BACKGROUND The frequency of penetrating trauma is low in Canada. Current recommendations for the care of patients with penetrating injuries originate from inner city trauma centres with a high volume of such injuries and may not apply to Canada. The purpose of this study was to review the incidence and treatment of penetrating thoracoabdominal injuries in the 4 tertiary trauma centres in Quebec...

BACKGROUND How should the stable patient with penetrating abdominal or lower chest trauma be evaluated? Evolving trends have recently included the use of diagnostic laparoscopy. In September 1995 we instituted a protocol of diagnostic laparoscopy to identify those patients who could safely avoid surgical intervention. DESIGN Prospective case series. MATERIALS AND METHODS Hemodynamically sta...

BACKGROUND No consensus exists as to whether antibiotic prophylaxis in tube thoracostomy as primary treatment for traumatic chest injuries reduces the incidence of surgical-site and pleural cavity infections. METHODS A systematic literature search was performed according to PRISMA guidelines to identify randomized clinical trials on antibiotic prophylaxis in tube thoracostomy for traumatic ch...

Pneumomediastinum is defined as the presence of air or other gas in mediastinum and also known mediastinal emphysema [1]. can be categorized spontaneous (SPM) traumatic. Traumatic pneumomediastinum caused by blunt penetrating trauma to chest, iatrogenic injury, such that produced thoracic surgery. Mechanical ventilation a common cause barotrauma pneumomediastinum. mechanical often considered ty...

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trauma continues to be the most frequent cause of death in the first four decades of life that is a main public health problem in some countries. we perform an epidemiological study of penetrating abdominal trauma (pat). we describe epidemiological of patients in pat. in a cross-sectional study we evaluated epidemiological pat admitted to emergency department in six general hospitals in tehran....

Penetrating wounds of the aorta are not necessarily fatal. A successfully managed patient with a stab wound of the ascending aorta is reported, and some problems of management associated with such injuries are discussed.

INTRODUCTION Penetrating oesophageal injuries are extremely rare. Their timely recognition can be difficult and optimal treatment remains controversial. Early recognition of injury is possible with the help of a high index of suspicion and early radiological and endoscopic examinations. Prompt surgical intervention with primary repair of injury, should be the goal. PRESENTATION OF CASES We de...

BACKGROUND Impalement injury is an uncommon presentation in the emergency department (ED), and penetrating thoraco-abdominal injuries demand immediate life-saving measures and prompt care. Massive penetrating trauma by impalement in a pediatric case represents a particularly challenging presentation for emergency providers in non-trauma center settings. CASE PRESENTATION We report a case of 1...