Direct damage to the pancreas occurs in about 5YO of closed abdominal injuries, many of which arise from major accidents. The fixed retro-peritoneal site of the pancreas makes it particularly vulnerable to trauma by the steering column in cars not being constructed to modem safety requirements. As these injuries become more common, and as the number of survivors of such trauma increases, the lo...

Surgical trauma affects both the innate and acquired immunity. The severity of immune disorders is proportional to the extent of surgical trauma and depends on a number of factors, including primarily the basic disease requiring surgical treatment (e.g. cancer), often coexisting infections and impaired nutritional status. Disorder of the immune response following surgical trauma may predispose ...

Dogs and cats frequently present to veterinarians in hypovolemic shock following trauma. Blunt trauma from motor vehicles is by far the most common cause of trauma, and intravenous fluid therapy is one of the most important modalities of shock management in these patients. This lecture will cover fluid therapy options and their indications in patients presenting with a variety of complications ...

Background: Tube thoracostomy is an essential skill, and in thoracic trauma can be lifesaving. Yet a complication rate of up to 30% has been widely reported in the literature. Our primary aim was to look at the complication rate associated with chest drain insertion in trauma patients at our institution. Our secondary objectives included indications for tube thoracostomy and the differences in ...

conclusion our study emphasizes the importance of the preventive strategies for falls in the old age group and road traffic injuries in young males. results in total, 73 trauma patients were registered. the mean age was 40.19 (sd 20.34) years and 67.1% of the patients were male. in general, the most common cause of injury was falls (47.9%), followed by road traffic injury (40.8%). assault and e...

background: chest trauma is responsible for 50% of deaths due to trauma. this kind of death usually occurs immediately after the trauma has occurred. objectives: the aim of this study was to evaluate the various aspects of chest trauma in patients admitted to two main trauma centers located in the isfahan province, iran. conclusions: since hemothorax is the main complication of blunt chest trau...

OBJECTIVE The Trauma Quality Improvement Program has demonstrated existence of significant variations in risk-adjusted mortality across trauma centers. However, it is unknown whether centers with lower mortality rates also have reduced length of stay (LOS), with associated cost savings. We hypothesized that LOS is not primarily determined by unmodifiable factors, such as age and injury severity...

BACKGROUND A comparison of the amount of and the kinetics of induction of procalcitonin (PCT) with that of C-reactive protein (CRP) during various types of and severities of multiple trauma, and their relation to trauma-related complications, was performed. METHODS Ninety adult trauma patients admitted to the intensive care unit of our tertiary care hospital were evaluated in a prospective ca...

abstract   background: isolated adrenal hemorrhage is an uncommon condition and its diagnosis is usually made during autopsy. adrenal hemorrhage (ah) is one of the very rare complications of trauma in adults. ah is associated with meningococcal septicemia and disseminated intravascular coagulation (water house–friderichsen syndrome). hypotension, tumors, complications of pregnancy, surgical str...