scholarly journals Delayed presentation of a patient with a ruptured diaphragm complicated by gastric incarceration and perforation after apparently minor blunt trauma

CJEM ◽  
2004 ◽  
Vol 6 (04) ◽  
pp. 277-280 ◽  
Author(s):  
Brian K.P. Goh ◽  
Andrew S.Y. Wong ◽  
Khoon-Hean Tay ◽  
Michael N.Y. Hoe
Keyword(s):  
Blunt Trauma ◽  
Nasogastric Tube ◽  
Traffic Accidents ◽  
Major Trauma ◽  
Road Traffic ◽  
Delayed Presentation ◽  
Road Traffic Accidents ◽  
Gastric Incarceration ◽  
Repeat Imaging ◽  
Ruptured Diaphragm

ABSTRACTRupture of the diaphragm is almost always due to major trauma and is most commonly associated with road-traffic accidents. We report a case of delayed presentation of a 35-year-old woman with a ruptured diaphragm, 11 days following apparent minor blunt trauma. This case illustrates how the diagnosis of ruptured diaphragm can be missed and demonstrates the importance of considering this diagnosis in all cases of blunt trauma to the trunk. It also demonstrates the potential pitfall of misinterpreting the chest radiograph, and the value of repeat imaging after insertion of a nasogastric tube.

scholarly journals Solid organ injury in blunt trauma abdomen: an etiological evaluation and success rate of non-operative management

2018 ◽  
Vol 5 (4) ◽  
pp. 1350
Author(s):  
Ramachandra M. L. ◽  
Krishna S. R.
Keyword(s):  
Blunt Trauma ◽  
Surgical Management ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Operative Management ◽  
Abdominal Injury ◽  
Organ Injury ◽  
Free Fluid ◽  
Road Traffic Accidents ◽  
Non Operative Management

Background: Trauma remains the most common cause of death for all individuals between the ages of 1 and 44 years. 10% of these fatalities are attributable to abdominal injury. The Indian fatality rates for trauma are 20 times that for developed countries. The management of patients with blunt abdominal injury has evolved greatly over the last few decades from complete surgical management historically to present non operative management in most of the cases. In view of increasing number of road traffic accidents, rampant increase in construction work, accidental fall from height, this study is conducted to look into the causes of such incidents and also to strengthen the already established rules of non operative management in cases of blunt trauma abdomen.Methods: This is a prospective study of 53 patients who presented to K. R. Hospital, Mysuru, Karnataka, for management of blunt trauma abdomen over the period of January 2016 to June 2017. Unstable patients with initial resuscitation underwent Focused Assessment Sonography for Trauma. Failed resuscitation with free fluid in abdomen confirmed by FAST immediately shifted to operation theatre for laparotomy and proceed. Hemodynamically stable patients underwent computerized tomography of abdomen. Organ injuries were scaled according to the American Association for the Surgery of Trauma and these patients were managed conservatively after ruling out hollow viscus perforation.Results: Majority of the patients belonged to male sex (85%) and of the age group 21-40 years constituting 58.3% of patients. Road traffic accident was the most common mode of injury which included 35 patients (66%). A total of 19 cases had splenic injury out of which 13 (68.5%) underwent non operative management and 6 (31%) underwent emergency Splenectomy. liver injury was present in 15 patients and all were managed conservatively. In total non operative management was done in 73.5% of cases and surgical management was done in 26.5% of cases.Conclusions: The presence of free fluid with organ injury always does not mandate laparotomy. Patient selection, early diagnosis and repeated clinical examination and use of appropriate investigations forms the key in non operative management of blunt trauma abdomen. RTA being the most common mode of injury, adequate measures should be taken to prevent road traffic accidents by strict action and traffic norms and citizen education.

scholarly journals Impact of the SARS-COV-2 Outbreak on Epidemiology and Management of Major Trauma in France: Registry-Based Study. The COVITRAUMA Study

2021 ◽  
Author(s):  
Jean-Denis Moyer ◽  
Arthur James ◽  
Clément Gakuba ◽  
Mathieu Boutonnet ◽  
Emeline Angles ◽  
...  
Keyword(s):  
Health Care ◽  
Hospital Care ◽  
Traffic Accidents ◽  
Major Trauma ◽  
Road Traffic ◽  
Trauma Patients ◽  
Road Traffic Accidents ◽  
Patient Demographics ◽  
The Difference ◽  
Pandemic Wave

Abstract BackgroundEvidence increases to suggest that the reallocation of health care resources during considerable the COVID-19 pandemic impacts considerably any health system. This study describes the epidemiology and the outcome of major trauma patients admitted to centers in France during the first wave of the COVID-19 outbreak. MethodsThis retrospective observational study included all consecutive trauma patients aged 15 years and older admitted into 15 centers participating to the TraumaBase® registry in France during the first wave of the SARS-CoV-2 pandemic in France. ResultsOver a 4 years-study period, 5762 patients were admitted between the first week of February and mid-June. This cohort was split between patients admitted during the first 2020 pandemic wave in France (pandemic period, 1314 patients) and those admitted during the corresponding period in the three previous years (2017-2019, 4448 patients). Patient demographics changed substantially during the pandemic and more specifically during the lockdown period specially with a reduction in both absolute numbers admitted and the proportion of road traffic accidents (348 annually 2017-2019 [55.4 % of trauma admissions] vs 143 [36.8 %] in 2020 p<0.005). Mortality during the pandemic period and the difference between predicted and observed mortality was not different compared to the non-pandemic years. ConclusionsDuring this first wave of COVID-19 in France, management of trauma patients admitted to regional Traumacenters was not significantly altered, despite medical resources being reallocated and reorganized. Mortality as well as prehospital and in hospital care remained stable throughout the period of the first pandemic wave despite a massive increase in demand for acute care beds.

scholarly journals PREVALENCE OF ROAD TRAFFIC ACCIDENTS

2016 ◽  
Vol 23 (04) ◽  
pp. 378-382
Author(s):  
Tajammal Abbas Shah
Keyword(s):  
Blunt Trauma ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Female Ratio ◽  
Surgical Units ◽  
Number Of Patients ◽  
Study Results ◽  
One Year ◽  
Surgical Unit

To see the percentage, the different groups affected and pattern of injury by roadtraffic accidents among patients attending a unit of surgery in a teaching hospital. Objectives: Tosee the percentage of trauma among patients admitted in one surgical unit of a tertiary hospitalin one year and to compare this with the patients admitted in all surgical units of same tertiaryunit. To evaluate the pattern of trauma, male to female ratio, affected age groups, mechanismof injury, the organs affected, and the mortality rate in one surgical unit of a tertiary hospital of3rd most populated city of Pakistan during one year. Study Design: Prospective study. Setting:Surgical Unit II at Allied Hospital Faisalabad. Period: January 2009 to February 2010. Materialsand Methods: Patients admitted during this period for road traffic accidents in surgical unit IIof Allied Hospital Faisalabad were 94 (4.8 %) out of total 1956 patients presented and admittedin surgical unit II during this year. Total number of patients admitted in all surgical units of thishospital were 7388 while 21,400, patients received and admitted by all other specialties throughemergency units of Allied Hospital Faisalabad. Patients with road traffic accidents admitted insurgical unit II through emergency unit of this hospital were part of this study. Among these94 patients 78 patients (82.97%) were adults and 18 children (19.14%). Patients with all otheremergencies modalities and minor injuries treated and discharged from emergency wereexcluded from this study. Results: Out of 1956 patients admitted in Surgical Unit II from total 7388of all surgical admissions and 21400 all emergencies ward patients, 94 patients (4.8%, 1.27%,and 0.439% respectively) were injured by road traffic accidents. Out of these 94 patients, 78patients (82.97%) were adults and 18 children (19.14%) patients. 58 patients (61.70%) were malesand 36 patients (38.29%) were females. 43 patients (45.74%) were pedestrians, 10 patients were(10.63%) on bicycles, 26 patients were (27.65%) on motorcycle while 15 patients (15.95%) werein other vehicles. 52 patients (55.31%) developed head injuries, 10 patients (10.93%) blunt traumaabdomen, 5 patients (5.31%) blunt trauma chest and 26 patients (27.65%) skeletal injuries ( 10patients forearm bones fracture, 6 patients with fracture mid-shaft of tibia, another 5 patients withfracture lower 1/3rd of femur and 5 patients with hand bones fracture ). All patients were treated bycombined specialty trauma surgeons. 3 patients (3.19%) died out of which 2 patients (2.12%) withsevere head trauma and one pedestrian (1.06%) with blunt trauma abdomen and lower chest. Allother patients survived and recovered with some morbidity. Conclusion: Road traffic trauma isone of major dilemma of our society. 94 road traffic accidents causalities were admitted duringone year in one surgical unit of a tertiary care center and 3 patients died. It is an alarming signto properly protect people, educate general population, employ dedicated road safety staff andfollow rules and regulation of traffic authorities.

Description of clinical forensic profile‘visum et repertum’ quality in Yogyakarta 2011-2016

2017 ◽  
Vol 3 (02) ◽  
Author(s):  
Ida BagusGede Surya Putra Pidada ◽  
Martiana Suciningtyas Tri Artanti ◽  
Idha Arfianti Wiraagni ◽  
Dewanto Yusuf Priyambodo
Keyword(s):  
Blunt Trauma ◽  
Forensic Medicine ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Living Condition ◽  
Public Hospitals ◽  
Clinical Forensic Medicine ◽  
Road Traffic Accidents ◽  
Scoring Method ◽  
Photo Documentation

Background. Clinical forensic medicine is the practice of assessing the living condition of someone, either as victims of an assault or the alleged perpetrator of the offense. This publication shows the profile of clinical forensic medicine quality were reported on Visum et Repertum in Yogyakarta. Objective. The purpose of our study was to provide descriptive data on clinical forensic profile and Visum et Repertum quality in Yogyakarta 2011-2016. Method. Retrospective data were collected on all clinical forensic victims of five Regional Public Hospital in Yogyakarta, for asix-year period. Visum et Repertum quality was assessed by Herkutanto’s scoring method. Result. There were 2902 cases with male victims 50.7% and female 49.3%. Most cases were from Yogyakarta Regional Public Hospitals (72.6%). The most victims from18 to 30 years old (38.4%). The data from road traffic accidents (RTA), persecution, sexual violence, domestic violence, and poisoning cases were, 66.1%, 13.3%, 8.9%, 6.7%, and 5% respectively. The were no photo documentation in all hospitals. Blunt trauma was the highest number of trauma. While Almost hospitals have moderate quality in writing Visum et Repertum. Conclusion. Women victims in four Regional Public Hospitals (Sleman, Wonosari, Bantul, and Wates) were higher than men. The largest age group of the victims was a group of 18 to 30 years old. The most cases happened was road traffic accidents (RTA). For the type of trauma, blunt trauma was the highest proportion of trauma. All clinical forensic cases obtained were no photo documentation. Overall, Visum et Repertum scores for clinical forensic cases throughout Regional Public Hospitals in Yogyakarta province were in moderate category (range 50% - 75%).

An Autopsy study of Fatal Blunt trauma of Chest with Emphasis on Two Wheelers Road Traffic Accidents

2017 ◽  
Vol 18 (1) ◽  
pp. 85
Author(s):  
G K RaviRaj ◽  
Fairoz Khan ◽  
R Lohith Kmar ◽  
Abhishek yadav
Keyword(s):  
Blunt Trauma ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Autopsy Study

scholarly journals EPIDEMIOLOGIC ASPECTS OF TRAUMA IN AL-JOUF REGION, SAUDI ARABIA: A RETROSPECTIVE STUDY

2019 ◽  
pp. 261-264
Author(s):  
DOAA M ABDEL-SALAM ◽  
RAWAN R ALRUWAILI ◽  
FARAH S ALHABLANI ◽  
NOUR H ALFAHEL ◽  
ANWAR A ALBLAWI
Keyword(s):  
Emergency Department ◽  
Saudi Arabia ◽  
Blunt Trauma ◽  
Urban Areas ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Penetrating Trauma ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Road Traffic Accidents

Objectives: This study aimed to determine the types, characteristics, and associated factors of trauma in Al-Jouf Region which is located in Northern part of Saudi Arabia. Methods: The present study was conducted in the Emergency Department of Prince Meteb Hospital in Al-Jouf Region. A total number of 382 patients were enrolled in the present study. A pre-organized data form were designed for each patient attended the Emergency Department of Prince Meteb Hospital from January 2017 to January 2018. It included data about sociodemographic characteristics, type of trauma, and trauma characteristics. Results: The mean age of the patients was 24.4±13.4 years. Most of the patients (75%) were <30 years old. Males (86.9%) were influenced by trauma more common than females. Most of the patients (84.8%) were from urban areas. Blunt trauma constituted 58.9% while, penetrating trauma 41.1%. The most common cause of trauma was road traffic accidents, which occurred among 40% of patients. The most frequent trauma site was head trauma (49%). Most of the patients (47.9%) reached the hospital within 30 min. Regarding the fate of patients, 46.1% discharged after management, 42.1% admitted to intensive care units, and only 11.8% died. Blunt trauma was significantly higher than penetrating trauma among the young age group. Patients with blunt trauma arrived hospital significantly earlier than patients with penetrating trauma. The fate of patients is significantly better in blunt trauma than penetrating trauma. Conclusion: Trauma is considered to be a major public health problem, particularly in the young population in Saudi Arabia. Blunt trauma is more common than penetrating trauma, with road traffic accidents representing the majority.

ADHD is a Risk Factor of Road Crashes: A Purposive Study of Finding Relation between ADHD and Road Traffic Accident in Bangladesh

2018 ◽  
Vol 9 (08) ◽  
pp. 20531-20536
Author(s):  
Nusrat Shamima Nur ◽  
M. S. l. Mullick ◽  
Ahmed Hossain
Keyword(s):  
Risk Factor ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Fatality Rate ◽  
Road Traffic Accidents ◽  
Road Crashes ◽  
Road Crash ◽  
Day By Day

Background: In Bangladesh fatality rate due to road traffic accidents is rising sharply day by day. At least 2297 people were killed and 5480 were injured in road traffic accidents within 1st six months of 2017.Whereas in the previous year at 2016 at least 1941 people were killed and 4794 were injured within the 1st six months. No survey has been reported in Bangladesh yet correlating ADHD as a reason of impulsive driving which ends up in a road crash.

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