Background: Mortalities resulting from firearms to the chest are still common worldwide. Although relatively uncommon compared other age groups, gunshots that occur in children fatal catastrophic events especially those penetrate thoracic cage. Air guns (pellets) less devastating than conventional firearms, but they can be particularly children. Case presentation: We present successful manageme...

Background: Brain injuries are a major cause of mortality and disability. Sensory stimulation can reduce the complications of brain injuries in the patients.  Objectives: To compare the effect of foot reflexology with tactile stimulation of the hand on level of consciousness and physiological indicators in traumatic brain injury (TBI) patients  Materials & Methods: 60 TBI patients hospitalize...

One of the important public health issues worldwide is the rise of higher proportion of older aged with advancement of medicine, prolonged life expectancy and for improved health care facilities. Demographic projections suggest that mental illness along with heart diseases, AIDS and cancer will account for the top four illnesses around the globe very soon. It ranks up at the top along with hear...

We runners worry a lot about injuries. Run long enough, far enough, fast enough and something is sure to ache, break, swell, tear, twist, bleed, blister or grow arthritic. The usual suspects: feet, ankles, knees, hips, back. On the other hand, there are parts of our bodies we never expect to fail. We pride ourselves in our heart and our lungs. As runners pound out mile after mile, year after ye...

TECHNIQUE For patients arriving in cardiopulmonary arrest, emergency department thoracotomy is indicated. For those patients arriving stable enough to be transported to the operating room, median sternotomy is the incision of choice. Penetrating injuries to the heart will inevitably cause bleeding of the myocardium, mandating repair to prevent cardiac tamponade. Suture repair of a cardiac lacer...

OBJECTIVE To evaluate the possible morphological and functional heart injuries in hepatitis C virus patients. METHODS Control-case study analyzing Doppler echocardiographic aspects in 31 hepatitis C virus patients and 20 controls. RESULTS There were no significant difference in relation to the myocardial thickening, left ventricular diameters, circumferential shortening, ejection fraction, ...

Pericardial rupture after blunt chest trauma is described in the literature. This case report summarises our experience with a 22-year old male patient who suffered blunt chest trauma during a motor vehicle accident. On admission no serious injuries could be detected, but 3 hours later, displacement of the heart to the right hemithorax combined with sudden cardiac failure appeared. Emergency th...

Before 1955 blunt traumatic ruptures of the heart and pericardium were reported almost exclusively in autopsy reports. Since then, because of improved prehospital care and early triage, it has been demonstrated that injuries resulting in rupture of the heart and pericardium are no longer always fatal. We present a case of a patient who arrived at the hospital with increasing abdominal girth and...

We report a case of successful treatment patient with multiple stab and cut wounds chest abdomen which resulted in the injuries venous coronary sinus abdominal organs. Surgical wound revision antishock unit, priorities surgical accesses (thoracotomy laparotomy) allowed timely cure injury. A key feature our is trauma. Coronary suturing closed heart surgery technically difficult. It has potential...

OBJECTIVE Blunt traumatic rupture of the innominate artery is uncommon. We reviewed our experience to correlate the impact of patient stability, presence of associated injuries and location of the injury within the artery with outcome. METHODS A retrospective review was performed of patients admitted between January 1, 1998 and December 17, 2002 with traumatic innominate artery rupture. Injur...