trauma continues to be the most frequent cause of death in the first four decades of life that is a main public health problem in some countries. we perform an epidemiological study of penetrating abdominal trauma (pat). we describe epidemiological of patients in pat. in a cross-sectional study we evaluated epidemiological pat admitted to emergency department in six general hospitals in tehran....

Cardiac tamponade secondary to air is rare. Pneumopericardium is most commonly encountered in neonates, often secondary to positive pressure ventilation. 1-3 In adults blunt trauma is the main cause of pneumopericardium. Cardiac tamponade occurs in roughly one-third of such patients. 1 A 24-year-old man presented to the Tshepong casualty department with a stabbed chest. His vital signs were ini...

Penetrating chest wounds can hide a range of life threatening injuries and often require emergency surgical management. It is important that the patient be assessed and managed according to clinical need and response to medical intervention. This is a case of a patient with a large intrapulmonary haematoma who was managed conservatively and made a good recovery without need for surgery.

The present photocase illustrates the possible mechanism of direct cardiac injuries from broken sharp jagged fractured ends of ribs in blunt force trauma to the chest in run over traffic mishaps. We propose that the projecting fractured ends of the ribs penetrate the underlying thoracic organs due to the transient phenomenon of deformation of chest cavity under pressure in run over traffic mish...

Pulmonary artery pseudoaneurysm is a very rare complication of penetrating thoracic trauma. We present a case of a 27-year-old woman who developed a 6.5-cm traumatic pulmonary artery pseudoaneurysm after suffering multiple stab wounds to the chest and the abdomen. The pseudoaneurysm was successfully treated endovascularly with vascular plug occlusion and coil embolization.

In this issue, Lockey et al. from London’s Air Ambulance present heir concept of a common algorithm for effective management f traumatic cardiac arrest, including resuscitative thoracotomy n penetrating chest injuries.1 According to the authors, the algoithm does not necessarily distinguish between prehospital and n-hospital care. However, their approach of delivering resuscitaive thoracotomy b...