OBJECTIVE To evaluate and quantify the correlation between surface wounds and internal injuries. METHODS The medical records of 55 patients, admitted over a two year period with a diagnosis of gunshot wound of abdomen, were reviewed retrospectively. Imaginary trajectories of each bullet track were reconstructed on real scale abdominal anatomy models, and data regarding expected injuries was o...

The issue of whether pressure injuries are avoidable or preventable has been and continues to be an issue of great debate and discussion for many years, and it has significant legal and regulatory implications related to prevention of wounds due to pressure. The following position paper outlines the position of the Wound, Ostomy and Continence Nurses Society (WOCN) on avoidable versus unavoidab...

The incidence of bullet wounds in civilian trauma has increased in many parts of the world, sometimes approaching epidemic level. For surgeons with limited experience there is a bewildering range of apparently contradictory advice on management. An attempt to clarify this for gunshot injuries of the limbs, without major vascular injury, must include current concepts of ballistic wounding, the p...

BACKGROUND Combat injury patterns differ from civilian trauma in that the former are largely explosion-related, comprising multiple mechanistic and fragment injuries and high-kinetic-energy bullets. Further, unlike civilians, U.S. armed forces combatants are usually heavily protected with helmets and Kevlar body armor with ceramic plate inserts. Searchable databases providing actionable, statis...

This article reviews the literature on fingertip injuries, physiology of pain management and assessment of these injuries. Assessment of pain using a recognised pain assessment tool is essential and can impact greatly on a patient quality of life. This article presents the results of a small dressing evaluation that also employed daily patient pain dairies for 14 days. The standard dressing gro...

tracheobronchial injuries are uncommon and their successful diagnosis and treatment often requires high level of suspicious. surgical repair should be individualized for each type of injury. this article reviews diagnosis and management of traumatic injuries to the trachea and major bronchi. from march 1991 to march 2003, twenty-seven patients with major airway trauma were managed in nemazee ho...

Tracheobronchial injuries are closely related to orotracheal intubations and chest traumas. Stabbing injuries are very rare and often life threatening because of the damage to vital structures such as the respiratory tract and large arterial or venous vessels. Early diagnosis and treatment of penetrating neck injuries increase survival rates. We report a case of the tracheobronchial section wit...

conclusions in our case the prfg completely resolved a long-standing fistula resistant to exhaustive conservative management. the treatment with prfg has been proved to be effective in the selected cases and it seems that traumatic esophago-cutaneous fistula may be one of these selections. application of fibrin sealant should be considered early in the management of these difficult clinical pro...

Treatment of patients with severe burn injuries is complex, relying on attentive fluid resuscitation, successful management concomitant injuries, prompt wound assessment and closure, early rehabilitation, compassionate psychosocial care. The goal resuscitation to maintain organ perfusion at the lowest possible physiologic cost. This requires careful, hourly titration infusion rate meet individu...

Clin. Pract. (2014) 11(2), 149–153 ISSN 2044-9038 part of Penetrating trauma to the neck, laryngeal fracture and foreign-body aspiration are three injuries that, individually, infrequently occur in adults. Reports of penetrating neck injuries and foreign-body aspiration presenting simultaneously, have been described in the literature. The authors present the previously unreported case of a pene...