Thoracic trauma in small animals: road traffic accidents

2021 ◽  
Vol 12 (1) ◽  
pp. 15-19
Author(s):  
Kate Sheard
Keyword(s):  
Traffic Accidents ◽  
Thoracic Trauma ◽  
Road Traffic ◽  
Positive Outcome ◽  
Multiple Organ ◽  
Trauma Patients ◽  
Small Animals ◽  
Road Traffic Accidents ◽  
Blunt Force Trauma ◽  
Organ Systems

Thoracic trauma is common in small animals and can be caused by a variety of insults from penetrating wounds to blunt force trauma. Patients that have sustained any form of thoracic trauma require immediate attention and intensive nursing care in order to have a positive outcome for the patient. These cases can prove challenging as multiple organ systems can be affected and surgery is often required. However, combined with the appropriate medical care, the outcome can be successful.

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 CLAVICLE FRACTURES

2010 ◽  
Vol 17 (02) ◽  
pp. 325-327
Author(s):  
IRFAN ZAFAR HAIDER ◽  
TAHIR AHMAD KHAN ◽  
TAHIR AHMAD KHAN
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Clavicle Fracture ◽  
Military Hospital ◽  
Trauma Patients ◽  
Road Traffic Accidents ◽  
Military Conflict ◽  
Non Union ◽  
Clavicle Fractures ◽  
Tribal Areas

Objective: To emphasize upon the frequency of fractures of clavicle due to indirect blunt trauma caused by road traffic accidents and falls from heights and their sequalae. Design: Observational descriptive study. Place and Duration of Study: Combined Military Hospital Bannu during a period of two years from June 2003 to May 2005. Patients and Methods: Patients included in the study were the trauma patients brought to Combined Military Hospital Bannu during a civil –military conflict in tribal areas of North and South  aziristan . Patients had sustained multiple injuries mostly due to road traffic accidents in hilly terrain , falls from heights and combat scuffles. Out of these trauma victims, 746 patients fractures of the clavicle were grouped, analyzed, treated with standard treatment methods and patients were followed up for the varying periods of time. Results: Out of 746 patients treated at our hospital, 84 were having fracture of clavicle(10.8%). 53 patients (63.1%) with clavicle fracture had fracture involving middle third of the clavicle , 20 patients (23.8%)had fracture of lateral third, and 11patients (13.1%) had fractures involving medial third of the clavicle. Conclusion: Clavicle is a bone which is at risk of fracture in cases of indirect blunt traumabecause the first human reaction in any violence or assault is to protect oneself by using the upper limbs. Its peculiar development and anatomical shape makes it vulnerable to fracture in most physical insults. However , it usually unites by conservative methods and even considerable non-union does not significantly affect function. 

scholarly journals A 5 year retrospective study on epidemiological pattern of ocular trauma

2019 ◽  
Vol 7 (7) ◽  
pp. 2785
Author(s):  
Angli Manhas ◽  
Rameshwar S. Manhas ◽  
Gaurav S. Manhas ◽  
Rishabh Sharma ◽  
Dinesh Gupta
Keyword(s):  
Retrospective Study ◽  
Traffic Accidents ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Trauma Patients ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Common Cause ◽  
Department Of Ophthalmology ◽  
Epidemiological Pattern

Background: One of the delicate structure in the human body is eye and trauma to the eye is essentially a very grave matter. Major cause of preventable monocular blindness and visual impairment in the world is ocular trauma. So any injury to the eye must be deemed to be an ocular emergency and should be handled with utmost care. Despite its public health importance, there is relatively less population based data on the magnitude and risk factors for ocular trauma specially from developing countries. The objective of the study was to find out the epidemiological pattern of ocular trauma.Methods: The present study was 5 year retrospective study of all the patients who reported directly with ocular injury or referred from the casualty to the department of ophthalmology from January 2013 to January 2018. Various parameters like age, sex, mode of injury, type of injury etc. of all patients seen during this period were analyzed.Results: Total of 4192 ocular trauma patients were seen during study period. Maximum number of ocular trauma patients i.e. 1146 were seen in age group of 21-30 years. Males i.e. 3490 outnumbered females in the present study. Road traffic accidents were the most common cause of ocular trauma and accounts for 1760 cases. Most common reported ocular trauma was periorbital oedema/ecchymosis followed by laceration. Surgical intervention was done in 1660 cases whereas 2532 were managed medically.Conclusions: From present study, we may conclude that the maximum number of ocular trauma patients were seen in the age group of 21-30 years with more preponderance in males. Road traffic accidents were the most common cause of ocular trauma. The fact that the lifetime prevalence of ocular trauma is higher than that of eye diseases, which can be decreased by implementing the traffic rules with strict force and imposing heavy fine and license cancellation for drunken driving.

scholarly journals Crooked nose correction: an institutional experience

2019 ◽  
Vol 5 (5) ◽  
pp. 1270
Author(s):  
Anandita Das
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Physical Violence ◽  
Nasal Reconstruction ◽  
Road Traffic Accidents ◽  
Blunt Force ◽  
The Road ◽  
Crooked Nose ◽  
Blunt Force Trauma ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Crooked noses pose a particular challenge in nasal reconstruction, even for the most experienced of surgeons, as there is inevitably a combination of functional and aesthetic abnormalities which need to be addressed. Crooked nose deformity is a common presentation in the ENT clinic due to raise in the road traffic accidents.</p><p class="abstract"><strong>Methods:</strong> This was a prospective study conducted in the Department of ENT, GMCH. All the cases of crooked noses presenting to our department was included in the study. The patients were subjected to a proper history and thorough physical examination. Preoperative nasal analysis was done using photography and nasal endoscopy. The type of intervention for each patient and their outcome was analyzed.  </p><p class="abstract"><strong>Results:</strong> The majority of the crooked nose was due to blunt force trauma sustained during road traffic accidents (RTA) or during physical violence. In all crooked nose with an external deformity, there is an underlying septal deformity. The aim of the surgery is to achieve an aesthetically pleasing and a physiologically functioning nose.</p><p><strong>Conclusions:</strong> From the present study, we can conclude that the majority of the crooked nose was due to blunt force trauma sustained during road traffic accidents or due to physical violence. Besides having a considerable external deformity, majority of the cases also had functional problems too and this two aspects could be addressed properly by doing a septorhinoplasty. </p>

Trauma and Orthopedic Emergencies

2019 ◽  
pp. 360-401
Author(s):  
Anjali Gupta ◽  
Jordan Harp ◽  
Desiree Crane
Keyword(s):  
United States ◽  
Traffic Accidents ◽  
Road Traffic ◽  
The United States ◽  
Vital Role ◽  
Trauma Patients ◽  
Minor Trauma ◽  
Road Traffic Accidents ◽  
Full Spectrum ◽  
Spectrum Of Patients

Trauma is the leading cause of death for individuals in the United States younger than 45 years, and globally it is anticipated to become the third largest contributor to the burden of disease by 2020. Road traffic accidents account for most deaths worldwide; however, injuries and death due to firearms are a unique concern in the United States. Emergency clinicians play a vital role in the stabilization, diagnosis, and treatment of trauma patients and must be able to manage a full spectrum of patients, from those presenting with isolated, minor trauma to patients with severe multisystem trauma.

scholarly journals Epidemiology of pelvic and acetabular fractures in a tertiary hospital in Singapore

2021 ◽  
Author(s):  
A Singh ◽  
ASM Lim ◽  
BPH Lau ◽  
G O’Neill
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
High Energy ◽  
Trauma Centre ◽  
Acetabular Fractures ◽  
Trauma Patients ◽  
Road Traffic Accidents ◽  
Local Data ◽  
Limb Injuries ◽  
Crush Injuries

Introduction: Pelvic and acetabular fractures (PAFs) usually result from high-energy, potentially life-threatening accidents. They are one of the major injuries that lead to death in patients involved in such accidents. We studied the recent epidemiology of these injuries in Singapore. Methods: This is a retrospective data analysis of all trauma patients who underwent surgery for PAFs from 2008 to 2016 in a tertiary trauma centre in Singapore. Data including patient demographics, mechanism of injury and associated injuries was collected. Results: A total of 169 patients were admitted for PAFs over the eight-year period. The majority (79.3%) were male. The mean age was 41 (range 13–79) years. Most patients (51.5%) were Chinese. The most common mechanisms of injury were road traffic accidents (53.8%), falls (33.1%) and crush injuries (13.0%). 46.2% sustained acetabular fractures, while 44.4% sustained pelvic fractures. PAFs were most commonly associated with upper and lower limb injuries, followed by spinal and thoracic injuries. Average of length of stay in hospital was 24 (range 2–375) days. Conclusion: PAF predominantly affects young working males. Compared to previously published local data, there has been a significant reduction in the incidence of PAFs, likely due to improved road and work safety. The demographics of PAFs have changed, with fewer injuries in females (20.7% vs. 33.3%), a reduction in the proportion of injuries in the Chinese (51.5% vs. 70.1%). While road traffic accidents remain the most common cause, crush injuries are now more prevalent (13.0%).

scholarly journals Chest Trauma Experience: Incidence, associated factors, and outcomes among patients in Saudi Arabia

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Waseem M. Hajjar ◽  
Sami A. Al-nassar ◽  
Omar S Almutair ◽  
Abdulrahman H. Alfahadi ◽  
Nawaf H. Aldosari ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Associated Factors ◽  
Traffic Accidents ◽  
Chest Trauma ◽  
Road Traffic ◽  
Early Recognition ◽  
University Hospital ◽  
Sufficient Information ◽  
Trauma Patients ◽  
Road Traffic Accidents

Background and Objective: Worldwide chest trauma is considered one of the leading causes of morbidity and mortality. There is a lack of sufficient information on the etiology, pattern, and management of these injuries in Saudi Arabia. Therefore, the current study was conducted to determine the spectrum of chest trauma and its associated factors among patients admitted to King Khalid University Hospital, Riyadh, Saudi Arabia. Methods: A quantitative observational cross-sectional analysis was performed, data obtained from the medical records of the chest trauma patients which were admitted in the thoracic surgery unit, King Khalid University Hospital (KKUH), Riyadh, Saudi Arabia from January 2013 to Jan 2019. The records of all these patients were reviewed and data were collected and analyzed prospectively. Results: A total of 236 patients (male: 87.3%; mean age: 32.4 years) were included in the analyses. The majority of these chest trauma cases (n=205; 86.9%) were caused by road traffic accidents (RTA). Blunt trauma predominated the cases n=225 (95.3%). Ribs fracture had the highest prevalence among the chest injuries with a number of 150 (63.5%) followed by lung contusion 140 (59.3%). Pneumothorax occurred in 131 (55.5%) and hemothorax occurred in 80 (33.8%) with most common indication for emergency thoracotomy. Extra-thoracic injuries involving the head/brain, limbs, and abdominal organs occurred in 189 (80%). 130 (55%) were intubated and ventilated, and almost half of the patients 115 (48.7%) were required a chest tube insertion. Conclusions: Chest trauma is a major health issue particularly in young male adults and road traffic accidents are the leading cause of chest trauma in Saudi Arabia. Early recognition of the patterns, etiology and appropriate management of trauma reduce the incidence of chest trauma related injuries. doi: https://doi.org/10.12669/pjms.37.2.3842 How to cite this:Hajjar WM, Al-Nassar SA, Almutair OS, Alfahadi AH, Aldosari NH, Meo SA. Chest Trauma Experience: Incidence, associated factors, and outcomes among patients in Saudi Arabia. Pak J Med Sci. 2021;37(2):---------. doi: https://doi.org/10.12669/pjms.37.2.3842 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Clinical profile and outcome of chest trauma: a four year retrospective analysis at a tertiary care centre

2019 ◽  
Vol 6 (7) ◽  
pp. 2519
Author(s):  
Syed Quibtiya Khursheed ◽  
Waseem Ashraf ◽  
Ajaz Ahmad Rather ◽  
Shams-Ul-Bari .
Keyword(s):  
Traffic Accidents ◽  
Chest Trauma ◽  
Road Traffic ◽  
Tertiary Care ◽  
Chest Injury ◽  
Trauma Patients ◽  
Road Traffic Accidents ◽  
Associated Injuries ◽  
Tertiary Care Centre ◽  
Chest Injuries

Background: Chest trauma comprises about 10-15% of all traumas and 25% of all deaths from traumatic injury. Chest injuries are cause by blunt mechanisms such as road traffic accidents or penetrating mechanisms such as stab and missile injuries. Traumatic chest injuries are the most common cause of preventive mortality and morbidity.Methods: A retrospective study of all patients with chest injury presenting to Emergency Department of SKIMS Medical College, Srinagar was done.  Records of all the patients were retrieved. A complete data regarding age, gender, mode/type of injury, extra thoracic injuries, mode of management and outcome was gathered.Results: A total number of 1429 trauma patients presented to AE of which 160 patients (11.2%) had chest trauma. Majority of the patients (51.87%, n=83) were of age group of 21-40 years. A male preponderance was observed. Road traffic accidents were major causes of blunt chest injury, while gunshot injury was the major causes of penetrating chest injuries. Head and neck injuries were the most common associated injuries. Tube thoracostomy was the commonest modality of management (65%) and (28%) patients were managed conservatively.  Severity of chest trauma and associated injuries coupled with prompt diagnosis and treatment were important factors in efficient management of chest injuries.Conclusions: Chest trauma resulting from road traffic accidents remains the major mechanism of injury. Preventive measures aimed at educating the common masses about traffic rules and strictly implementing them is indispensable to reduce the incidence of chest injuries.

scholarly journals A perspective of extremity vascular trauma epidemiology and its management in a resource limited set up

2021 ◽  
Vol 5 (3) ◽  
pp. 27-34
Author(s):  
Dawit Gebregiorgis ◽  
◽  
Berhanu Nega ◽  
Nebyou Seyoum ◽  
◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Primary Repair ◽  
Management Strategies ◽  
Penetrating Trauma ◽  
Vascular Trauma ◽  
Limb Loss ◽  
Trauma Patients ◽  
Vascular Injuries ◽  
Road Traffic Accidents

Background: Extremity vascular injuries are one of the major causes of limb loss and potentially preventable deaths after trauma. Although it is a major challenge, especially in countries with a less established trauma center, early diagnosis, and intervention are important for a better outcome. The aim of this study was to describe the epidemiology, management strategies, and outcomes of extremity vascular trauma in the Ethiopian setting. Methods: A retrospective observational study was conducted among all extremity vascular trauma patients who were admitted and treated at Tikur Anbessa Specialized Hospital (TASH) Between June 2015 and May 2020. Result: A total of 85 patients with extremity vascular trauma, predominantly male (90.6%), were included in the study. The mean age was 27 ± 9 years. Penetrating trauma caused 89.4% of extremity vascular injuries. The majority of the injuries are caused by stab/sharp (40%), bullet (29.4%) and road traffic accidents (17.7%). The brachial artery was the commonest vessel injured accounting for 36.5% followed by femoral artery injury of (22.4%). The commonest types of vascular injuries were complete transection (74.1%), laceration (15.3%), and partial transection (8.2%). The most commonly used method of vascular reconstruction was reverse interposition venous graft accounting for 45.9%. Other methods were ligation & hemostasis (20%), primary repair with End-to-End Anastomosis (17.7%), primary simple repair (15.3%), and venous patch (1.2%). A limb salvage rate of 91.8% was achieved despite a 67.1% of late presentation (>6 hours). Conclusion: Vascular injuries are mainly due to violence and road traffic accidents. Limb loss and mortality due to this injury can be mitigated by improving health policies, implementing emergency ambulatory systems, and provision of vascular services with better training centers.

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