Penetrating Injuries to the Mediastinal Vessels

2016 ◽  
pp. 293-301
Author(s):  
Agneta Geldenhuys
Keyword(s):  
Penetrating Injuries ◽  
Mediastinal Vessels

Towards Dynamic Checklists

2021 ◽  
Vol 28 (2) ◽  
pp. 1-33
Author(s):  
Leah Kulp ◽  
Aleksandra Sarcevic ◽  
Megan Cheng ◽  
Randall S. Burd
Keyword(s):  
Medical Setting ◽  
Context Aware ◽  
Team Leaders ◽  
Penetrating Injuries ◽  
Context Aware Computing ◽  
In The Wild

The goal of this in-the-wild study was to understand how different patient, provider, and environment contexts affected the use of a tablet-based checklist in a dynamic medical setting. Fifteen team leaders used the digital checklist in 187 actual trauma resuscitations. The measures of checklist interactions included the number of unchecked items and the number of notes written on the checklist. Of the 10 contexts we studied, team leaders’ arrival after the patient and patients with penetrating injuries were both associated with more unchecked items. We also found that the care of patients with external injuries contributed to more notes written on the checklist. Finally, our results showed that more experienced leaders took significantly more notes overall and more numerical notes than less experienced leaders. We conclude by discussing design implications and steps that can be achieved with context-aware computing towards adaptive checklists that meet the needs of dynamic use contexts.

Unusual Transoral Penetrating Injury of the Foramen Magnum: Case Report

Neurosurgery ◽  
2003 ◽  
Vol 53 (4) ◽  
pp. 989-991 ◽  
Author(s):  
Bradley J. Bartholomew ◽  
Charla Poole ◽  
Emilio C. Tayag
Keyword(s):  
Cerebrospinal Fluid ◽  
Unusual Case ◽  
Spinal Injury ◽  
Foramen Magnum ◽  
Penetrating Injuries ◽  
Computed Tomographic ◽  
Foreign Objects ◽  
Computed Tomographic Scan ◽  
Posterior Pharynx ◽  
The Right

Abstract OBJECTIVE AND IMPORTANCE Penetrating injuries of the cranium and spine are frequent to the civilian neurosurgical practice. Although a variety of unusual objects have been reported, to our knowledge, there has never been a craniocerebral or spinal injury caused by a fish. An unusual case of transoral penetration of the foramen magnum by a billed fish is described. The history, radiographic studies, and treatment are presented. CLINICAL PRESENTATION A fisherman struck by a jumping fish initially presented with severe neck pain and stiffness, bleeding from the mouth, and a laceration in the right posterior pharynx. A computed tomographic scan of the cervical spine revealed a wedge-shaped, hyperdense object extending from the posterior pharynx into the spinal canal between the atlas and the occiput. Because of the time factor involved, the fisherman was brought directly to surgery for transoral removal of the object. INTERVENTION The patient was placed under general anesthesia, and with a tonsillar retractor, a kipner, and hand-held retractors, the object was visualized and identified as a fish bill. Further dissection above the anterior aspect of the atlas permitted removal of the object by means of a grabber from an arthroscopic set. No expression of cerebrospinal fluid was noted, and a Penrose drain was placed. CONCLUSION The patient was treated under the assumption that penetrating foreign objects in continuity with the cerebrospinal fluid space and the outside environment should be removed as soon as possible. The patient was provided appropriate antibiotics to treat potential infection of normal pharyngeal flora and organisms unique to the marine environment. The patient recovered and did not experience any residual neurological deficit.

Diagnosis and treatment of penetrating injuries of the hoof in horses

In Practice ◽  
2010 ◽  
Vol 32 (10) ◽  
pp. 484-490 ◽  
Author(s):  
Henry O'Neill ◽  
Bryan O'Meara
Keyword(s):  
Diagnosis And Treatment ◽  
Penetrating Injuries

scholarly journals The role of videothoracoscopy in management of precordial thoracic penetrating injuries

2002 ◽  
Vol 22 (1) ◽  
pp. 7-12 ◽  
Author(s):  
F. Pons ◽  
L. Lang-Lazdunski ◽  
X. de Kerangal ◽  
O. Chapuis ◽  
P.M. Bonnet ◽  
...  
Keyword(s):  
Penetrating Injuries

scholarly journals Penetrating Injuries to the Innominate Artery in Association with Abnormal Aortic Arch Anatomy

2002 ◽  
Vol 23 (5) ◽  
pp. 462-464
Author(s):  
J.D. Woolgar ◽  
J.V. Robbs ◽  
P. Rajaruthnum ◽  
G.S. Mohamed
Keyword(s):  
Aortic Arch ◽  
Innominate Artery ◽  
Penetrating Injuries

Non-operative management of right side thoracoabdominal penetrating injuries—The value of testing chest tube effluent for bile

Injury ◽  
2009 ◽  
Vol 40 (5) ◽  
pp. 506-510 ◽  
Author(s):  
João Baptista De Rezende Neto ◽  
Tiago Nunes Guimarães ◽  
João Lopo Madureira ◽  
Domingos André Fernandes Drumond ◽  
Juliana Campos Leal ◽  
...  
Keyword(s):  
Chest Tube ◽  
Operative Management ◽  
Penetrating Injuries ◽  
Non Operative Management
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