BACKGROUND The Philippine General Hospital (PGH) is the pioneer in trauma care in the country, being the first to create a dedicated Trauma Service in 1989. The service has not conducted a review of its admissions and mortalities since 1992. The purpose of this study is to describe the mortality patterns of this service. METHODS A descriptive and retrospective 3-year review, covering January ...

Pulmonary thromboembolism is one of the most important causes of morbidity and mortality in patients undergoing lower extremity orthopedic surgery. Early diagnosis and appropriate management are important clinical challenges. In this case, massive pulmonary embolism causing sudden cardiac arrest was attributed to use of tourniquet inflation during lower extremity orthopedic surgery. Resuscitati...

Post-traumatic pseudoaneurysms of internal carotid arteries are uncommon. The patients may present with massive epistaxis due to rupture of the aneurysm into the sphenoid sinus. Early diagnosis and treatment is mandatory as the likelihood of exsanguinations increases with each subsequent episode of epistaxis. The clinical features of unilateral blindness and massive epistaxis after head injury ...

Penetrating atherosclerotic ulcer rupturing into the esophagus is rare and the resulting aortoesophageal fistula carries a high mortality. In view of the emergency nature of the entity and complexity of the procedure management of such a condition is not standardized. The immediate concern is to save the patient from life threatening exsanguinations. Contrary to the practice hitherto followed n...

conclusions ia fluid resuscitation is superior to iv resuscitation in hemorrhagic shock induced cardiac arrest. results while iv rl infusion failed to restore chest motion in mice (n = 5), ia rl infusion restored chest motion in all mice examined (n = 6) (p = 0.0067). in three mice, iv rl infusion after cardiac arrest showed no effect on cc. after failure of venous infusion, ia rl infusion was ...

A 23 year old male Nigerian presented to the Nephrology unit of the Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria with features of chronic renal failure secondary to chronic glomerulonephritis. He was referred to the surgical department of the hospital on account of severe torrential uncontrollable bleeding from an infected cannulation site. He was maintained on regular hemodia...

Background: Arterial cannulation and intra-arterial (IA) fluid and blood resuscitation in the patients with severe shock is an easier approach compared with the intravenous (IV) access if concerns regarding the efficiency and safety of this approach are addressed. Objectives: We hypothesized that IA fluid resuscitation is more effective than IV resuscitation in restoring cardiac contractions (C...

aortobronchial fistula (abf) is a rare and late complication of cardiac surgery. if untreated, mortality rate is approximately 100% secondary to exsanguinations haemoptysis. early diagnosis and treatment are essential for successful management. open surgical repair is associated with high morbidity and mortality rate, ranging from 25% to 41%. endovascular treatments of abf is a less invasive tr...

BACKGROUND Trauma is the most prevalent cause of death in the young. Insight into cause and time of fatal pediatric and adolescent trauma is important for planning trauma care and preventive measures. Our aim was to analyze cause, severity, mode and seasonal aspects of fatal pediatric trauma. METHODS Review of all consecutive autopsies for pediatric fatal trauma during a 10-year period within...