The effect of early versus delayed surgical debridement on the outcome of open long bone fractures at Bugando Medical Centre, Mwanza, Tanzania

Urgent surgical debridement of open long bone fractures is of paramount importance for prevention of subsequent infection. Due to limited information on the timing of this surgical procedure in Mwanza, Tanzani...

Authors: Njee Nobert, Nyambura Moremi, Jeremiah Seni, Ramesh M. Dass, Isdori H. Ngayomela, Stephen E. Mshana and Japhet M. Gilyoma

The severe traumatic brain injury in Austria: early rehabilitative treatment and outcome

Severe traumatic brain injury (TBI) is a great economical and logistic problem in the health care system which reduces the quality of life and productivity of the patient. The purpose of this study is to evalu...

Authors: Emanuel Steiner, Monika Murg-Argeny and Heinz Steltzer

Ultrasound-guided thrombin injection for treatment of superficial traumatic pseudoaneurysms and associated expanding hematomas: experience in five patients

Angiography allows for excellent characterization and treatment of traumatic pseudoaneurysms. However, ultrasound-guided thrombin injection for pseudoaneurysm thrombosis allows for radiation-free treatment of ...

Authors: Sri Hari Sundararajan, Phillip Murillo, Adam Khan, Vyacheslav Gendel, Christopher Gribbin, Sudipta Roychowdhury and John Nosher

Retraction Note: Decompressive craniectomy without durotomy for traumatic coma and uncontrollable intracranial hypertension

Authors: Daniel James Miller and Darlene Angela Lobel

A Ten year review of alcohol use and major trauma in a Canadian province: still a major problem

Alcohol plays a significant role in major traumatic injuries. While the role of alcohol in motor vehicle trauma (MVT) is well described, its role and approaches to prevention in other injury mechanisms is less...

Authors: Jessica McKee, Sandy L. Widder, J. Damian Paton-Gay, Andrew W. Kirkpatrick and Paul Engels

Trauma transfers to a rural level 1 center: a retrospective cohort study

The regionalization of trauma care, the Emergency Medical Treatment and Active Labor Act of 1986, the advent of Accountable Care Organizations and bundled payments have brought Level 1 trauma centers (TC) to a...

Authors: Sumeet V Jain, Castigliano M Bhamidipati and Robert N Cooney

“Anterior convergent” chest probing in rapid ultrasound transducer positioning versus formal chest ultrasonography to detect pneumothorax during the primary survey of hospital trauma patients: a diagnostic accuracy study

Occult pneumothorax represents a diagnostic pitfall during the primary survey of trauma patients, particularly if these patients require early positive pressure ventilation. This study investigated the accurac...

Authors: Behrad Ziapour and Houman Seyedjavady Haji

A comparison between survival from cancer before and after a physical traumatic injury: physical trauma before cancer is associated with decreased survival

Prior traumatic experiences have been associated with poorer coping strategies, greater distress, and more posttraumatic stress disorder (PTSD) symptoms following a subsequent cancer diagnosis affecting their ...

Authors: Douglas L. Delahanty, Robert Marley, Andrew Fenton, Ann Salvator, Christina Woofter, Daniel Erck, Jennifer Coleman and Farid Muakkassa

Proximal interphalangeal replantation with arthrodesis facilitates favorable esthetics and functional outcome

Management of finger amputations of the proximal interphalangeal (PIP) joint is still controversial. Regrettably, injured PIP joints seldom regain normal active motion; thus, many investigators recommend revis...

Authors: Masaki Fujioka and Kenji Hayashida

Are traumatic bilateral adrenal injuries associated with higher morbidity and mortality?-A prospective observational study

Traumatic bilateral adrenal injuries are uncommon. Adrenal injuries are overall associated with worse outcome than non-adrenal injuries. However, direct comparative evidence between unilateral and bilateral ad...

Authors: Ananya Panda, Atin Kumar, Shivanand Gamanagatti, Ashu Seith Bhalla, Raju Sharma, Subodh Kumar and Biplab Mishra

Vascular injuries of the extremities are a major challenge in a third world country

Traumatic vascular injuries of the extremities are a major challenge especially in the third world countries. These injuries are mostly due to poor traffic laws, street crimes, firearms and blast associated in...

Authors: Fahad H. Khan, Kamal M. Yousuf and Anel R. Bagwani

Maxillofacial injuries in severely injured patients

A significant proportion of patients admitted to hospital with multiple traumas exhibit facial injuries. The aim of this study is to evaluate the incidence and cause of facial injuries in severely injured pati...

Authors: Max J. Scheyerer, Robert Döring, Nina Fuchs, Philipp Metzler, Kai Sprengel, Clement M. L. Werner, Hans-Peter Simmen, Klaus Grätz and Guido A. Wanner

Effects of a formalized collaboration between plastic and orthopedic surgeons in severe extremity trauma patients; a retrospective study

Severe trauma to the extremities often includes a combination of fractures and soft tissue injuries. Several publications support that the patient outcome is better when skeletal stabilization is followed by e...

Authors: Pehr Sommar, Yamin Granberg, Martin Halle, Ann-Charlott Docherty Skogh, Kalle T Lundgren and Karl-Åke Jansson

Occipital condyle fracture and lower cranial nerve palsy after blunt head trauma – a literature review and case report

Lower cranial nerve (IX-XII) palsy is a rare condition with numerous causes, usually non-traumatic. In the literature it has been described only a few times after trauma, mostly accompanied by a fracture of th...

Authors: Nils Christian Utheim, Roger Josefsen, Per Hjalmar Nakstad, Torfinn Solgaard and Olav Roise

Improving patient notification of solid abdominal viscera incidental findings with a standardized protocol

The increasing use of computed tomography (CT) scans in the evaluation of trauma patients has led to increased detection of incidental radiologic findings. Incidental findings (IFs) of the abdominal viscera ar...

Authors: Courtney E Collins, Nicole Cherng, Theodore McDade, Babak Movahedi, Timothy A Emhoff, Giles F Whalen, Jennifer LaFemina and Jon D Dorfman

A feasibility study of 60 consecutive patients operated for unstable thoracic cage

About 10% of adult patients in high-energy trauma sustain multiple rib fractures. Some of these patients suffer from flail chest leading to respiratory insufficiency. During last years interest and results for...

Authors: Hans P Granhed and David Pazooki

Functional outcome and satisfaction with a “self-care” protocol for the management of mallet finger injuries: a case-series

Mallet finger injuries are usually successfully treated non-operatively with a splint. Most patients are reviewed at least twice in a clinic after the initial presentation in A&E. A new protocol promoting “sel...

Authors: Katriona Brooksbank, Paul J Jenkins, Iain C Anthony, Alisdair Gilmour, Margaret P Nugent and Lech A Rymaszewski

Distribution and treatment of clavicular fractures in monotrauma and polytrauma patients

Although extensive research for the optimal treatment of clavicle fractures has been performed, comparative studies between monotrauma and polytrauma patients are lacking.

Authors: Steven Ferree, Jacqueline JEM van Laarhoven, R Marijn Houwert, Falco Hietbrink, Egbert Jan MM Verleisdonk and Luke PH Leenen

Look away: arterial and venous intravascular embolisation following shotgun injury

We describe two cases of intravascular embolization of shotgun pellets found distant to the entry site of penetrating firearm injury. The cases demonstrate antegrade embolization of a shotgun pellet from neck ...

Authors: John Vedelago, Elizabeth Dick, Robert Thomas, Brynmor Jones, Olga Kirmi, Jennifer Becker, Afshin Alavi and Wladyslaw Gedroyc

Hepatic pseudoaneurysm after traumatic liver injury; is CT follow-up warranted?

Hepatic pseudoaneurysm (HPA) is a rare complication after liver trauma, yet it is potentially fatal, as it can lead to sudden severe haemorrhage. The risk of developing posttraumatic HPA is one of the argument...

Authors: Lene Østerballe, Frederik Helgstrand, Thomas Axelsen, Jens Hillingsø and Lars Bo Svendsen

Scapula fractures in complex shoulder injuries and floating shoulders: a classification based on displacement and instability

Scapula fractures with injuries of the Superior Shoulder Suspensory Complex are often referred to as floating shoulders. However, present studies do not allow comparative evidence on indication for surgical tr...

Authors: Jan Friederichs, Mario Morgenstern and Volker Bühren

Vagus nerve stimulation improves coagulopathy in hemorrhagic shock: a thromboelastometric animal model study

Inflammation plays a major role in the multifactorial process of trauma associated coagulopathy. The vagus nerve regulates the cholinergic anti-inflammatory pathway. We hypothesized that efferent vagus nerve s...

Authors: Joao B Rezende-Neto, Roger Lage Alves, Mario Carvalho Jr, Thiago Almeida, Cyntia Trant, Christopher Kushmerick, Marcus Andrade, Sandro B Rizoli and Jose Cunha-Melo

Compartmental anatomical classification of traumatic abdominal injuries from the academic point of view and its potential clinical implication

The mechanism and outcome of traumatic abdominal injury (TAI) varies worldwide. Moreover, data comparing TAIs in each abdominal compartment are lacking. We aimed to assess from the academic point of view, TAI ...

Authors: Ayman El-Menyar, Husham Abdelrahman, Hassan Al-Thani, Ahmad Zarour, Ashok Parchani, Ruben Peralta and Rifat Latifi

Outcomes following liver trauma in equestrian accidents

Equestrian sports are common outdoor activities that may carry a risk of liver injury. Due to the relative infrequency of equestrian accidents the injury patterns and outcomes associated with liver trauma in t...

Authors: Anita Balakrishnan, Reyad Abbadi, Kathryn Oakland, Saurabh Jamdar, Simon JF Harper, Neville V Jamieson, Emmanual L Huguet, Asif Jah and Raaj K Praseedom

A necessary evil? Intra-abdominal hypertension complicating burn patient resuscitation

Severe burns are devastating injuries that result in considerable systemic inflammation and often require resuscitation with large volumes of fluid. The result of massive resuscitation is often raised intra-ab...

Authors: Paul B McBeth, Kim Sass, Duncan Nickerson, Chad G Ball and Andrew W Kirkpatrick