The importance of full spinal cord screening and assessment of trauma patients involved in motor vehicle accidents – A case report

Acute subdural hemorrhage following the trauma of a difficult birth is a recognized cause of an increase in head circumference and anemia soon after birth.1 Although major subdural hemorrhages occurring in the fetus before the onset of labor are relatively rare, in most reported cases these also have been traumatic, the result of motor vehicle accidents or assaults.2-7 With few exceptions, there have been associated uteroplacental or other fetal injuries. In 1977, MacDonald et al8 believed they were making the first case report of an infant born with hydrocephalus and anemia due to bilateral subdural hematomas in which there was no history of maternal trauma.

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Analysis of patients with spinal cord trauma associated with traumatic brain injury

Coluna/Columna ◽

10.1590/s1808-18512014130400459 ◽

2014 ◽

Vol 13 (4) ◽

pp. 302-305 ◽

Cited By ~ 2

Author(s):

João Simão de Melo Neto ◽

Waldir Antônio Tognola ◽

Antonio Ronaldo Spotti ◽

Dionei Freitas de Morais

Keyword(s):

Risk Factors ◽

Traumatic Brain Injury ◽

Spinal Cord ◽

Brain Injury ◽

Injury Risk ◽

Motor Vehicle ◽

Motor Vehicle Accidents ◽

Vehicle Accidents ◽

Risk Of Death ◽

Cord Injury

Objective: Characterize victims of spinal cord injury (SCI) associated with traumatic brain injury (TBI) and risk factors. Methods: Study conducted with 52 victims of SCI associated with TBI. The variables studied were: sex; age; marital status; occupation; educational level; religion; etiology and the lesion area; neurological condition by the ASIA scale; associated injuries and potential risk factors. Results: The male (85%), aged between 21-30 years (25%), civil status stable union (56%), low level of education (69%) and the Roman Catholic religion (77%) presented the greater number of victims. Motor vehicle accidents (58%) were the main etiology. The cervical segment had higher injury risk (RR=3.48, p<0.0001). The neurological status ASIA-E (52%), the syndromic neck pain (35%) and the rate of mild TBI (65%) were the most frequent. Complications occurred in 13 patients with increased frequency of pneumonia (62%). The length of hospital stay was significantly higher (20±28 days) and 17% of patients died. Men (RR=2.14, p=0.028) and individuals exposed to motor vehicle accidents (RR=1.91, p=0.022) showed a higher risk of these lesions concurrently. Moreover, these patients had 2.48 (p<0.01) higher risk of death than victims of SCI alone. Conclusion: The SCI associated with TBI was more frequent in men, young adults, and individuals exposed to motor vehicle accidents. The cervical spine is more likely to be affected. Furthermore, the length of hospitalization is significantly higher and the subjects analyzed have higher risk of death.

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Factors affecting mortality in major trauma patients in Trinidad and Tobago – A view from the developing world

Trauma ◽

10.1177/1460408619885505 ◽

2019 ◽

Vol 22 (3) ◽

pp. 220-228

Author(s):

Saleem Varachhia ◽

Vidya Ramcharitar Maharaj ◽

Joanne F Paul ◽

Paula Robertson ◽

Paula Nunes ◽

...

Keyword(s):

Injury Severity Score ◽

Trinidad And Tobago ◽

Severity Score ◽

Major Trauma ◽

Injury Severity ◽

Developing World ◽

Motor Vehicle ◽

Motor Vehicle Accidents ◽

Trauma Patients ◽

Vehicle Accidents

Introduction There are few data on major trauma in the developing world. This study investigated the characteristics and outcomes of seriously injured patients in Trinidad and Tobago, using Trauma and Injury Severity Score (TRISS) methodology. We also aimed to assess the predictive accuracy of the TRISS model in patients in Trinidad and Tobago. Methods Retrospective data from major trauma patients attending the Emergency Department of a tertiary hospital in Trinidad between 2010 and 2014 were analysed. Patients ≥18 years having an Injury Severity Score >15 were included. The impact of age, gender, comorbidities, mechanisms and patterns of injury on mortality was investigated. Using TRISS methodology, predicted mortality was calculated and compared to actual mortality. Results Of 323 patients analysed, 284 were male and 24 were aged ≥65 years. The commonest injury mechanisms in younger people were motor vehicle accidents (34.1%) and stabbings (30.8%) compared to falls (66.7%) and motor vehicle accidents (20.8%) in people aged ≥65 years. The commonest areas injured were the chest in younger patients (81.9%) and the head and neck in patients aged ≥65 years (58.3%). Women’s mortality rates were similar to men (RR 1.8; 95% CI 0.7–4.9). Mortality was higher with age ≥65 years (RR 7.0; 95% CI 3.1–15.9), blunt trauma (RR 7.6; 95% CI 1.8–32.4) and Charlson Comorbidity Index of 1 or more (RR 3.2; 95% CI 1.3–8.0). The TRISS model performed well at lower ISS scores and was excellent at predicting survival (discrimination statistic 0.94). Conclusion Multiple factors influence mortality in major trauma patients in Trinidad and Tobago, including age, co-morbidities and injury mechanism. TRISS methodology accurately predicted survival in this population but was better at predicting mortality in patients with lower Injury Severity Score.

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Retrospective evaluation of canine and feline maxillomandibular trauma cases

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.3415/vcot-13-06-0074 ◽

2014 ◽

Vol 27 (03) ◽

pp. 192-197 ◽

Cited By ~ 5

Author(s):

B. L. Mulherin ◽

J. W. Soukup ◽

S. Hetzel ◽

C. J. Snyder

Keyword(s):

Medical Records ◽

Motor Vehicle ◽

Motor Vehicle Accidents ◽

Trauma Patients ◽

Retrospective Evaluation ◽

Traumatic Injuries ◽

Vehicle Accidents ◽

One Year ◽

Type Of Injury ◽

Comparison Patient

SummaryObjectives: To determine differences in signalment between maxillomandibular (MM) and non-maxillomandibular (non-MM) trauma patients to help predict the type of injury sustained.Methods: A medical records database was searched from December 2003 to September 2012 to identify all MM trauma patients. A random sample of non-MM trauma patients was generated for comparison. Patient species, age, sex, weight, and injury aetiology were recorded for both populations.Results: Sixty-seven MM trauma patients and 129 non-MM trauma patients were identified. Feline patients were almost twice as likely to be presented for MM trauma compared with non-MM trauma. The median weight of canine patients suffering MM injury was significantly less than that of non- MM patients (p = 0.025). A significant association existed between the causes of injuries associated with MM and non-MM trauma populations (p = 0.000023). The MM trauma patients were more likely to sustain injury as a result of an animal altercation (Bonferroni p = 0.001) while non-MM injuries were more likely to result from motor vehicle accidents (Bonferroni p = 0.001). Overall, animals that were less than one year of age with traumatic injuries were overrepresented (65/196) in comparison to the entire patient population.Clinical significance: The results of this study may help guide clinicians in the evaluation and screening of trauma patients that are presented as an emergency. Cats, small dogs and animals suffering from animal altercations should all be closely evaluated for MM injury.

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Traumatic Spinal Cord Injuries Due to Motor Vehicle Accidents

Iranian Journal of Neurosurgery ◽

10.32598/irjns.4.4.195 ◽

2019 ◽

Author(s):

Sasan Andalib ◽

Zahra Mohtasham-Amiri ◽

Shahrokh Yousefzadeh-Chabok ◽

Alia Saberi ◽

Mohammadreza Emamhadi ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injuries ◽

Motor Vehicle ◽

Motor Vehicle Accidents ◽

Vehicle Accidents

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Post-Traumatic Subfrontal with Orbital Extradural Hematoma and Proptosis (Unusual Presentation Managed with Needle Aspiration) A Case Report with Review of Literature

Indian Journal of Neurotrauma ◽

10.1055/s-0041-1725572 ◽

2021 ◽

Author(s):

Sumit Raj ◽

Pradeep Chouksey ◽

Adesh Shrivastava ◽

Rakesh Mishra ◽

Manas Prakash ◽

...

Keyword(s):

Case Report ◽

Motor Vehicle ◽

Head Injuries ◽

Invasive Procedure ◽

Needle Aspiration ◽

Motor Vehicle Accidents ◽

Review Of Literature ◽

Extradural Hematoma ◽

Vehicle Accidents ◽

Post Traumatic

AbstractExtradural hematoma (EDH) is a common intracranial pathology following motor vehicle accidents, comprising approximately 0.2 to 6% of all head injuries. The association of EDH with subperiosteal intraorbital hematomas is rarely reported. We report a case of a traumatic subfrontal EDH with subperiosteal hematoma (orbital EDH) successfully treated with needle aspiration, demonstrating that in appropriate patients, needle aspiration can result in the resolution of symptoms without an invasive procedure.

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