Sir, The recording of a patients respiratory rate is an integral part of trauma scoring. Yet 10% of MTOS patients are excluded from TRISS analysis, most because one or more of the revized trauma score variables has not been assessed or recorded (Cope et al., 1989). We should like to draw attention to a respiratory rate monitor (available from Simonsen and Weel Ltd). The unit detects respiration...

Background. Acute kidney injury (AKI) treated with continuous renal replacement therapy (CRRT) is a severe complication in trauma patients. The aim of the study was to assess primary traumatic injuries and secondary organ failures in severe posttraumatic AKI. Methods. Retrospective review of adult trauma patients admitted to the trauma centre at Oslo University Hospital Ullevål. Injury severity...

The epithelial implantation cysts are rare complications of orbital trauma or surgery. They arise due to tissue manipulation during surgery secondary delivery cells deeper areas. We hereby present a case cyst in an elderly gentleman who became symptomatic with progressive diplopia and proptosis following cranio-orbital trauma. Histopathologic assessment showed lined by respiratory epithelium. T...

Extracorporeal membrane oxygenation is used in refractory hypoxemia in many clinical settings. Thoracic trauma patients usually develop acute respiratory distress syndrome. Due to high risk of bleeding, thrombotic complications present in this context are particularly difficult to manage and usually require insertion of an inferior vena cava filter to prevent embolism from the distal veins to t...

Reported is a unique case of Chiari imalforma tion with syringomyelia and medullar hemorrhage, which became symptomatic 4 days after a craniocervical trauma when the patient was doing neck exercises. The patient manifested respiratory arrest, tetraparesis, and persistent lower cranial nerve dysfunction. Magnetic resonance imaging studies revealed a Chiari i ma!formation with a large cervicothor...

BACKGROUND A departmental audit in March 2015 revealed significant mortality rate of 40% in blunt chest trauma patients (much greater than the global 25%). A study was thus planned to study morbidity and predictors of mortality in blunt chest trauma patients admitted to our hospital. METHODS This study was a prospective observational study of 139 patients with a history of blunt chest trauma ...

OBJECTIVES To identify the occurrence of upper respiratory tract infections (URTI), diarrheal diseases and trauma during the Haji season, and the practice of some preventive measures by pilgrims. METHODS A cohort study during November and December 2009 among hajjis registered while visiting Primary Health Care Centers of Riyadh, Kingdom of Saudi Arabia to get mandatory meningococcal meningiti...

BACKGROUND Subcutaneous emphysema can result from rupture of the respiratory or gastrointestinal systems, commonly occurring after trauma or surgery, as well as from rupture of alveoli as pneumothorax or pneumomediastinum. Spontaneous pneumomediastinum with subcutaneous emphysema is rare in children without chest or neck trauma. Here, we report 2 cases of spontaneous pneumomediastinum with exer...