Civilian vascular trauma has increased over the past decade with a concurrent surge in the use of firearms. Penetrating trauma accounts for approximately 90% of arterial injuries. These are often difficult to diagnose and treat. Early descriptions of the diagnosis and management of traumatic vascular injuries came from both military and civilian trauma surgeons. Trauma patients frequently have ...

BACKGROUND Blunt cardiac trauma encompasses a wide range of clinical entities, including myocardial contusion, cardiac rupture, valve avulsion, pericardial injuries, arrhythmia, and even myocardial infarction. Acute myocardial infarction due to coronary artery dissection after blunt chest trauma is rare and may be life threatening. Differential diagnosis of acute myocardial infarction from card...

Background: Acute kidney injury (AKI) is a common problem in critically ill patients and is independently associated with increased morbidity and mortality. Recently, serum cystatin C has been shown to be superior to creatinine in early detection of renal function impairment. We compared estimated GFR based on serum cystatin C with estimated GFR based on serum creatinine for early detection of ...

Abnormal coagulation parameters can be found in 25% of trauma patients with major injuries. Furthermore, trauma patients presenting with coagulopathy on admission have worse clinical outcome. Tissue trauma and systemic hypoperfusion appear to be the primary factors responsible for the development of acute traumatic coagulopathy immediately after injury. As a result of overt activation of the pr...

T is a major cause of mortality throughout the world but in recent years, major advances have been made in the management of trauma which has been reduced mortality [1]. Pain management and control is a critical part of trauma care. In the recent 3 decades, there has been a growing interest in pain management of trauma patients following some studies which showed that these patients are general...

Severe trauma to the head may result in vascular injuries. The clinical presentation may be varied and cause either acute or chronic symptoms. The acute traumatic bleeding from the ear resulting from perforating or blunting trauma to the basal skull has been reported only rarely [1-3]. We are reporting our experiences of intravascular therapeutic technique that we used in treating acute traumat...

BACKGROUND This study was wanted to investigate the prevalence of concomitant injuries among hospitalized acute spinal trauma patients aged 20 and over and the effects of those injuries on medical utilization in Taiwan. METHODS Nationwide inpatient datasets of Taiwan's National Health Insurance (NHI) database from between 2000 and 2003 were used. The major inclusion criteria used to select ca...