Autonomic dysreflexia (AD) can occur during penile vibratory stimulation in men with spinal cord injury, but this is variable, and the association with lesion level is unclear. The purpose of this study was to characterize the cardiovascular responses to penile vibratory stimulation in men with spinal cord injury. We hypothesized that those with cervical injuries would demonstrate a greater deg...

A 42-year-old female is involved in a motor vehicle accident and presents with a number of injuries. She is hemodynamically stable and is found to have multiple rib fractures, a hemopneumothorax, and several uncomplicated long bone fractures. A CT scan of her chest reveals a traumatic injury to her proximal descending thoracic aorta with evidence of pseudoaneurysm formation and surrounding hema...

The use of ultrasound in the evaluation of blunt thoraco-abdominal trauma is well described. Evidence for the use of ultrasound in the evaluation of penetrating cardio-thoracic and abdominal trauma, however, is more limited and varied. Current literature demonstrates that ultrasound is an excellent screening tool for penetrating thoracic and cardiac injuries with a high sensitivity for detectin...

Tracheal and bronchial injuries are life-threatening traumas that usually develop after traffic accidents or a fall from heights. The most common cause is motor vehicle accidents. Tracheobronchial injuries develop in 1% 2% of blunt thoracic traumas. The mortality rate is 30% in these patients and deaths usually occur within the first hours. Sixty five percent of surviving patients are diagnosed...

A retrospective review of 27 patients who underwent endovascular repair of thoracic aneurysms and of other thoracic aortic pathology with the thoracic aortic endograft (Gore Medical, Flagstaff, AZ) from June 2005 to July 2007 was performed. The mean follow-up period was 13.5 months (range, 2-25 months). Indications for thoracic endografting included descending thoracic aneurysms (n = 18), thora...

Thoracic injuries rank among serious injuries. These injuries are often complicated by major blood loss, haemothorax or pneumothorax endangering the patient’s life. The injuries are often associated with injuries of intra-abdominal organs, the diaphragm, injuries to the neck and spine. The congenital deficit of factor VIII – haemophilia A – is one of the serious haemorrhagic disorders. Even a m...

BACKGROUND As patients with thoracic duct injuries often suffer from severe local soft tissue defects, integrated surgical treatment is needed to achieve damage repair and wound closure. However, thoracic duct chylous fistula is rare in burn patients, although it typically involves severe soft tissue damage in the neck or chest. CASE REPORT A 32-year-old male patient fell after accidentally con...

BACKGROUND AND AIM The aim of this study was to evaluate if loss of consciousness at the scene of an accident in patients with thoracic trauma classified by the Abbreviated Injury Scale (AIS) as thorax >2 has a different outcome in respect to immediate hospital discharge, hospitalization, death and type of accident. METHODS A prospective study was performed in the Regional Trauma Center of Sã...

OBJECTIVE The purpose was to identify the prevalence, causative factors, injury types, and associated injury patterns in multitrauma patients who sustained brachial plexus injuries. METHODS A retrospective review of a prospectively collected and computerized database and a chart review were performed. RESULTS Brachial plexus injuries were identified in 54 of 4538 (1.2%) patients presenting ...

OBJECTIVE To analyze the data of trauma patients with thoracic injury in the earthquake of Bam admitted to hospitals of Tehran University of Medical Science (TUMS) for better understanding the type and consequence of thoracic injuries in a major earthquake. METHODS After Bam earthquake registering 6.5 on the Richter scale, 526 trauma patients were admitted to hospitals of TUMS. Among them, 53...