Introduction: Tube thoracostomy is an invasive procedure, which may result in life-threatening injury to major organs and blood vessels. We propose a new approach for inserting tube thoracostomies to improve the safety of this procedure, termed guided blunt dissection. In this article, we compared the safety of this new approach with traditional blunt dissection and two commercially available S...

OBJECTIVE To define the incidence of new contralateral intracranial lesions following decompressive hemicraniectomy for blunt traumatic brain injury, and explore the potential association with metabolic factors that contribute to coagulopathy. METHODS We retrospectively reviewed the records and imaging of all patients treated with hemicraniectomy for blunt traumatic brain injury at our instit...

Laparoscopic repair of traumatic intraperitoneal bladder rupture is safe and effective technique. We here report case 49 year male with proven by CT urogram after sustaining blunt trauma abdomen injury, repaired laparoscopy Patient recovered without any complications was discharged on postoperative day 6 under stable condition. we conclude that if injury identified early conditions feasible, la...

OBJECTIVE The purpose of this study was to prospectively assess the sensitivity and efficacy of clinical examination for screening of cervical spine (c-spine) injury in awake and alert blunt trauma patients with concomitant "distracting injuries." METHODS During the 24-month period from December 2009 to December 2011, all blunt trauma patients older than 13 years were prospectively evaluated ...

Gallbladder rupture following blunt abdominal trauma is a rare event recognized on evaluation and treatment of other visceral injuries during laparotomy. Isolated gallbladder rupture secondary to blunt abdominal trauma is even more uncommon. The clinical presentation of gallbladder injury is variable, resulting in a delay in diagnosis and treatment. We report the case of a patient who suffered ...

INTRODUCTION Blunt injury trauma is regularly encountered in the emergency department. Diagnostic tools that help in optimum management of blunt abdominal trauma include; Focussed Assessment Sonography for Trauma scan, Diagnostic peritoneal lavage and Computed Tomography scan. The aim of this study is to determine the validity of CT scan as an accurate diagnostic tool and its role in management...

BACKGROUND During the last century, the management of blunt force trauma to the spleen has changed from observation and expectant management in the early part of the 1900s to mainly operative intervention, to the current practice of selective operative and nonoperative management. These issues were first addressed by the Eastern Association for the Surgery of Trauma (EAST) in the Practice Manag...

Blunt or nonpenetrating trauma to the head and neck occasionally results in damage to the cervical segment of the internal carotid artery. This may produce neurologic signs and symptoms that mimic acute craniocerebral injury. The mortality and morbidity associated with these injuries are alarmingly high. These injuries may be missed if one relies only on computed tomography. Angiography is stil...

introduction: a traumatic arteriovenous fistula (avf) after repetitive blunt trauma has not been described previously. in a 34-year-old male, the first reported case of such an injury after repetitive blunt trauma is described. case presentation: a 34-year-old gentleman presented with a non-healing ulcer near his medial malleolus. a bone scan was performed and then treated for presumed osteomye...