background hemorrhagic progression of a contusion (hpc) is one of the main problems in neurosurgery, which is associated with several adverse effects and increasing the risk of mortality. the present study investigated the effect of transfusion of fresh frozen plasma (ffp) in the prevention of hpc. material and methods in this randomized clinical trial, 100 patients with cerebral contusion were...

A previously healthy 42-year-old man was admitted to our emergency department after a horse had kicked him in his left chest 2 h earlier. At the trauma scene he was conscious but confused and dyspnoeic. A left thoracostomy was performed and he was transferred to our hospital. Upon arrival, he was awake with a heart rate of 120 beats/min, palpable peripheral pulses, normal breath sounds, and bru...

Quantification and analysis of brain contusion was initially done in 1970’s followed by 2005. They derived brain contusion index based on parenchymal depth and surface distribution of contusion over brain. We conducted this study with the objectives of whether severity of contusion index determines Post trauma survival, is there a region specific contusion which determines Post trauma survival ...

BACKGROUND Blunt thoracic trauma is one of the critical injury mechanisms in multiply injured trauma victims. Although these patients present a plethora of potential structural damages to vital organs, it remains debated which injuries actually influence outcome and thereby should be addressed initially. Hence, the aim of this study was to identify the influence of critical structural damages o...

BackgroundPulmonary contusions are common injuries. Computed tomography reveals vast contused lung volume spectrum, yet pulmonary defined dichotomously (unilateral vs bilateral). We assessed whether there is stepwise increased risk of complications among patients without, with unilateral, and bilateral contusion.MethodsWe identified adults admitted rib fractures using the largest US inpatient d...

Persistent profound visual loss following contusion of the globe or ocular adnexae has been well documented, the visual loss being attributed to haemorrhage into, or contusion of, the optic nerve, or to interference with the blood supply of the eye. The patient described below presented after a contusion of the eye and orbit, with the clinical picture of ischaemic optic neuropathy presumably re...

Thoracic ultrasound is a noninvasive and portable diagnostic tool which is highly indicated for an initial workup of thoracic emergencies. The suspicion of a pneumothorax, pneumonia, pulmonary embolism or a lung contusion after trauma can be quickly assessed using ultrasound. Main advantages are its good availability and the steep learning curve. Another advantage of thoracic sonography is that...

Despite the lack of evidence in the literature, we report the case of a 25-year-old man involved in a road traffic accident, who had an inferior vena cava (IVC) injury and severe lung contusion with parenchymal bleeding requiring an extracorporeal membrane oxygenation (ECMO). An emergency procedure to implant a stent graft was successful in repairing the IVC injury. Moreover, we think that ECMO...