scholarly journals Penetrating chest trauma secondary to a composite hockey stick injury

CJEM ◽  
2006 ◽  
Vol 8 (06) ◽  
pp. 437-440 ◽  
Author(s):  
Joel Kennedy ◽  
Robert S. Green ◽  
Harry Henteleff

ABSTRACTHockey is enjoyed by millions of people around the world and is a sport in which aggression is encouraged and injuries are common. Although body-checking is the most common cause of injury in hockey today, hockey sticks are associated with up to 14% of injuries. We report a case of chest trauma requiring surgical intervention secondary to the penetration of a composite hockey stick into a player's thoracic cavity.

2021 ◽  
pp. 000313482110110
Author(s):  
Mohamed H. El-Farra ◽  
Mir Wasif Ali ◽  
Nahidh Hasaniya

Intercostal herniation is an abnormal protrusion of lung tissue through the boundaries of the thoracic cavity. It is commonly seen after chest trauma or thoracic surgery but rarely occurs spontaneously. We report a male patient who presented with an intercostal herniation after vigorous coughing for over 2 weeks. Treatment of post-coughing intercostal hernias is either conservative management or surgical intervention, which is dictated by the signs, symptoms, site, and presence of strangulation.


2021 ◽  
pp. 52-52
Author(s):  
Aleksandar Karamarkovic ◽  
Jovan Juloski ◽  
Vladica Cuk ◽  
Jovana Bojicic ◽  
Nemanja Karamarkovic ◽  
...  

Introduction. In the world with constantly increasing incidence of violence and trauma on one side, and more and more specialized surgeons on the other side; question about the role of abdominal surgeons in cardiac trauma emerges. Objective of this article is to show personal experience of an abdominal surgeon in managing heart trauma. Outlines of cases. We showed two penetrating injuries and one blunt trauma of the heart successfully managed by an abdominal surgeon. Conclusion. Abdominal surgeons should feel comfortable with the decision to operate on greatly physiologically deranged patients with penetrating chest trauma, and not to delay the operation with conservative measures or with time consuming transport to remote specialized facilities, since that could lead to greater death percentage of these patients.


1994 ◽  
Vol 33 (02) ◽  
pp. 220-226 ◽  
Author(s):  
J. Ikonen ◽  
M. Juhola ◽  
M. Eskelinen ◽  
E. Pesonen

Abstract:Acute appendicitis is the most common cause of acute abdomen requiring surgical intervention. The clinical diagnosis of acute appendicitis is not always easy due to variable symptomatology, particularly at the onset. The contributions of history-taking and physical examination in the diagnosis of acute appendicitis was studied in connection with the Research Committee of the World Organization of Gastroenterology (OMGE) survey of acute abdominal pain. Especially the suitability of diagnostic parameters in the construction of an expert system for automatic decision making was studied. The results clearly show that it is possible to construct an expert system for automatic decision making in the diagnosis of acute appendicitis.


Trauma ◽  
2021 ◽  
pp. 146040862098811
Author(s):  
Anith Nadzira Riduan ◽  
Narasimman Sathiamurthy ◽  
Benedict Dharmaraj ◽  
Diong Nguk Chai ◽  
Narendran Balasubbiah

Introduction Traumatic bronchial injury (TBI) is uncommon, difficult to diagnose and often missed. The incidence of TBI among blunt trauma patients is estimated to be around 0.5–2%. Bronchoplastic surgery is indicated in most cases to repair the tracheobronchial airway and preserve lung capacity. There is limited existing literature addressing the management of this condition in view of its rarity. The comprehensive management and outcomes of these patients are discussed. Methods The case notes of all patients who presented with persistent lung collapse due to trauma since July 2017 were reviewed retrospectively. Those patients requiring surgical intervention were included in the review. The mode of injury, clinical, radiological and bronchoscopy findings, concurrent injuries, type of surgery, length of stay (LOS) and operative outcomes were reviewed. Results Out of 11 patients who presented with persistent lung collapse post-blunt trauma, four (36%) were found to have structural bronchial disruption. All of them underwent successful repair of the injured bronchus, without the need of a pneumonectomy. The other seven patients were successfully treated conservatively. Conclusion The repair of the injured bronchus is essential in improving respiratory function and to prevent a pneumonectomy. Routine bronchoscopic evaluation should be performed for all suspected airway injuries as recommended in our management algorithm. Delayed presentations should not hinder urgent referral to thoracic centers for tracheobronchial reconstruction.


CNS Spectrums ◽  
2005 ◽  
Vol 10 (7) ◽  
pp. 539-549 ◽  
Author(s):  
Kathleen M. Burger ◽  
Deborah R. Horowitz

AbstractStroke is a common cause of death and disability throughout the world. Acute neurologic deficits due to ischemic injury deserve rapid recognition and diagnosis in order to provide effective therapy. Intravenous tissue plasminogen activator (t-PA) provided to carefully selected patients that can be treated within 3 hours of stroke onset results in improved outcome in these patients. Intra-arterial administration of t-PA within a 6-hour window is performed at several academic centers in patients with middle cerebral and other intracranial artery occlusions based on results of one randomized clinical trial and numerous case reports. Although acute therapy of ischemic stroke has received much attention since the approval of intravenous t-PA, only a small percentage of individuals suffering a stroke actually receive t-PA. This article will review the optimal management of the acute stroke patient and discuss thrombolytic clinical trials that have been completed as well as those that are in progress.


2014 ◽  
Vol 23 (3) ◽  
pp. e111
Author(s):  
Yassine Ouadnouni ◽  
Brahim Boukatta ◽  
Abderrahim El bouazzaoui ◽  
Jamal Ghalimi ◽  
Marouane Lakranbi ◽  
...  

2006 ◽  
Vol 32 (4) ◽  
pp. 396-398 ◽  
Author(s):  
Arie Eisenman ◽  
Alicia Vasan ◽  
Lemer Joseph ◽  
Dan Aravot

2020 ◽  
Vol 47 (4) ◽  
pp. 69-74
Author(s):  
D. Bakalov ◽  
R. Hadjiolova ◽  
D. Pechlivanova

AbstractThe rising burden of depression, which will soon be the second most common cause of disability in the world, is requesting new ways to treat and prevent it. Due to high number of significant adverse drug reactions of the conventional treatment, the modern pharmaceutical industry is more often turning their focus to novel plant-based solutions. We performed literature research based on standard literature search engines – PubMed, Google Scholar, Science Direct. A standard set of keywords related to our topic e.g. “Depression”, “Mesembrine type alkaloids”, “Narcissus” was used. The review describes the classical monoamine theory of depression and connects it with the newly found biochemical, genetic and morphological alterations associated with the major depressive disorder. The purpose of this review is to highlight the most important aspects of the pathophysiology of depression and to explore the possibilities to use mesembrine-like alkaloids isolated from Narcissus cv. Hawera in its treatment. We describe their effect on brain biochemistry and possible future investigations.


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