Cases reported "Multiple Trauma"

Filter by keywords:



Filtering documents. Please wait...

11/49. Death due to superficial soft tissue injuries.

    A series of deaths due to multiple superficial injuries is reported. These cases represented 5% of a consecutive homicide series in the northern territory of australia. All cases were characterized by extensive superficial injuries, particularly involving soft tissue, which were present over much of the body including the face, head, arms, legs, and trunk. Upper-limb fractures were present in some cases, as were fractured ribs. The internal organs and tissues were pale, but there was either little or no organ damage. No significant volume of free blood was found in any of the body cavities. In one case, fat emboli were identified in moderate numbers in the lung and kidney. Death due to multiple superficial soft tissue injuries has not previously been characterized in the literature.
- - - - - - - - - -
ranking = 1
keywords = death
(Clic here for more details about this article)

12/49. Difficulty in brainstem death testing in the presence of high spinal cord injury.

    In the UK, when the standard brain death criteria are met, further investigations are not necessary. Confirmatory tests can be useful, however, when it is not possible to carry out all of the brainstem tests. We report the case of a patient with multiple trauma and a high spinal cord injury who was apnoeic. Confirmatory tests (EEG, brainstem, auditory evoked potential) were essential in supporting the diagnosis of brainstem death to allow withdrawal of artificial ventilation, as organ donation was being considered.
- - - - - - - - - -
ranking = 6
keywords = death
(Clic here for more details about this article)

13/49. Cramps, muscle pain, and fasciculations: not always benign?

    fasciculation and cramps without weakness or muscle atrophy are recognized as a benign syndrome. The authors report a patient with cramp and fasciculation, which persisted for 1 year without abnormal motor unit morphology on EMG before progressive weakness, muscle atrophy, and EMG abnormalities developed. This observation raises the possibility that lower motor neuron hyperexcitability may precede motor neuron death in motor neuron disease.
- - - - - - - - - -
ranking = 1
keywords = death
(Clic here for more details about this article)

14/49. Traumatic hemipelvectomy: case report and literature review.

    Traumatic hemipelvectomy is a rare but devastating injury involving complete disruption of the hemipelvis from the pubic symphysis to the sacroiliac joints and often results in death. We present an interesting case of traumatic hemipelvectomy caused by a previously undescribed mechanism of injury in which judicious angiography and aggressive surgical treatment contributed to patient survival.
- - - - - - - - - -
ranking = 1
keywords = death
(Clic here for more details about this article)

15/49. child restraint misuse: a case example and strategies for injury prevention.

    Motor vehicle crashes are a leading cause of death and serious injury for children. Emergency nurses can play a key role in encouraging parents and caregivers to use child restraints consistently and correctly. This article will discuss a case scenario where a young child is seriously injured in a motor vehicle crash where his child car seat was not used correctly. Injury prevention strategies for emergency nurses will be reviewed.
- - - - - - - - - -
ranking = 1
keywords = death
(Clic here for more details about this article)

16/49. An unusual case of early fulminant post-traumatic fat embolism syndrome.

    A multiple-injured patient developed a very early onset fulminant fat embolism syndrome that was partially masked by haemorrhagic shock. Despite early diagnosis by transoesophageal echocardiography and aggressive symptomatic treatment, there was a rapid evolution to death. Post mortem examination revealed the presence of both pulmonary and systemic fat emboli. This case highlights the ever present risk of masked fat embolism syndrome shortly after trauma.
- - - - - - - - - -
ranking = 1
keywords = death
(Clic here for more details about this article)

17/49. Definitive management of acute cardiac tamponade secondary to blunt trauma.

    Blunt cardiac injuries are a leading cause of fatalities following motor-vehicle accidents. Injury to the heart is involved in 20% of road traffic deaths. Structural cardiac injuries (i.e. chamber rupture or perforation) carry a high mortality rate and patients rarely survive long enough to reach hospital. Chamber rupture is present at autopsy in 36-65% of death from blunt cardiac trauma, whereas in clinical series it is present in 0.3-0.9% of cases and is an uncommon clinical finding. patients with large ruptures or perforations usually die at the scene or in transit--the rupture of a cardiac cavity, coronary artery or intrapericardial portion of a major vein or artery is usually instantly fatal because of acute tamponade. The small, rare, remaining group of patients who survive to hospital presentation usually have tears in a cavity under low pressure and prompt diagnosis and surgery can now lead to a survival rate of 70-80% in experienced trauma centres. As regional trauma systems evolve, patients with severe, but potentially survivable cardiac injury are surviving to ED. Two distinct syndromes are apparent--haemorrhagic shock and cardiac tamponade. Any patient with severe chest trauma, hypotension disproportionate to estimated loss of blood or with an inadequate response to fluid administration should be suspected of having a cardiac cause of shock. For patients with severe hypotension or in extremis, the treatment of choice is resuscitative thoracotomy with pericardotomy. Closed chest cardiopulmonary resuscitation is ineffective in these circumstances. Blunt traumatic cardiac injury presenting with shock is associated with a poor prognosis. The majority of survivors of blunt or penetrating cardiac injury present to the ED/trauma centre with vital signs. The main pathophysiologic determinant for most survivors is acute pericardial tamponade. The presence of normal clinical signs or normal ECG studies does not exclude tamponade. In recent years the widespread availability and use of ultrasound for the initial assessment of severely injured patients has facilitated the early diagnosis of cardiac tamponade and associated cardiac injuries. Two cases of survival from blunt traumatic cardiac trauma are described in the present paper to demonstrate survivability in the context of rapid assessment and intervention.
- - - - - - - - - -
ranking = 2
keywords = death
(Clic here for more details about this article)

18/49. Sudden traumatic death in children: "we did everything, but your child didn't survive".

    When caring for children who become suddenly and catastrophically ill, clinicians must simultaneously attend to a complex and rapidly evolving medical situation, as well as to the equally challenging demands of establishing compassionate relationships with family members and communicating well with colleagues. An 18-month-old toddler was brought to the hospital with severe head injury after being struck by a car. Over a period of hours, her condition evolved from prognostic uncertainty to the diagnosis of brain death and considerations of organ donation. Against this medical backdrop, the clinicians successfully established a trusting relationship with family members by careful attention to their emotional, informational, and care needs as they absorbed the devastating prognosis, took in the results of the brain death examination, and considered the option of organ donation. This case illustrates the importance of interdisciplinary communication, the vital role of social workers and other psychosocial providers with expertise in working with families, and the critical significance of mutual care and support for the clinicians who accompany families through these tragic life events.
- - - - - - - - - -
ranking = 6
keywords = death
(Clic here for more details about this article)

19/49. The floating hip. Ipsilateral pelvic and femoral fractures.

    A consecutive series is reported of 17 patients who underwent early surgical treatment for acetabular or unstable pelvic fractures associated with ipsilateral fractures of the femur. Treatment included external and internal fixation, and required careful consideration of the surgical approach and the positioning of the patient. The multiple injuries sustained by these patients required simultaneous procedures by several surgical teams. All the femoral fractures were internally fixed at the initial operation and eight patients had primary definitive treatment of all their other fractures as well. In nine patients the definitive treatment of their other fractures was delayed for an average of 11 days. There were no deaths, and no serious infections. The long-term morbidity resulted from the associated injuries and not from the pelvic or femoral fractures.
- - - - - - - - - -
ranking = 1
keywords = death
(Clic here for more details about this article)

20/49. Unusual cases from Dubai, united arab emirates.

    Dubai is one of the small countries of the united arab emirates located on the shores of the Persian Gulf in the middle east. This report deals with two deaths: one an unusual method of suicide by hanging and the other, a death under investigation into whether it was accidental or suicidal.
- - - - - - - - - -
ranking = 2
keywords = death
(Clic here for more details about this article)
<- Previous || Next ->


Leave a message about 'Multiple Trauma'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.