Cardiac findings of sternal fractures due to the thoracic trauma: A five year retrospective study

A retrospective study of canine scapular fractures diagnosed and treated from 1988 through 1994 at four veterinary teaching hospitals was performed. Dogs (n = 105) with 109 scapular fractures were included. Most scapular fractures occurred in young (i.e., less than four years of age), male, medium- to large-breed (i.e., greater than 10 kg) dogs as the result of vehicular trauma. Concurrent injuries (primarily thoracic trauma) occurred in approximately 70% of cases. In-house follow-up evaluations were considered adequate in only 17% of the cases. A classification system that includes biomechanical principles for categorization is described to avoid discrepancies between various traditional classification systems.

Download Full-text

Computed Tomography in Polytraumatized Patients: A Retrospective Study of 63 Cases (2014-2017)

Pakistan Veterinary Journal ◽

10.29261/pakvetj/2021.011 ◽

2021 ◽

Vol 41 (01) ◽

pp. 07-12

Author(s):

F Serra

Keyword(s):

Computed Tomography ◽

Retrospective Study ◽

Abdominal Trauma ◽

Vertebral Column ◽

Thoracic Trauma ◽

Diagnosis And Treatment ◽

Cranial Bone ◽

Appendicular Skeleton ◽

Patient Gender ◽

Bone Structures

This study aimed to identify the regions and lesions most frequently reported in polytraumatized dogs and cats undergoing computed tomography. Research was carried out in the database of three Veterinary Referral Centers, to identify traumatized dogs and cats undergoing computed tomography from 2014 to 2017. Following were collected for each patient: gender, weight, type of study carried out and injuries reported. Lesions were classified according to the region involved: head, spine, chest, abdomen, pelvis, and appendicular skeleton. Thirty-seven studies involving cats and 26 involving dogs were included. Cats mainly presented lesions that involved both the skull and the chest simultaneously. Dogs presented lesions that affected the chest, abdomen and vertebral column simultaneously. In cats, the skull was more affected than in dogs (P<0.001). Of the cranial bone structures, more lesions were reported of the mandible and maxilla in cats (43%), and dogs were more affected by thoracic trauma (P<0.0011), by lesions of the vertebral column (P<0.008) and abdominal trauma (P<0.012). The thoracic findings included pulmonary contusions (dogs 54%, cats 24%) and pneumothorax (dogs 38%, cats 11%). Computed tomography in polytraumatized dogs and cats allowed a proper evaluation of the lesions and reduced the time between diagnosis and treatment

Download Full-text

Down a Slippery Slope

Pediatric Traumatic Emergencies ◽

10.1093/med/9780190946623.003.0005 ◽

2020 ◽

pp. 41-48

Author(s):

Jennifer E. Melvin

Keyword(s):

Thoracic Trauma ◽

Chest Trauma ◽

Pediatric Population ◽

Pediatric Trauma ◽

Tracheobronchial Tree ◽

Pulmonary Contusion ◽

Common Cause ◽

Isolated Injury ◽

Clinically Significant ◽

Sternal Fractures

Trauma is the most common cause of morbidity and mortality in the pediatric population. Although chest trauma represents less than 10% of all pediatric traumas, it accounts for 14% of all pediatric trauma-related deaths. Thoracic trauma includes injuries to the chest wall, lungs, heart, tracheobronchial tree, diaphragm, and aorta. The most common injuries include pneumothorax, hemothorax, pulmonary contusion, and rib fractures. Sternal fractures occur less commonly and may be seen in cases of isolated or severe chest trauma. Although chest trauma may result from a direct force and therefore result in an isolated injury, when present, it is most often secondary to an extreme mechanism and associated with other clinically significant injuries.

Download Full-text

Evaluation of the use of analgesics for blunt thoracic trauma in the accident and emergency department

Emergency Care Journal ◽

10.4081/ecj.2018.7336 ◽

2018 ◽

Vol 14 (1) ◽

Author(s):

Riccardo Valli ◽

Carlo Maino ◽

Massimiliano Etteri ◽

Marta Maj

Keyword(s):

Emergency Department ◽

Clinical Practice ◽

Retrospective Study ◽

Pain Relief ◽

Thoracic Trauma ◽

Pain Treatment ◽

Blunt Thoracic Trauma ◽

Accident And Emergency ◽

Accident And Emergency Department ◽

Clinical Conditions

Proper pain management is an essential process when dealing with a patient suffering from blunt thoracic trauma, because it blocks the vicious circle that leads to the development of trauma related complications. This retrospective study deals with the use of pain killers administered in the Accidents and Emergency Department (ED) and prescribed at discharge to patients suffering from blunt thoracic trauma. The analysis confirms the existence of oligoanalgesia, that is an inadequate pain treatment, in clinical practice. Out of 214 patients involved in the study, only 78 patients (36.4%) received at least one pain killing drug during their stay in the ED. More than half of the patients discharged within 24 hours of admittance to the ED received no detailed advice about pain relief therapy and 8% of them (11 out of 136) returned to the ED within 15 days for persisting symptoms. Four were eventually admitted to hospital due to deterioration in their clinical conditions.

Download Full-text