7,423 results match your criteria Thorax Trauma


Relief of Secondary Headaches with High Thoracic Erector Spinae Plane Block.

Local Reg Anesth 2020 22;13:49-55. Epub 2020 Jun 22.

Department of Anesthesiology, Division of Regional Anesthesiology and Acute Pain Medicine, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX 77030, USA.

Intractable headaches can be debilitating, often leading to significant distress, prolonged medical treatment, and unanticipated hospital admissions. There have been significant advances in the treatment of primary intractable headaches such as migraines, tension headaches, and cluster headaches beyond medical management. Treatments may now include interventional strategies such as trigger-point injections, peripheral nerve stimulators, or peripheral nerve and ganglion blocks. Read More

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http://dx.doi.org/10.2147/LRA.S249250DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319503PMC

A Rare and Challenging Presentation of Empyema Necessitans/Necessitasis Leading to Brachial Plexopathy.

Cureus 2020 May 24;12(5):e8267. Epub 2020 May 24.

Hematology and Oncology, Hamad General Hospital, Doha, QAT.

Empyema necessitasis (EN) also referred to as empyema necessitans (EN) is a rare complication of empyema that can involve soft tissues outside the pleural cavity and can lead to brachial plexus injury. Although, brachial plexus injury most commonly occurs as a result of trauma, inflammation, or malignancies, but it has been rarely seen in EN. We are reporting a rare and challenging case of empyema necessitasis (EN) causing impingement of brachial plexus in a 42-year-old, type 2 diabetic patient, who initially presented to the hospital with left-sided pleuritic chest pain and acute onset of left upper limb weakness. Read More

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http://dx.doi.org/10.7759/cureus.8267DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314367PMC

Modeling lung tissue dynamics and injury under pressure and impact loading.

Authors:
J D Clayton

Biomech Model Mechanobiol 2020 Jun 27. Epub 2020 Jun 27.

Impact Physics, CCDC ARL, Aberdeen, MD, 21005, USA.

A nonlinear viscoelastic model for the lung is implemented and evaluated for high-rate loading. Principal features of the model include a closed-cell approximation of the bulk compressibility accounting for air inside the lung and a damage-injury component by which local trauma is induced by cumulative normalized internal energy and amplified by gradients of energy density. The latter feature is adapted for use in standard numerical (i. Read More

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http://dx.doi.org/10.1007/s10237-020-01358-9DOI Listing

Urgent Surgical Treatment of Blunt Chest Trauma Followed by Cardiac and Pericardial Injuries.

Med Arch 2020 Apr;74(2):115-118

Private Clinic "Karabeg" Sarajevo, Bosnia and Herzegovina.

Introduction: Widespread opinion that penetrating chest injuries are more urgent, in terms of treatment and care, contributed to underestimation of the urgency of blunt chest trauma, which in most cases is treated conservatively. It remains an open question frequency when the injuries of the heart and pericardium are not timely diagnosed and surgically treated.

Aim: To demonstrate the importance of well-timed surgical treatment of blunt chest trauma, when coupled with cardiac and pericardial injuries. Read More

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http://dx.doi.org/10.5455/medarh.2020.74.115-118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296422PMC

Do NHTSA vehicle safety ratings affect side impact crash outcomes?

J Safety Res 2020 Jun 21;73:1-7. Epub 2020 Feb 21.

Transportation Research Center, Civil Engineering, University of Nevada, Las Vegas, NV 89154, United States. Electronic address:

Introduction: Side impact crash injuries tend to be severe, mainly due to the effects of the mechanism of such crashes. This study addresses the relationship between side impact crash injury severities and side impact safety ratings of the passenger cars involved in such crashes. It is motivated by the lack of research on side impact safety ratings in relation to the real-world crash outcomes. Read More

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http://dx.doi.org/10.1016/j.jsr.2020.02.001DOI Listing

Asymptomatic chronic traumatic aortic valve perforation with severe aortic regurgitation.

Echocardiography 2020 Jun 17. Epub 2020 Jun 17.

Department of Cardiology, Holy Family Hospital and Medical Research Centre, Mumbai, India.

Here, we present a young asymptomatic male patient incidentally diagnosed to have aortic regurgitation (AR). The patient had a history of a blunt trauma to the thorax two years back but did never have any symptoms. Transthoracic echocardiography showed a moderately dilated left ventricle with normal systolic function and severe AR with normal nondilated aortic root and tri-leaflet aortic valve. Read More

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http://dx.doi.org/10.1111/echo.14758DOI Listing
June 2020
1.254 Impact Factor

Abdominal splenosis and its differential diagnoses: What the radiologist needs to know.

Curr Probl Diagn Radiol 2020 May 19. Epub 2020 May 19.

Dipartimento di Biomedicina, Neuroscienze e Diagnostica avanzata (BIND), University of Palermo, Palermo, Italy.

Splenosis is a benign acquired condition characterized by the presence of heterotopic viable splenic tissue in other organs or within cavities such as peritoneum, retroperitoneum, or thorax after splenic trauma or surgery. Abdominal splenosis is often an incidental finding and computed tomography and magnetic resonance usually allow a confident diagnosis. The typical enhancement that parallels the spleen is a useful hallmark of splenosis. Read More

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http://dx.doi.org/10.1067/j.cpradiol.2020.04.012DOI Listing

What Happens in (the) Vagus, Stays in (the) Vagus.

Heart Surg Forum 2020 May 22;23(3):E335-E342. Epub 2020 May 22.

University of Virginia School of Medicine,Charlottesville,Virginia.

Many cardiothoracic operations put the nerves of the thorax at risk. In fact, nerve injuries are one of the most common reasons cited in malpractice cases brought against cardiothoracic surgeons. While all physicians learn about the nerves of the thorax during anatomy courses in medical school, little is written about avoiding injury to these important nerves in the cardiothoracic surgical literature. Read More

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http://dx.doi.org/10.1532/hsf.3073DOI Listing

Diagnostic accuracy of pubic symphysis ultrasound in the detection of unstable pelvis in polytrauma patients during e-FAST: the value of FAST-PLUS protocol. A preliminary experience.

J Ultrasound 2020 Jun 9. Epub 2020 Jun 9.

Department of Emergency Radiology, S. Camillo Hospital, C.ne Gianicolense, 87, 00152, Rome, Italy.

Background: Extended focused abdominal sonography for trauma (e-FAST) is part of the primary survey in patients with high-energy trauma. However, it does not identify patients with retroperitoneal haemorrhage associated with significant pelvic trauma. A traumatic diastasis of pubic symphysis, as well as an 'open book' (OB) pelvic injury, is a diagnostic clue to recognize unstable pelvis with higher risk of bleeding. Read More

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http://dx.doi.org/10.1007/s40477-020-00483-6DOI Listing

Thoracic computerised tomography scans in one hundred eighteen orthopaedic patients during the COVID-19 pandemic: identification of chest lesions; added values; help in managing patients; burden on the computerised tomography scan department.

Int Orthop 2020 Jun 7. Epub 2020 Jun 7.

Orthopedic Department, Clinique Geoffroy Saint Hilaire, 75005, Paris, France.

Purpose: Based on the recent literature, chest computed tomography (CT) examination could aid for management of patients during COVID-19 pandemic. However, the role of chest CT in management of COVID-19 patients is not exactly the same for medical or surgical specialties. In orthopaedic or trauma emergency, abdomen, pelvis, cervical, dorsal, and lumbar spine CT are performed to investigate patients; the result is a thoracic CT scan incorporating usually the thorax; however, information about lung parenchyma can be obtained on this thorax CT, and manifestations of COVID-19 can be diagnosed. Read More

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http://dx.doi.org/10.1007/s00264-020-04651-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275929PMC

Bilio-thorax: an unrecognized complication of liver surgery.

Int J Surg Case Rep 2020 14;71:346-348. Epub 2020 May 14.

The Cancer Foundation Hospital, Karachi, Pakistan. Electronic address:

Introduction: Although a rare complication, Biliothorax, or chole-thorax as it has been called in literature, is a devastating entity if not recognized early. Various causes have been reported for biliothorax like inflammatory, abdominal trauma, neoplastic, the most frequent being percutaneous hepatic intervention.

Case: We present the case of a 60 year old male, treated for colon cancer, who developed this complication after liver surgery. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270503PMC

Chylothorax caused by blunt trauma: Case review and management proposal.

Trauma Case Rep 2020 Aug 21;28:100308. Epub 2020 May 21.

Department of Surgery, St. Luke's Hospital of Kansas City, MO, United States of America.

Chylothorax is a potentially devastating complication of lymphatic trauma of the thorax. To date, no recommendations have provided decision making support for prompt definitive treatment. We present a 53 year old male involved in a motor vehicle collision sustaining 9 left rib fractures with flail segments. Read More

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http://dx.doi.org/10.1016/j.tcr.2020.100308DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256325PMC

Intrathoracic Displacement of Fractured Right Humeral Head: A Case Report.

Arch Bone Jt Surg 2020 Mar;8(2):204-208

Cedar Rapids Medical Education Foundation, Iowa, USA.

Intrathoracic displacement of the humeral head is a very uncommon condition and can be life threatening due to lung or heart injuries. There is a report of this condition where intrathoracic bone fragment was missed. Because of rare incidence there is no guideline for approach and treatment of this condition. Read More

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http://dx.doi.org/10.22038/abjs.2019.36754.1971DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191983PMC

[Surgery during the SARS-CoV-2 pandemic : Recommendations on operative procedures].

Unfallchirurg 2020 Jun 2. Epub 2020 Jun 2.

Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Marienhausklinikum Hetzelstift, Neustadt an der Weinstraße, Deutschland.

Background: In February 2020 Germany was also hit by the SARS-CoV‑2 pandemic. Even patients infected by SARS-CoV‑2 or COVID-19 may need operative procedures. Currently, no uniform recommendations exist on precautions to be taken when operating on these patients. Read More

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http://dx.doi.org/10.1007/s00113-020-00830-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265879PMC

Minimally invasive laparoscopic and robot-assisted emergency treatment of strangulated giant hiatal hernias: report of five cases and literature review.

World J Emerg Surg 2020 Jun 1;15(1):37. Epub 2020 Jun 1.

Unit of General Surgery "V. Bonomo", Department of Biomedical Sciences and Human Oncology, University of Bari "A. Moro", Polyclinic of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy.

Background: Giant hiatal hernia (GHH) is a condition where one-third of the stomach migrates into the thorax. Nowadays, laparoscopic treatment gives excellent postoperative outcomes. Strangulated GHH is rare, and its emergent repair is associated with significant morbidity and mortality rates. Read More

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http://dx.doi.org/10.1186/s13017-020-00316-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268602PMC

Post traumatic left cardiac luxation: A case report.

Int J Surg Case Rep 2020 15;71:205-208. Epub 2020 May 15.

Department of Cardiac and Thoracic Surgery, The Military Hospital of Tunis, Tunisia. Electronic address:

Introduction: Rupture of the pericardium complicating blunt thoracic trauma may lead to cardiac luxation if not early recognized and appropriately surgically treated. This condition is exceedingly rare and carries a high mortality rate.

Case Presentation: A 37-year-old man presented with severe multiple injuries following a road traffic crash, including blunt trauma to the thorax and abdomen. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.095DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262375PMC

Ankara bombing: distribution of injury patterns with radiological imaging.

Pol J Radiol 2020 12;85:e90-e96. Epub 2020 Feb 12.

Ankara City Hospital, Ankara, Turkey.

Purpose: To describe and explain the blast injuries and imaging findings in the Ankara terrorist explosion that took place on October 10, 2015.

Material And Methods: A total of 77 patients who underwent radiologic imaging were classified as primary, secondary, tertiary, and quaternary, according to the injury type. The patients were evaluated based on body regions, such as head and neck, thorax, abdomen, lower extremity, and upper extremity. Read More

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http://dx.doi.org/10.5114/pjr.2020.93394DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247021PMC
February 2020

Penetrating Injury to the Cardiac Box.

J Trauma Acute Care Surg 2020 May 26. Epub 2020 May 26.

Division of Trauma and Critical Care, University of Southern California.

Background: A penetrating injury to the "cardiac box" is thought to be predictive of an injury to the heart, however, there is very little evidence available to support this association. This study aims to evaluate the relationship between penetrating trauma to the cardiac box and a clinically significant injury.

Methods: All patients presenting to a Level 1 trauma center from 01/2009 - 06/2015 who sustained a penetrating injury isolated to the thorax were retrospectively identified. Read More

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http://dx.doi.org/10.1097/TA.0000000000002808DOI Listing

A decade in the battlefield (2004-2014): A French military perspective on the high mortality associated with non-exclusively orthopedic or brain combat injuries.

Injury 2020 May 11. Epub 2020 May 11.

Digestive surgery department, hôpital d'instruction des armées Percy, 101, avenue Henri-Barbusse, BP 406, 92141 Clamart cedex, France.; French Military Health Service, Val de Grâce Military Academy, Paris, Paris, France.. Electronic address:

Background: During the last few decades, French armed forces have regularly deployed in asymmetric conflicts. Surgical support for casualties of these conflicts occurs in NATO role 2 and 3 medical treatment facilities (MTF); definitive surgical care occurs in France following a strategic medical evacuation. The aim of this study was to describe the combat injury profile of these soldiers who presented with either non-exclusively orthopedic and/or brain injuries. Read More

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http://dx.doi.org/10.1016/j.injury.2020.04.035DOI Listing

Analgesia of Patients with Multiple Rib Fractures in Critical Care: A Survey of Healthcare Professionals in the UK.

Indian J Crit Care Med 2020 Mar;24(3):184-189

Department of Anesthesia and Critical Care, Queen Elizabeth Hospital Birmingham, Birmingham, UK.

Introduction: Good analgesia has been shown to reduce the risk of pneumonia, chronic pain, and mortality in patients with multiple rib fractures (MRFs). This survey explores the current analgesic practice in the UK, protocol use, barriers to provision, and physician preferences.

Materials And Methods: A web-based survey was distributed nationally to an enriched cohort of clinicians working in UK trauma units with an interest in MRF management. Read More

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http://dx.doi.org/10.5005/jp-journals-10071-23375DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225763PMC

Missed hand and forearm injuries in multiple trauma patients: An analysis from the TraumaRegister DGU®.

Injury 2020 Jul 8;51(7):1608-1617. Epub 2020 May 8.

Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society (DGU), Germany.

Purpose: Multiple trauma patients have a high risk of missed injuries. The main point of our study was to provide new epidemiological data on hand and forearm injuries in multiple trauma with a focus on those that were missed. Therefore, we used the database of the TraumaRegister DGU®. Read More

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http://dx.doi.org/10.1016/j.injury.2020.04.022DOI Listing

Prediction of 7-Day Readmission Risk for Pediatric Trauma Patients.

J Surg Res 2020 May 7;253:254-261. Epub 2020 May 7.

Information Systems, Children's Hospital of Orange County, Orange, California.

Background: Pediatric patients admitted for trauma may have unique risk factors of unplanned readmission and require condition-specific models to maximize accuracy of prediction. We used a multicenter data set on trauma admissions to study risk factors and predict unplanned 7-day readmissions with comparison to the 30-day metric.

Methods: Data from 28 hospitals in the United States consisting of 82,532 patients (95,158 encounters) were retrieved, and 75% of the data were used for building a random intercept, mixed-effects regression model, whereas the remaining were used for evaluating model performance. Read More

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http://dx.doi.org/10.1016/j.jss.2020.03.068DOI Listing

Coronavirus Disease-19 (COVID-19) associated with severe acute pancreatitis: Case report on three family members.

Pancreatology 2020 Jun 5;20(4):665-667. Epub 2020 May 5.

Pancreatitis Centre East, Gastrounit, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark; Department of Clinical Medicine, University of Copenhagen, Denmark.

Background/objectives: Abdominal pain is one of the known symptoms associated with coronavirus disease 2019. Little is known about the development of acute pancreatitis as a complication of severe acute respiratory syndrome coronavirus 2 infection. This case report describes the presentation of acute pancreatitis in two of three family members with severe COVID-19 infection. Read More

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http://dx.doi.org/10.1016/j.pan.2020.04.021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199002PMC

Surgical Treatment of Giant Liver Hemangioma, Case Report and Literature Review.

Sisli Etfal Hastan Tip Bul 2019 28;53(3):318-321. Epub 2019 Aug 28.

Department of General Surgery, Medical Park Ankara Hospital, Ankara, Turkey.

Hemangiomas are the most common benign primary hepatic neoplasms, often being incidentally discovered. In most of the cases, they are small, asymptomatic and often require follow up. Giant hemangiomas are known as being larger than 5 cm and mostly consists of a cavernous haemangioma, is usually asymptomatic, diagnosed incidentally. Read More

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http://dx.doi.org/10.14744/SEMB.2017.09815DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192281PMC

Comparison of 10 vs 14 gauge angiocatheter for treatment of tension pneumothorax and tension induced pulseless electrical activity with hemorrhagic shock: bigger is still better.

J Trauma Acute Care Surg 2020 May 1. Epub 2020 May 1.

Navy Trauma Training Center, LAC+USC Medical Center, Los Angeles, California.

Background: Little is known regarding the effect of hemorrhagic shock on the diagnosis and treatment of tension pneumothorax (tPTX). Recently, the Tactical Combat Casualty Care (TCCC) guidelines included the 10-gauge angiocatheter (10g AC) as an acceptable alternative to the 14g AC. This study sought to compare these two devices for decompression of tPTX and rescue from tension-induced pulseless electric activity (tPEA) in the setting of a concomitant 30% estimated blood volume (EBV) hemorrhage. Read More

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http://dx.doi.org/10.1097/TA.0000000000002724DOI Listing

A diver's dilemma - a case report on bronchopulmonary sequestration.

BMC Pulm Med 2020 May 4;20(1):121. Epub 2020 May 4.

Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore, Singapore.

Background: An asymptomatic SCUBA (Self-contained underwater breathing apparatus) diver was discovered to have an intralobar bronchopulmonary sequestration during routine pre-course screening. This is the first reported case of a diver who, having previously completed several recreational and military diving courses, was subsequently diagnosed with a congenital lung condition, possibly contraindicating diving. Presently, there is no available literature providing guidance on the diving fitness of patients with such a condition. Read More

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http://dx.doi.org/10.1186/s12890-020-1159-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199314PMC

Stingray spear injury to the pediatric spinal cord: case report and review of the literature.

Childs Nerv Syst 2020 May 2. Epub 2020 May 2.

Servicio de Neurocirugía, Hospital Nacional de Niños, "Dr. Carlos Sáenz Herrera", San José, Costa Rica.

Stingray injuries are rare, mostly causing injuries to the lower extremities but occasionally fatal if there is direct puncture of the thorax, abdomen, or neck. Direct combined stingray injury to the central nervous system has not been reported in the literature. Herein we present the case of a 12-year-old boy who, while wading at the seashore of the Costa Rica's Pacific Ocean, sustained a combined oblique penetrating injury to the C6 vertebra caused by a Stingray. Read More

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http://dx.doi.org/10.1007/s00381-020-04629-zDOI Listing

Potential resuscitative endovascular balloon occlusion of aorta candidates: defining the potential need using the National Trauma Registry.

ANZ J Surg 2020 04;90(4):477-480

Hospital Administration, Hillel Yaffe Medical Center, Hadera, Israel.

Background: Most of the trauma patients who die in the first 24 h from arrival to the hospital do so as a result of haemorrhagic shock. Resuscitative endovascular balloon occlusion of the aorta (REBOA) facilitates expedient proximal aortic control, potentially bridging a needed gap for partial or non-responders to traditional resuscitation en route to emergent definitive haemostasis. This resuscitation tool continues to evolve and has recently achieved some consensus defined indications for its use. Read More

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http://dx.doi.org/10.1111/ans.15771DOI Listing

Mortality and morbidity of stairlift injuries: Analysis of the UK TARN database.

Injury 2020 Jun 10;51(6):1306-1311. Epub 2020 Apr 10.

Department of Trauma and Orthopaedics, St George's University Hospitals NHS Foundation Trust, United Kingdom.

Aims: To investigate the incidence and pattern of injury in patients with a diagnosis of a fall from a stairlift.

Methods: Data was analysed from the Trauma Audit and Research Network (TARN) database from 2000 to 2018 for those recorded suffering stairlift related injuries between the ages of 40-100 years. Patient demographics, injury mechanism and pattern, mortality rate and height of fall were analysed. Read More

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http://dx.doi.org/10.1016/j.injury.2020.04.004DOI Listing
June 2020
2.137 Impact Factor

IL10 Alters Peri-Collateral Macrophage Polarization and Hind-Limb Reperfusion in Mice after Femoral Artery Ligation.

Int J Mol Sci 2020 Apr 17;21(8). Epub 2020 Apr 17.

Max-Planck Institute for Heart- and Lung-Research, 61231 Bad Nauheim, Germany.

Arteriogenesis is a process by which a pre-existing arterioarterial anastomosis develops into a functional collateral network following an arterial occlusion. Alternatively activated macrophages polarized by IL10 have been described to promote collateral growth. This study investigates the effect of different levels of IL10 on hind-limb reperfusion and the distribution of perivascular macrophage activation types in mice after femoral artery ligation (FAL). Read More

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http://dx.doi.org/10.3390/ijms21082821DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215303PMC

Response Ratio Development for Lateral Pendulum Impact with Porcine Thorax and Abdomen Surrogate Equivalents.

Stapp Car Crash J 2019 Nov;63:177-193

Vehicle Safety Sciences, LLC.

There has been recent progress over the past 10 years in research comparing 6-year-old thoracic and abdominal response of pediatric volunteers, pediatric post mortem human subjects (PMHS), animal surrogates, and 6-year-old ATDs. Although progress has been made to guide scaling laws of adult to pediatric thorax and abdomen data for use in ATD design and development of finite element models, further effort is needed, particularly with respect to lateral impacts. The objective of the current study was to use the impact response data of age equivalent swine from Yaek et al. Read More

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November 2019

Far Side Impact Injury Threshold Recommendations Based on 6 Paired WorldSID / Post-Mortem Human Subjects Tests.

Stapp Car Crash J 2019 Nov;63:127-146

Toyota Motor Corporation (Japan).

Far side has been identified in the literature as a potential cause of numerous injuries and fatalities. Euro NCAP developed a far side test protocol to be performed to assess adult protection. A monitoring phase was undertaken between January 2018 and December 2019, and the far side assessment will become part of the rating for all vehicles launched in 2020 onward. Read More

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November 2019

Prevelance of the costal cartilage fracture on the computerised tomography in chest trauma.

Eur J Trauma Emerg Surg 2020 Apr 17. Epub 2020 Apr 17.

Department of Radiology, Faculty of Medicine, Pamukkale University, Denizli, Turkey.

Introduction: Radiography remains limited in costal cartilage injuries, and sonography, CT and MR imaging turns out to be more sensitive in the detection of cartilage injuries. This study aims to determine the frequency of costal cartilage fractures detected in the CT images of the patients with high energy chest trauma and to evaluate the association of costal cartilage fracture with the complications of trauma.

Methods: The CT images of 93 patients aged 18-91 years with a trauma admitted to the Emergency Department of the State Hospital between February 2019 and June 2019 were studied retrospectively. Read More

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http://dx.doi.org/10.1007/s00068-020-01368-3DOI Listing

Association of resuscitative endovascular balloon occlusion of the aorta (REBOA) and mortality in penetrating trauma patients.

Eur J Trauma Emerg Surg 2020 Apr 16. Epub 2020 Apr 16.

Fundacion Valle del Lili University Hospital, Clinical Research Center, Cali, Colombia.

Purpose: The purpose of this study was to examine the association of REBOA and mortality in a group of patients with penetrating trauma to the torso, treated in a level-I trauma center from Colombia.

Methods: In a retrospective cohort study, patients with penetrating trauma, requiring emergency surgery, and treated between 2014 and 2018, were included. The decision to use or not use REBOA during emergent surgery was based on individual surgeon's opinion. Read More

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http://dx.doi.org/10.1007/s00068-020-01370-9DOI Listing
April 2020
0.380 Impact Factor

Anterior cutaneous nerve block for analgesia in anterior chest trauma: is the parasternal approach necessary?

Clin Exp Emerg Med 2020 03 31;7(1):67-70. Epub 2020 Mar 31.

Servizio Anestesia e Rianimazione 2, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.

In recent years, several techniques of regional anesthesia have been proposed to provide analgesia to the anterior thoracic cage; notably, most of these techniques require a parasternal approach. However, in this context, the potential role of a more common and well-established technique, namely the modified pectoral nerve block (known as PECS II block), has been poorly investigated. Here, we describe a case involving a patient with bilateral anterolateral multiple rib fractures associated with sternum fracture, who was successfully treated using bilateral PECS II blocks. Read More

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http://dx.doi.org/10.15441/ceem.18.089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141978PMC

Shoulder injuries in polytraumatized patients: an analysis of the TraumaRegister DGU®.

Eur J Trauma Emerg Surg 2020 Mar 27. Epub 2020 Mar 27.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Muenster, Albert-Schweitzer-Campus, Building W1, 48149, Muenster, Germany.

Background: The aim of the present study was to analyze the prevalence, epidemiology and relevance of shoulder injuries in polytraumatized patients in a large national trauma database. We hypothesize a high prevalence of shoulder injuries in traffic accidents and a high prevalence of concomitant injuries of the thorax leading to an aggravated clinical course and higher Injury Severity Score (ISS). Furthermore, we hypothesize an increased rate of surgical treatment with the severity of the injury. Read More

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http://dx.doi.org/10.1007/s00068-020-01340-1DOI Listing

Protection effect of cerium oxide nanoparticles against radiation-induced acute lung injuries in rats.

Rep Pract Oncol Radiother 2020 Mar-Apr;25(2):206-211. Epub 2019 Dec 26.

Dept. of Pathology, Fasa University of Medical Sciences, Fasa, Fars, Iran.

Introduction: Radiation therapy is one of the most common tools for treating cancer. The aim is to deliver adequate doses of radiation to kill cancer cells and the most challenging part during this procedure is to protect normal cells from radiation. One strategy is to use a radioprotector to spare normal tissues from ionizing radiation effects. Read More

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http://dx.doi.org/10.1016/j.rpor.2019.12.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7078538PMC
December 2019

Chest computed tomography semi-quantitative pleural effusion and pulmonary consolidation are early predictors of acute pancreatitis severity.

Quant Imaging Med Surg 2020 Feb;10(2):451-463

Laboratory of Medical Imaging, Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China.

Background: To study the predictive value of semi-quantitative pleural effusion and pulmonary consolidation for acute pancreatitis (AP) severity.

Methods: Thorax-abdominal computed tomography (CT) examinations were performed on 309 consecutive AP patients in a single center. Among them, 196 were male, and 113 were female, and the average age was 50±16 years. Read More

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http://dx.doi.org/10.21037/qims.2019.12.14DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063295PMC
February 2020

Epidemiology and injury patterns of aerial sports in Switzerland.

World J Orthop 2020 Feb 18;11(2):107-115. Epub 2020 Feb 18.

Department of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital Bern, University Bern, Bern 3010, Switzerland.

Background: Airborne sports have become more popular in recent years. The number of accidents has increased linearly as athletes take increasingly greater risks to experience the adventurous spirit of this kind of sports.

Aim: To investigate the variety of injuries in airborne sport accidents, as well as which acute treatment these patients receive, both before and after admission to a level-one-trauma center. Read More

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http://dx.doi.org/10.5312/wjo.v11.i2.107DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063457PMC
February 2020

What factors affect length of hospital stay among trauma patients? A single-center study, Southwestern Iran.

Chin J Traumatol 2020 Jun 21;23(3):176-180. Epub 2020 Jan 21.

Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Purpose: Trauma is a major health concern. Length of hospital stay (LOS) has been targeted as an important metric to assess trauma care. This study aims to evaluate the risk factors that affect LOS among trauma patients in a trauma center in Southwestern Iran. Read More

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http://dx.doi.org/10.1016/j.cjtee.2020.01.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296356PMC

Diaphragmatic hernias after pediatric liver transplantation: Experience of a high-volume transplant center.

Pediatr Transplant 2020 May 12;24(3):e13684. Epub 2020 Mar 12.

Institute of Liver Transplantation, Inonu University, Malatya, Turkey.

Diaphragmatic hernias (DHs) are rare complications after pediatric liver transplantation (PLT). It is now widely accepted that DHs after liver transplantation (LT) is a pediatric related condition. PLTs (under of age 18) performed between January 2013 and June 2019 at Malatya Inonu University Institute of Liver Transplantation were retrospectively scanned. Read More

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http://dx.doi.org/10.1111/petr.13684DOI Listing
May 2020
1.630 Impact Factor

Increased risk of severe maternal morbidity among infertile women: analysis of US claims data.

Am J Obstet Gynecol 2020 Feb 27. Epub 2020 Feb 27.

Department of Urology, Stanford University School of Medicine, Stanford, CA.

Background: Severe maternal morbidity continues to be an issue of national and global concern and is increasing in incidence. The incidence of infertility is also on the rise, and infertile women experience a higher risk of incident chronic medical disease and cancer, suggesting that fertility may serve as a window to a woman's overall health.

Objective: To investigate the risk of severe maternal morbidity by maternal fertility status. Read More

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http://dx.doi.org/10.1016/j.ajog.2020.02.027DOI Listing
February 2020

Acute Respiratory Distress Syndrome in the forward environment. Retrospective analysis of ARDS cases among French Army war casualties.

J Trauma Acute Care Surg 2020 Feb 24. Epub 2020 Feb 24.

Military Teaching Hospital Sainte Anne Intensive Care Unit Anesthesiology Department - Toulon (France).

Background: According to the Joint Theater Trauma Registry, 26-33% of war casualties develop Acute Respiratory Distress Syndrome (ARDS), with high mortality. Here we aimed to describe ARDS incidence and severity among patients evacuated from war zones and admitted to French intensive care units (ICUs).

Methods: We performed an observational retrospective multicentric review of all patients evacuated from war zones and admitted to French ICUs between 2003-2018. Read More

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http://dx.doi.org/10.1097/TA.0000000000002633DOI Listing
February 2020

Assessment of RAdiopaque Patient IDentification Stickers (RAPIDS) for patient-scan correlation in a mass casualty incident.

Emerg Radiol 2020 Jun 24;27(3):293-301. Epub 2020 Feb 24.

Department of Radiology, Mater Misericordiae University Hospital, Dublin, Ireland.

Purpose: To qualitatively assess the legibility of radiopaque patient identification stickers and their effect on image quality. These stickers are intended for use as a part of a patient registration and identification pack utilized in a mass casualty incident (MCI), to prevent errors in correlating patients with their diagnostic imaging and reports.

Methods: Four different prototype designs of stickers with radiopaque identification numbers which are legible on radiographs and CT were created. Read More

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http://dx.doi.org/10.1007/s10140-020-01761-wDOI Listing

Occupant injuries in light passenger vehicles-A NASS study to enable priorities for development of injury prediction capabilities of human body models.

Accid Anal Prev 2020 Apr 12;138:105443. Epub 2020 Feb 12.

Sahlgrenska Academy, Department of Orthopaedics, University of Gothenburg, Sweden.

To prioritize how the development of mathematical human body models for injury prediction in crash safety analysis should be made, the most frequent injuries in the NASS CDS data from 2000 to 2015 were analyzed. The crashes were divided into seven types, from front to side. Non-minor injuries (AIS2+) were analyzed in two steps. Read More

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http://dx.doi.org/10.1016/j.aap.2020.105443DOI Listing

Biomechanical analysis and optimization of screw fixation technique for the cortical bone channel of lower thorax: Study protocol clinical trial (SPIRIT Compliant).

Medicine (Baltimore) 2020 Feb;99(7):e19046

Hospital of Chengdu University of Traditional Chinese Medicine.

Introduction: It is well known that the main segments of spinal fracture is thoracolumbar (T11-L11). Therefore, in addition to the lumbar, the lower thoracic vertebra (T9-T12) often has the clinical needs of implantation of cortical bone trajectory (CBT) screws. However, the anatomic parameters of the lower thoracic vertebrae are quite different from those of the lumbar vertebrae, which means that if CBT screws are to be implanted in the lower thoracic vertebrae, the selection of the screw entry point, the length, diameter, angle and path of the screws in each segment need to be redefined. Read More

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http://dx.doi.org/10.1097/MD.0000000000019046DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035084PMC
February 2020