7,147 results match your criteria Thorax Trauma


Chest wall thickness and depth to vital structures in paediatric patients - implications for prehospital needle decompression of tension pneumothorax.

Scand J Trauma Resusc Emerg Med 2019 Apr 16;27(1):45. Epub 2019 Apr 16.

Institute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.

Background: Recommendations regarding decompression of tension pneumothorax in small children are scarce and mainly transferred from the adult literature without existing evidence for the paediatric population. This CT-based study evaluates chest wall thickness, width of the intercostal space (ICS) and risk of injury to vital structures by needle decompression in children.

Methods: Chest wall thickness, width of the intercostal space and depth to vital structures were measured and evaluated at 2nd ICS midclavicular (MCL) line and 4th ICS anterior axillary line (AAL) on both sides of the thorax using computed tomography (CT) in 139 children in three different age groups (0, 5, 10 years). Read More

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http://dx.doi.org/10.1186/s13049-019-0623-5DOI Listing

Rib osteosynthesis is a safe and effective treatment and leads to a significant reduction of trauma associated pain.

Eur J Trauma Emerg Surg 2019 Apr 15. Epub 2019 Apr 15.

Department of Thoracic Surgery and Lung Support, Ibbenbueren General Hospital, Grosse Strasse 41, 49477, Ibbenbueren, Germany.

Purpose: The usefulness of chest wall stabilization after blunt chest wall trauma with unstable rib fractures has recently been intensely discussed. Thereby, the surgical approach seems to influence outcome, mortality and the long-term complication rate including chronic chest pain, thoracic deformity and quality of life. Here, we present the outcome after surgical stabilization of unstable rib fractures using intramedullary splints and plate osteosynthesis. Read More

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http://dx.doi.org/10.1007/s00068-018-01062-5DOI Listing

Left thorax approach to repair doubly committed juxta-arterial ventricular septal defect with Da Vinci robotic system.

J Card Surg 2019 Apr 13. Epub 2019 Apr 13.

Department of Cardiovascular Surgery, Daping Hospital, Army Medical Center of PLA, Chongqing, China.

Robotic repair of the ventricular septal defect was performed mainly for perimembranous type via right thorax approach. Minimally invasive strategies for doubly committed juxta-arterial ventricular septal defect were limited. Here, for the first time, we successfully repaired a doubly committed juxta-arterial ventricular septal defect with Da Vinci robotic system via left thorax approach. Read More

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http://dx.doi.org/10.1111/jocs.14036DOI Listing

A descriptive analysis of casualties evacuated from the Africa area of operations.

Afr J Emerg Med 2019 12;9(Suppl):S43-S46. Epub 2018 Oct 12.

Special Operations Command - Europe, Stuttgart, Germany.

Introduction: The United States (US) military has expanded its area of operations into Africa. This medically immature theater is spread across a large region where prolonged field care (PFC) events are likely to occur. We describe trauma cases reported in the Africa Command (AFRICOM) area of operations to date within the Department of Defense Trauma Registry (DODTR). Read More

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http://dx.doi.org/10.1016/j.afjem.2018.09.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440927PMC
October 2018

Blind nasogastric tube advancement following sleeve gastrectomy: an animal model.

Surg Endosc 2019 Apr 2. Epub 2019 Apr 2.

Department of Medical Education, Patient Safety and Clinical Competency Center, Albany Medical College, Albany, NY, USA.

Background: Sleeve gastrectomy is an effective surgical treatment for morbid obesity. The major technical risk of this procedure is staple line dehiscence. Some surgeons are reluctant to place a nasogastric tube (NGT) blindly due to the perceived risk of damage to the staple line. Read More

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http://dx.doi.org/10.1007/s00464-019-06760-8DOI Listing

[Continuous lateral rotational bed therapy in patients with traumatic lung injury: an analysis from the TraumaRegister DGU®].

Med Klin Intensivmed Notfmed 2019 Mar 28. Epub 2019 Mar 28.

Klinik für Anästhesiologie und operative Intensivmedizin, Klinikum der Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Köln, Deutschland.

Background: Patients with severe thoracic trauma often receive continuous lateral rotational bed therapy (CLRT) for the treatment of lung contusions. In this study, the effects of CLRT on mortality, morbidity and length of stay (LOS) in the intensive care unit (ICU) and in the hospital were evaluated.

Methods: Retrospective data from the TraumaRegister DGU® were analysed, focusing on patients with severe thoracic trauma. Read More

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http://dx.doi.org/10.1007/s00063-019-0565-8DOI Listing
March 2019
1 Read

Blast injures to the thorax.

J Thorac Dis 2019 Feb;11(Suppl 2):S167-S171

University of Pécs, Department of Operational Medicine, Medical Humanities Unit, Pécs, Hungary.

One out of 10 of military casualties and 6-9 out of 10 civilian victims of terror incidents suffer pulmonary blast injuries when the attackers use explosives as weapon. No specific therapy exists for the primary, shock-wave injury to the lung. The treatment protocols are based on mechanical ventilation, intensive therapy and supportive care. Read More

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http://dx.doi.org/10.21037/jtd.2018.11.106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389562PMC
February 2019
1 Read

Compressive chylothorax after lumbar spine fracture.

Arch Pediatr 2019 Apr 18;26(3):168-170. Epub 2019 Mar 18.

Chirurgie orthopédique pédiatrique, hôpital Clocheville, 49, boulevard Beranger, 37000 Tours, France.

A 14-year-old boy was admitted to the hospital after an episode of blunt trauma to the thorax, resulting in a Chance fracture of L1 and a compressive chylothorax 72h after admission. After initial drainage in the operating room, conservative management was successful. This case study documents one of the rare complications of spinal fractures in the context of high-energy blunt trauma. Read More

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http://dx.doi.org/10.1016/j.arcped.2019.02.012DOI Listing
April 2019
1 Read

Lightning-strike-induced acute lung injury: a case report.

Ulus Travma Acil Cerrahi Derg 2019 Mar;25(2):198-201

Department of Emergency Medicine, Ankara Atatürk Training and Research Hospital, Ankara-Turkey.

Lightning strike is an environmental electrical injury with high rates of morbidity and mortality. Lightning strike injuries are also considered to be high-voltage injuries. Respiratory injuries associated with lightning strikes include pulmonary edema, pulmonary contusion, acute respiratory distress syndrome, and pulmonary hemorrhage. Read More

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http://dx.doi.org/10.5505/tjtes.2018.41861DOI Listing
March 2019
1 Read

[SMART©-a new time-saving diagnostic emergency room management algorithm].

Chirurg 2019 Mar 19. Epub 2019 Mar 19.

Klinik und Poliklinik für Allgemein‑, Viszeral‑, Thorax- und Gefäßchirurgie, Universitätsklinikum Bonn, Bonn, Deutschland.

Background: Primary computed tomography (CT) plays an increasingly important role in diagnosing life-threatening conditions in polytrauma patients; however, it is associated with two major problems: suboptimal interobserver reliability with unstructured reports especially when the reporting is undertaken by physicians in training during working hours and a delay in beginning urgent surgical interventions, which is mainly due to the time taken until the CT report is available and less to the technical time necessary for the CT. This is why the clinical benefits of a primary CT scan in hemodynamically unstable patients after polytrauma is currently under interdisciplinary discussion.

Objective: The present study focused on the development and evaluation of a standardized imaging and reporting protocol for initial CT diagnostics of injuries that need immediate treatment after polytrauma. Read More

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http://dx.doi.org/10.1007/s00104-019-0811-xDOI Listing

Deployment of the Surgical Life-saving Module (SLM) in 2017: Lessons learned in setting up and training operational surgical units.

Injury 2019 Mar 4. Epub 2019 Mar 4.

Department of Gastrointestinal Surgery, Saint-Anne Military Teaching Hospital, Toulon, France.

Introduction: The military operations carried out by the French armed forces, occasionally require the use of the Surgical Life-saving Module (SLM), to ensure the surgical support of its soldiers. Due to its extreme mobility and capacity of fast deployment, SLM is particularly useful in small-scale military operations, such as Special Forces missions. In 2017, the French SLM was for the first time used to ensure surgical support of allied forces, which were lacking forward surgical capabilities. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.001DOI Listing
March 2019
2 Reads

Trunk muscle forces and spinal loads in persons with unilateral transfemoral amputation during sit-to-stand and stand-to-sit activities.

Clin Biomech (Bristol, Avon) 2019 Feb 27;63:95-103. Epub 2019 Feb 27.

F. Joseph Halcomb III, M.D. Department of Biomedical Engineering, University of Kentucky, Lexington, KY 40506, USA. Electronic address:

Background: Alterations and asymmetries in trunk motions during activities of daily living, involving lower extremities, are suggested to cause higher spinal loads in persons with unilateral lower limb amputation. Given the repetitive nature of most activities of daily living, knowledge of the amount of increase in spinal loads is important for designing interventions aimed at prevention of secondary low back pain due to potential fatigue failure of spinal tissues. The objective of this study was to determine differences in trunk muscle forces and spinal loads between persons with and without lower limb amputation when performing sit-to-stand and stand-to-sit tasks. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2019.02.021DOI Listing
February 2019
9 Reads

Validation of the German version of the 24-item Early-Onset Scoliosis Questionnaire.

J Neurosurg Pediatr 2019 Mar 8:1-6. Epub 2019 Mar 8.

2Pediatric Orthopaedics; Department of Trauma, Orthopaedic and Plastic Surgery, University Medical Center Goettingen, Goettingen; and.

OBJECTIVEDuring childhood, early-onset scoliosis (EOS) may show severe progressive deformity, which consequently leads to aggressive treatment strategies, such as serial casting, long-term bracing, or surgical interventions. The latter usually includes repeated surgeries for implant lengthening every 6 months in order to allow sufficient growth of the thorax and spine. In 2011, the 24-item Early-Onset Scoliosis Questionnaire (EOSQ-24) was introduced to measure health-related quality of life for this patient group and their families. Read More

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http://dx.doi.org/10.3171/2019.1.PEDS18704DOI Listing
March 2019
7 Reads

Single- versus 2-stage reconstruction for chronic post-radiation chest wall ulcer: A 10-year retrospective study of chronic radiation-induced ulcers.

Medicine (Baltimore) 2019 Feb;98(8):e14567

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai, China.

Radiation therapy can have adverse effects on normal tissue and cause chronic ulcers. The purpose of this study was to compare breast cancer patients who underwent single-stage reconstruction with patients who underwent 2-stage reconstruction for chronic radiation-induced necrotic ulcers of the chest wall.This retrospective study comprised of 50 patients with chronic radiation-induced chest wall ulcers who underwent chest wall reconstruction in our hospital between January 2002 and January 2016. Read More

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http://dx.doi.org/10.1097/MD.0000000000014567DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408038PMC
February 2019
1 Read

Thoracic dog bite wounds in cats: a retrospective study of 22 cases (2005-2015).

J Feline Med Surg 2019 Feb 26:1098612X19831835. Epub 2019 Feb 26.

Soft Tissue Surgery Service, Department of Clinical Science and Services, Royal Veterinary College, London, UK.

Objectives: The aim of this study was to describe a series of cats suffering from thoracic dog bite wounds, in order to detail the clinical, radiographic and surgical findings, and evaluate outcomes and factors associated with mortality.

Methods: The medical records of cats with thoracic dog bite wounds presenting to a single institution between 2005 and 2015 were retrospectively reviewed. Data relating to clinical presentation, wound depth and management, radiographic findings, surgical findings and mortality were collected. Read More

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http://dx.doi.org/10.1177/1098612X19831835DOI Listing
February 2019
1 Read

A Descriptive Analysis of Causalities Undergoing CASEVAC from the Point-of-Injury in the Department of Defense Trauma Registry.

Mil Med 2019 Feb 22. Epub 2019 Feb 22.

Brooke Army Medical Center, JBSA Fort Sam Houston, TX.

Introduction: The recent conflicts in Iraq and Afghanistan entail an asymmetric battlefield without clearly defined forward lines of troops as seen in previous wars. Accordingly, the United States military medical services have increasingly adopted casualty evacuation (CASEVAC) platforms. We describe CASEVAC events reported within the Department of Defense Trauma Registry (DODTR). Read More

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http://dx.doi.org/10.1093/milmed/usz015DOI Listing
February 2019
1 Read

Spontaneous pulmonary hematoma with diffuse pulmonary ossification requiring emergency treatment: a case report.

Surg Case Rep 2019 Feb 18;5(1):27. Epub 2019 Feb 18.

Department of Thoracic Surgery, Nippon Medical School Hospital, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan.

Background: Pulmonary hematoma is most often caused by thoracic trauma. However, rare cases of pulmonary hematoma without any obvious cause are sometimes reported, when the condition is referred to as spontaneous or idiopathic pulmonary hematoma. Herein, we report a very rare case-to the best of our knowledge, this is the first case of pulmonary hematoma associated with diffuse pulmonary ossification requiring emergency treatment reported in the English literature. Read More

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http://dx.doi.org/10.1186/s40792-019-0589-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379494PMC
February 2019
1 Read

Does injury pattern among major road trauma patients influence prehospital transport decisions regardless of the distance to the nearest trauma centre? - a retrospective study.

Scand J Trauma Resusc Emerg Med 2019 Feb 13;27(1):18. Epub 2019 Feb 13.

Neuroscience Research Australia, 139 Barker Street, Randwick, Sydney, NSW, 2031, Australia.

Background: Prehospital undertriage occurs when the required level of care for a major trauma patient is underestimated and the patient is transported to a lower-level emergency care facility. One possible reason is that the pattern of injuries exceeding a certain severity threshold is not easily recognizable in the field. The present study aims to examine whether the injury patterns of major road trauma patients are associated with trauma centre transport decisions in Sweden, controlling for the distance from the crash to the nearest trauma centre and other patient characteristics. Read More

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http://dx.doi.org/10.1186/s13049-019-0593-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375202PMC
February 2019
1 Read

Augmenting Denver criteria yields increased BCVI detection, with screening showing markedly increased risk for subsequent ischemic stroke.

Emerg Radiol 2019 Feb 12. Epub 2019 Feb 12.

Department of Radiology, Karolinska Institute, Stockholm, Sweden.

Purpose: BCVI may lead to ischemic stroke, disability, and death, while being often initially clinically silent. Screening criteria for BCVI based on clinical findings and trauma mechanism have improved detection, with Denver criteria being most common. Up to 30% of patients do not meet BCVI screening criteria. Read More

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http://dx.doi.org/10.1007/s10140-019-01677-0DOI Listing
February 2019
1 Read

A review of children with severe trauma admitted to pediatric intensive care in Queensland, Australia.

PLoS One 2019 7;14(2):e0211530. Epub 2019 Feb 7.

Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.

Background: The aim of this study is to review patient characteristics, injury patterns, and outcomes of trauma cases admitted to pediatric intensive care in Children's Health Queensland, Brisbane, Queensland, Australia.

Methods: Routinely recorded data collected prospectively from the Children's Health Queensland Trauma Service registry from November 2008 to October 2015 were reviewed. Demographic and clinical characteristics of trauma cases in children under 16 years of age are described, and their association with age and mortality analyzed. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211530PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366734PMC
February 2019
13 Reads

Development and Validation of a Prediction Model for Prehospital Triage of Trauma Patients.

JAMA Surg 2019 Feb 6. Epub 2019 Feb 6.

Department of Traumatology, University Medical Center Utrecht, Utrecht, the Netherlands.

Importance: Prehospital trauma triage protocols are used worldwide to get the right patient to the right hospital and thereby improve the chance of survival and avert lifelong disabilities. The American College of Surgeons Committee on Trauma set target levels for undertriage rates of less than 5%. None of the existing triage protocols has been able to achieve this target in isolation. Read More

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http://dx.doi.org/10.1001/jamasurg.2018.4752DOI Listing
February 2019
1 Read

Radiation-induced thoracic necrosis with a pulmonary cutaneous fistula repaired using a free omental flap: a case report.

BMC Surg 2019 Feb 2;19(1):14. Epub 2019 Feb 2.

Department of Plastic Surgery, National Defense Medical College, 3-2 Namiki Tokorozawa, Saitama, 359-0042, Japan.

Background: Chest wall necrosis can manifest as a late effect of radiation therapy for breast cancer. Only two cases of fistulas communicating with the respiratory tract as a result of radiation-induced necrosis of the lungs or bronchi have been reported. To the best of our knowledge, we report the first case of a pulmonary cutaneous fistula arising as a late effect of radiation therapy for breast cancer, which was successfully repaired using a free omental graft. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
Publisher Site
http://dx.doi.org/10.1186/s12893-019-0479-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360029PMC
February 2019
11 Reads

The clinical toxicology of sodium hypochlorite.

Clin Toxicol (Phila) 2019 Jan 28:1-9. Epub 2019 Jan 28.

a National Poisons Centre , University of Otago , Dunedin , New Zealand.

Introduction: Sodium hypochlorite is used as a bleaching and disinfecting agent and is commonly found in household bleach.

Objective: The objective is to review critically the epidemiology, mechanisms of toxicity, clinical features, diagnosis, and management of hypochlorite poisoning.

Methods: PubMed was searched from January 1950 to June 2018 using the terms "Hypochlorite", "Sodium Hypochlorite", "Sodium Oxychloride", "Hypochlorous Acid", "Bleach", "Chlorine Bleach", in combination with the keywords "poisoning", "poison", "toxicity", "ingestion", "adverse effects", "overdose", and "intoxication". Read More

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http://dx.doi.org/10.1080/15563650.2018.1543889DOI Listing
January 2019
3 Reads

[Life-threatening subcutaneous emphysema after minor blow to the neck].

Anaesthesist 2019 Feb 25;68(2):104-107. Epub 2019 Jan 25.

Abteilung für Kinderkardiologie, Hessisches Kinderherzzentrum, Zentrum für Kinderheilkunde und Jugendmedizin am Standort Gießen, UKGM, Feulgenstr. 10-12, 35392, Gießen, Deutschland.

After a minor blow to the neck from the handlebars of a bike, a 5-year-old boy developed a massive subcutaneous emphysema with respiratory distress. Orotracheal intubation was performed. A computed tomography (CT) scan of the neck and thorax showed a pneumomediastinum and a bilateral pneumothorax. Read More

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http://dx.doi.org/10.1007/s00101-019-0535-9DOI Listing
February 2019
2 Reads

Total cervical tracheal rupture following blunt trauma.

Tuberk Toraks 2018 Dec;66(4):345-348

Department of Chest Surgery, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey.

Tracheal ruptures are rarely seen and potentially high life-threatening injuries. Cervical tracheal injuries occur due to the penetrant trauma rather than the blunt trauma. On the other hand, total cervical tracheal rupture due to the blunt trauma is so rare. Read More

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http://dx.doi.org/10.5578/tt.67717DOI Listing
December 2018
4 Reads

Enhanced prehospital volume therapy does not lead to improved outcomes in severely injured patients with severe traumatic brain injury.

BMC Emerg Med 2019 01 23;19(1):13. Epub 2019 Jan 23.

Department of Trauma, University Hospital and University of Zurich, Zürich, Switzerland.

Background: Whether enhanced prehospital volume therapy leads to outcome improvements in severely injured patients with severe traumatic brain injury (TBI) remains controversial. The aim of this study was to investigate the influence of prehospital volume therapy on the clinical course of severely injured patients with severe TBI.

Methods: Data for 122,672 patients from TraumaRegister DGU (TR-DGU) was analyzed. Read More

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https://bmcemergmed.biomedcentral.com/articles/10.1186/s1287
Publisher Site
http://dx.doi.org/10.1186/s12873-019-0221-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343344PMC
January 2019
9 Reads

Chest tube simulator: development of low-cost model for training of physicians and medical students.

Rev Col Bras Cir 2019 Jan 17;46(1):e2011. Epub 2019 Jan 17.

Hospital do Trabalhador, Serviço de Cirurgia Geral e Trauma, Curitiba, PR, Brasil.

Objective: by using a 3D printer, to create a low-cost human chest cavity simulator that allows the reproduction of the closed chest drainage technique (CCD), comparing its effectiveness with that of the animal model.

Methods: it was made a 3D printing of the bony framework of a human thorax from a chest computerized tomography scan. After printing the ribs, we performed tests with several materials that contributed to form the simulation of the thoracic cavity and pleura. Read More

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http://dx.doi.org/10.1590/0100-6991e-20192011DOI Listing
January 2019

Lung ultrasound findings in congenital diaphragmatic hernia.

Eur J Pediatr 2019 Apr 21;178(4):491-495. Epub 2019 Jan 21.

Division of Neonatology, Careggi University Hospital of Florence, Largo Brambilla, 3, 50134, Florence, Italy.

Congenital diaphragmatic hernia (CDH) occurs in approximately 1 in 2500 to 5000 infants. The use of lung ultrasound (LUS) for its diagnosis has been reported in only two case reports. The aim of this study was to report the LUS pattern of CDH in a case series of infants with respiratory distress. Read More

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http://dx.doi.org/10.1007/s00431-019-03321-yDOI Listing
April 2019
3 Reads

Bullet Caliber and Type Categorization from Gunshot Wounds in Sus Scrofa (Linnaeus) Long Bone.

J Forensic Sci 2019 Jan 21. Epub 2019 Jan 21.

Forensic Osteology Laboratory, Department of Forensic Science, Laurentian University, Sudbury, Ontario, P3E 2C6, Canada.

Studies on ballistic trauma to the ribs and thorax, cranium, and long bones demonstrate the potential of obtaining a bullet caliber from an entrance wound. In order to validate prior research on caliber estimation in bone tissue and assess the viability of bullet type determination based on the macroscopic evidence at the entrance wound, thirty fleshed pork (Sus scrofa) shoulders (humeri) were shot with either lead or copper jacketed bullets in one of three calibers; 0.22, 9 mm, or 0. Read More

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http://dx.doi.org/10.1111/1556-4029.14004DOI Listing
January 2019
1 Read

Arterial bullet embolism after thoracic gunshot wound.

J Vasc Bras 2018 Jul-Sep;17(3):262-266

Universidade Federal do Amazonas - UFAM, Hospital Universitário Getúlio Vargas - HUGV, Manaus, AM, Brasil.

Bullet embolization of the arterial or venous systems is a rare complication of penetrating gunshot injuries. A 29-year-old man presented at the emergency department with a gunshot wound to the left arm, which had transfixed the arm and entered the thorax, with no exit wound. Initial radiographies showed a projectile in the upper left thigh. Read More

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http://dx.doi.org/10.1590/1677-5449.005315DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326137PMC
January 2019
6 Reads

Quantification of Skeletal and Soft Tissue Contributions to Thoracic Response in a Dynamic Frontal Loading Scenario.

Stapp Car Crash J 2018 Nov;62:193-269

National Highway Traffic Safety Administration, Vehicle Research and Test Center.

Thoracic injuries continue to be a major health concern in motor vehicle crashes. Previous thoracic research has focused on 50 percentile males and utilized scaling techniques to apply results to different demographics. Individual rib testing offers the advantage of capturing demographic differences; however, understanding of rib properties in the context of the intact thorax is lacking. Read More

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November 2018

Assessment of Thoracic Response and Injury Risk Using the Hybrid III, THOR-M, and Post-Mortem Human Surrogates under Various Restraint Conditions in Full-Scale Frontal Sled Tests.

Stapp Car Crash J 2018 Nov;62:1-65

Department of Biomedical Engineering and Mechanics, Virginia Tech.

A total of 20 full-scale frontal sled tests were conducted using the Hybrid III (HIII), THOR-M and post-mortem human surrogates (PMHSs) to evaluate the thoracic biofidelity of the HIII and THOR-M under various belted restraint conditions. Each surrogate was tested under three belted restraint conditions: knee bolster, knee bolster and steering wheel airbag, and knee bolster airbag and steering wheel airbag. In order to assess the relative biofidelity of each ATD, external thoracic deflections were quantitatively compared between the ATDs and PMHSs using an objective rating metric. Read More

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November 2018
3 Reads

Retained Bullet of the Mediastinum.

Am Surg 2018 Dec;84(12):e517-e518

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December 2018
1 Read

Thrombocytopenic purpura following envenomation by the nose-horned viper (Vipera ammodytes ammodytes): Two case reports.

Medicine (Baltimore) 2018 Dec;97(52):e13737

Department of Molecular and Biomedical Sciences, Jožef Stefan Institute, Ljubljana, Slovenia.

Rationale: Two clinical cases are reported of envenomation by the nose-horned viper (Vipera ammodytes ammodytes) venom of a 9-year-old boy and of an 84-year-old woman.

Patient Concerns: Both patients had been bitten on their extremities by such a snake in August near Split, a town in southern Croatia.

Diagnoses: Clinical manifestation of envenomation was severe in the case of the boy, being characterized by a severe coagulopathy. Read More

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http://dx.doi.org/10.1097/MD.0000000000013737DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314653PMC
December 2018
3 Reads

A lucky escape during a hunting accident.

Lancet 2018 Dec 22 -Jan 4 2019;392(10165):2728

Department of Cardiac Surgery, Azienda Ospedaliera Papardo, Messina, Italy.

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http://dx.doi.org/10.1016/S0140-6736(18)33001-0DOI Listing
February 2019

The final assessment and its association with field assessment in patients who were transported by the emergency medical service.

Scand J Trauma Resusc Emerg Med 2018 Dec 27;26(1):111. Epub 2018 Dec 27.

Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, SE-501 90, Borås, Sweden.

Background: In patients who call for the emergency medical service (EMS), there is a knowledge gap with regard to the final assessment after arriving at hospital and its association with field assessment.

Aim: In a representative population of patients who call for the EMS, to describe a) the final assessment at hospital discharge and b) the association between the assessment in the field and the assessment at hospital discharge.

Methods: Thirty randomly selected patients reached by a dispatched ambulance each month between 1 Jan and 31 Dec 2016 in one urban, one rural and one mixed ambulance organisation in Sweden took part in the study. Read More

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http://dx.doi.org/10.1186/s13049-018-0579-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307253PMC
December 2018

Development and validation of an objective assessment scale for chest tube insertion under 'direct' and 'indirect' rating.

BMC Med Educ 2018 Dec 27;18(1):320. Epub 2018 Dec 27.

HTRG - Heidelberg Trauma Research Group, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Trauma and Reconstructive Surgery, Heidelberg University Hospital, Schlierbacher Landstrasse 200a, D-69118, Heidelberg, Germany.

Background: There is an increasing need for objective and validated educational concepts. This holds especially true for surgical procedures like chest tube insertion (CTI). Thus, we developed an instrument for objectification of learning successes: the assessment scale based on Objective Structured Assessment of Technical Skill (OSATS) for chest tube insertion, which is evaluated in this study. Read More

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http://dx.doi.org/10.1186/s12909-018-1430-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307220PMC
December 2018
3 Reads

WAG/RijCmcr rat models for injuries to multiple organs by single high dose ionizing radiation: similarities to non-human primates (NHP).

Int J Radiat Biol 2018 Dec 21:1-42. Epub 2018 Dec 21.

a Departments of Radiation Oncology , Medical College of Wisconsin (MCW) , Milwaukee , USA.

Purpose: Defined animal models are needed to pursue the FDA Animal Rule for approval of medical countermeasure for radiation injuries. This study compares WAG/RijCmcr rat and non-human primate (NHP) models for acute radiation syndrome (ARS) and delayed effects of acute radiation exposure (DEARE).

Materials And Methods: Irradiation models include total body irradiation, partial body irradiation with bone marrow sparing and whole thorax lung irradiations. Read More

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http://dx.doi.org/10.1080/09553002.2018.1554921DOI Listing
December 2018
3 Reads
1.837 Impact Factor

Thoracic splenosis presenting as pulmonary space-occupying lesion.

BMC Surg 2018 Dec 20;18(1):119. Epub 2018 Dec 20.

Department of Cardiothoracic Surgery, The Second Affiliated Hospital of Guangxi Medical University, No.166 Da Xuedong Road, Nanning, 530007, Guangxi, China.

Background: Spleen leaves its normal anatomical position and appears in other locations, which is called ectopic spleen. It is most commonly found in the abdomen or pelvis with seeding of the peritoneum, omentum or mesentery. A few of cases of thoracic splenosis associated with traumatic diaphragmatic rupture have been reported. Read More

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http://dx.doi.org/10.1186/s12893-018-0461-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302502PMC
December 2018
3 Reads
1.240 Impact Factor

Penetration of the heart by an airgun pellet. A case without significant effusion or valvular injury.

Ann Thorac Surg 2018 Dec 17. Epub 2018 Dec 17.

Northern General Hospital, Sheffield, United Kingdom- Department of Cardiothoracic Surgery.

Cardiac gunshot injuries are rare in the United Kingdom but are associated with significant morbidity and mortality. We present the case of a young male who was shot at close range with a small caliber air rifle. The projectile entered the thorax via the right axilla but was identified at the cardiac apex on initial imaging. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.11.034DOI Listing
December 2018
5 Reads

Autonomic responses to blast overpressure can be elicited by exclusively exposing the ear in rats.

J Otol 2018 Jun 9;13(2):44-53. Epub 2018 Mar 9.

Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, Jackson, MS, USA.

Blast overpressure has become an increasing cause of brain injuries in both military and civilian populations. Though blast's direct effects on the cochlea and vestibular organs are active areas of study, little attention has been given to the ear's contribution to the overall spectrum of blast injury. Acute autonomic responses to blast exposure, including bradycardia and hypotension, can cause hypoxia and contribute to blast-induced neurotrauma. Read More

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http://dx.doi.org/10.1016/j.joto.2018.01.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291641PMC
June 2018
2 Reads

Identification of thoracic injuries by emergency medical services providers among trauma patients.

Injury 2018 Dec 6. Epub 2018 Dec 6.

Department of Traumatology, University Medical Centre Utrecht, Utrecht, the Netherlands; Department of Surgery, Diakonessenhuis Utrecht/Zeist/Doorn, Utrecht, the Netherlands. Electronic address:

Introduction: Severe thoracic injuries are time sensitive and adequate triage to a facility with a high-level of trauma care is crucial. The emergency medical services (EMS) providers are required to identify patients with a severe thoracic injury to transport the patient to the right hospital. However, identifying these patients on-scene is difficult. Read More

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http://dx.doi.org/10.1016/j.injury.2018.12.003DOI Listing
December 2018
1 Read

Pilot evaluation of an objective structured assessment of technical skills tool for chest tube insertion.

GMS J Med Educ 2018 15;35(4):Doc48. Epub 2018 Nov 15.

University of Heidelberg, Department of General, Visceral, and Transplantation Surgery, Heidelberg, Germany.

Chest tube insertion is a standard intervention for management of various injuries of the thorax. Efficient clinical training of this and similar bed-side procedures is equally demanded and improvable. Here, we propose a nouveau means of assessment and feedback using an Objective Structured Assessment of Technical Skills (OSATS) tool. Read More

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http://www.egms.de/en/journals/zma/2018-35/zma001194.shtml
Publisher Site
http://dx.doi.org/10.3205/zma001194DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6278238PMC
November 2018
5 Reads

Positive airway pressure for sleep-disordered breathing in acute quadriplegia: a randomised controlled trial.

Thorax 2019 Mar 11;74(3):282-290. Epub 2018 Dec 11.

Department of Respiratory and Sleep Medicine, Royal North Shore Hospital, St Leonards, New South Wales, Australia.

Rationale: Highly prevalent and severe sleep-disordered breathing caused by acute cervical spinal cord injury (quadriplegia) is associated with neurocognitive dysfunction and sleepiness and is likely to impair rehabilitation.

Objective: To determine whether 3 months of autotitrating CPAP would improve neurocognitive function, sleepiness, quality of life, anxiety and depression more than usual care in acute quadriplegia.

Methods And Measurements: Multinational, randomised controlled trial (11 centres) from July 2009 to October 2015. Read More

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http://dx.doi.org/10.1136/thoraxjnl-2018-212319DOI Listing
March 2019
3 Reads

Lateral approach of exploratory laparotomy through the open chest wall injury.

Trauma Case Rep 2018 Dec 28;18:52-55. Epub 2018 Nov 28.

Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Republic of Korea.

A combined laparotomy and thoracotomy is required in a few trauma patients. The anterior approach is a standard procedure used in such cases; however, a different approach may be required. Recently, we managed a patient who presented with a crush injury to the left side of his chest with associated bowel herniation. Read More

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http://dx.doi.org/10.1016/j.tcr.2018.11.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263086PMC
December 2018
2 Reads

A Large Substernal Goiter that Extended to Both Sides of the Thorax.

Case Rep Surg 2018 5;2018:6107982. Epub 2018 Nov 5.

Department of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa 236-0004, Japan.

Most substernal goiters can be managed through the transcervical approach, but a sternotomy is required in some cases. This report is about a large substernal goiter, which was resected via a transcervical and full sternotomy approach. The patient was a 57-year-old female, who visited our hospital for surgical treatment for a large substernal goiter. Read More

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http://dx.doi.org/10.1155/2018/6107982DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247568PMC
November 2018
4 Reads