conclusions the loss of hrc at the onset of admission may predict mortality in patients with blunt trauma. lower entropy, in recently admitted patients with intra-abdominal bleeding, may indicate laparotomy when the vital signs are stable. background nonlinear analysis of heart rate variability (hrv) has been recently used as a predictor of prognosis in trauma patients. objectives we applied no...

BACKGROUND Blunt cardiac injury is a rare trauma entity. Here, we sought to evaluate the relevance and prognostic significance of blunt cardiac injury in severely injured patients. METHODS In a retrospective multicentre study, using data collected from 47,580 patients enrolled to TraumaRegister DGU (1993-2009), characteristics of trauma, prehospital / hospital trauma management, and outcome a...

BACKGROUND Focused assessment with sonography in trauma (FAST) is widely used and endorsed by guidelines, but little evidence exists regarding the utility of the cardiac portion in blunt trauma. The traditional FAST includes the routine performance of cardiac sonography, regardless of risk for hemopericardium. STUDY OBJECTIVES Our goal was to estimate the prevalence of hemopericardium due to ...

BACKGROUND Blunts are hollowed-out cigars or leaf tobacco filled with marijuana. Use of blunts has increased since the 1990s and, in 2005, 3.5% of all American youth were estimated to have used blunts in the past month. Blunt smokers may have greater odds of cannabis and tobacco dependency and are at risk of smoking-related diseases. Previous studies have suggested that blunt use is more common...

cardiac laceration from blunt thoracic trauma is not a common presentation. the rate of mortality due to this injury is very high since it is not diagnosed and treated immediately. in this study, we present the case of a 65-year-old man with blunt cardiac trauma, causing right atrial rupture and pericardial tamponade. successful management of this patient was firstly done with initial pericardi...

a 25-year-old man was admitted in hospital due to right side hemopneumothorax secondary to car accident. a chest tube was inserted. during the hospitalization days, chest ct scan revealed a 3cmx3 cm oval-shaped density located in the right upper lobe. since he was in a good general condition, he was discharged from hospital after removal of chest tube and a follow-up chest ct-scan was recommend...

BACKGROUND The purpose of this study was to describe pelvic fractures and their associated injuries in service members who either died of wounds or were killed in action during Operation Iraqi Freedom and Operation Enduring Freedom and define any differences in associated injuries between penetrating versus blunt injury to the pelvis. METHODS A review of all service members who sustained a pe...

A comparison of patterns of injuries between sharp force and blunt force homicide was performed. Male predominance was seen in both types of homicides. Most of the victims of sharp force were between 21 and 40 years and those of blunt force between 31 and 40 years. There was no difference in the incidence of victims below 20 years age, but blunt force was almost five times more than sharp force...