background: metabolic acidosis is a fatal finding in trauma patients that complicates the process of resuscitation. case: the case was a 37-year-old man with open fracture in both legs and fracture in second lumbar vertebral (l2). the serial arterial blood gas (abg) test results showed a ph value of 6.7 indicating a very severe and special case of metabolic acidosis. the rate of mortality for s...

introduction: degenerative changes of the cervical spine are more common in elderly, but anterior cervical osteophytes that cause problems in swallowing are rare. the most common cause of this problem is dish disease (diffuse idiopathic skeletal hyperostosis). trauma is also suggested as a potential cause in osteophyte formation. case report: we report a rare case of anterior cervical osteophyt...

conclusions most cases of splenectomy in our center caused by trauma, and among the different types of trauma, blunt trauma is the dominant cause. road traffic accidents, in particular motor vehicle accidents, especially motorbike injures, are the most frequent cause of splenectomy. due to the instability of trauma patients, a mortality rate of 8% seems to be reasonable for splenectomy. rnwe re...

patients and methods from april 2009 to november 2011, all patients with gu injuries referred to our hospital were studied. the data including age, sex, type of injury, mechanism of trauma, and prognosis of patients was collected and analyzed. results from a total of 3450 patients, 66 (1.91%) had injuries of the urogenital system; 49(74.24%) were male and 17(25.75%) female. the patients’ mean a...

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 ...

when intracranial pressure (icp) was uncontrollable among patients with severe traumatic brain injuries (stbi) and especially if it raises above 40 mmhg 100% morality was reported. eighty four percent of head injured patients would die if their initial icp is greater than 25 mm hg. decreasing icp through decompressive craniectomy (dc) theoretically may revert increased icp to normal and decreas...

the most important strategy to modify high risk behavior, to prevent traffic accident and decrease death is effective education. it is necessary to have systematic steps with scientific background to educate effectively. the health educator has essential role in every education program; therefore the first question to ask is who should educate? the next in an education for reduce traffic accide...

this prospective study, conducted in 8 cities of iran from 1999 to 2000. out of total 16,573 trauma patients, 106 (0.63%) included in this study had renal injury. this study aimed at investigation of incidence, etiology and management of renal trauma patients in iran. they were 87 (82.1%) male and 19 (17.9%) female patients. renal trauma mechanism was mainly blunt injury (93.4%). road traffic c...

conclusions available data implies that restorative therapies should focus on multiple targets and different intervals after injury. yet, if we understand the key and basic origin of the injury, we may develop effective, complete, safe, and continual procedures. materials and methods we downloaded and reviewed more than 170 full textbooks and articles in english from the literature pubmed, and ...

conclusions penetrating trauma from wooden fragments provides a diagnostic challenge. a stubborn discharge from a wound must always raise the suspicion of retained fragment. early and appropriate surgical exploration is imperative. introduction in contrast with victims of major trauma, patients who suffer minor injuries receive little specialist input. in most cases, this causes no difficulty, ...