OBJECTIVE To analyze the management of pediatric trauma and the efficacy of the Pediatric Trauma Score (PTS) in classifying injury severity and predicting prognosis. DESIGN A retrospective case series. SETTING The Children's Hospital of Eastern Ontario, a major pediatric trauma centre. PATIENTS One hundred and forty-nine traumatized children with 2 or more injuries to 1 body system or a s...

OBJECT The aim of this study was to develop a decision rule for physicians in developing countries to identify patients with minor head injury who will benefit from emergency brain CT scanning. METHODS Three hundred eighteen patients with a history of blunt head trauma and a Glasgow Coma Scale (GCS) score >or= 13 who had presented within 12 hours of trauma underwent nonenhanced brain CT and w...

OBJECTIVE To determine if trauma center protocols affect the number of tests and consultations performed and the length of time spent in the emergency department or hospital. DESIGN A retrospective review and comparison of treatment for children with isolated head injury admitted to the emergency department before trauma center designation (group 1, 1985), and 5 years after implementation of ...

head trauma and brain injury are common causes of emergency cases, and predispose multiple psychiatric complications. the head trauma, itself, often occurs after some psychiatric disorders, like mood or substance related disorders. so, the complex interaction of these factors often causes difficulties in diagnosis and management of the patients. the side effects of surgical and medical treatmen...

Facial skeletal fractures are common, and severe cases usually result from motor vehicle accidents, interpersonal violence, sports, or accidental falls. Precise visualization of the location, magnitude, and extent of fractures provides clinicians with a clearer picture of likely complications and associated soft-tissue or sensory system damage, as well as details needed to plan surgical interve...

Four patients are described who sustained comparatively minor peripheral injury, the affected area soon becoming the site of segmental dystonia. The movement disorder developed as the symptoms from the injury subsided, and except for the recent trauma, no cause for the dystonia was apparent; litigation was not an issue for any patient. It is suggested that on rare occasions peripheral trauma re...

Traumatic posterior circulation aneurysms are rare, especially in children. They are typically associated with severe trauma and are thought to result from either direct osseous injury or stretching or compression of an artery against the tentorium. They may grow, rupture, or both. Although spontaneous thrombosis may occur, it rarely results in complete occlusion. We report the spontaneous and ...

Ehlers-Danlos syndrome is a rarely encountered connective tissue disorder characterized by skin hyper-elasticity, joint hyper-flexibility, and vasculature fragility. We report a 41-year-old female presenting with scalp swelling following minor head trauma. The patient presented with a large cephalohematoma that despite compressive measures and Factor IX administration continued to progress, nec...