Introduction Severity and complexity of combined maxillofacial trauma require not only multidisciplinary approach, but prevention of trauma is also of extreme importance, as this may reduce direct and indirect social economic losses. Understanding the trauma etiology, types, and severity may support clinical priorities determination, increase treatment effectiveness, and also may achieve certai...

BACKGROUND We performed a retrospective case-control study to assess the values of cardiac troponin I (cTnI) in a large number of patients admitted to the emergency department (ED) with different types of trauma. METHODS The study population consisted of all patients aged 18 years or older admitted to the local ED with all types of traumas over a 1-year period. Results of cTnI were compared w...

The initiation of combat in Iraq and Afghanistan has resulted in a new cohort of active-duty service members and veterans seeking rehabilitation care through the U.S. Department of Veterans Affairs (VA). Service members injured in combat most often sustain multiple injuries (polytrauma) and require a unique service delivery model to meet their needs. The VA recognized this need and responded wi...

The critically ill polytrauma patient presents with a series of associated pathophysiologies secondary to the traumatic injuries. The most important include systemic inflammatory response syndrome (SIRS), sepsis, oxidative stress (OS), metabolic disorders, and finally multiple organ dysfunction syndrome (MODS) and death. The poor outcome of these patients is related to the association of the af...

INTRODUCTION Acute coagulopathy of trauma (aCOT) is a state of disordered coagulation developing soon after severe injury and blood loss and has been defined in the clinical literature as an elevation in prothrombin time (PT) and activated partial thromboplastin time (aPTT). OBJECTIVE The purpose of this study was to develop a rat model of aCOT resulting from polytrauma and hemorrhage and sho...

INTRODUCTION: The impact of the COVID-19 pandemic on orthopedic trauma surgery is not well characterized in literature. We provided an evaluation such a tertiary hospital Portugal.MATERIAL AND METHODS: Retrospective analysis patients admitted for surgical treatment due to acute from March December 2019 and 2020.RESULTS: A total 794 728 2020 were included. Although mean time was shorter stay lon...

Henry L. Lew, MD, PhD; David X. Cifu, MD; Tamara Crowder, PhD; COL Sidney R. Hinds, MD Improvements in protective body armor technology in the past decade, combined with advances in emergency and intensive care medicine, have saved countless lives from battlefield injury [1–4]. Survivors of military conflicts often present with a constellation of injuries, recently described as “polytrauma” by ...