We aimed to evaluate the benefit of whole-body computed tomography (WBCT) scanning for unconscious adult patients suffering from high-energy multiple trauma compared with the conventional stepwise approach of organ-selective CT.Totally, 144 unconscious patients with high-energy multiple trauma from single level I trauma center in North Taiwan were enrolled from January 2009 to December 2013. Al...

Severe trauma threatens the life of the victim, both directly and indirectly via immunological dysregulation during the subsequent clinical course. Inflammatory or infectious episodes may complicate the clinical course and ultimately result in sepsis and multiple organ failure, which have mortality rates of up to 80%. Immunomodulatory intervention aims to ameliorate the early hyperinflammatory ...

Hemorrhage and traumatic coagulopathyis are major causes of early death in multiply injured patients. Thrombelastography (TEG) seems to be a fast and accurate coagulation test in trauma care. We suggest that multiply injured trauma patients would benefit the most from an early assessment of coagulation by TEG, mainly RapidTEG, to detect an acute traumatic coagulopathy and especially primary fib...

introduction: trauma is the most common cause of mortality in the 1 to 44 years age group and third leading cause of mortality in the world. in general, determination of defects caused by trauma has an essential role in management of traumatic patients. use of scoring systems for evaluation of static and dynamic states of traumatic events can decrease the mortality and morbidity rates. differen...

BACKGROUND Posttraumatic stress disorder (PTSD) is characterized as a disorder of exaggerated defensive physiological arousal. The novel aim of the present research was to investigate within PTSD a potential dose-response relationship between past trauma recurrence and current comorbidity and intensity of physiological reactions to imagery of trauma and other aversive scenarios. METHODS A com...

Six years experience of blunt abdominal trauma leading to small intestine Perforation in Logh­rnan-e-Hakim Medical center. Between Sept. 1982 to Sept. 1988, 24 cases of abdominal blunt trauma leading to perforation of small intestine were managed at Loghman-e-Hakim Medical center. All the cases were treated surgically either by debridment and repair or resection and anas­tomosis, with no mortal...

OBJECTIVE To identify which pediatric patients with mild head trauma are candidates for skull radiographs or cranial computed tomography (CCT) scans. METHOD Patients with mild head trauma aged from 0 to 19 years presenting to the Emergency Department of a trauma centre from Salvador City, Brazil, between May 2007 and May 2008. RESULTS A total of 1888 mild head trauma patients were admitted;...