OBJECTIVE Estimate the effectiveness of brief interventions in reducing trauma recidivism in hospitalized trauma patients who screened positive for alcohol and/or illicit drug use. METHODS Dynamic cohort study based on registry data from 1818 patients included in a screening and brief intervention program for alcohol and illicit drug use for hospitalized trauma patients. Three subcohorts emer...

Purpose The aim of this study was to evaluate the true incidence of cervical artery dissections (CeADs) in trauma patients with an Injury Severity Score (ISS) of ≥16, since head-and-neck computed tomography angiogram (CTA) is not a compulsory component of whole-body trauma computed tomography (CT) protocols. Patients and methods A total of 230 consecutive trauma patients with an ISS of ≥16 ad...

FAT EMBOLI WERE FIRST described by Zenker in 1862 [24]. Since that time all aspects of the phenomenon have been the subject of controversy. Fat embolization refers to the finding of fat particles in tissues (especially lung, kidney, and brain). The fat emboli syndrome is a clinical picture thought to be produced by severe fat embolization. Fat embolization is associated with a diverse variety o...

BACKGROUND Overlooked injuries and delayed diagnoses are still common problems in the treatment of polytrauma patients. Therefore, ongoing documentation describing the incidence rates of missed injuries, clinically significant missed injuries, contributing factors and outcome is necessary to improve the quality of trauma care. This review summarizes the available literature on missed injuries, ...

the incidence of failed intubation is higher in obstetric than other surgical patients. failed intubation was the 2nd commonest cause of mortality during anesthesia. bearing in mind that failre to intubate may be unavoidable in certain circumstances, it is worth reviewing. the factors, which may contribute to a disastrous out come. priorities of subsequent management must include maintaining ox...

OBJECTIVE Though a number of CT findings of bowel and mesenteric injuries in blunt abdominal trauma are described in literature, no studies on the specific CT signs of a transected bowel have been published. In the present study we describe the incidence and new CT signs of bowel transection in blunt abdominal trauma. MATERIALS AND METHODS We investigated the incidence of bowel transection in...

BACKGROUND Obtaining a patent airway can be difficult in patients with traumatic airway injuries (TAI). There is a paucity of data available about the incidence of airway compromise and techniques used in these patients. METHODS Charts review of all patients with TAI treated in a Regional Trauma Center from July 1989 to June 2005. RESULTS One hundred and four patients were identified as TAI...

background there is controversy regarding routine prophylaxis for deep vein thrombosis (dvt) in patients treated via a short leg cast or splint following lower extremity trauma. results there were 95 patients with an average age of 38 ± 13.7 (77.9% males); 46 patients had at least one risk factor for dvt. the d-dimer test was positive in 21(22.1%) patients. dvt was confirmed by due in 3 patient...