conclusions major vascular injuries in our center occurred in young men, frequently because of stab wounds. popliteal injuries mostly caused by motor vehicle accidents was the second most common arterial injury, followed by combined ulnar and radial injuries. vascular reconstruction in the first hours after trauma may prevent many unnecessary and preventable amputation procedures. results most ...

Trauma is the leading cause of death and disability in the labor force in our country, causing economic losses and prolonged disability. The cardiothoracic trauma is responsible for about 75% of deaths attributed to trauma, penetrating injuries by bladed weapon and firearm projectile generate mortality ranging between 3 and 20% depending on the mechanism of trauma being the most lethal last. In...

Introduction: There are significant gender differences in the epidemiology and presentation of cardiovascular diseases (CVDs), physiological aspects of CVDs, response to diagnostic tests or interventions, and prevalence or incidence of the associated risk factors. Considering the independent influence of gender on early dire consequences of such diseases, this study was conducted to investigate...

MANAGEMENT The history and physical examination give a very good indication of the presence of significant visceral injury. Initially, management should include simultaneous evaluation and treatment, and begins with ABC’s.1 The key factor in deciding the immediate management of a case of penetrating abdominal trauma is the patient’s haemodynamic stability.1 Regardless of injury type, if the pat...

Penetrating injuries account for 10% to 20% of all pediatric trauma admissions at most centers. Gunshot wounds are responsible for the overwhelming majority of penetrating traumatic injuries and have a significantly higher mortality rate than do blunt injury mechanisms. The management of penetrating injuries can be quite challenging and often requires rapid assessment and intervention. Specific...

BACKGROUND Initial management of solid organ injuries in hemodynamically stable patients is nonoperative. Therefore, early identification of those injuries likely to require surgical intervention is key. We sought to identify factors predictive of the need for nephrectomy after trauma. METHODS This is a retrospective review of renal injuries admitted over a 12-year period to a Level I trauma ...

• Bruit or thrill suggestive of a traumatic arteriovenous fistula • Expanding or pulsatile hematoma • Pulsatile or severe hemorrhage • Pulse deficit—pulses may be normal in patients with nonocclusive injuries that require surgical repair, such as intimal flaps or pseudoaneurysms • Thorough vascular and esophageal evaluation is required, even with minor neck wounds, if any abnormalities are evid...

OBJECTIVE The purpose of this series is to report our experience in managing ureteral trauma, focusing on the importance of early diagnosis, correct treatment, and the impact of associated injuries on the management and morbid-mortality. MATERIALS AND METHODS From January 1994 to December 2002, 1487 laparotomies for abdominal trauma were performed and 20 patients with ureteral lesions were id...

Penetrating abdominal trauma (PAT) is seen daily in our trauma ward. We present a retrospective study of the patients managed in our hospital (Polokwane Hospital, Limpopo) from January 1999 to March 2000. Epidemiology, mechanism of injury, patterns of injury, management, morbidity and overall mortality were recorded for analysis. Morbidity and mortality were commonly associated with peritonitis...

Spine immobilization in trauma patients suspected of having a spinal injury has been a cornerstone of prehospital treatment for decades. Current practices are based on the belief that a patient with an injured spinal column can deteriorate neurologically without immobilization. Most treatment protocols do not differentiate between blunt and penetrating mechanisms of injury. Current Emergency Me...