a myocardial contusion refers to a bruise of the cardiac muscle, the severity of which can vary depending on the severity of the injury and when the injury occurs. it is a major cause of rapid death which happens after blunt chest trauma and should be suspected at triage in the emergency department. we demonstrated that suspected myocardial contusion patients who have normal electrocardiograms ...

The aim of the study was to present one clinic’s experience in the treatment of thoracic injuries. Particular attention was paid to the methods for treatment of patients after thoracic injuries. Material and methods. During the years 1996-2006, 273 patients with thoracic injuries were hospitalized in the clinic; 0.9% of all patients treated during this time. There were 66 women (24.2%) and 207 ...

Myocardial contusion is an infrequent, but sometimes serious complication in patients who experienced deceleration (blunt) trauma. We investigated the assessment of the new cardiac markers troponin I (cTnI) and troponin T (cTnT) in relation to the conventional CKMB-activity, the CKMB-activity/CK-total ratio, CKMB-mass and the CKMB-mass/CK-total ratio for the detection of myocardial contusion in...

BACKGROUND Blunt thoracic trauma is one of the critical injury mechanisms in multiply injured trauma victims. Although these patients present a plethora of potential structural damages to vital organs, it remains debated which injuries actually influence outcome and thereby should be addressed initially. Hence, the aim of this study was to identify the influence of critical structural damages o...

The most common mechanism of blunt thoracic trauma is an MVC, followed by falls, assaults, and crush injuries. Compressive forces directly injure the thoracic cage and underlying viscera and result in rib fractures and pulmonary contusion. Deceleration produces traction on fixed structures such as the isthmus of the aorta and the carina and results in traumatic aortic and tracheobronchial injur...

Diagnoses of injuries to the hip and groin are challenging to diagnose because of complex anatomy and overlapping symptoms Radiography is most suitable for initial imaging examination to evaluate for fractures, joint space, alignment, and some soft tissue anomalies MRI is well-suited for evaluating soft tissue injuries, including stress injuries, muscle strain, tendon tears, muscular contusion,...

introduction: application of chest radiography for all multiple trauma patients is associated with a significant increase in total costs, exposure to radiation, and overcrowding of the emergency department. ultrasound has been introduced as an alternative diagnostic tool in this regard. the aim of the present study is to compare the diagnostic accuracy of chest ultrasonography and radiography i...

Pulmonary contusion is the most common thoracic soft tissue injury encountered in motor vehicle crashes and is seen in 10-17% of all trauma admissions. This study presents a biomechanical and radiological analysis with the goal of quantifying pulmonary contusion resulting from motor vehicle crashes in order to illustrate the relationships between crash characteristics, contusion severity, and p...

The authors evaluated in a retrospective study a group of 45 patients with contusion of the lungs (age 1 to 15 years) who were treated at the Faculty Hospital in Motol in 1989-1993. In 38 children contusion of the lungs was part of multiple injuries with signs of failure of vital functions. These children were admitted after the injury to the in-patient department of the Anaesthesiological and ...

Thoracic injury is currently the second leading cause of trauma-related death and rib fractures are the most common of these injuries. Flail chest, as defined by fracture of three or more ribs in two or more places, continues to be a clinically challenging problem. The underlying pulmonary contusion with subsequent inflammatory reaction and right-to-left shunting leading to hypoxia continues to...