HYPOTHESES A majority of trauma patients with known seizure disorder with seizure activity were noncompliant with their medications, normal neurologic examination findings would predict negative results of head computed tomography (CT) scans, and the yield of CT scans would be insufficient to justify their routine use. DESIGN Retrospective consecutive case series. MAIN OUTCOME MEASURES Bloo...

plastic formation of heterotopic bone in the skeletal muscle (1-5). Although myositis ossificans can occur anywhere in the body following trauma, it is predominantly localized to high-risk sites of injury, such as large muscles of the extremities (2-4). Most lesions are related to direct major trauma or repeated minor injuries. No history of trauma is present in approximately 40% of patients (2...

The spleen is one of the organs most frequently injured in blunt abdominal trauma. Computed tomography (CT) scanning can accurately detect splenic injury and is currently the imaging modality of choice in assessing clinically stable patients with blunt abdominal trauma. The CT features of spleen injury include lacerations, subcapsular or parenchymal haematomas, active haemorrhage, and vascular ...

BACKGROUND Delayed intracranial hemorrhage is a potential complication of head trauma in anticoagulated patients. OBJECTIVE Our aim was to use a systematic review and meta-analysis to determine the risk of delayed intracranial hemorrhage 24 h after head trauma in patients who have a normal initial brain computed tomography (CT) scan but took vitamin K antagonist before injury. METHODS EMBAS...

introduction: in cases of blunt abdominal traumas, predicting the possible intra-abdominal injuries is still a challenge for the physicians involved with these patients. therefore, this study was designed, to evaluate the accuracy of urinalysis in predicting intra-abdominal injuries. methods: patients aged 15 to 65 years with blunt abdominal trauma who were admitted to emergency departments wer...

The initial diagnostic work-up of trauma victims with multiple injuries is currently a combination of conventional radiography (CR), ultrasound (US), and computed tomography (CT). This article reviews the diagnostic quality of the different imaging modalities regarding detection and classification of injuries. CT performs better than US in detecting traumatic lesions of abdominal parenchymal or...

BACKGROUND The nontherapeutic laparotomy rate in penetrating abdominal trauma remains high and the morbidity rate in these cases is approximately 40%. Selective management, rather than mandatory laparotomy, has become a popular approach in both stab wounds and gunshot wounds. The advent of spiral technology has stimulated a reassessment of the role of computed tomography (CT) in many aspects of...

OBJECT The current standard of practice for clearance of the cervical spine in obtunded patients suffering blunt trauma is to use CT and an adjuvant imaging modality (such as MR imaging). The objective of this study was to determine the comparative effectiveness of multislice helical CT alone to diagnose acute unstable cervical spine injury following blunt trauma. METHODS The authors performe...

BACKGROUND Few efficacious early treatments for post-traumatic stress disorder (PTSD) in children and adolescents exist. Previous trials have intervened within the first month post-trauma and focused on secondary prevention of later post-traumatic stress; however, considerable natural recovery may still occur up to 6-months post-trauma. No trials have addressed the early treatment of establishe...

INTRODUCTION Computed tomography (CT) scans are often used in the evaluation of patients with blunt trauma. This study identifies the clinical features associated with further diagnostic information obtained on a CT chest scan compared with a standard chest X-ray in patients sustaining blunt trauma to the chest. METHODS A 2-year retrospective survey of 141 patients who attended a Level 1 trau...