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Front Med (Lausanne) 2022 9;9:858511. Epub 2022 Jun 9.

Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital, Tokyo, Japan.

Background: Patients with blunt chest trauma have a high mortality rate. The assessment of blush in hepatic and splenic trauma is important for determining the need for emergency hemostatic interventions. However, the frequency and importance of blush in lung contusions are unknown. Read More

Medicina (Kaunas) 2022 May 31;58(6). Epub 2022 May 31.

Department of Pediatric Surgery, University of Leipzig, 04103 Leipzig, Germany.

: Falls from heights are a common mechanism of trauma in children. However, data on bunk-bed-related (BBR) fractures are scarce. We aimed to assess types of fractures and age groups most at risk for BBR fractures. Read More

Ann Med Surg (Lond) 2022 Jun 30;78:103868. Epub 2022 May 30.

Department of Intensive Care Unit, Mohammed VI University Hospital of Oujda, Mohammed First University of Oujda, Oujda, Morocco.

Introduction: and importance: Venous thromboembolism (VTE) is a well-known complication in polytrauma patients, associated with a high rate of mortality and morbidity. Generally pulmonary embolism (PE) is most common between the fifth and seventh days following a significant trauma, and it is uncommon before the fourth day. Their management remains a challenge to physicians given the nature and risk of blood loss from the accompanying injuries must be considered while using anticoagulant therapy. Read More

Surg Open Sci 2022 Jul 21;9:91-93. Epub 2022 May 21.

Marin Health Medical Center (MHMC), Greenbrae, CA.

Background: The historical mortality rate after falling from the Golden Gate Bridge has been approximately 98%. We report on 14 recent survivors treated at Marin Health Medical Center.

Methods: We retrospectively reviewed the 22-year experience of treating patients after Golden Gate Bridge falls. Read More

Maedica (Bucur) 2022 Mar;17(1):44-51

Department of Pediatric Surgery, Democritus University of Thrace, University Hospital of Alexandroupolis, Dragana, Alexandroupolis, 68100, Greece, ORCID ID: 0000-0003-0817-6513.

The aim of our study is to evaluate the diagnostic ability of contrast-enhanced ultrasonography (CEUS) in pediatric population with history of blunt abdominal trauma (BAT). In an eight-year period (1/2012-1/2020), fifty-nine children (4-14 years old) were transferred to the Emergency Department with referred BAT. The initial imaging method was ultrasound scan (US). Read More

Respir Care 2022 Jun 21. Epub 2022 Jun 21.

Department of Surgery, University of Cincinnati, Cincinnati, Ohio.

Background: Blunt pulmonary contusions are associated with severe chest injuries and are independently associated with worse outcomes. Previous preclinical studies suggest that contusion progression precipitates poor pulmonary function; however, there are few current clinical data to corroborate this hypothesis. We examined pulmonary dynamics and oxygenation in subjects with pulmonary contusions to evaluate for impaired respiratory function. Read More

Am Fam Physician 2022 Jun;105(6):661-662

Carl R. Darnall Army Medical Center Family Medicine Residency Program, Fort Hood, TX, USA.

Am J Emerg Med 2022 Jun 3;58:197-202. Epub 2022 Jun 3.

Professor of Trauma Surgery, Department of Surgery, OLVG, Amsterdam, the Netherlands.

Introduction: Traumatic injuries of the shoulder or chest wall are commonly treated in the Emergency Department (ED). A complementary treatment is kinesiotaping, an elastic tape often used to treat musculoskeletal dysfunction and pain. However, the added pain-reducing effect of kinesiotape in comparison to standard conservative treatment is unknown. Read More

Eur Radiol 2022 Jun 10. Epub 2022 Jun 10.

Imadis, Lyon, France.

Objectives: To describe injury patterns in children with multiple trauma (MT), evaluate the yield of dual-phase whole-body CT (WBCT), and quantify missed injuries detected on second reading.

Methods: Remotely analyzed WBCT performed between 2011 and 2020 in 63 emergency departments on children admitted for MT were included. Second reading occurred within 24 h. Read More

Br J Oral Maxillofac Surg 2021 Sep 30. Epub 2021 Sep 30.

University of Pennsylvania School of Dental Medicine, Philadelphia, PA, United States.

Purpose: The purpose of this study is to explore the patterns of head and neck injuries secondary to boxing.

Materials And Methods: We conducted a 20-year retrospective cross-sectional study using the National Electronic Injury Submission System (NEISS). We derived the predictor variables from both patient and injury characteristics. Read More

Spectrochim Acta A Mol Biomol Spectrosc 2022 Oct 27;279:121432. Epub 2022 May 27.

College of Electronics Engineering, Heilongjiang University, Harbin, Heilongjiang Province, China. Electronic address:

The timely detection of apple bruises caused by collision and squeeze is of great significance to reduce the economic losses of the apple industry. This study proposed a spectral analysis model (SpectralCNN) based on a one-dimensional convolutional neural network to detect apple bruises. The influences of six spectral preprocessing methods on the SpectralCNN model were firstly analyzed in this paper. Read More

BMC Cardiovasc Disord 2022 Jun 3;22(1):252. Epub 2022 Jun 3.

Department of Cardiovascular Medicine, The University of Toledo, 3000 Arlington Avenue, Toledo, OH, 43614, USA.

Background: Commotio cordis is an event in which a blunt, non-penetrating blow to the chest occurs, triggering a life-threatening arrhythmia and often sudden death. This phenomenon is often seen in young, male athletes and has become increasingly well-known over the past few decades. We present a unique case in which ventricular fibrillation occurs in an older male athlete after blunt trauma. Read More

Emerg Med Int 2022 24;2022:4004965. Epub 2022 May 24.

Anhui Wannan Medical College, Wuhu 241000, Anhui, China.

The purpose of participating in sports is to enhance physical fitness and promote physical and mental health. The occurrence of sports injuries will cause physical and mental injuries to athletes, especially the ankle joint injuries that often occur. Therefore, it is particularly important to understand the causes, symptoms, treatment, and prevention of athletes' ankle injuries. Read More

Crit Care Res Pract 2022 24;2022:3124966. Epub 2022 May 24.

Critical Care Medicine Department, Cairo University, Cairo, Egypt.

Background: Thoracic trauma comprises 20-25% of all traumas worldwide and constitutes the third most common cause of death after abdominal injury and head trauma in polytrauma patients. Pulmonary contusion (PC) is a common injury seen after blunt trauma that is associated with significant morbidity and mortality. The aim of this prospective study was to determine the value of PC extent measurements using lung ultrasound in predicting high risk patients for ARDS development. Read More

Injury 2022 Jul 19;53(7):2485-2492. Epub 2022 May 19.

Department of Anaesthesiology and Critical Care Medicine, Medical University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria. Electronic address:

Introduction: Interindividual collisions while skiing or snowboarding occur regularly, they can be associated with severe injuries.

Objective: To elucidate causes of accidents, injury patterns and potential risk factors for injury severity in interindividual collisions of skiers and snowboarders.

Material And Methods: Retrospective analysis of the Austrian Registry for Mountain Accidents within a 13-year timeframe (2005-2018) with regard to on- or off-piste collisions of skiers and snowboarders. Read More

Forensic Sci Int Genet 2022 Jul 13;59:102722. Epub 2022 May 13.

School of Forensic Medicine, Shanxi Medical University, 98 University Street, Yuci District, Jinzhong 030606, Shanxi, P.R. China. Electronic address:

Accurate estimation of the wound age is critical in investigating intentional injury cases. Establishing objective and reliable biological indicators to estimate wound age is still a significant challenge in forensic medicine. Therefore, exploring an objective, flexible, and reliable index system selection method for wound age estimation based on next-generation sequencing gene expression profiles is necessary. Read More

Craniomaxillofac Trauma Reconstr 2022 Jun 1;15(2):122-127. Epub 2021 Jun 1.

Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic Reconstructive Surgery, LSU Health Sciences Center, Shreveport, LA, USA.

Study Design: Retrospective, observational, cross-sectional study.

Objective: To determine the incidence of skiing-related facial trauma and to identify their patterns in terms of potential risk factors, mechanism of injury, anatomical location, and degree of severity.

Methods: Data was collected using the National Electronic Injury Surveillance System and included snow skiing-related incidents during the years 2009 to 2018. Read More

Case Rep Emerg Med 2022 17;2022:9186275. Epub 2022 May 17.

Sparrow Health System, Department of Emergency Medicine, 1215 Michigan Ave, Lansing, Michigan 48912, USA.

The violent nature of generalized tonic-clonic seizures puts individuals at risk of a large number of potential injuries. These can occur due both to the profound muscular contractions that accompany these episodes as well as falls and other traumatic events that occur due to the period of loss of consciousness that occurs during generalized seizures. While injuries such as soft tissue contusions, tongue biting, dental injuries, and facial lacerations resulting from falls from standing predominate, bony injuries are not uncommon. Read More

Physiol Rep 2022 05;10(10):e15266

Research Service, Birmingham VA Medical Center, Birmingham, Alabama, USA.

Spinal cord injury (SCI) leads to major reductions in function, independent living, and quality of life. Disuse and paralysis from SCI leads to rapid muscle atrophy, with chronic muscle loss likely playing a role in the development of the secondary metabolic disorders often seen in those with SCI. Muscle disuse is associated with mitochondrial dysfunction. Read More

Oral Maxillofac Surg 2022 May 24. Epub 2022 May 24.

Ajman University, Ajman, United Arab Emirates.

Traumatic brain injuries (TBIs) associated with maxillofacial fractures (MFFs) are a public health concern worldwide, especially among adult-aged males. There is an urgent need for early detection of associated TBIs in patients with MFFs during the initial assessment and treatment stage to reduce morbidity and mortality. The objective of the present study was to systematically review the literature to determine specific MFF situations associated with TBIs and to identify the factors associated with TBIs in patients with MFFs. Read More

Comput Math Methods Med 2022 12;2022:4311434. Epub 2022 May 12.

Department of Neurosurgery, Cangzhou Central Hospital, Hebei 061000, China.

Objective: Finding valuable risk factors for the prognosis of brain contusion and laceration can help patients understand the condition and improve the prognosis. This study is aimed at analyzing the risk factors of poor prognosis in patients with brain contusion after the operation.

Methods: A total of 136 patients with cerebral contusion and laceration combined with cerebral hernia treated by neurosurgical craniotomy in our hospital were retrospectively selected and divided into a training set ( = 95) and a test set ( = 41) by the 10-fold crossover method. Read More

Front Integr Neurosci 2022 27;16:894500. Epub 2022 Apr 27.

McGovern Institute for Brain Research, Massachusetts Institute of Technology, Cambridge, MA, United States.

The nervous and immune systems are intimately related in the brain and in the periphery, where changes to one affect the other and vice-versa. Immune cells are responsible for sculpting and pruning neuronal synapses, and play key roles in neuro-development and neurological disease pathology. The immune composition of the brain is tightly regulated from the periphery through the blood-brain barrier (BBB), whose maintenance is driven to a significant extent by extracellular matrix (ECM) components. Read More

Cells 2022 04 20;11(9). Epub 2022 Apr 20.

Spinal Cord and Brain Injury Research Group, Stark Neurosciences Research Institute, Indiana University School of Medicine, Indianapolis, IN 46202, USA.

The recovery of lower-urinary-tract activity is a top priority for patients with spinal-cord injury. Historically, locomotor training improved micturition function in both patients with spinal cord injury and animal models. We explore whether training augments such as the supraspinal control of the external urethral sphincter results in enhanced coordination in detrusor-sphincter activity. Read More

BMC Musculoskelet Disord 2022 May 13;23(1):449. Epub 2022 May 13.

Department of Orthopaedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Medical College of Hallym University, 7, Keunjaebong-gil, Hwaseong-si, Gyeonggi-do, 18450, Republic of Korea.

Background: Advances in magnetic resonance imaging (MRI) have made it possible to find the vertebral body bruise (VBB), which was not found in computed tomography (CT) after trauma. There has been only one study with adult patients about whether traumatic VBB will cause a collapse of the vertebral body or not. The purpose is to elucidate the progression of VBB in non-osteoporotic adult patients and to identify the possible factors influencing the progression. Read More

PLoS One 2022 6;17(5):e0268202. Epub 2022 May 6.

Service d'Accueil des Urgences-SAMU 69, Centre Hospitalier Universitaire Édouard Herriot, Lyon, Hospices Civils de Lyon, France.

Background: Thoracic trauma is a major cause of death in trauma patients and road traffic accident (RTA)-related thoracic injuries have different characteristics than those with non-RTA related thoracic traumas, but this have been poorly described. The main objective was to investigate the epidemiology, injury pattern and outcome of patients suffering a significant RTA-related thoracic injury. Secondary objective was to investigate the influence of serious thoracic injuries on mortality, compared to other serious injuries. Read More

Pediatr Emerg Care 2022 Jun 3;38(6):e1279-e1284. Epub 2022 May 3.

Mayerson Center for Safe and Healthy Children, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Methods: Six children's hospitals identified infants with an initial injury and recurrent injury over a 1-year period using 2 methods: (1) diagnostic code method - infants 6 months or younger presenting with at least 1 diagnostic code for injury were tracked for 12 months to determine the frequency of recurrent injury, and (2) consult method - all available medical records of children 18 months or younger seen for an inpatient consultation for suspected child abuse were reviewed to identify history of a first injury at 6 months or younger.

Results: Using the diagnostic code method, 682 unique infants were identified with initial injuries, most commonly fractures (37.0%), bruising/ecchymosis (35. Read More

Pediatr Pulmonol 2022 Jul 14;57(7):1818-1819. Epub 2022 May 14.

Pediatric ICU and Trauma Center, A. Gemelli Hospital, Fondazione Policlinico Gemelli IRCCS, Rome, Italy.

Blunt chest injury is commonly observed in the Pediatric Emergency Department and Intensive Care Unit since up to 30% of children with traumatic injury sustain injury to the thorax. Differently from adults, who present with concomitant rib or sternoclavicular fractures in 70% of cases, more than half of childhood chest injuries occur without any bone fracture, mostly causing lung contusions. This lower rate of rib fractures and near absence of flail chest in children may be due to greater elasticity of the pediatric cartilaginous and bony skeleton. Read More

Ulus Travma Acil Cerrahi Derg 2022 05;28(5):634-640

Department of Thoracic Surgery, Manisa Celal Bayar University Faculty of Medicine, Manisa-Turkey.

Background: The objective of the study is to investigate diagnostic and clinical processes performed for cardiac contusion in patients with blunt thoracic trauma.

Methods: This study was conducted retrospectively on 65 patients admitted with isolated blunt thoracic trauma to the Emergency Medicine Department. The CT images, the cardiac enzyme levels, the periodic 4-h follow-up electrocardiography (ECGs) in the emer-gency department, and the results of echocardiography, performed at admission and when required according to the clinical status, were investigated. Read More

J Exp Orthop 2022 Apr 27;9(1):37. Epub 2022 Apr 27.

Department of Orthopaedic Surgery, School of Medicine, University of North Carolina, 130 Mason Farm Road, CB# 7055, Chapel Hill, NC, 27599-7055, USA.

Purpose: Anterior cruciate ligament rupture is associated with characteristic bone contusions in approximately 80% of patients, and these have been correlated with higher pain scores. Bone bruising may indicate joint damage that increases inflammation and the likelihood of posttraumatic osteoarthritis. We sought to characterize the severity of bone bruising following acute anterior cruciate ligament injury and determine if it correlates with synovial fluid and serum levels of the proinflammatory chemokine monocyte chemoattractant protein-1 associated with posttraumatic osteoarthritis. Read More

Animal 2022 May 23;16(5):100521. Epub 2022 Apr 23.

Department of Aquaculture and Fisheries Management, Federal University of Agriculture, Abeokuta, Ogun State, Nigeria.

Globally, the culture of fishes is important for food production. There is a growing interest in understanding and improving the welfare of cultured fish from both ethical and production perspectives. Social isolation is a common practice in catfish farming. Read More