UNLABELLED Distracting painful injuries (DPIs) may mask symptoms of spinal injury in blunt trauma victims and form an important element in a decision instrument used to identify individuals who require cervical spine radiography. OBJECTIVE To identify the types and frequencies of injuries that actually act as DPIs among blunt trauma patients undergoing cervical spinal radiography. METHODS T...

Blunt cerebrovascular injuries (i.e. involvement of carotid and vertebral arteries) are increasingly being recognized in setting of cervical spine trauma/fractures and are associated with high incidence of stroke/morbidity and mortality. The incidence of vertebral artery injuries (VAI) is more common than previously thought and regular screening is seldom performed. However there exists no scre...

BACKGROUND Guidelines are in place directing the clearance of the cervical spine in patients who are awake, alert, and oriented, but a gold standard has not been recognized for patients who are obtunded. Our study is designed to determine if magnetic resonance imaging (MRI) detects clinically significant injuries not seen on computed tomographic (CT) scans. METHODS The trauma registry was use...

VeStibUIOCOchlear symptoms after cervical trauma remain a matter of controversy. This controversy is due to the difficulty in interpreting vague symptoms, the lack of objective findings, and the unpredictable time span between trauma and onset of symptoms. Cervicogenic vestibulocochlear symptoms include vertigo, hearing loss, and tinnitus and frequently are used in the same context, suggesting ...

BACKGROUND AND STUDY AIMS Esophageal fistula due to cervical spine trauma is a rare, potentially fatal complication, which changes significantly the treatment and the prognosis of the trauma patient. There is scarce data regarding this associated pathology of cervical trauma and it consists only of isolated cases, most of them being reported as a complication of the surgical treatment. We prese...

background trauma is the most common cause of death in children. road traffic injuries account for a significant percentage of trauma cases in children and it is a cause of disability. objective an epidemiological study of factors associated with trauma caused by traffic accidents in children under 8 years of age who were hospitalized in rasht poursina hospital was sought. materials and methods...

introduction extra-hepatic bile duct injuries in children following blunt abdominal trauma are rare; early diagnosis and treatment are imperative for a good outcome. the purpose of this report is to describe the management of problems encountered in children with bile duct injuries following blunt abdominal trauma. case presentation a three year-old girl presented with obstructive jaundice and ...

  One of the most important and destructive forms of child abuse is the physical abuse which can lead to the maladjustment among abused children; the aim of this study was to determine the effectiveness of trauma focused cognitive-behavioral therapy on reduction social and emotional maladjustment of physically abused children. Materials and Methods This study was a randomized controlled clinic...

BACKGROUND Although the vertebral artery injuries (VAI) associated with cervical spine trauma are usually clinically occult, they may cause fatal ischemic damage to the brain stem and cerebellum. METHODS We performed a prospective study using computed tomographic angiography (CTA) to determine the frequency of VAI associated with cervical spine injuries and investigate the clinical and radiol...

BACKGROUND AND PURPOSE The National Emergency X-Radiography Utilization Study Low-Risk Criteria were established to identify patients with a low probability of cervical spine injury in whom imaging of the cervical spine was unnecessary. The purpose of this study was to ascertain the number of unnecessary cervical spine CT studies on the basis of proper application of established clinical guidel...