OBJECTIVE To examine the relation between fragmentation of bullets and size of wounds clinically and in the context of the Hague Declaration of 1899. DESIGN Retrospective analysis of prospectively collected data on hospital admissions. SETTING Hospitals of the International Committee of the Red Cross. SUBJECTS 5215 people wounded by bullets in armed conflicts (5933 wounds). MAIN OUTCOME...

BACKGROUND Wound infection is a common complication in diabetic patients. The progressive spread of infections and development of drug-resistant strains underline the need for further insights into bacterial behavior in the host in order to develop new therapeutic strategies. The aim of our study was to develop a large animal model suitable for monitoring the development and effect of bacterial...

A series of 100 penetrating wounds of the abdomen and thorax is reviewed. Eighty-three were due to stab-wounds. The recent increase in incidence is confirmed and the distribution throughout the day and months of the year is given. The results and methods of treatment of thirtysix abdominal, ten thoraco-abdominal and thirtyseven thoracic wounds are given and described. An operative approach to a...

traumatic coronary artery-cameral fistulas (tcaf) are rare and may present secondary to penetrating injuries (80%) or iatrogenic traumas. early operative intervention remains the recommended treatment modality for accidental traumatic coronary artery fistulas. we report the case of a 17-year-old man who presented with left anterior descending coronary artery-right ventricle fistula following pe...

early prediction of ongoing hemorrhage may reduce mortality via the earlier delivery of blood products, adequate orientation of the patient in a dedicated highly specialized and trained infrastructure, and by earlier correction of acute traumatic coagulopathy. we identified 14 scores or algorithms developed for the prediction of ongoing hemorrhage and the need for massive transfusion in severe ...

conclusions we can conclude that the surveillance presented to our injured group probably had some defects that need to be revised in therapeutic services to enhance survival requirements. objectives the aim of this study was to evaluate the outcome of trauma cases using the trauma score and the injury severity score (triss) model and then comparing this with the results of a major trauma outco...

Data from 17,726 battle casualties admitted to all the US Army hospitals in the Republic of Vietnam (RVN) from March 1966 to July 1967 (60% of all patients wounded during this time) revealed that 13.8% of all wounds involved the abdomen, and that the kidney was involved in approximately 9% of those with abdominal wounds. The mortality in this group (who had renal wounds as a component of their ...

In this study it was determined i) whether an autologous skin substitute (SS) which heals chronic wounds could heal excision wounds, and ii) whether soluble proteins present in chronic and excision wound exudates might influence the potency of the SS and in turn the final outcome of wound healing. For clinical applications, SS were applied to tumor excision wounds. For mechanistic studies, SS c...

objective(s) the process of wound healing involves tightly integrated events including inflammation, granulation tissue formation and remodeling. systemic administration of l-arginine promotes wound healing but its global side effects are undesirable. to confine the action of l-arginine at the site of injury, we tested the effects of local administration of l-arginine on the healing of excision...