Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Oct 2009
Five years experience of trauma care in a German urban level I university trauma center.
A regionalized approach to trauma care with the implementation of designated level I trauma centers has been shown to improve survival after multiple injuries. Our study aimed to describe the current reality in an urban German level I university trauma center concerning the primary admission of patients into the emergency room. ⋯ Regionalized trauma care with designated level I trauma centers is justified by the improvement of time intervals and outcome, but adequate resources are required.
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Eur J Trauma Emerg S · Oct 2009
A case of delayed diagnosis of a right-sided diaphragm rupture with a review of the literature.
Right-sided diaphragm rupture is one of the typical injuries found during a secondary or tertiary survey after a major blunt trauma. This is mainly due to the apparently normal aspect of primary X-rays of the thorax. ⋯ We present a case of a delayed diagnosis of right-sided diaphragm rupture, which was discovered by accident because of a new trauma. We review the literature on right-sided diaphragm rupture and its treatment.
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Eur J Trauma Emerg S · Oct 2009
Pneumatosis intestinalis with gastric pneumatosis and hepatoportal venous gas in blunt abdominal trauma: A case report.
A case of transient pneumatosis intestinalis with gastric pneumatosis and hepatoportal venous gas following blunt abdominal trauma is described. The presence of intramural gas mostly implies intestinal necrosis, which needs emergent surgical exploration. This case demonstrates that conservative management with close clinical observation and follow-up computed tomography scan can be safely applied in selected cases of pneumatosis intestinalis with gastric pneumatosis and hepatoportal venous gas.
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Eur J Trauma Emerg S · Oct 2009
Treatment of nonunion of femoral neck fracture by valgus osteotomy in 33 cases.
In spite of advances in treatment, femoral neck fractures are complicated fractures with a relatively high incidence of nonunion. Between 1990 and 2004, 33 patients with nonunion of femoral neck fractures were treated by valgus osteotomy in our department. The mean age of patients at the time of operation was 38 years (range 16-60 years). ⋯ Postoperatively, the neckshaft angle was 140° (125°-160°), and shortening reduced to an average of 1 cm. Partial avascular necrosis of the femoral head developed in five patients after 6-12 months. Valgus osteotomy of the femur is a suitable procedure for treatment of femoral neck nonunion in young patients, since it is easy to perform and yields relatively good results.
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Police departments in Europe are increasingly using nonlethal weapons and/or ammunitions such as a bean bag to restrain and disable a person temporarily. A bean bag is a small nylon bag filled with metal balls that is fired from a shotgun and weighs approximately 50 g. It is successfully used in the United States by law enforcement personnel. This report describes a case in which use of a bean bag resulted in a contusion of the liver, which was treated conservatively.