Liver is the largest abdominal organ that is often affected by injuries due to blunt or penetrating trauma (1). Road traffic accidents and violence are responsible for the majority of liver injuries (2). A high incidence of liver trauma currently is secondary to a dominant role of mechanized transportation and increasing violent behaviour (3). Blunt injuries are dominant in Europe (4, 5, 6), wh...

BACKGROUND The role of video-assisted Thoracoscopic Surgery (VATS) is still being defined in the management of thoracic trauma. We report our trauma cases managed by VATS and review the role of VATS in the management of thoracic trauma. MATERIALS AND METHODS All the trauma patients who underwent VATS from 2000 to 2007 at Cedars-Sinai Medical Center were retrospectively studied. RESULTS Twen...

OBJECTIVE Uncontrolled hemorrhagic shock is a significant factor in death of severe multiple trauma patients. The acute management of injured bleeding in emergency department (ED) may improve patient outcomes. The medical records of severe multiple trauma patients with hemorrhagic shock in our ED were reviewed to summarize an evidence-based approach to the management of critically injured bleed...

Bilateral brachial plexus blocks and regional anesthesia in trauma patients are rarely performed due to potential complications when using these techniques. We illustrate a case in which bilateral infraclavicular nerve blocks were placed as part of a multimodal approach to pain management in a trauma patient. We discuss potential hazards, important considerations, and rationale for attempting t...

Single gallbladder injury after abdominal trauma is a rare finding. Early diagnosis of this disease is often difficult due to the variability of symptoms and unspecific results in the usual radiological tests. The usual management in patients with vesical trauma is surgery. We report a case of a patient with a gallbladder perforation after closed thoracoabdominal trauma diagnosed and treated wi...

The spleen is an important organ in the body’s immune system. It is the most frequently injured organ in blunt abdominal trauma. Over the past several decades, diagnosis and management of splenic trauma has been evolved. Focused assessment with sonography for trauma (FAST) examination has replaced diagnostic peritoneal lavage as diagnostic modality. In our study we have focused to manage patien...

Trauma is estimated to complicate approximately one in twelve pregnancies, and is currently a leading non-obstetric cause of maternal death. Pregnant trauma patients requiring non-obstetric surgery pose a number of challenges for anesthesiologists. Here we present the successful perioperative management of a pregnant trauma patient with multiple injuries including occult pneumothorax who underw...

1 Harrington DT, Phillips B, Machan J, et al. Factors associated with survival following blunt chest trauma in older patients. Arch Surg 2010; 145: 432–7 2 Simon BJ, Cushman J, Barraco R, et al. Pain management guidelines for blunt thoracic trauma. J Trauma 2005; 59: 1256–67 3 British Pain Society. Numerical pain scores in English. Available from www.britishpainsociety.org/pain_scales_eng.pdf (...

introduction: management of pediatric blunt abdominal trauma in resource-restricted settings requires precise clinical expertise. in this study, we reviewed pediatric patients who were suspected to have blunt abdominal trauma in a level iii trauma center in iran. materials and methods: in a cross-sectional study, 66 injured children were studied from october 01, 2014 to october 01, 2015 in niks...