conclusions anesthetic and surgical management was difficult due to the inability to position in supine and rapidly progressing hemorrhagic shock. surgical management for extraction of this iron bar and intensive monitoring and resuscitation resulted in an uneventful successful outcome. introduction penetrating thoracoabdominal injuries are potentially life threatening due to the associated hem...

Traumatic pulmonary pseudocyst (TPP) is a rare complication, sometimes encountered after blunt thoracic trauma and even more rarely following penetrating injuries. It is more common among pediatric and young adult patients. Although TPP is usually benign in nature, complications associated with hemoptysis and secondary infection may develop. The treatment is conservative. In this report, we pre...

Background Heart valve injuries due to non-penetrating blunt thoracic trauma are rare with aortic valve being the most vulnerable. Tricuspid valve injury resulting in severe regurgitation is unusual after blunt chest trauma. Two major issues for the management of traumatic tricuspid regurgitation are timing and type of the operation. Valve repair is naturally the first choice but valve replacem...

BACKGROUND Blank cartridge guns are generally regarded as being harmless and relative safe. However recent published articles demonstrated that the gas pressure from the exploding propellant of blank cartridge is powerful enough to penetrate the thoracic wall, abdominal muscle, small intestine and the skull. And there has been a limited number of case reports of ocular trauma associated with bl...

BACKGROUND Emergency department thoracotomy (EDT) has become standard therapy for patients who acutely arrest after injury. Patient selection is vitally important to achieve optimal outcomes without wasting valuable resources. The aim of this study was to determine the main factors that most influence survival after EDT. STUDY DESIGN Twenty-four studies that included 4,620 cases from institut...

BACKGROUND The proportion of death and disability related to trauma is increasing in Third-World countries. Thoracic trauma is significantly involved, but few data are available on this issue in African countries with specific local conditions. METHODS The aim of the study is to analyse the diagnosis and management procedures in thoracic trauma in a typical African country. The records of 354...

We present the case of a patient who sustained a penetrating injury to the chest caused by an attenuated energy rubber bullet and review the literature on thoracic injuries caused by plastic and rubber "less-lethal" munitions. The patient of this report underwent a right thoracotomy to extract the projectile as well as a wedge resection of the injured lung parenchyma. This case demonstrates tha...

Management of airway in trauma victim with penetrating cervical/thoracic spine injury has always been a challenge to the anaesthesiologist. Stabilisation of spine during airway manipulation, to prevent any further neural damage, is of obvious concern to the anaesthesiologist. Most anaesthesiologists are not exposed to direct laryngoscopy and intubation in lateral position during their training ...

penetrating neck trauma is an important area of trauma care that has undergone evolution in the recent past. a remarkable number of changes have occurred in the treatment paradigm as new technologies have developed and as surgeons have explored the outcomes from different treatment protocols. therapy has evolved from no treatment (before effective anesthesia and instrumentation), to non operati...

objective: to evaluate the role of physical examination in decision making for exploring patients with penetrating zone ii neck injury. methods: this was a cross-sectional study being performed in a level i trauma center between 2006 and 2010. the present study reviewed the records of 150 patients with penetrating neck injuries. of 46 cases with zone ii deep platysma neck injuries, 3 patients d...