scholarly journals Posttraumatic Pneumopericardium: A Sign of Severe Injury or Radiodiagnostic Rarity?

2006 ◽  
Vol 49 (2) ◽  
pp. 129-132 ◽  
Author(s):  
Vladimír Lonský ◽  
Jiří Manďák ◽  
Jan Harrer ◽  
Martin Tuna ◽  
Petr Dvořák ◽  
...  
Keyword(s):  
Transesophageal Echocardiography ◽  
Blunt Chest Trauma ◽  
Traffic Accidents ◽  
Chest Trauma ◽  
Road Traffic ◽  
Severe Injury ◽  
Road Traffic Accidents ◽  
Associated Injuries ◽  
Air Tamponade ◽  
Trauma Injury

We present three cases of pneumopericardium following blunt chest trauma injury. All three patients were victims of road traffic accidents. All had multiple associated injuries and pneumopericardium was found as the additional finding. Pneumopericardium was treated conservatively with thoracic drains placement and patients observation. Transesophageal echocardiography was used as a method of choice for exclusion of cardiac air tamponade. All three patients survived.

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 An epidemiological study of traumatic brachial plexus injury patients treated at an Indian centre

2012 ◽  
Vol 45 (03) ◽  
pp. 498-503 ◽  
Author(s):  
Darshan Kumar A. Jain ◽  
Praveen Bhardwaj ◽  
Hari Venkataramani ◽  
S. Raja Sabapathy
Keyword(s):  
Brachial Plexus ◽  
Traffic Accidents ◽  
Brachial Plexus Injury ◽  
Road Traffic ◽  
Time Interval ◽  
Dominant Hand ◽  
Road Traffic Accidents ◽  
Associated Injuries ◽  
Lower Velocity ◽  
Indian Centre

ABSTRACT Background: Epidemiological studies on traumatic brachial plexus injuries are few and these studies help us to improve the treatment, rehabilitation of these patients and to allocate the resources required in their management. Epidemiological factors can vary in different countries. We wanted to know the situation in an Indian centre. Materials and Methods: Data regarding age, sex, affected side, mode of injury, distribution of paralysis, associated injuries, pain at the time of presentation and the index procedure they underwent were collected from 304 patients. Additional data like the vehicle associated during the accident, speed of the vehicle during the accident, employment status and integration into the family were collected in 144 patients out of the 304 patients. Results: Road traffic accidents accounted for 94% of patients and of the road traffic accidents 90% involved two wheelers. Brachial plexus injury formed a part of multitrauma in 54% of this study group and 46% had isolated brachial plexus injury. Associated injuries like fractures, vascular injuries and head injuries are much less probably due to the lower velocity of the vehicles compared to the western world. The average time interval from the date of injury to exploration of the brachial plexus was 127 days and 124 (40.78%) patients presented to us within this duration. Fifty-seven per cent had joined back to work by an average of 8.6 months. It took an average of 6.8 months for the global brachial plexus-injured patients to write in their non-dominant hand.

scholarly journals Pattern of maxillofacial and associated injuries in road traffic accidents

2008 ◽  
Vol 84 (6) ◽  
Author(s):  
M K Akama ◽  
M L Chindia ◽  
F G Macigo ◽  
S W Guthua
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Associated Injuries

scholarly journals Comparative Analysis of the Pattern of Severe Injury Due to Road Traffic Accidents in Children

2010 ◽  
Vol 6 (3) ◽  
pp. 43
Author(s):  
Ye. A. Spiridonova ◽  
S. A. Rumyantsev ◽  
F. G. Sharshov ◽  
D. V. Prometnoy ◽  
A. V. Chernozubenko
Keyword(s):  
Comparative Analysis ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Severe Injury ◽  
Road Traffic Accidents

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.

Characterization of mandibular fractures on computed tomography

2021 ◽  
Vol 12 (4) ◽  
pp. 122-126
Author(s):  
Bhavika Jain ◽  
Nikhat Bano ◽  
Devidas B Dahiphale ◽  
Kavita Makasare
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Care Center ◽  
Tertiary Care ◽  
Facial Trauma ◽  
Mandibular Fractures ◽  
X Rays ◽  
Tertiary Care Center ◽  
Road Traffic Accidents ◽  
Associated Injuries

Background: With rapid urbanization and motorization of the society there is an exponential increase in road traffic accidents (RTA). Facial trauma and mandibular fractures are some of the common injuries seen in these cases. Imaging of these fractures is essential part of management. Panoramic and oblique X-rays can be used to diagnose these fractures however computerized tomography gives a unique advantage as it enables 3 D reconstructions of images. We conducted this study to assess the patterns of mandibular fractures and associated injuries presenting to a tertiary care center. Aims and Objectives: The study was conducted to assess the patterns of mandibular fractures and associated injuries presenting to a tertiary care center in Aurangabad. Materials and Methods: This was a prospective study in which 30 cases with complaints of facial trauma and with mandible fractures were included on the basis of a predefined inclusion and exclusion criteria. A detailed history was taken and mode of injury, duration since injury and history of any other trauma was noted down in proforma. Demographic details such as age and gender was also noted down. The CT scan of the face was done. Beam collimation of 2 mm, pitch of 1.2 mm and 120 Kv voltage was used. Patterns of mandibular fracture were analyzed. Results: Out of 30 patients there were 27 (90%) males and 3 (10%) were females with a M:F ratio of 9:1.The mean age of male and female patients was found to be 34.96 +/- 10.49 years and 26.66 +/-5.90 years respectively. Road traffic accidents (RTA) were the predominant causative mechanism and was seen in 27 (90%) of cases. Unilateral multifocal fractures involving body of the mandible were the most common type of fractures. Body of the mandible was seen to have been fractured in 17 (56.66%) cases. Conclusion: Mandibular fractures are commonly seen following road traffic accidents. Though X-Rays can be used for diagnosis of these fractures Computerized tomography gives a distinct advantage of ability to do 3-D reformatting of images.

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