this is an observational case series study on penetrating trauma admissions in three teaching hospitals in tehran from 1996 to 1997. in order to describe the epidemiology and determine the ways of improving treatment of penetrating injuries, we selected 410 patients with penetrating injuries and injury severity scores (iss) of more than 7 (the maximum iss is 75) out of 3580 trauma patients, hos...

introduction: penetrating cardiac injuries generally occur secondary to gunshot or stab wounds and have a high mortality rate. they are rare and often fatal in children. when a foreign object penetrates the myocardium, it is dangerous to remove it, suddenly, and should be removed gradually to prevent excessive bleeding. case report: we report a case of an unusual penetrating cardiac injury in a...

trauma continues to be the most frequent cause of death in the first four decades of life that is a main public health problem in some countries. we perform an epidemiological study of penetrating abdominal trauma (pat). we describe epidemiological of patients in pat. in a cross-sectional study we evaluated epidemiological pat admitted to emergency department in six general hospitals in tehran....

conclusions according to the findings of this study, the most common cause of penetrating neck injuries was stab wounds, and the majority of patients were young men, therefore, preventive measures should be implemented. because of fatal complications associated with neck injuries, we recommend early neck exploration in unstable cases or when injuries are deeper than the platysma. results among ...

a case of a transcranial stab wound is presented in which the patient was stabbed in the left temporal bone with a knife which, after traversing the tentorium, passed through the occipital squama and its tip reached the upper cervical area. the subject underwent surgery and was discharged without neurological sequelae. the fundamental principles of management in this specific type of head injur...

Objective: One of the most frequent causes of death and acquired disability in the pediatric population is the Traumatic Brain Injury (TBI). TBI is secondary to falls, road traffic and vehicle collisions, child abuse and assaults. Penetrating brain injury is a severe form of traumatic brain injury. Blunt head injury is more frequent than TBI in children, but the second one carries a poor progno...

conclusions anesthetic and surgical management was difficult due to the inability to position in supine and rapidly progressing hemorrhagic shock. surgical management for extraction of this iron bar and intensive monitoring and resuscitation resulted in an uneventful successful outcome. introduction penetrating thoracoabdominal injuries are potentially life threatening due to the associated hem...

penetrating neck trauma is an important area of trauma care that has undergone evolution in the recent past. a remarkable number of changes have occurred in the treatment paradigm as new technologies have developed and as surgeons have explored the outcomes from different treatment protocols. therapy has evolved from no treatment (before effective anesthesia and instrumentation), to non operati...

objective: to evaluate the role of physical examination in decision making for exploring patients with penetrating zone ii neck injury. methods: this was a cross-sectional study being performed in a level i trauma center between 2006 and 2010. the present study reviewed the records of 150 patients with penetrating neck injuries. of 46 cases with zone ii deep platysma neck injuries, 3 patients d...