BACKGROUND Substance abuse is associated with injuries, but these associations have not been well characterized by type of substance and injury type. METHODS A cross-sectional study of patients selected for toxicology screening compared those with positive and those with negative test results for drugs and alcohol. RESULTS Patients with positive alcohol toxicology results were more likely t...

Transorbital slow-penetrating injury is an uncommon type of head injury that is seen more often in the pediatric age group. This type of injury can be occult, which is often associated with serious complications. We report on a 4-year-old female who presented with orbital swelling after an unwitnessed right orbital injury following a fall on her face at her school. Three days after injury, the ...

Akin to two people not speaking a common language (Fig. 1.1.1), ophthalmologists are unable to unambiguously communicate with each other if the terms they use to describe an eye injury are not standardized. If the terms used do not have straightforward definitions, practitioners cannot understand each other when discussing an ocular trauma case, nor can research be conducted, and its results pu...

Penetrating injuries of the thorax and abdomen, such as gunshot stabbing, are rare in children. We present case a pediatric patient with history remote injury presenting late aneurysm left ventricle. ( Level Difficulty: Intermediate. )

A 27-year-old man was admitted with a penetrating injury at the mid-manubrium. Computed tomographic (CT) angiography showed a filling defect in the aortic arch. This was evaluated as a sign of injury and the patient underwent an emergency operation. No active bleeding or clot was found in the mediastinum during the operation. The laceration point was between the innominate and the left carotid ...

Brain foreign bodies and penetrating missile injuries of the brain are familiar topics for Iranian physicians, especially after Iran and Iraq war. But it’s not easily plausible that there is a couple of sewing needles in the cranium of a patient who has not any history of head trauma or penetrating injury. The patient was a 42-year-old man who admitted in neurology ward of Mottahari Hospital in...

Principles of penetrating head trauma management were established by Harvey Cushing in relation to the management of penetrating brain injuries of World War One. Cushing radically debrided the scalp and skull and aggressively irrigated wound tracks to remove foreign bodies. He would then obtain water-tight closure. Cushing significantly decreased infection rates which reportedly limited the maj...

BackgroundPenetrating injury independently predicts the need for surgeon presence (NSP) upon arrival. Penetrating is often used as a trauma triage indicator, however, it includes wide range of specific mechanisms injury. We sought to compare firearm-related and non-firearm related pediatric penetrating injuries with respect NSP, ISS mortality.MethodsPatients <18 from 2016 National Trauma Qualit...

trauma is the leading cause of death in united states in the younger population. cardiac trauma is common following blunt chest injuries and is associated with high morbidity and mortality. this study discusses various multidetector computed tomography (mdct) findings of cardiac trauma. cardiac injuries are broadly categorized into the most commonly occurring blunt cardiac injury and the less c...