Parapharyngeal abscess is a life-threatening disease. Upper respiratory tract infection is the main cause in children. We present a 15-month-old boy admitted to the emergency ward with the chief complaint of difficulty in breathing caused by parapharyngealabscess. His condition deteriorated gradually, and he transferred to the operation theater quickly for abscess drainage and because of the di...

An elevation in intra-abdominal pressure is the clinical condition referred as abdominal compartment syndrome (ACS). The prevalence varies depending on patient characteristics considered, exponentially rising life-threatening situations such trauma, shock and burn patients. can also occur after surgical operations like organ transplantation, post-transplant kidney among various others. All phys...

INTRODUCTION Computed tomography (CT) scans are often used in the evaluation of patients with blunt trauma. This study identifies the clinical features associated with further diagnostic information obtained on a CT chest scan compared with a standard chest X-ray in patients sustaining blunt trauma to the chest. METHODS A 2-year retrospective survey of 141 patients who attended a Level 1 trau...

OBJECTIVE To identify variables that predict mortality in geriatric patients with trauma. DESIGN Retrospective review. SETTING Level I trauma center. PATIENTS/PARTICIPANTS A total of 147 geriatric patients with trauma (age ≥65) with a predicted probability of survival of 10%-75% based on the Trauma Score-Injury Severity Score (TRISS). MAIN OUTCOME MEASUREMENTS Patients were divided into...

INTRODUCTION The National Advisory Committee on Aeronautics' (NACA) severity score is widely used in pre-hospital emergency medicine to grade the severity of illness or trauma in patient groups but is scarcely validated. The aim of this study was to assess the score's ability to predict mortality and need for advanced in-hospital interventions in a cohort from one anaesthesiologist-manned helic...

objectives:  to identify the predictive factors of successful non-operative management of patients with intraperitoneal bleeding following blunt abdominal trauma. methods:  this was cross-sectional study being performed in our level i trauma center in southern iran between 2010 and 2011. we included adult (>14 years) patients with blunt abdominal trauma and intraperitoneal hemorrhage detected b...

BACKGROUND Leukotriene B4 (LTB4), a proinflammatory lipid mediator correlates well with the acute phase of Acute Respiratory Distress Syndrome (ARDS). Therefore, LTB4-levels were investigated to determine whether they might be a useful clinical marker in predicting pulmonary complications (PC) in multiply traumatized patients. METHODS Plasma levels of LTB4 were determined in 100 patients on a...

INTRODUCTION In Latin America, there is a preponderance of prehospital trauma deaths. However, scarce resources mandate that any improvements in prehospital medical care must be cost-effective. This study sought to evaluate the cost-effectiveness of several approaches to improving training for personnel in three ambulance services in Mexico. METHODS In Monterrey, training was augmented with P...

A 37 year-old male presented after an altercation in which he was dragged by a vehicle. The patient was intoxicated and asking repetitive questions. He demonstrated significant facial trauma—including frank bloody discharge from both ears and dental trauma. His vitals signs were as follows: Temperature 36.8 C; Blood pressure: 125/88; Heart rate: 90; Respiratory rate: 24; O2 sat: 100% room air. ...