Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Apr 2009
Comparison of Injury Pattern in Victims of Bear (Ursus thibetanus) and Leopard (Panthera pardus) Attacks. A Study from a Tertiary Care Center in Kashmir.
Patients injured in bear and leopard attacks present with different patterns of injuries and have different mortality rates. A common protocol may not be suitable for the management of injuries inflicted by these two large wild animals. ⋯ Wild animals usually attack in remote areas, where composite trauma centers do not exist, and the urgent referrals of these patients will have a significant impact on the final outcome. The management of these patients requires a team approach involving all of the subspecialties of traumatology.
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Eur J Trauma Emerg S · Apr 2009
Is the Grading of Liver Injuries a Useful Clinical Tool in the Initial Management of Blunt Trauma Patients?
Computed tomography (CT) has become the preferred method for evaluation of the abdomen for victims of blunt trauma. Grading of liver injuries, primarily by CT, has been advocated as a measure of severity and, by implication, the likelihood for intervention or complications. We have sought to determine if grading of liver injuries, as a clinical tool, affects immediate or extended management of patients. ⋯ In conclusion, grading of liver injuries does not seem to influence immediate management. Physiologic behavior dictated management and need for operative intervention, as well as prognosis. However, both major hepatic injuries and need for early operation reflected overall severity and the possibility of associated injuries.
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To assess the value of the ultrasound (US) in different grades of acute trauma by comparing with MR. ⋯ US proved to be a good and reliable method for diagnosing Grade I and II of ankle sprain, but for proper evaluation of Grade III, MR is recommended.
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Stress fractures have been reported to occur in association with running. They typically involve the lower extremity. ⋯ If X-ray is inconclusive, radionuclide bone imaging and MRI can be useful in diagnosing these fractures. This rare diagnosis, as well as classification and treatment options, will be discussed.
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The management of patients with solid organ injuries has changed since the introduction of technically advanced imaging tools, such as ultrasonography and multiple scan computerized tomography, interventional radiological techniques and modern intensive care units. In spite of this development in the management of these patients, major solid organ traumas can still be challenging. There has been great improvement in the non-operative management (NOM) of intra-abdominal solid organ injury in recent decades. In most cases treatment of injuries has shifted from early surgical treatment to NOM.