Acute coagulopathy of trauma: mechanism, identification and effect

2007 ◽  
Vol 13 (6) ◽  
pp. 680-685 ◽  
Author(s):  
Karim Brohi ◽  
Mitchell J Cohen ◽  
Ross A Davenport
Keyword(s):  
Trauma Mechanism ◽  
Acute Coagulopathy Of Trauma

Analysis of the infant traffic injuries peculiarities of according to the trauma mechanism and optimization of the emergency care principles

2021 ◽  
Vol 19 (3) ◽  
pp. 99-102
Author(s):  
Yo. B. GULYAMOV ◽  
◽  
D. A. LATIPOV ◽  
N. R. ISHBURIEV ◽  
Yo. Yo. JOYNAROV ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Emergency Care ◽  
Traffic Accidents ◽  
Injury Mechanism ◽  
Associated Injuries ◽  
Trauma Mechanism ◽  
Internal Organs ◽  
Diagnostic Measures ◽  
Combined Injuries ◽  
All Treatment

The article analyzes the injuries in children received as a result of traffic accidents, depending on the injury mechanism. For those children, who were in the car, predominantly local injuries of the MSS were noted with a smaller number of associated injuries. For those children, who were hit by a car, severe polyfocal injuries of MSS with damage to internal organs were noted. The principles of providing qualified and specialized emergency medicine to the children with combined injuries are described, that improve the efficiency and adequacy of all treatment-diagnostic measures and their qualified implementation.

Mild trauma causing cervical fracture through transverse foramen leading to a vertebral arteriovenous fistula

2021 ◽  
Vol 14 (6) ◽  
pp. e241735
Author(s):  
Mikkel Schou Andersen ◽  
Willy Krone ◽  
Sune Munthe
Keyword(s):  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Digital Subtraction ◽  
Trauma Mechanism ◽  
Transverse Foramen ◽  
Cervical Fractures ◽  
Vertebral Arteriovenous Fistula ◽  
Ct Angiogram

Vertebral arteriovenous fistula (vAVF) is an uncommon vascular disease defined as abnormal connections between the vertebral artery or its branches extracranially with nearby venous structures. This case report outlines the case of a man in his late 70s presenting with C1–C3 fractures after a mild trauma falling down a small staircase. CT angiogram (CTA) gave suspicion of vertebral artery dissection and pseudoaneurysm; however, digital subtraction angiography revealed a fracture-induced vAVF successfully treated endovascularly with coils. In conclusion, cervical fractures involving the transverse foramen regardless of trauma mechanism should result in a CTA. Endovascular treatment with ipsilateral vertebral artery closure is preferred due to its feasibility and safety.

Acute Coagulopathy of Trauma-Shock

2016 ◽  
pp. 137-144
Author(s):  
Baiqiang Li ◽  
Haichen Sun
Keyword(s):  
Acute Coagulopathy Of Trauma

Primary Fibrinolysis Is Integral in the Pathogenesis of the Acute Coagulopathy of Trauma

2010 ◽  
Vol 128 ◽  
pp. 22-33 ◽  
Author(s):  
Jeffry L. Kashuk ◽  
Ernest E. Moore ◽  
Michael Sawyer ◽  
Max Wohlauer ◽  
Michael Pezold ◽  
...  
Keyword(s):  
Acute Coagulopathy Of Trauma

Hemostasis and Thrombosis in Trauma Patients

2015 ◽  
Vol 41 (01) ◽  
pp. 026-034 ◽  
Author(s):  
Satoshi Gando
Keyword(s):  
Wound Healing ◽  
Protein C ◽  
Activated Protein C ◽  
Fat Embolism ◽  
Whole Body ◽  
Severe Bleeding ◽  
Trauma Patients ◽  
Embolism Syndrome ◽  
Acute Coagulopathy Of Trauma ◽  
Pathological Reaction

Hemostasis and thrombosis in trauma patients consist of physiological hemostasis for wound healing and the pathological reaction of disseminated intravascular coagulation (DIC). Whole body trauma, isolated brain injury, and fat embolism syndrome, if extremely severe, can cause DIC and affect a patient's prognosis. Shock-induced hyperfibrinolysis causes DIC with the fibrinolytic phenotype, contributing to oozing-type severe bleeding. If uncontrolled, this phenotype progresses to thrombotic phenotype at the late stage of trauma, followed by microvascular thrombosis, leading to organ dysfunction. Another type of pathological hemostatic change is acute coagulopathy of trauma shock (ACOTS), which gives rise to activated protein C–mediated systemic hypocoagulation, resulting in bleeding. ACOTS occurs only in trauma associated with shock-induced hypoperfusion and there is nothing to suggest DIC in this phenomenon. This review will provide information about the recent advances in hemostasis and thrombosis in trauma and will clarify the pathogeneses of the pathological processes observed in trauma patients.

Routine urinalysis in patients with a blunt abdominal trauma mechanism is not valuable to detect urogenital injury

2013 ◽  
Vol 32 (2) ◽  
pp. 119-123 ◽  
Author(s):  
Dominique C Olthof ◽  
Pieter Joosse ◽  
Cornelis H van der Vlies ◽  
Theo M de Reijke ◽  
J Carel Goslings
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Trauma Mechanism ◽  
Urogenital Injury

Extra-articular Medial Impression Fracture of the Talus: A Previously Undescribed Injury

2018 ◽  
Vol 11 (6) ◽  
pp. 553-558
Author(s):  
Olivier Wijers ◽  
Rosa C. Looijen ◽  
Jens A. Halm ◽  
Tim Schepers
Keyword(s):  
Correct Diagnosis ◽  
Case Series ◽  
Patient Characteristics ◽  
Trauma Mechanism ◽  
Retrospective Case ◽  
Articular Fractures ◽  
First Case ◽  
Impression Fracture ◽  
Talar Fractures ◽  
Almost All

Background: Peripheral fractures of the talus are uncommon. Almost all the literature regarding talar fractures consists of central intra-articular fractures, whereas studies about peripheral talar fractures are lacking. The aim of this study is to increase awareness in diagnosing an unusual peripheral extra-articular medial impression fracture of the talus. Methods: This study includes a retrospective case series of patients with an extra-articular medial impression fracture of the talus. Patient characteristics, trauma mechanism, diagnostics, fracture characteristics, and treatment were reported. Results: Eight consecutive patients with an extra-articular medial impression fracture of the talus were identified. In 80%, the trauma mechanism was a supination or inversion injury of the ankle and foot. An X-ray was obtained in all patients; in 7 (88%) patients, a computed tomography scan was done, and an additional magnetic resonance imaging was done in 3 (38%) patients. In 4 patients (50%), the correct diagnosis was missed at first presentation. The delay between injury and diagnosis was 0 to 180 days (of 36 days on average). Conclusion: This is the first case series to describe patients with a peripheral extra-articular medial impression fracture of the talus. Good clinical examination and judicious use of diagnostic imaging are a necessity to find the talar impression fractures in a timely manner, and treatment can be started immediately. Levels of Evidence: Level V

scholarly journals Thrombelastography and biomarker profiles in acute coagulopathy of trauma: a prospective study

2011 ◽  
Vol 19 (1) ◽  
pp. 64 ◽  
Author(s):  
Sisse R Ostrowski ◽  
Anne Sørensen ◽  
Claus F Larsen ◽  
Pär I Johansson
Keyword(s):  
Prospective Study ◽  
A Prospective Study ◽  
Acute Coagulopathy Of Trauma
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