J Trauma
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We reviewed our experience with the open abdomen and hypothesized that the known high wound complication rates were related to the timing and method of wound closure. ⋯ Morbidity associated with wound complications from the open abdomen remains high (25%). Morbidity is associated with the timing and method of wound closure and transfusion volume, but independent on injury severity. Also, delayed primary fascial closure before 8 days is associated with the best outcomes with the least charges.
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The objective of this study was to investigate serial changes in leukocyte deformability and rheologic properties of whole blood in patients with sepsis or trauma. ⋯ We conclude that leukocyte deformability decreases in patients with sepsis or severe trauma and that this change negatively affects rheologic properties of whole blood.
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The purpose of this study was to record flash x-ray images of cavitation in human cadaver thighs caused by the passage of high-velocity bullets. The images are an initial step for understanding the cavitation process in human tissue and for implementing a better definition of extensive tissue injury. ⋯ Flash x-ray radiography is an effective technique for the observation of internal cavitation in cadaver thighs caused by high-velocity bullets. These observations suggest that gelatin is not a proven simulant for human cadaver tissue in the study of cavitation subsequent to high-velocity missile impact.
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Head injury is the leading cause of death in children. Child safety legislation and risk-specific intervention programs have flourished to mitigate the incidence of injury to children. This analysis documents the trend in head injury to children in a specific institution. ⋯ Pediatric head injury has significantly declined in the last 13 years at a Level I pediatric trauma center.