Post-traumatic pulmonary hernia can occur immediately after thoracic trauma or it may also appear months or even years after the onset. We report a case of a seventeen year-old male patient with thoracic blunt trauma secondary to high energy bicycle accident. Chest CT shows moderate hemothorax and pneumothorax, displaced fracture of the fifth left rib, and protusion of pulmonary tissue through ...

Given the current tempo of overseas contingency operations, military orthopaedic surgeons are increasingly performing their duties in an austere environment. At Level 1 trauma centers and combat support hospitals, resources tend to be more abundant than in less "metropolitan'' locations. Combat casualty care has reinforced the idea of a multidisciplinary team approach to severely injured trauma...

facial reconstruction is one of the most challenging problems faced by a reconstructive surgeon. we present a case of complex facial reconstruction with a composite trauma to the nose resulting in near total loss of skin and lining along with complete loss of left eyebrow with exposed frontal bone and partial loss of the left eyelid. we combined a temporoparietal fascial flap for reconstruction...

REBOA has been recently adopted for trauma patients with refractory hypotension or in traumatic arrest from hemorrhage below the diaphragm. REBOA has shown improved physiologic parameters, coronary and cerebral blood flow, and survival in hemorrhage models. The National Trauma Care System (NTCS) goal to achieve zero preventable deaths after injury may benefit with advances in REBOA. Non-compres...

Trauma, both blunt and penetrating, is extremely common worldwide, as trauma to major vessels. The management of these patients requires specialized surgical skills and techniques of the trauma surgeon. Furthermore few other surgical emergencies require immediate diagnosis and treatment like a ruptured abdominal aortic aneurysm (rAAA). Mortality of patients with a rAAA reaches 85 %, with more t...

BACKGROUND Secondary triage protocols have been described in the literature as physiologic (first-tier) criteria and mechanism-related (second-tier) criteria to determine the level of trauma activation. There is debate as to the efficiency of triage decisions based on mechanism of injury which may result in overtriage and overuse of limited trauma resources. Our institution developed and implem...

 M. S. Ibrahim, MBChB, MRCS(Lond), MSc(Edin), Clinical Research Fellow  H. Twaij, BSc, MBBS, MRCS, Clinical Research Fellow  D. E. Giebaly, MBChB, MRCS(Edin), Clinical Research Fellow  F. S. Haddad, BSc, MCh(Orth), FRCS(Ed), FRCS(Orth), Dip.SportsMed, FFSEM, Consultant Orthopaedic Surgeon, Professor University College Hospital, Department of Trauma & Orthopaedics, 235 Euston Road, London NW...

Service is central to the mission of a trauma surgeon and inextricably interwoven into our professional lives and activities. It is important to recognize the role that professional associations play in leveraging service as well as the need to continue to cultivate the ethic of service in medical education and in our training programs.

Common bile duct disruption from blunt trauma is very rare. Management, diagnosis and therapy by a non-specialist surgeon can be difficult. We describe a bile duct injury after a motor vehicle crash in a young male, treated with cholecystojejunostomy at his third laparotomy. We also briefly review some diagnostic aspects and therapeutic options from the literature.

Peter Mittwede is a sixth-year MD/PhD student pursuing a career as a surgeon-scientist. His current research focuses on organ injury after orthopedic trauma in obese rats. He hopes to pursue a career combining translational research, clinical practice, and teaching. Thanks to Peter for a thoughtful perspective on strategies to successfully combine bench research and career development activitie...