BACKGROUND AND OBJECTIVE Children and adolescents with minor blunt head trauma and isolated skull fractures are often admitted to the hospital. The objective of this study was to describe the injury circumstances and frequency of clinically important neurologic complications among children with minor blunt head trauma and isolated linear skull fractures. METHODS This study was a planned secon...

This clinical policy from the American College of Emergency Physicians is an update of the 2004 clinical policy on the critical issues in the evaluation of adult patients presenting to the emergency department with acute blunt abdominal trauma. A writing subcommittee reviewed the literature as part of the process to develop evidence-based recommendations to address 4 key critical questions: (1)...

Results Injury type and mechanism were significantly different between the four groups (p<0.0001). The leading cause of trauma were burn injuries (65%) in patients aged less than 1 year, burn injuries (49%) and blunt trauma (49%) in children between 1-5 years, and blunt trauma (81%/ 82%) in 6-10 and 11-15 year old children. Mechanisms of blunt trauma were mainly road traffic accidents, followed...

Diaphragmatic hernias can be described as congenital hernias or traumatic hernias (including those following penetrating trauma, blunt trauma and unrecognized diaphragmatic rupture) [1]. A blunt trauma to chest or abdomen is the main cause of diaphragmatic injury. This injury occurs in 1.1-3.9% of the cases following a trauma [2,3]. Then, acquired diaphragmatic hernia (ADH) occurs in less than ...

Trauma is the leading cause of mortality among young Americans. One third of these patients die from exsanguination. Primary management of blunt trauma is non-operative for most hemodynamically stable patients. Advances in endovascular equipment and techniques have led to an established role for adjunctive endovascular therapy in selected patients. Here we provide a literature review and discus...

Tracheal injuries, following blunt neck trauma, are life-threatening surgical emergencies with high risk of mortality. A index suspicion is necessary to avoid missing an occult injury because delays in diagnosis and definitive treatment associated poorer outcomes. We, herein, report a case 28-year man who presented Emergency Department 15 days after trauma from accident involving electric cable...

Blunt pediatric trauma is a major threat to the health and well-being of children. Nationwide, many practitioners care for children who face this issue. Some key principles related to the evaluation and management of these children are elucidated in this article.

An important complication of chest trauma is serious cardiac problems. The fatal conditions like cardiac arrhythmias, including ventricular fibrillation and sudden cardiac arrest can occur in both cardiac concussion (commotio cordis) and cardiac contusion (contusio cordis). Commotio cordis is to be distinguished from cardiac contusion (contusio cordis) or blunt cardiac injury, a condition in wh...

Traumatic injuries of the extrahepatic biliary tract are infrequent, occurring in approximately 0.5% of all patients with blunt and penetrating abdominal trauma. The incidence of this injury due to blunt abdominal trauma is rare. This study reviewed patients with injuries of the extrahepatic biliary tract due to abdominal trauma over a 6-year period to determine the incidence, trauma scores, as...

Nonoperative treatment of blunt renal trauma with urinary extravasation in a child Serpil Sancar, Cagatay Aydiner, Mete Kaya Abstract The goal of renal trauma management is preservation of functional renal parenchyma with minimal morbidity. In children with grade IV renal injury, the role and timing of surgical or endourologic intervention is less established and remains controversial. We repor...