TBE-CiTE Journal Club attended by the following institutions: Sunnybrook Health Sciences Centre Trauma Program, Department of Surgery, University of Toronto, Canada; Division of Trauma Surgery, University of Campinas, Campinas, SP, Brazil; Trauma and Acute Care Surgery, Risoleta T. Neves Hospital, Belo Horizonte, MG, Brazil; Base Hospital São José do Rio Preto, SP, Brazil. 1. Associate Professo...

INTRODUCTION Acute appendicitis commonly presents as an acute abdomen. Cases of acute appendicitis caused by blunt abdominal trauma are rare. We present a systematic review of appendicitis following blunt abdominal trauma. The aim of this review was to collate and report the clinical presentations and experience of such cases. SUBJECTS AND METHODS A literature review was performed using PubMe...

The overall incidence of all acute vascular trauma, including subclavian vessel injury, is approximately 5% [3, 4, 6, 7]. The majority of subclavian vessel injuries in the civilian population is the result of penetrating trauma. Subclavian artery injury in particular, accounts for 1-2% of all acute vascular injuries in major trauma centers [3, 4, 6, 7]. In this case report, we present a case of...

Generally speaking, isolated pancreatic injuries are rare after abdominal blunt trauma. However, the incidence of pancreatic injuries in children has risen in recent decades. Pancreatic pseudocyst represents a typical complication after acute pancreatitis due to blunt abdominal trauma. Spontaneous rupture of pseudocysts leading to acute abdominal pain has been described, however, it rarely occu...

In severe trauma patients, coagulopathy is frequently observed in the acute phase of trauma. Trauma-induced coagulopathy is coagulopathy caused by the trauma itself. The pathophysiology of trauma-induced coagulopathy consists of coagulation activation, hyperfibrino(geno)lysis, and consumption coagulopathy. These pathophysiological mechanisms are the characteristics to DIC with the fibrinolytic ...

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 ...

BACKGROUND In order to assist health service planning, understanding factors that influence higher trauma treatment costs is essential. The majority of trauma costing research reports the cost of trauma from the perspective of the receiving hospital. There has been no comprehensive synthesis and little assessment of the drivers of cost variation, such as country, trauma, subgroups and methods. ...

An important phenomenon that occurs after trauma and worsens these patients’ outcome is the lethal complex of hypothermia, acidosis, and coagulopathy.[6] It is well-known that the events resulting in acute coagulopathy of trauma begin early after severe injury. This problem is already present in about 25%–30% of trauma cases at the time of their admission to the emergency room (ER).[4,7,8] Acut...