We present the case of a 21-year-old male who came to the emergency ward for a thorax bullet wound. At our first check-up, the computed tomography (CT)-scan showed a pulmonary contusion, a hemothorax and a suspicious image of a thoracic aortic wound. The patient was stable, but soon after admission a distal ischemic syndrome appeared which revealed the emboli of the projectile. We removed it an...

OBJECT Although it is generally acknowledged that a sufficient cerebral perfusion pressure (CPP) is necessary for treatment of severe head injury, the optimum CPP is still a subject of debate. The purpose of this study was to investigate the effect of various levels of blood pressure and, thereby, CPP on posttraumatic contusion volume. METHODS The left hemispheres of 60 rats were subjected to...

background hemorrhagic progression of a contusion (hpc) is one of the main problems in neurosurgery, which is associated with several adverse effects and increasing the risk of mortality. the present study investigated the effect of transfusion of fresh frozen plasma (ffp) in the prevention of hpc. material and methods in this randomized clinical trial, 100 patients with cerebral contusion were...

BackgroundPulmonary contusions are common injuries. Computed tomography reveals vast contused lung volume spectrum, yet pulmonary defined dichotomously (unilateral vs bilateral). We assessed whether there is stepwise increased risk of complications among patients without, with unilateral, and bilateral contusion.MethodsWe identified adults admitted rib fractures using the largest US inpatient d...

Emerging evidence suggests that ultrasonography of lung is a fast, inexpensive, widely available bed-side diagnostic tool which is useful for quick and early diagnosis of respiratory diseases. It is useful in the differential diagnosis of pulmonary infiltrates and has good accuracy in identifying consolidation and alveolar-interstitial syndrome. This technique can also be useful in the immediat...

Quantification and analysis of brain contusion was initially done in 1970’s followed by 2005. They derived brain contusion index based on parenchymal depth and surface distribution of contusion over brain. We conducted this study with the objectives of whether severity of contusion index determines Post trauma survival, is there a region specific contusion which determines Post trauma survival ...

Persistent profound visual loss following contusion of the globe or ocular adnexae has been well documented, the visual loss being attributed to haemorrhage into, or contusion of, the optic nerve, or to interference with the blood supply of the eye. The patient described below presented after a contusion of the eye and orbit, with the clinical picture of ischaemic optic neuropathy presumably re...

Chest trauma, an important cause of morbidity and mortality, is the second most common cause of death in children under four years of age. Due to the different anatomy and physiology of the respiratory system in childhood, the injuries and consequences of chest trauma are also dissimilar. A seven-month-old male infant presented to the emergency clinic with cyanosis and respiratory distress. His...

BACKGROUND The high prevalence of ventilator-associated pneumonia (VAP) in trauma patients has been reported in the literature, but the reasons for this observation remain unclear. We hypothesize that trauma factors play critical roles in VAP etiology. METHODS In this retrospective study, 1,044 ventilated trauma patients were identified from December 2010 to December 2013. Patient-level traum...