J Trauma
-
A case of multiple cardiac injuries secondary to a single stab wound is described. The extent of the injury was not fully appreciated at the initial surgical intervention and typical clinical manifestations were delayed in appearance. Cardiac catheterization was necessary to confirm the correct diagnosis. After the correct diagnosis was made, surgical repair was successfully performed.
-
A rare case of arteriovenous fistula of the left internal mammary artery after blunt chest trauma is described. The patient was seen 3 weeks later because of a pulsating mass which varied in size, over the left midsternal area. ⋯ The fistula was ligated and excised followed by complete recovery. The literature is reviewed and differential diagnosis from congenital heart conditions, A-V shunts of other thoracic wall vessels, and vascular tumors is discussed.
-
The emergency treatment of dental trauma has traditionally been handled in the emergency rooms of medical centers, or in the dental office. With increasing emphasis on comprehensive medical care, and the tendency of more recent graduates to locate in rural areas, there is a growing trend for physicians to be involved in providing emergency care for traumatic injuries to the dental and oral tissues. ⋯ A classification of eight levels of dental injuries (5), techniques for the emergency, and subsequent restorative care are given. Emphasis is placed upon immediate care which can, if necessary, be provided by the physician pending referral to a dentist.