scholarly journals Retrospective evaluation of canine and feline maxillomandibular trauma cases

2014 ◽  
Vol 27 (03) ◽  
pp. 192-197 ◽  
Author(s):  
B. L. Mulherin ◽  
J. W. Soukup ◽  
S. Hetzel ◽  
C. J. Snyder
Keyword(s):  
Medical Records ◽  
Motor Vehicle ◽  
Motor Vehicle Accidents ◽  
Trauma Patients ◽  
Retrospective Evaluation ◽  
Traumatic Injuries ◽  
Vehicle Accidents ◽  
One Year ◽  
Type Of Injury ◽  
Comparison Patient

SummaryObjectives: To determine differences in signalment between maxillomandibular (MM) and non-maxillomandibular (non-MM) trauma patients to help predict the type of injury sustained.Methods: A medical records database was searched from December 2003 to September 2012 to identify all MM trauma patients. A random sample of non-MM trauma patients was generated for comparison. Patient species, age, sex, weight, and injury aetiology were recorded for both populations.Results: Sixty-seven MM trauma patients and 129 non-MM trauma patients were identified. Feline patients were almost twice as likely to be presented for MM trauma compared with non-MM trauma. The median weight of canine patients suffering MM injury was significantly less than that of non- MM patients (p = 0.025). A significant association existed between the causes of injuries associated with MM and non-MM trauma populations (p = 0.000023). The MM trauma patients were more likely to sustain injury as a result of an animal altercation (Bonferroni p = 0.001) while non-MM injuries were more likely to result from motor vehicle accidents (Bonferroni p = 0.001). Overall, animals that were less than one year of age with traumatic injuries were overrepresented (65/196) in comparison to the entire patient population.Clinical significance: The results of this study may help guide clinicians in the evaluation and screening of trauma patients that are presented as an emergency. Cats, small dogs and animals suffering from animal altercations should all be closely evaluated for MM injury.

Trauma

2018 ◽  
Author(s):  
David A. Young
Keyword(s):  
Cause Of Death ◽  
Life Support ◽  
Motor Vehicle ◽  
The United States ◽  
Motor Vehicle Accidents ◽  
Advanced Trauma Life Support ◽  
Traumatic Injuries ◽  
Vehicle Accidents ◽  
One Year ◽  
Uncontrolled Bleeding

Traumatic injuries are the most common cause of death within the United States for children above one year of age Most traumatic injuries in children are a result of motor vehicle accidents, child abuse (or nonaccidental trauma), drowning, thermal injury, or falls. Motor vehicle accidents are the leading cause of death for children above the age of one year. Strategies of Advanced Trauma Life Support (ATLS) utilize a standardized approach to promptly identify and manage life-threatening traumatic injuries. These strategies include recognition of cardiopulmonary disorders, volume resuscitation, and prevention of additional injuries including to the cervical spine. A management plan for severe and uncontrolled bleeding is critically important to have established when caring for children with traumatic injuries. Many strategies have been developed to manage severe and uncontrolled bleeding including the use of massive transfusion protocols, damage control surgery, and hemostatic agents.

scholarly journals Factors affecting mortality in major trauma patients in Trinidad and Tobago – A view from the developing world

Trauma ◽  
2019 ◽  
Vol 22 (3) ◽  
pp. 220-228
Author(s):  
Saleem Varachhia ◽  
Vidya Ramcharitar Maharaj ◽  
Joanne F Paul ◽  
Paula Robertson ◽  
Paula Nunes ◽  
...  
Keyword(s):  
Injury Severity Score ◽  
Trinidad And Tobago ◽  
Severity Score ◽  
Major Trauma ◽  
Injury Severity ◽  
Developing World ◽  
Motor Vehicle ◽  
Motor Vehicle Accidents ◽  
Trauma Patients ◽  
Vehicle Accidents

Introduction There are few data on major trauma in the developing world. This study investigated the characteristics and outcomes of seriously injured patients in Trinidad and Tobago, using Trauma and Injury Severity Score (TRISS) methodology. We also aimed to assess the predictive accuracy of the TRISS model in patients in Trinidad and Tobago. Methods Retrospective data from major trauma patients attending the Emergency Department of a tertiary hospital in Trinidad between 2010 and 2014 were analysed. Patients ≥18 years having an Injury Severity Score >15 were included. The impact of age, gender, comorbidities, mechanisms and patterns of injury on mortality was investigated. Using TRISS methodology, predicted mortality was calculated and compared to actual mortality. Results Of 323 patients analysed, 284 were male and 24 were aged ≥65 years. The commonest injury mechanisms in younger people were motor vehicle accidents (34.1%) and stabbings (30.8%) compared to falls (66.7%) and motor vehicle accidents (20.8%) in people aged ≥65 years. The commonest areas injured were the chest in younger patients (81.9%) and the head and neck in patients aged ≥65 years (58.3%). Women’s mortality rates were similar to men (RR 1.8; 95% CI 0.7–4.9). Mortality was higher with age ≥65 years (RR 7.0; 95% CI 3.1–15.9), blunt trauma (RR 7.6; 95% CI 1.8–32.4) and Charlson Comorbidity Index of 1 or more (RR 3.2; 95% CI 1.3–8.0). The TRISS model performed well at lower ISS scores and was excellent at predicting survival (discrimination statistic 0.94). Conclusion Multiple factors influence mortality in major trauma patients in Trinidad and Tobago, including age, co-morbidities and injury mechanism. TRISS methodology accurately predicted survival in this population but was better at predicting mortality in patients with lower Injury Severity Score.

scholarly journals A one year survey of motor vehicle accidents in Rafsanjan, Iran, in 2014

2014 ◽  
Vol 3 (3) ◽  
pp. 145-151
Author(s):  
A Esmaeili ◽  
M Rezaeian ◽  
M Sanji ◽  
M Sheikhfatollahi ◽  
M Mortavazi ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accidents ◽  
Vehicle Accidents ◽  
One Year

Surviving Childhood

1989 ◽  
Vol 14 (1-2) ◽  
pp. 25-27
Author(s):  
J. Fred Leditschke
Keyword(s):  
Sudden Infant Death Syndrome ◽  
Unsolved Problem ◽  
Motor Vehicle ◽  
Sudden Infant Death ◽  
Motor Vehicle Accidents ◽  
Sudden Infant ◽  
Secondary Schooling ◽  
Vehicle Accidents ◽  
Cot Death ◽  
One Year

In the first month of life, prematurity and congenital anomalies account for the majority of deaths to children. Between one month and one year of age, the still unexplained Sudden Infant Death Syndrome (SIDS) or cot death remains very much an unsolved problem causing untold distress and grief to parents.If, however, we consider the childhood commencing at one month of age and carrying through until the completion of at least primary school and possibly secondary schooling, then accidents cause over a quarter of the deaths and, in considering those deaths in the first five years of life, drowning constitutes the number one cause. If we are looking at a spectrum from birth to fifteen years, deaths from motor vehicle accidents, whether as a passenger, pedestrian or bicyclist, are responsible for 50% of the deaths. Drowning features second on the list whilst such things as burns, poisoning, electrocution and suffocation now constitute a very small percentage of the deaths in childhood.

Psychological Outcome of Motor Vehicle Accidents

2008 ◽  
Author(s):  
Yoshiharu Kim ◽  
Yutaka Matsuoka ◽  
Ulrich Schnyder ◽  
Sara Freedman ◽  
Robert Ursano
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accidents ◽  
Psychological Outcome ◽  
Vehicle Accidents

Resuscitative endovascular balloon occlusion of the aorta (REBOA) enables operative management of the peripartum trauma patient in hemorrhagic shock

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Kelvin Allenson ◽  
Laura Moore
Keyword(s):  
Maternal Death ◽  
Motor Vehicle ◽  
Operative Management ◽  
Balloon Occlusion ◽  
Motor Vehicle Accidents ◽  
Gravid Uterus ◽  
Intrauterine Pregnancy ◽  
Vehicle Accidents ◽  
Pelvic Hemorrhage ◽  
Endovascular Balloon Occlusion

Trauma related injury is the leading cause of non-obstetric maternal death.  The gravid uterus is at risk for injury, particularly during motor vehicle accidents.  Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a means of controlling pelvic hemorrhage in the setting of trauma.  We report the use of REBOA in a hemodynamically unstable, multiply-injured young woman with viable intrauterine pregnancy.

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