European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Gunshot injuries of the posterior fossa are rare and may follow a fatal course. In posterior fossa gunshot injuries, cerebellar hematoma, contusion, obstruction of cerebrospinal fluid (CSF) circulation by the shrapnel, and intracranial hypertension caused by autoregulation loss lead to mortality in the early stage. ⋯ Due to the small volume of the posterior fossa, acute pathologies may lead to rapid neurological deterioration and death. Early surgical intervention and close postoperative follow-up after penetrating shrapnel injuries of the posterior fossa play a significant role in reducing mortality and morbidity.
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Eur J Trauma Emerg Surg · Apr 2015
One-stage posterior procedure in treating active thoracic spinal tuberculosis: a retrospective study.
To investigate the clinical efficacy and feasibility of surgical treatment for thoracic spinal tuberculosis with neurological deficit by one-stage posterior instrumentation, proper transpedicular debridement, without anterior instrumentation and without anterior or posterior bone graft. ⋯ One-stage posterior instrumentation, transpedicular debridement without bone graft can be an effective and feasible treatment method for selected thoracic spinal tuberculosis.
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Eur J Trauma Emerg Surg · Apr 2015
Indoor fire in a nursing home: evaluation of the medical response to a mass casualty incident based on a standardized protocol.
This retrospective study reports the outcome of a mass casualty incident (MCI) caused by a fire in a nursing home. ⋯ The different levels of incident managers performed a tight coordination. The MIH demonstrated its potency to provide emergency care for 46 patients and 9 intubated patients. No deaths or persistent disabilities occurred. Areas of improvement were recognized both in the pre-hospital as the hospital phase.
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Eur J Trauma Emerg Surg · Apr 2015
Retained weapon injuries: experience from a civilian metropolitan trauma service in South Africa.
Retained weapon (RW) injuries are uncommon, but there is no current consensus on the best management approach. ⋯ The vast majority of patients with RWs will be admitted in a stable condition and haemodynamic instability was almost exclusively seen in the anterior thorax. The most common site was the posterior abdomen. Detailed imagining should be used liberally in stable patients and unplanned extraction in an uncontrolled environment should be strongly discouraged.