INTRODUCTION rauma has been recognized as one of the leading causes of death in many countries for decades. Reduction in mortality and morbidity rate of trauma cases is one of the most important attitudes in this field. Evaluation of different risk factors have been considered as the main goal of some studies. The purpose of this study was determining potential risk factors of death in trauma p...

CASE REPORT A 70 year old male pedestrian was struck by a fast moving motor vehicle. On arrival at a local community hospital he was haemodynamically stable with blood pressure, heart rate, and respiratory rate all within normal range. Positive examination and radiological findings included a right pubic ramus fracture, and an undisplaced right fibular fracture. Ten hours later he was transferr...

INTRODUCTION Chest trauma is a common surgical incidence all over the world. Trauma scoring system (CTS) found in many studies to be an effective tool predict outcomes chest patients. The need for universal thoracic justified identify critical factors, patient outcomes, urgent intervention, and requirement of intensive care communicate with family. Therefore there study which can possible outcom...

Large for gestational age birth weight is associated with adverse short- and long-term outcomes. Infants born large are at increased risk neonatal intensive care unit admission, respiratory distress, metabolic abnormalities including hypoglycemia, trauma, even stillbirth or death. The many of these complications increases higher weights. Individuals also appear to be subsequent overweight/obesi...

BACKGROUND The aim of this study was to determine the association between 25-hydroxyvitamin D (25-OHD) levels at the onset of critical illness and the development of acute lung injury/acute respiratory distress syndrome (ALI/ARDS) in patients with sepsis or trauma. METHODS We performed two nested case-control studies of 478 patients with sepsis and trauma with or without ALI/ARDS admitted to ...

Introduction Pro: Every Mechanically Ventilated Patient Should Be Monitored With Capnography From Intubation to Extubation Endotracheal Intubation Preventing Mishaps Operating Room Setting Physiology of the Arterial-Versus-End-Tidal CO2 Difference Carbon Dioxide Elimination Management of Positive End-Expiratory Pressure Alveolar V̇E Minimizing the Duration of Mechanical Ventilation Acute Respira...

Complete tracheal rings may be encountered in the spectrum of congenital tracheal stenosis, and is usually diagnosed in early childhood. We present an unusual case of a 15-year-old trauma patient with progressive respiratory failure and an unanticipated difficult airway during intubation. The patient progressed to cardiopulmonary arrest and required extracorporeal membrane oxygenation for respi...

OBJECTIVES Disaster medicine research generally lacks control groups. This study aims to describe categories of diagnoses encountered by the Belgian First Aid and Support Team after the 2010 Haiti earthquake and extract earthquake-related changes from comparison with comparable baseline data. The hypothesis is that besides earthquake-related trauma, medical problems emerge soon, questioning an ...

A well described consequence of traumatic injury is immune dysregulation, where an initial increase in immune activity is followed by a period of immune depression, the latter leaving hospitalised trauma patients at an increased risk of nosocomial infections. Here, we discuss the emerging role of the neutrophil, the most abundant leucocyte in human circulation and the first line of defence agai...

A 50-year-old farmer presented with dysphagia and chest tightness following foot trauma for the last three days. On examination, he had nuchal rigidity, trismus, hypertonia. characteristic ‘Risus Sardonicus’ face was noticed (Figure 1). The patient also developed generalized painful spasms respiratory distress stridor, which an urgent tracheostomy done. Based on clinical presentation, a diagnos...