results ecls was initiated at a mean of 324.15 ± 197.8 (110 - 950) min from initial trauma. in 4 patients, ecls treatment failed due to an incapability to maintain adequate ecls flow and patient perfusion. in the other 16 patients efficiently supported by ecls, the cardiac index, mean arterial pressure, lactate concentration, pao2, paco2, and ph showed significant improvement with normal values...

purpose: since explosive blasts continue to cause casualties in both civil and military environments, there is a need for an understanding of the mechanisms of blast trauma at the human organ level, plus a more detailed predictive methodology. the primary goal of this research was to develop a finite element model capable of predicting primary blast injury to the lung so as to assist in the dev...

traumatic injuries to great vessels are relative common in trauma practice. blunt thoracic trauma may result in dissection injury to aorta and innominate artery. we herein present a late presentation of traumatic innominate artery aneurysm. a29-year-old woman presented with dyspnea to our emergency department. she had previous motor-vehicle accident a month before presentation for which had und...

Background: Heated humidified high-flow nasal cannula (HHHFNC) is gaining popularity as an alternative to nasal continuous positive airway pressure (nCPAP) therapy in the management of preterm neonates with respiratory distress due to ease of administration and patient comfort. However, limited evidence is available addressing its risks and benefits. To study the efficacy and safety of HHHFNC i...

BACKGROUND Adult respiratory distress syndrome is often refractory to treatment and develops after entering the health care system. This suggests an opportunity to prevent this syndrome before it develops. The objective of this study was to demonstrate that early application of airway pressure release ventilation in high-risk trauma patients reduces hospital mortality as compared with similarly...

parapharyngeal abscess is a life-threatening disease. upper respiratory tract infection is the main cause in children. we present a 15-month-old boy admitted to the emergency ward with the chief complaint of difficulty in breathing caused by parapharyngealabscess. his condition deteriorated gradually, and he transferred to the operation theater quickly for abscess drainage and because of the di...

Chest trauma, an important cause of morbidity and mortality, is the second most common cause of death in children under four years of age. Due to the different anatomy and physiology of the respiratory system in childhood, the injuries and consequences of chest trauma are also dissimilar. A seven-month-old male infant presented to the emergency clinic with cyanosis and respiratory distress. His...