Health professionals involved in invasive procedures such as central venous catheter placement should have a thorough knowledge of thoracic vascular anatomy. Various developmental anomalies the large intra-thoracic veins can be incidentally discovered normal adults. Amongst these congenital is duplication superior vena cava (SVC), which results from failure left cardinal vein to obliterate. Awa...

INTRODUCTION Previous work suggests that patients with isolated penetrating trauma rarely require spinal immobilisation. This study aimed to identify the incidence of mechanically unstable, or potentially mechanically unstable, spinal column injuries in penetrating trauma patients. The study also aimed to identify the incidence of spinal cord injury as a result of penetrating trauma in Scotland...

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...

purpose: since explosive blasts continue to cause casualties in both civil and military environments, there is a need for an understanding of the mechanisms of blast trauma at the human organ level, plus a more detailed predictive methodology. the primary goal of this research was to develop a finite element model capable of predicting primary blast injury to the lung so as to assist in the dev...

We describe the accidental free fall of a 23-year-old construction worker, who fell 13 stories (approximately 35 meters) from a false work landing on a toilet container. On impact he broke through the roof of the container, which attenuated his fall and made his survival possible. The patient sustained a central spleen rupture, liver laceration, subdural hematoma, blunt thoracic trauma with a l...

Trauma is the leading cause of death and disability in the labor force in our country, causing economic losses and prolonged disability. The cardiothoracic trauma is responsible for about 75% of deaths attributed to trauma, penetrating injuries by bladed weapon and firearm projectile generate mortality ranging between 3 and 20% depending on the mechanism of trauma being the most lethal last. In...

Thoracic trauma occurs frequently but seldom requires surgery (10-20%, [1]). The mortality rate for gunshot wound of the chest varies from 14.3 to 36.8% [2]. We report, herein an example of bullet injury to the pulmonary artery (PA) following a thoracic gunshot wound. This patient had previous history of coronary surgery. Absolute and relative indications for exploratory thoracotomy in emergenc...

Thoracic outlet syndrome (TOS) due to thoracic trauma is a rare disorder. Surgical treatment of TOS is especially rare. We report here a case of traumatic TOS caused by right 1st rib and clavicular fracture after a traffic accident. The patient underwent first rib resection and open reduction with fixation of the clavicle through axillary and supraclavicular incisions.

Thoracic trauma can involve serious injuries of both the rib cage and thoracic organs. The leading cause of thoracic trauma is motor vehicle crashes (MVCs). Rib fractures are often associated with injuries to the underlying organs. This paper investigates the situations in which lung, liver, and spleen injuries occur with associated rib fractures. Side impacts were found to have corresponding o...