Ultrasound detection of blunt hepatic trauma: Hemoperitoneum and parenchymal patterns of injury

Electric scooters are an increasingly common and convenient mode of transportation worldwide and have effectively revolutionized the shared micromobility industry. As electric scooter sharing companies have increased in popularity there has been a concomitant increase in the frequency of all electric scooter-related injuries. The purpose of this study is to describe the most up-to-date trends in craniofacial fractures and lacerations related to electric scooter use among all age groups. We queried the National Electronic Injury Surveillance System (NEISS) for craniofacial fractures and lacerations related to e-scooters between 2010 and 2019. We then compared injury trends over time and between time periods before and after 2017 when electric scooter share apps revolutionized micromobility. We compared incidence of injury overall and by day of the week, patient demographics, and case severity based on clinical disposition. We identified an increase in the frequency of craniofacial lacerations and fractures in the 3 years following the introduction of electric scooter share services in 2017 (2017 and 2019), compared to the 3 years before this time (2014-2016). Young adults (18-39 years) were the age group with the greatest interval increase in craniofacial injuries. There was also an increase in number of craniofacial injuries occurring on Mondays and a decrease number occurring on Fridays in the later time period. Finally, patients who presented with electric scooter-related craniofacial injuries in this later time period showed a higher frequency of overnight observation and hospital admission for their injuries. The number of craniofacial injuries secondary to electric scooter use has increased dramatically since the introduction of share services. Craniofacial fractures and lacerations are a common reason for craniofacial or maxillofacial surgery consultation and understanding these patterns of injury will help prepare surgeons for patient care, preventative education, and public advocacy.

Download Full-text

Severity and patterns of injury in helmeted vs. non-helmeted motorcyclists in a rural state

Journal of Safety Research ◽

10.1016/j.jsr.2021.03.004 ◽

2021 ◽

Author(s):

Sivana Barron ◽

Carolyne Falank ◽

Julianne Ontengco ◽

Bruce Chung ◽

Damien W. Carter

Keyword(s):

Rural State ◽

Patterns Of Injury

Download Full-text

Neuroimaging at Term Equivalent Age: Is There Value for the Preterm Infant? A Narrative Summary

Children ◽

10.3390/children8030227 ◽

2021 ◽

Vol 8 (3) ◽

pp. 227

Author(s):

Rudaina Banihani ◽

Judy Seesahai ◽

Elizabeth Asztalos ◽

Paige Terrien Church

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Preterm Infant ◽

Resonance Imaging ◽

Long Term Outcomes ◽

Equivalent Age ◽

Current State ◽

Patterns Of Injury ◽

The Impact

Advances in neuroimaging of the preterm infant have enhanced the ability to detect brain injury. This added information has been a blessing and a curse. Neuroimaging, particularly with magnetic resonance imaging, has provided greater insight into the patterns of injury and specific vulnerabilities. It has also provided a better understanding of the microscopic and functional impacts of subtle and significant injuries. While the ability to detect injury is important and irresistible, the evidence for how these injuries link to specific long-term outcomes is less clear. In addition, the impact on parents can be profound. This narrative summary will review the history and current state of brain imaging, focusing on magnetic resonance imaging in the preterm population and the current state of the evidence for how these patterns relate to long-term outcomes.

Download Full-text

The Role of Angioembolization in Hepatic Trauma

The American Surgeon ◽

10.1177/0003134820973729 ◽

2020 ◽

pp. 000313482097372

Author(s):

Ali Cadili ◽

Jonathan Gates

Keyword(s):

Gold Standard ◽

Management Strategy ◽

Operative Management ◽

Hepatic Trauma ◽

Anatomy And Physiology ◽

Liver Injuries ◽

Hepatic Injuries ◽

Non Operative Management ◽

Type Of Injury

The liver is one of the most commonly injured solid organs in blunt abdominal trauma. Non-operative management is considered to be the gold standard for the care of most blunt liver injuries. Angioembolization has emerged as an important adjunct that is vital to the success of the non-operative management strategy for blunt hepatic injuries. This procedure, however, is fraught with some possible serious complications. The success, as well as rate of complications of this procedure, is determined by degree and type of injury, hepatic anatomy and physiology, and embolization strategy among other factors. In this review, we discuss these important considerations to help shed further light on the contribution and impact of angioembolization with regards to complex hepatic injuries.

Download Full-text

Hepatic Trauma Interventions

Seminars in Interventional Radiology ◽

10.1055/s-0041-1724014 ◽

2021 ◽

Vol 38 (01) ◽

pp. 096-0104

Author(s):

Akshita S. Pillai ◽

Girish Kumar ◽

Anil K. Pillai

Keyword(s):

Liver Injury ◽

Cause Of Death ◽

Abdominal Trauma ◽

Penetrating Trauma ◽

Liver Trauma ◽

Solid Organ ◽

Hepatic Trauma ◽

Blunt Abdominal Injury ◽

Large Size ◽

Uncontrolled Bleeding

AbstractThe liver is the second most commonly involved solid organ (after spleen) to be injured in blunt abdominal trauma, but liver injury is the most common cause of death in such trauma. In patients with significant blunt abdominal injury, the liver is involved approximately 35 to 45% of the time. Its large size also makes it a vulnerable organ, commonly injured in penetrating trauma. Other than its position and size, the liver is surrounded by fragile parenchyma and its location under the diaphragm makes it vulnerable to shear forces during deceleration injuries. The liver is also a vascular organ made of large, thin-walled vessels with high blood flow. In severe hepatic trauma, hemorrhage is a common complication and uncontrolled bleeding is usually fatal. In fact, in patients with severe abdominal trauma, liver injury is the primary cause of death. This article reviews the clinical presentation of patients with liver injury, the grading system for such injuries that is most frequently used, and management of the patient with liver trauma.

Download Full-text