J Trauma
-
Comparative Study
Trauma and thermal injury: comparison of hemostatic and cytokine changes in the acute phase of injury.
Initiated either by thermal injury or mechanical trauma, the systemic inflammatory response syndrome stimulates activation of coagulation and fibrinolysis, evolving into a subclinical disseminated intravascular coagulation. ⋯ There was a difference in the degree and level to which homeostasis was perturbed between the two groups. The mechanism of injury did not affect the initiation of subclinical disseminated intravascular coagulation and cytokine release, and the physiologic response remained the same.
-
Comparative Study
Blunt chest impacts: assessing the relative risk of fatal cardiac injury from various baseballs.
To compare various soft-core baseballs for their ability to reduce the risk of fatal chest-impact injury. ⋯ The results of this study indicate that soft-core baseballs may not differ from a standard baseball with regard to the risk of fatal chest-impact injury while playing baseball. Other techniques, such as preventive coaching, need to be implemented when trying to improve baseball safety.
-
In the injured patient, rapid assessment of the thorax can yield critical information for patient management and triage. ⋯ Surgeons can accurately perform and interpret a focused thoracic ultrasonographic examination to detect traumatic effusion. Surgeon-performed thoracic ultrasonography is as accurate but is significantly faster than supine portable chest radiography for the detection of traumatic effusion.