Originally, all acute subdural hematomas were thought to be hyperdense with respect to brain on CT (1 ). But over the last 1 0-15 years, cases of acute isodense subdural and epidural hematomas have been reported [2-6). Although contrast-enhanced CT has aided in the visualization of chronic isodense subdural hematomas [7), the use of contrast material was not efficacious in two of the acute isod...

About a year ago I contacted Professor Moore in Denver and presented the idea of founding an Emergency Surgery Journal for worldwide participation. He replied immediately that it was a very timely concept because a new discipline termed " acute care surgeon " was being developed in the USA to meetthe expanding roleof trauma surgeons, and that he was aware that this construct existed in other co...

H l i u a solated blunt abdominal trauma (BAT) represents about 5% of annual trauma mortality from blunt trauma. As part f multiple-site injury (polytrauma), BAT contributes anther 15% of trauma mortality.1 Exsanguination accounts for 0 to 90% of acute deaths from abdominal injury. More than 5% of such cases are amenable to surgery, and recent years ave seen safe extension of nonoperative, imag...

BACKGROUND Exposure to acute, potentially traumatic events is an unfortunately common experience for children and adolescents. Posttraumatic stress (PTS) responses following acute trauma can have an ongoing impact on child development and well-being. Early intervention to prevent or reduce PTS responses holds promise but requires careful development and empirical evaluation. OBJECTIVES The ai...

OBJECTIVE The aim of this study is to map and evaluate the available resources and the premises of traumatic head injury management in the Nordic countries, before the implementation of a Nordic adaption of the Brain Trauma Foundation guidelines for prehospital management. METHODS The study is a synthesis of two cross-sectional surveys. Questionnaires were used to collect data on the annual n...

Major trauma is commonly defined using an Injury Severity Score (ISS) threshold of 15. Since this threshold was formulated, there have been significant developments in both the Abbreviated Injury Scale underlying the ISS, and trauma management techniques, both in the preventive and acute-care phases of trauma management. This study assesses whether this ISS threshold is appropriate when evaluat...

BACKGROUND Ureteral injuries are considered to be uncommon in cases of trauma. The possibility of damage to the ureters may not be considered in the setting of acute trauma when life-threatening injuries take clinical management priority. A case of acute ureteral injury is described in a patient with acute penetrating gunshot abdominal injury that had a delay in diagnosis, with a review of the ...

More than 30 years ago Dr. Henry K. Beecher advocated gastric emptying on all war casualties prior to the administration of anesthesia. The primary reason was to avoid aspiration of gastric contents, but a secondary one was the interference with circulation that seemed to occur with gastric distention.1 Since World War II there have been reports in the literature of acute gastric dilatation fol...

References .......................................................................... 28 Abstract The term ‘‘acute abdomen’’ defines a clinical syndrome characterized by the sudden onset of severe abdominal pain, requiring early medical or surgical treatment. The acute abdominal pain may be due to trauma or non-trauma diseases and it is a frequent condition in patients presenting to the hospita...

The Neurosurgical Society of Australasia through its Trauma Committee has a long involvement in the problem of neurotrauma. The management of acute neurotrauma in rural and remote locations is of particular interest and is part of a general policy which includes education, prevention, organization of an integrated neurotrauma system and support for the Early Management of Severe Trauma (EMST) p...