METHODS: Chart review from the trauma registry of a level 1 trauma center between January 1, 2002 and December 31, 2004 identified 2 patients who received rFVIIa for progressive hemorrhagic TBI. These patients were given a single dose of rFVIIa (120 mcg/kg) after a repeat head computed tomography (CT) scan showed worsening of intracranial bleeding. PrerFVIIa and post-rFVIIa coagulation paramete...

Introduction: Traffic accidents are serious problems in our country and in the world, and traffic accident-associated trauma is the most common reason for presentation to the emergency department. Ultrasonography (USG) and computerized tomography (CT) are two very important imaging techniques for injury assessment and management of trauma. This study evaluated USG and CT imaging techniques over...

Spinal trauma is a common indication for imaging of the spinal column. Plain radiographs and CT imaging are the most common types of imaging used to screen for spinal injury. MR imaging is less utilized because radiography and CT answer man of the important questions quickly and in a less expensive manner. Instead, MR is reserved at most institutions when new onset of neurological symptoms is p...

BACKGROUND Computerized Tomography (CT) scan is gaining more importance in the initial evaluation of patients with multiple trauma, but its effect on the outcome is still unclear. Until now, no prospective randomized trial has been performed to define the role of routine chest CT in patients with blunt trauma. OBJECTIVES In view of the considerable radiation exposure and the high costs of CT ...

traumatic brain injury is a common entity. however cerebral infarction in infants is a rare entity while the diagnosis of this pathology in the pediatric population is usually difficult. the mild head trauma is rarely accompanied by intracranial injury and even less, with cerebral infarction. we herein report the first case of cerebral infarction after a mild brain trauma in a 2-year-old latin-...

T raumatic brain injury (TBI) is a leading cause of childhood death and disability worldwide. In the United States, childhood head trauma results in 3000 deaths, 50 000 hospitalisations, and 650 000 emergency department (ED) visits annually. 2 Children with seemingly minor head trauma, defined here by Glasgow Coma Scale (GCS) scores of 14–15, account for 40–59% of those with TBIs, and present a...

Emergent exploratory laparotomy is recommended for hemodynamically unstable blunt trauma patients suspected of having hemoperitoneum. However, given the unreliability of ultrasonography and rapid scan speed of computed tomography (CT), CT might help clinicians provide accurate information even in hemodynamically unstable trauma patients. This observational study aimed to describe the bleeding s...

OBJECTIVES This study examined the performance of serum glial fibrillary acidic protein (GFAP) in detecting traumatic intracranial lesions on computed tomography (CT) scan in children and youth with mild and moderate traumatic brain injury (TBI) and assessed its performance in trauma control patients without head trauma. METHODS This prospective cohort study enrolled children and youth presen...

BACKGROUND Trauma is a major source of morbidity and mortality, especially in people below the age of 50 years. For the evaluation of trauma patients CT scanning has gained wide acceptance in and provides detailed information on location and severity of injuries. However, CT scanning is frequently time consuming due to logistical (location of CT scanner elsewhere in the hospital) and technical ...

OBJECTIVE Cranial computed tomography (CT) scans are frequently obtained in the evaluation of blunt head trauma in children. These scans may detect unexpected incidental findings. The objectives of this study were to determine the prevalence and significance of incidental findings on cranial CT scans in children evaluated for blunt head trauma. METHODS This was a secondary analysis of a multi...