center, Boston, Massachusetts (G.K.); and Department of Surgery, University of Washington, Seattle, Washington (B.R.H.R.).

Background: The management of penetrating colon injuries in civilians has evolved over the last four decades. The objectives of this meta-analysis are to evaluate the current treatment regimens available for penetrating colon injuries and assess the role of anastomosis in damage control surgery to develop a practice management guideline for surgeons.

Methods: Using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology, a subcommittee of the Practice Management Guidelines section of EAST conducted a systematic review using MEDLINE and EMBASE articles from 1980 through 2017. Read More

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http://dx.doi.org/10.1097/TA.0000000000002146DOI Listing

Abdominal trauma: experience of 4961 cases in Western Mexico.

Cir Cir 2019 ;87(2):183-189

Servicio de Cirugía Medicina Legal, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, México.

Introduction: Trauma is a leading cause of morbimortality in the world. Intraabdominal compartment is the third most affected anatomical region and bleeding from this origin is difficult to identify, therefore the importance to predict possible lesions to the abdominal cavity.

Objective: To describe and analyze the sociodemographic profile and injuries found in patients with abdominal trauma in a western hospital in Mexico. Read More

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http://dx.doi.org/10.24875/CIRU.18000509DOI Listing
January 2019
1 Read

Is Obesity Protective in Thoracoabdominal Penetrating Trauma?

Am Surg 2019 Jan;85(1):34-38

The incidence of obesity has been increasing in the United States, and the medical care of obese patients after injury is complex. Obesity has been linked to increased morbidity after blunt trauma. Whether increased girth protects abdominal organs from penetrating injury or complicates management from obesity-associated medical comorbidities after penetrating injury has not been well defined. Read More

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January 2019

Visceral Injuries in Patients with Blunt and Penetrating Abdominal Trauma Presenting to a Tertiary Care Facility in Karachi, Pakistan.

Cureus 2018 Nov 17;10(11):e3604. Epub 2018 Nov 17.

General Surgery, Jinnah Postgraduate Medical College, Karachi, PAK.

Introduction Abdominal injuries are responsible for 10% of the mortalities due to trauma. Delays in early diagnosis or misdiagnoses are two major reasons for the mortality and morbidity associated with abdominal trauma. The objectives of this study were to determine the frequency of visceral injuries in patients with abdominal trauma and compare the frequency of visceral injuries in patients with blunt and penetrating abdominal trauma. Read More

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http://dx.doi.org/10.7759/cureus.3604DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338406PMC
November 2018
2 Reads

Evaluation of intra-abdominal solid organ injuries in children.

Acta Biomed 2019 Jan 15;89(4):505-512. Epub 2019 Jan 15.

.

Aim: In our study we investigated characteristics and degree of intra-abdominal solid organ injuries according to tomographic imaging in pediatric patients who presented to our emergency clinic with possible abdominal injuries and to whom US and/or abdominal tomography were applied.

Materials And Methods: 1066 pediatric patients were included in the study. The age, gender, injury localization, injury type, injury mechanism, abdominal US and CT results, and treatment specifics of patients were evaulated. Read More

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http://dx.doi.org/10.23750/abm.v89i4.5983DOI Listing
January 2019

Current treatment procedures for civilian gunshot wounds.

Rozhl Chir 2018 ;97(12):558-562

Introduction: This work provides an overview of the incidence of gunshot wounds during peace conditions in a civilian population and aims to assess the principles of their treatment.

Method: We evaluated a total of 104 patients with gunshot wounds with an average age of 38.7 years (range 1871). Read More

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January 2018
5 Reads

Evaluation of Thoracoscopy with Single-Lumen Endotracheal Tube Intubation and Laparoscopy in the Diagnosis of Occult Diaphragmatic Injuries in Penetrating Thoracoabdominal Trauma.

J Laparoendosc Adv Surg Tech A 2019 Jan 10. Epub 2019 Jan 10.

Department of Surgery, Dr. George Mukhari Academic Hospital, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

Background: The diagnosis of traumatic diaphragmatic injuries (TDIs) after penetrating thoracoabdominal trauma is challenging and conventional imaging is unreliable. Laparoscopy and thoracoscopy are minimally invasive modalities of choice in the diagnosis and management of TDI. A little is known on the value of thoracoscopy with single-lumen endotracheal tube intubation (SLETI) in the diagnosis of occult diaphragmatic injuries, and how it compares with laparoscopy. Read More

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http://dx.doi.org/10.1089/lap.2018.0733DOI Listing
January 2019

[Acute abdominal trauma].

Radiologe 2019 Feb;59(2):139-145

Klinik und Poliklinik für Radiologie, Klinikum der Universität München, Nußbaumstr. 20, 80336, München, Deutschland.

Background: In patients with multiple trauma, abdominal involvement is a particularly relevant injury pattern. Depending on the intensity and manner of injury, heterogeneous but often typical organ manifestations result. Knowledge of these injury patterns is essential for targeted diagnostics and treatment. Read More

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http://dx.doi.org/10.1007/s00117-018-0485-2DOI Listing
February 2019

Eighteen years' experience of traumatic subclavian vascular injury in a tertiary referral trauma center.

Eur J Trauma Emerg Surg 2019 Jan 9. Epub 2019 Jan 9.

Division of Trauma and Emergency Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, No.5, Fuxing St., Guishan Dist., Linkou, Taoyuan, 333, Taiwan.

Purpose: Traumatic subclavian vascular injury (TSVI) is rare but often fatal. The precise diagnosis of TSVI remains challenging mainly because of its occult nature, less typical presentations, and being overlooked in the presence of polytrauma. Compared to penetrating injuries, it is even more difficult to identify TSVI in patients who have blunt injuries and no visible bleeding. Read More

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http://dx.doi.org/10.1007/s00068-018-01070-5DOI Listing
January 2019
10 Reads

Acute Surgical Decision-Making in Abdominal Trauma Is Not Altered by Race or Socioeconomic Status.

Am Surg 2018 Dec;84(12):1869-1875

Two main procedures are performed on patients suffering from colonic perforation, diverting colostomy and primary tissue repair. We investigated patient race, ethnicity, and socioeconomic status (SES) that predicted surgical outcomes after blunt or penetrating trauma. A retrospective analysis was performed using data from the National Trauma Data Bank for three years (2013-2015). Read More

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December 2018
2 Reads

CT-guided tractography is a safe and complementary diagnostic tool in the management of penetrating abdominal trauma.

Asian J Surg 2019 Jan 7;42(1):148-154. Epub 2018 Jul 7.

University of Health Sciences, Dışkapı Yıldırım Beyazıt Research and Training Hospital, Department of General Surgery, Ankara, Turkey.

Background/objective: Despite extensive published research, the surgical approach to penetrating abdominal trauma patients is still under debate. Computed tomography-guided tractography (CTT) is an imaging modality in which water soluble iodinated contrast medium is administered into the site of the injury in the CT unit. The aim of this study was to determine the diagnostic accuracy of the CTT. Read More

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http://dx.doi.org/10.1016/j.asjsur.2018.05.007DOI Listing
January 2019
1 Read

Outcomes after Single-Look Trauma Laparotomy: A Large Population-Based Study.

J Trauma Acute Care Surg 2018 Dec 18. Epub 2018 Dec 18.

Trauma Service, Scripps Mercy Hospital, San Diego, California.

Background: Outcomes following damage control laparotomy for trauma have been studied in detail. However, outcomes following a single operation, or "single-look trauma laparotomy" (SLTL), have not. We evaluated the association between SLTL and both short-term and long-term outcomes in a large, population-based dataset. Read More

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http://dx.doi.org/10.1097/TA.0000000000002167DOI Listing
December 2018
1 Read

Laparoscopy for blunt abdominal trauma: A Challenging Endeavor.

Scand J Surg 2018 Dec 6:1457496918816927. Epub 2018 Dec 6.

1  Department of Surgery, Dr George Mukhari Academic Hospital, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

Background And Aims:: Laparoscopy in blunt abdominal trauma is challenging because of multiple associated injuries, higher trauma score values and higher morbidity and mortality, as compared with patients with penetrating abdominal trauma. The aim of this study was to investigate the role of laparoscopy in the management of blunt abdominal trauma patients and to highlight related challenges.

Material And Methods:: Over a 4-year period, patients managed laparoscopically for blunt abdominal trauma were retrospectively analyzed. Read More

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http://dx.doi.org/10.1177/1457496918816927DOI Listing
December 2018
1 Read

Traumatic lumbar hernia: clinical features and management.

Ann Surg Treat Res 2018 Dec 26;95(6):340-344. Epub 2018 Nov 26.

Department of Trauma, Gachon University Gil Medical Center, Incheon, Korea.

Purpose: Traumatic lumbar hernia is rare, thus making diagnosis and proper treatment challenging. Accordingly, we aimed to investigate the clinical manifestations and proper management strategies of traumatic lumbar hernias.

Methods: The medical records of patients with traumatic lumbar hernia treated at Gachon University Gil Hospital from March 2006 to February 2015, were retrospectively reviewed. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.4174/astr.2018.9
Publisher Site
http://dx.doi.org/10.4174/astr.2018.95.6.340DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6255748PMC
December 2018
11 Reads

Abdominal vascular injuries: Blunt vs. penetrating.

Injury 2019 Jan 26;50(1):137-141. Epub 2018 Nov 26.

Chulalongkorn University, Surgery, Rama4 rd, Bangkok, Thailand.

Introduction: Abdominal vascular injuries (AVIs) remain a great challenge since they are associated with significant mortality. Penetrating injury is the most common cause of AVIs; however, some AVI series had more blunt injuries. There is little information regarding differences between penetrating and blunt AVIs. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183071
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http://dx.doi.org/10.1016/j.injury.2018.11.045DOI Listing
January 2019
13 Reads

Outcomes of selective nonoperative management of civilian abdominal gunshot wounds: a systematic review and meta-analysis.

World J Emerg Surg 2018 27;13:55. Epub 2018 Nov 27.

Division of Vascular and Endovascular Surgery, Department of Surgery, University of Ottawa, The Ottawa Hospital, Civic Campus, Room A280, 1053 Carling Avenue, Ottawa, Ontario K1Y 4E9 Canada.

Background: Although mandatory laparotomy has been standard of care for patients with abdominal gunshot wounds (GSWs) for decades, this approach is associated with non-therapeutic operations, morbidity, and long hospital stays. This systematic review and meta-analysis sought to summarize outcomes of selective nonoperative management (SNOM) of civilian abdominal GSWs.

Methods: We searched electronic databases (March 1966-April 1, 2017) and reference lists of articles included in the systematic review for studies reporting outcomes of SNOM of civilian abdominal GSWs. Read More

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http://dx.doi.org/10.1186/s13017-018-0215-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260713PMC
February 2019
3 Reads
1.062 Impact Factor

Management of penetrating intra-peritoneal colon injuries: A meta-analysis and practice management guideline from the Eastern Association for the Surgery of Trauma.

J Trauma Acute Care Surg 2018 Nov 20. Epub 2018 Nov 20.

Department of Surgery, University of Washington, Seattle, WA.

Background: The management of penetrating colon injuries in civilians has evolved over the last four decades. The objectives of this meta-analysis are to evaluate the current treatment regimens available for penetrating colon injuries and assess the role of anastomosis in damage control surgery to develop a practice management guideline for surgeons.

Methods: Using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology, a subcommittee of the Practice Management Guidelines section of EAST conducted a systematic review using MEDLINE and EMBASE articles from 1980 through 2017. Read More

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http://Insights.ovid.com/crossref?an=01586154-900000000-9848
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http://dx.doi.org/10.1097/TA.0000000000002146DOI Listing
November 2018
8 Reads

Survival trends after inferior vena cava and aortic injuries in the United States.

J Vasc Surg 2018 12 28;68(6):1880-1888. Epub 2018 Jun 28.

Division of Vascular Surgery & Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex. Electronic address:

Objective: Recent studies have demonstrated an increase in trauma mortality relative to mortality from cancer and heart diseases in the United States. Major vascular injuries such as to the inferior vena cava (IVC) and aortic injuries remain responsible for a significant proportion of early trauma deaths in modern trauma care. The purpose of this study was to explore patterns in epidemiology and mortality after IVC and aortic injuries in the United States. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07415214183099
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http://dx.doi.org/10.1016/j.jvs.2018.04.033DOI Listing
December 2018
5 Reads

Postoperative CD4 counts predict anastomotic leaks in patients with penetrating abdominal trauma.

Injury 2019 Jan 16;50(1):167-172. Epub 2018 Nov 16.

Trauma Unit/Department of Surgery, Chris Hani Baragwanath Academic Hospital, 26 Chris Hani Road, Soweto, Gauteng, South Africa. Electronic address:

Introduction: The influence of trauma- and surgical stress-induced decrease of CD4 count on anastomotic leaks after penetrating abdominal trauma has to date not been investigated. A prospective study was performed to explore the effect of CD4 count 24 h after surgery on the anastomotic leak rate and to identify risk factors for anastomotic leaks.

Methods: This was a prospective study including 98 patients with small or large bowel resection and subsequent anastomosis due to penetrating abdominal trauma. Read More

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http://dx.doi.org/10.1016/j.injury.2018.11.028DOI Listing
January 2019
11 Reads

Superior mesenteric vein injury in penetrating abdominal trauma: A case report.

Int J Surg Case Rep 2018 29;52:40-44. Epub 2018 Sep 29.

Department of General Surgery, King Abdul-Aziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia. Electronic address:

Introduction: Injury to the superior mesenteric vein (SMV) is considerably rare amongst abdominal visceral vascular injuries. Multiple factors play a role in identifying such injuries, leading to the high morbidity and mortality associated.

Case Presentation: We report a twenty-six-year-old male sustaining a SMV injury following a self-inflected gun shot. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612183040
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http://dx.doi.org/10.1016/j.ijscr.2018.09.040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202787PMC
September 2018
15 Reads

Conservative management of a self-fashioned de-functioning colostomy in a patient with complex psychiatric comorbidities.

BMJ Case Rep 2018 Oct 12;2018. Epub 2018 Oct 12.

Department of General Surgery, Plymouth Hospitals NHS Trust, Plymouth, Devon, UK.

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22660
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http://dx.doi.org/10.1136/bcr-2018-226607DOI Listing
October 2018
3 Reads

A new tailored protocol based on laparoscopy in the management of abdominal shotgun injuries: a case-series study.

Eur J Trauma Emerg Surg 2018 Sep 24. Epub 2018 Sep 24.

Department of General and Laparoscopic Surgery, Cairo University Hospitals (Kasr-Alainy Hospital), 41 Noubar St, Babelouk, Cairo, Egypt.

Purpose: Abdominal shotgun injuries derive their significance from the wide range of injuries they cause. The management of this type of injury has been continuously evolving. Despite the ongoing incorporation of laparoscopy in management of abdominal trauma, there is no definite protocol raising the role of laparoscopy in such injuries. Read More

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http://link.springer.com/10.1007/s00068-018-1015-7
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http://dx.doi.org/10.1007/s00068-018-1015-7DOI Listing
September 2018
4 Reads

Laparoscopy in penetrating abdominal trauma is a safe and effective alternative to laparotomy.

Surg Endosc 2018 Sep 12. Epub 2018 Sep 12.

NYU Langone Hospital - Brooklyn, 150 55th Street, Brooklyn, NY, 11220, USA.

Introduction: Diagnostic laparoscopy (DL) is an increasingly used modality when approaching penetrating abdominal trauma (PAT). Trauma surgeons can utilize this minimally invasive technique to quickly assess for injury in hemodynamically stable patients. DL with a confirmed injury can be repaired through therapeutic laparoscopy (TL) or conversion to exploratory laparotomy (EL). Read More

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http://link.springer.com/10.1007/s00464-018-6436-1
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http://dx.doi.org/10.1007/s00464-018-6436-1DOI Listing
September 2018
4 Reads

Blunt Abdominal Trauma, Splenectomy, and Post-Splenectomy Vaccination.

Mil Med 2018 09;183(suppl_2):98-100

Joint Trauma System, 3698 Chambers Pass, Joint Base San Antonio, Fort Sam Houston, TX.

Unlike penetrating abdominal injuries where the decision to operate is relatively straight forward, those combat casualties that sustain blunt abdominal trauma offer more of a diagnostic and clinical challenge. For unstable patients with a positive focused abdominal sonography in trauma or diagnostic peritoneal lavage, exploratory laparotomy should be undertaken immediately. All grade IV-V splenic injuries should undergo splenectomy, patients undergoing attempted splenic salvage should be monitored in the Role 3 facility and embolization of such splenic injuries may be considered if available. Read More

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https://academic.oup.com/milmed/article/183/suppl_2/98/50911
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http://dx.doi.org/10.1093/milmed/usy095DOI Listing
September 2018
9 Reads

Is the Face an Air Bag for the Brain and Torso?-The Potential Protective Effects of Severe Midface Fractures.

Am Surg 2018 Aug;84(8):1299-1302

We investigated the patterns of injury associated with major midface trauma. Our hypothesis is that midface injuries are associated with a decrease in certain traumatic brain injuries as well as major torso injuries. The registry of our Level I trauma center was queried for all adult patients treated over 25 years from 1989 to 2013. Read More

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August 2018
3 Reads

Calculated Decisions: Focused Assessment With Sonography for Trauma (FAST)

Emerg Med Pract 2018 Sep 1;18(Suppl 3):1-3. Epub 2018 Sep 1.

Department of Surgery, Keck School of Medicine of USC, Los Angeles, CA

Focused Assessment with Sonography for Trauma (FAST) predicts the presence of pericardial or intra-abdominal injury after penetrating or blunt trauma. Read More

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September 2018
1 Read

Diagnostic laparoscopy or selective non-operative management for stable patients with penetrating abdominal trauma: What to choose?

J Minim Access Surg 2018 Sep 3. Epub 2018 Sep 3.

University of KwaZulu-Natal, Nelson R Mandela (NRMSM) Campus, Durban, South Africa.

Background: Selective non-operative management (NOM) and diagnostic laparoscopy (DL) are well-accepted approaches in the management of stable patients with penetrating abdominal trauma (PAT). The aim of this pilot study was to investigate the advantages and disadvantages of early DL in stable asymptomatic or minimally symptomatic patients with PAT as opposed to NOM, a standard of care in this scenario. The secondary aim was to suggest possible indications for DL. Read More

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http://dx.doi.org/10.4103/jmas.JMAS_72_18DOI Listing
September 2018
18 Reads

Effects of Tactical Emergency Casualty Care Training for Law Enforcement Officers.

Prehosp Disaster Med 2018 Oct 31;33(5):495-500. Epub 2018 Aug 31.

2Advisor,A.T. Still University,Mesa,ArizonaUSA.

Objective: This study evaluated how Tactical Emergency Casualty Care (TECC) training prepared law enforcement officers (LEOs) with the tools necessary to provide immediate, on-scene medical care to successfully stabilize victims of trauma.

Methods: This was a retrospective, de-identified study using a seven-item Fairfax County (Virginia USA) TECC After-Action Questionnaire and Arlington County (Virginia USA) police reports.

Results: Forty-six encounters were collected from 2015 through 2016. Read More

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https://www.cambridge.org/core/product/identifier/S1049023X1
Publisher Site
http://dx.doi.org/10.1017/S1049023X18000730DOI Listing
October 2018
18 Reads

Frequency of intra-abdominal organ injury is higher in patients with concomitant stab wounds to other anatomical areas.

BMC Emerg Med 2018 06 27;18(1):18. Epub 2018 Jun 27.

Trauma Unit, Hillel Yaffe Medical Center, 38100, Hadera, Israel.

Background: Management of stable patients with abdominal stab wound remains controversial, particularly for those with no clear indications for explorative laparotomy. We evaluated the risk of intra-abdominal injury in stab wound victims concomitantly stabbed in other anatomical body areas.

Methods: We performed a retrospective cohort study of patients with abdominal stab wounds recorded in the Israeli National Trauma Registry from January 1st, 1997, to December 31st, 2013. Read More

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https://bmcemergmed.biomedcentral.com/articles/10.1186/s1287
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http://dx.doi.org/10.1186/s12873-018-0167-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020471PMC
June 2018
4 Reads

Nonoperative management of penetrating abdominal solid organ injuries in children.

J Surg Res 2018 Aug 11;228:188-193. Epub 2018 Apr 11.

Division of Acute Care Surgery, University of Southern California, Los Angeles, California.

Background: Nonoperative management (NOM) of penetrating solid organ injuries (SOI) has not been well described in the pediatric population. The objective of this study was to characterize the epidemiology, injury patterns, and factors associated with trial and failure of NOM.

Methods: This is a retrospective cohort analysis of the National Trauma Data Bank for the period of 2007-2014. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00224804183019
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http://dx.doi.org/10.1016/j.jss.2018.03.034DOI Listing
August 2018
23 Reads
1.936 Impact Factor

Evaluation of the agreement between focused assessment with sonography for trauma (AFAST/TFAST) and computed tomography in dogs and cats with recent trauma.

J Vet Emerg Crit Care (San Antonio) 2018 Sep 14;28(5):429-435. Epub 2018 Jun 14.

Objective: To determine the agreement between focused assessment with sonography for trauma (FAST) exams and computed tomography (CT) for the detection of pleural and peritoneal fluid and pneumothorax in animals that have sustained recent trauma.

Design: Prospective study.

Setting: University Teaching Hospital. Read More

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http://dx.doi.org/10.1111/vec.12732DOI Listing
September 2018
4 Reads

The utility of point-of-care ultrasound in targeted automobile ramming mass casualty (TARMAC) attacks.

Am J Emerg Med 2018 Aug 29;36(8):1467-1471. Epub 2018 May 29.

Disaster and Operational Medicine, Department of Emergency Medicine, George Washington University, Washington DC, United States.

As terrorist actors revise their tactics to outmaneuver increasing counter-terrorism security measures, a recent trend toward less-sophisticated attack methods has emerged. Most notable of these "low tech" trends are the Targeted Automobile Ramming MAss Casualty (TARMAC) attacks. Between 2014 and November 2017, 18 TARMAC attacks were reported worldwide, resulting in 181 deaths and 679 injuries. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.05.058DOI Listing
August 2018
1 Read

Suture Embolism of the Left Superior Lobar Pulmonary Artery.

J Forensic Sci 2019 Jan 31;64(1):298-301. Epub 2018 May 31.

Department of Pathology, West Virginia University, #1 Medical Center Drive, 2148 HSCN, Morgantown, WV, 26506.

Endogenous pulmonary thromboemboli are a common cause of noncardiac sudden natural death. Embolism of exogenous material is a rare but potential finding in autopsies following surgeries, medical procedures, penetrating trauma, and nonparenteral drug abuse. This report describes the first case of a suture embolism of the left superior lobar pulmonary artery following complicated abdominal surgery. Read More

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http://dx.doi.org/10.1111/1556-4029.13835DOI Listing
January 2019
1 Read

Abdominal stab wound injury in children: Do we need different approach?

J Pediatr Surg 2018 May 5. Epub 2018 May 5.

Trauma Unit, Hillel Yaffe Medical Center, Hadera, Israel.

Background: Penetrating stab wounds in children are relatively rare and no clear recommendations for the optimal evaluation have been devised. An acceptable traditional approach to the patient with an abdominal stab wound who does not require urgent surgery is selective nonoperative management and serial exams. The use of routine computed tomography remains an actively utilized investigation for these patients at many institutions. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00223468183031
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http://dx.doi.org/10.1016/j.jpedsurg.2018.04.041DOI Listing
May 2018
7 Reads

Trauma laparoscopy: A prospect of skills training (cohort study).

Int J Surg 2018 Jul 26;55:117-123. Epub 2018 May 26.

University of KwaZulu - Natal, Nelson R Mandela (NRMSM) Campus, Durban, South Africa.

Background: Diagnostic laparoscopy is well-accepted in management of penetrating abdominal trauma (PAT) with the rate of missed injuries below 1%. However, there is a reluctance to accept therapeutic laparoscopy in trauma society. The possible reason is a lack of laparoscopic skills by trauma surgeons. Read More

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http://dx.doi.org/10.1016/j.ijsu.2018.05.033DOI Listing
July 2018
1 Read

Management of intra-abdominal vascular injury in trauma laparotomy: a South African experience.

Can J Surg 2018 06;61(3):158-164

From the Department of General Surgery, Wessex Deanery, Wessex, United Kingdom (Weale); Pietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu-Natal, Durban, South Africa (Kong, Manchev, Bekker, Oosthuizen, Laing, Bruce, Clarke); the School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa (Brysiewicz); and the Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa (Clarke).

Background: Intra-abdominal vascular injury (IAVI) is uncommon but continues to be associated with high mortality rates despite technological advances in the past decades. In light of these ongoing developments, we reviewed our contemporary experience with IAVI in an attempt to clarify and refine our management strategies and the outcome of these patients.

Methods: We retrospectively reviewed the charts of all patients admitted between January 2011 and December 2014 at a major trauma centre in South Africa who were found to have an IAVI during laparotomy for trauma. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5973903PMC
June 2018
1 Read
1.270 Impact Factor

Clindamycin-induced Maculopapular Exanthema with Preferential Involvement of Striae Distensae: A Koebner phenomenon?

Acta Dermatovenerol Croat 2018 Apr;26(1):61-63

Benigno Monteagudo-Sánchez, MD, Hospital Arquitecto Marcide, Avenida Residencia SN , 15405 Ferrol (A Coruńa), A Coruńa, Spain;

Clindamycin is a lincomycin-derived antibiotic useful for the treatment of anaerobic and Gram-positive aerobic bacterial infections. Cutaneous adverse reactions are usually maculopapular exanthemas, although hypersensitivity syndrome, acute generalized exanthematous pustulosis, and Stevens-Johnson syndrome have also been reported (1). We report the case of a patient with a maculopapular rash triggered by clindamycin who developed cutaneous lesions on striae distensae (SD). Read More

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April 2018
21 Reads

Evaluation of massive transfusion protocol practices by type of trauma at a level I trauma center.

Chin J Traumatol 2018 Oct 18;21(5):261-266. Epub 2018 Apr 18.

Department of Surgery, Nassau University Medical Center, East Meadow, NY, USA.

Purpose: To evaluate massive transfusion protocol practices by trauma type at a level I trauma center.

Methods: A retrospective analysis was performed on a sample of 76 trauma patients with MTP activation between March 2010 and January 2015 at a regional trauma center. Patient demographics, transfusion practices, and clinical outcomes were compared by type of trauma sustained. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10081275173025
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http://dx.doi.org/10.1016/j.cjtee.2018.01.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6235793PMC
October 2018
7 Reads

Prognostic predictors of early mortality from exsanguination in adult trauma: a Malaysian trauma center experience.

Trauma Surg Acute Care Open 2017 31;2(1):e000070. Epub 2017 May 31.

Department of General Surgery, Hospital Sultanah Aminah, Johor Bahru, Johor, Malaysia.

Background: Trauma mortality due to exsanguination is the second most common cause of death. The objective of this study is to investigate the predictors for early death from exsanguination.

Methods: A prognostic study was done to identify predictors of early mortality due to exsanguination. Read More

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http://dx.doi.org/10.1136/tsaco-2016-000070DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5877896PMC
May 2017
3 Reads

Analysis of 89 patients who underwent tube thoracostomy performed by general surgeons.

Turk J Surg 2018 3;34(1):49-52. Epub 2017 Sep 3.

Department of General Surgery, İstanbul Training and Research Hospital, İstanbul, Turkey.

Objective: Death due to thoracic trauma accounts for 20% of all trauma deaths. The aim of this study was to discuss the approach applied by general surgeons to thoracic trauma in our center.

Material And Methods: A total of 89 patients (82 male, 7 female; mean age: 26. Read More

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http://dx.doi.org/10.5152/UCD.2017.3692DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937659PMC
September 2017
3 Reads

A Randomized Controlled Trial on Intra-Abdominal Irrigation during Emergency Trauma Laparotomy; Time for Yet Another Paradigm Shift.

Bull Emerg Trauma 2018 Apr;6(2):100-107

University of Illinois, College of Medicine, Chicago, USA.

Objective: To determine the optimal volume of abdominal irrigation that will prevent surgical site infections (both deep and superficial), eviscerations and fistula formations; and improve 30-day mortality in trauma patients.

Methods: We conducted a three-arm parallel clinical superiority randomized controlled trial comparing different volumes of effluent (5, 10 and 20 liters) used in trauma patients (both blunt and penetrating) age 14 and above undergoing an emergency laparotomy between April 2002 and July 2004 in a busy urban Level 1 trauma center.

Results: After randomization, a total of 204 patients were analyzed. Read More

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https://www.beat-journal.com/index.php/BEAT/article/view/527
Publisher Site
http://dx.doi.org/10.29252/beat-060203DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5928265PMC
April 2018
8 Reads

Successful Balloon-Assisted Hepatic Tract Embolization Using the Pull-Through Technique to Remove a Malpositioned Chest Tube Penetrating the Liver and into the Right Ventricle.

Cardiovasc Intervent Radiol 2018 Sep 1;41(9):1436-1439. Epub 2018 May 1.

Department of Emergency and Critical Care Medicine, National Hospital Organization, Kyoto Medical Center, 1-1 Fukakusa, Mukaihata-cho, Fushimi-ku, Kyoto, 612-8555, Japan.

Intra-abdominal injury is an uncommon complication of chest tube insertion. A 66-year-old man had empyema and underwent chest tube insertion for drainage. Massive hemorrhage occurred; the postprocedural radiograph showed the malpositioned chest tube in the mediastinum. Read More

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http://link.springer.com/10.1007/s00270-018-1974-4
Publisher Site
http://dx.doi.org/10.1007/s00270-018-1974-4DOI Listing
September 2018
11 Reads

Nonoperative Management of Multiple Penetrating Cardiac and Colon Wounds from a Shotgun: A Case Report and Literature Review.

Case Rep Surg 2018 24;2018:7839465. Epub 2018 Jan 24.

Pablo Tobón Uribe Hospital, Medellin, Colombia.

Introduction: Surgery for cardiac trauma is considered fatal and for wounds of the colon by associated sepsis is normally considered; however, conservative management of many traumatic lesions of different injured organs has progressed over the years.

Presentation Of The Case: A 65-year-old male patient presented with multiple shotgun wounds on the left upper limb, thorax, and abdomen. On evaluation, he was hemodynamically stable with normal sinus rhythm and normal blood pressure, no dyspnea, or abdominal pain. Read More

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http://dx.doi.org/10.1155/2018/7839465DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5833198PMC
January 2018
9 Reads

A rare case of a superior lumbar hernia secondary to penetrating injury.

Trauma Case Rep 2018 Apr 15;14:5-7. Epub 2018 Mar 15.

Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Rochester Medical Center, United States.

Lumbar hernias are rare occurrences, with only 300 cases reported in the literature. We present a unique case of a superior lumbar hernia secondary to penetrating trauma to the right flank. We performed a herniorrhaphy using porcine mesh, and provided additional support by mobilizing the external oblique and latissimus dorsi into the defect. Read More

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http://dx.doi.org/10.1016/j.tcr.2017.10.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887166PMC
April 2018
1 Read

Ureteric transection secondary to penetrating handlebar injury.

Trauma Case Rep 2017 Aug 31;10:16-18. Epub 2017 Jul 31.

Baystate Medical Center, Springfield, MA, United States.

Ureteric trauma is rare, occurring in < 1% of all traumas. We present a unique case of a 13 year old female who sustained a penetrating abdominal injury from a bicycle handlebar. Upon initial examination there was herniation of bowel through the abdominal wound, so exploratory laparotomy was performed. Read More

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http://dx.doi.org/10.1016/j.tcr.2017.07.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887045PMC