Serious Head Injury in Infants: Accident or Abuse?

PEDIATRICS ◽  
1985 ◽  
Vol 75 (2) ◽  
pp. 340-342 ◽  
Author(s):  
M. Elaine Billmire ◽  
Patricia A. Myers
Keyword(s):  
Child Abuse ◽  
Head Injury ◽  
Medical Records ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Head Injuries ◽  
Skull Fracture ◽  
Intracranial Injury ◽  
Vehicle Accident ◽  
History Of

The medical records and computed tomography (CT) scans of all children less than 1 year of age admitted to the hospital with head injury over a 2-year period were reviewed. Sixty-four percent of all head injuries, excluding uncomplicated skull fracture, and 95% of serious intracranial injuries were the result of child abuse. The occurrence of intracranial injury in infants, in the absence of a history of significant accidental trauma, such as a motor vehicle accident, constitutes grounds for an official child abuse investigation.

Alcohol, Drugs, and Head Injury

PEDIATRICS ◽  
1986 ◽  
Vol 78 (6) ◽  
pp. 1169-1169
Author(s):  
RICHARD H. SCHWARTZ
Keyword(s):  
Head Injury ◽  
Alcohol Abuse ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Head Injuries ◽  
Traumatic Injuries ◽  
Closed Head Injuries ◽  
Vehicle Accident ◽  
Convincing Case ◽  
Closed Head

To the Editor.— Jacobson and colleagues (Pediatrics 1986;77:236-24l) present a convincing case for comprehensive reassessment of adolescents with serious closed head injuries. However, they make no mention of evaluating such patients for drug or alcohol abuse. Such abuse/dependency can contribute significantly to the etiology of traumatic injuries. We interviewed 202 middle-class adolescents in treatment for drug/alcohol abuse/dependency: 86 (43%) had been involved in at least one motor vehicle accident while intoxicated by drugs, alcohol, or both; 50% had been involved in more than one such incident.

scholarly journals Fetal closed head injuries following maternal motor vehicle accident

Medicine ◽  
2018 ◽  
Vol 97 (44) ◽  
pp. e13133
Author(s):  
Naoki Nishida ◽  
Shihomi Ina ◽  
Yukiko Hata ◽  
Yuko Nakanishi ◽  
Shin Ishizawa ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Head Injuries ◽  
Closed Head Injuries ◽  
Vehicle Accident ◽  
Closed Head

scholarly journals A Rare Case of Spontaneous Bilateral Subcapsular Renal Hematoma

2020 ◽  
Vol 8 ◽  
pp. 232470962091809
Author(s):  
Tushar Bajaj ◽  
Ngon Trang ◽  
Faisal Nasrawi ◽  
Sabitha Eppanapally
Keyword(s):  
Diabetic Ketoacidosis ◽  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Disease Stage ◽  
Close Monitoring ◽  
Invasive Approach ◽  
Subcapsular Hematoma ◽  
Vehicle Accident ◽  
History Of

Spontaneous bilateral renal subcapsular hematoma is a rare condition. On literature review, only 2 case reports have elucidated possible etiologies for such a presentation; however, no definite conclusions have been made. We present a rare case of a 52-year-old female with diabetes mellitus type 2, chronic kidney disease stage 4, hypertension, hyperlipidemia, prior traumatic brain injury via motor vehicle accident, who presented to our hospital with diabetic ketoacidosis and clinical signs of pyelonephritis; subsequently, imaging demonstrated spontaneous bilateral renal subcapsular hematoma. Risk factors for the rare presentation in this patient included pyelonephritis, history of bilateral ureteral stent placement, and a remote history of a mild unilateral renal laceration secondary to a motor vehicle accident. Typically, patients with this condition achieve spontaneous resolution with conservative management. Our patient initially presented with diabetic ketoacidosis and pyelonephritis but gradually developed retroperitoneal bleeding and hemorrhagic shock. Our patient’s critical condition required close monitoring in an intensive care unit and a more invasive approach including unilateral left renal artery embolization followed by a unilateral left nephrectomy. The patient ultimately recovered and continued to be followed outpatient without any serious long-term complications.

scholarly journals Traumatic gastric rupture following blunt abdominal trauma: a case report about an atypical modality of presentation

2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Dario Giambelluca ◽  
Dario Picone ◽  
Natalino Carmelo Pennisi ◽  
Bruno Luciani ◽  
Giuseppe Lo Re ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Rare Presentation ◽  
Operative Morbidity ◽  
Mortality And Morbidity ◽  
Vehicle Accident ◽  
Gastric Rupture ◽  
History Of

Gastric rupture following blunt abdominal trauma is a rare presentation with a reported incidence of 0.02-1.7% in current literature. Traumatic gastric rupture is usually associated with other visceral injuries, such as splenic lesions and fractures. Prompt diagnosis and early intervention reduce mortality and morbidity. History of a recent meal has been implicated in traumatic gastric rupture. 2 We report a case of blunt abdominal trauma with an isolated gastric rupture after a motor vehicle accident, managed successfully without any post-operative morbidity and mortality.

scholarly journals RESTORASI PASAK FIBER DAN PORCELAIN FUSED TO METAL PADA FRAKTUR GIGI INSISIF RAHANG ATAS PASCA PERAWATAN ENDODONTIK

2019 ◽  
Vol 1 (1) ◽  
pp. 71-77
Author(s):  
Deli Mona ◽  
Endang Sukartini
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Resin Composite ◽  
Endodontic Treatment ◽  
Fiber Post ◽  
Vehicle Accident ◽  
Resin Core ◽  
Long Time ◽  
History Of ◽  
Glass Fiber Post

Teeth with is treated with endodontic treatment has own problems, tends to be weaker because of dentin removal and reduced moisture content, so, requires post and crown restoration treatment. The principle of making restoration should be to restore function, esthetic, and to distribute chewing load, so, both teeth and its crown can be used in a long time in oral cavity. This case report described about 23-year-old female patient with a history of truma motor vehicle accident. Tooth 11,12,21 was fractured 2/3 crown with pulp exposed. The diagnosis which estabilished for this case is irreversible pulpitis and the treatment planning are one visit root canal treatment, post and fiber insertion and porcelain fused to metal restoration. On the first visit, acces preparation with crown down technique was done and rootcanals filled with gutta percha and sealer AH 26 with lateral condensation technique. Fiber post was insertion in next visit and cementation with dual-cured resin. Core was made in resin composite and porcelain fused to metal was inserted after control of patient condition in 1 week. One of those methods that used in this case is prefabricated glass fiber post, because of its biocompatibility, more aesthetic, has a modulus of elasticity which is resemble with dentine. Pressure that its transmitted by post to dentin is low, so, this is minimize a root fractured. The result of this treatment and the restoration was good, there were no patient complaints, and normal gingival seemed around the teeth. Restoration post endodontic treatment can be done with several techniques, one is post and porcelain fused to metal to produce a good restoration.

scholarly journals Profile of Abdominal Trauma Patient Underwent Surgery in Emergency Operating Room of Sanglah General Hospital from January until December 2015

2018 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Reza Halim ◽  
Made Agus Dwianthara Sueta
Keyword(s):  
General Hospital ◽  
Operating Room ◽  
Abdominal Trauma ◽  
Medical Records ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Trauma Patients ◽  
Vehicle Accident ◽  
Liver Repair ◽  
Emergency Operating

Objective: to investigate the characteristics of patients, presentation of the abdominal organ that involved, and clinical data associated with this event. Methods: this is a descriptive study with retrospective design. Total samples were all patients with abdominal trauma who underwent surgery on the emergency operating theatre of Sanglah General Hospital between January and December 2015. Baseline data of patients were obtained from the medical records. Results: within the study period, a total of 104 patients with abdominal trauma who underwent surgery in the emergency operating room of Sanglah General Hospital were identified. Man comprised 87.5% of the patients and mostly were 17-45 years old (75%). The motor vehicle accident occurred majority on the weekend (65%). Liver and spleen were the most affected organ (55%). Splenectomy (35%) and liver repair surgery (33%) were the most often performed procedures. Conclusion: Abdominal trauma caused by motor vehicle accident occurred mostly on the weekend. Two most affected organs in abdominal trauma were liver and spleen. Splenectomy and liver repair surgery were the procedures performed for these trauma patients.

The Mild Traumatic Brain Injury Rest and Activity Questionnaire (MTBI-RAQ): A Pilot Study

2018 ◽  
Vol 19 (2) ◽  
pp. 141-152 ◽  
Author(s):  
Karen A. Sullivan ◽  
Rebecca Cox
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Vehicle Accident ◽  
Cut Score ◽  
History Of ◽  
Cognitive Behaviours ◽  
Adult Volunteers

Objective: To develop a tool for assessing intentions to continue or change activities for recovery following mild traumatic brain injury (mTBI) and determine if they are dependent on injury context or activity type. Method: Adult volunteers with no (or no recent) history of mTBI were randomly allocated to one of two vignette conditions, each with a different injury context. The vignette described an mTBI due to a motor vehicle accident (MVA, n = 76) or sport (SPORT, n = 89). Volunteers reported their rest or activity plans for 39 behaviours comprising three behaviour types (cognitive, physical, and restful). Results: Compared to a cut-score representing no change, on average there was a significant (p <= .001) planned decrease in physical and cognitive behaviours (MVAphysicalt(53) = 7.373; SPORTphysicalt(41) = 9.281; MVAcognitivet(41) = 9.367; SPORTcognitivet(51) = −3.521) and a significant planned increase in restful behaviours, such as sleep (MVArestfult(72) = 10.006; SPORTrestfult(86) = 9.566). An overall within-group effect for behaviour-type was not identified and there was no effect of condition (MVA vs. SPORT). Conclusion: The acute rest and activity plans for a simulated mTBI are behaviour specific and not dependent on context. An expectation for blanket-rest was not was observed but rest was planned for specific behaviours. This tool could be used to guide discussions with mTBI patients about their recovery so that their plans align with advice, and it could aid further research into the relation between intended and actual rest and activity and the effect on eventual outcomes.

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