Singap Med J
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Case Reports
Spiral computed tomography demonstration of active haemorrhage in blunt abdominal trauma.
In blunt abdominal trauma, patients may still be actively bleeding despite being physiologically stable. Fast computed tomography scanning permits the detection of active haemorrhage by localising the site of extravasation of contrast enhanced blood. ⋯ However, its presence will have a critical influence on further surgical intervention. The imaging features of this uncommon entity are demonstrated in our case report.
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Normalisation of heart rate after 24 hours of treatment is proposed to predict the survival outcome in septic shock patients. ⋯ Heart rate was concluded to be a simple predictor reflecting physiologic derangements in septic shock. It is recommended that further study needs to be carried out to unravel a predictor of clinical value in terms of practicality, especially that involving the inflammatory aspect of the disease process.