Genomes and Genes
Summary: Injuries caused by impact with a blunt object where there is no penetration of the skin.
Publications216 found, 100 shown here
- Pathogenesis of transient high myopia after blunt eye traumaNaohiro Ikeda
Department of Ophthalmology, Hyogo College of Medicine, 1 1 Mukogawa cho, Nishinomiya shi, Hyogo 663 8501, Japan
Ophthalmology 109:501-7. 2002..To determine the pathogenesis of transient high myopia after blunt eye trauma...
- Intra-abdominal free fluid without solid organ injury in blunt abdominal trauma: an indication for laparotomyAlexander K T Ng
Department of Surgery, Vancouver Hospital and Health Sciences Centre, University of British Columbia, Vancouver, British Columbia, Canada
J Trauma 52:1134-40. 2002..The purpose of this study was to determine the incidence and significance of this finding...
- Bladder rupture after blunt trauma: guidelines for diagnostic imagingA F Morey
Urology Service, Brooke Army Medical Center, Fort Sam Houston, Texas 78234-6360, USA
J Trauma 51:683-6. 2001..Patients with isolated hematuria and no physical signs of lower urinary tract injury may be spared the morbidity, time, and expense of immediate cystographic evaluation...
- Trends in head injury outcome from 1989 to 2003 and the effect of neurosurgical care: an observational studyH C Patel
Department of Neurosurgery, Hope Hospital, Salford, UK
Lancet 366:1538-44. 2005..Our aims were to investigate the case fatality trends in major trauma patients with and without head injury, and to establish the effect of neurosurgical care on mortality after severe head injury...
- Acute anterior myocardial infarction following a mild nonpenetrating chest trauma--a case reportE Atalar
Cardiology Department, Hacettepe University School of Medicine, Ankara, Turkey
Angiology 52:279-82. 2001..The authors report a rare case of anterior myocardial infarction in a 22-year-old man following a mild nonpenetrating chest trauma whose left chest was elbowed during a soccer game...
- Whole body imaging in blunt multisystem trauma patients without obvious signs of injury: results of a prospective studyAli Salim
Division of Trauma and Critical Care, Department of Surgery, University of Southern California Keck School of Medicine and the Los Angeles County and University of Southern California Medical Center, Los Angeles 90033, USA
Arch Surg 141:468-73; discussion 473-5. 2006..The use of liberal whole body imaging (pan scan) in patients based on mechanism is warranted, even in evaluable patients with no obvious signs of chest or abdominal injury...
- Nonoperative management of blunt splenic injury: a 5-year experienceJames M Haan
R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, Maryland 21201, USA
J Trauma 58:492-8. 2005..The purpose of this study was to examine the success rate of nonoperative management of blunt splenic injury in an institution using splenic embolization...
- Thoracic aortic emergencies: impact of endovascular surgeryGabriele Iannelli
Department of Cardiac Surgery, University Federico II of Naples, Naples, Italy
Ann Thorac Surg 77:591-6. 2004..To obviate this risk, endovascular surgery is considered to be a valid alternative procedure...
- A decade's experience with temporary intravascular shunts at a civilian level I trauma centerAnuradha Subramanian
Department of Surgery, Baylor College of Medicine, Houston, Texas 77030, USA
J Trauma 65:316-24; discussion 324-6. 2008..A 10-year review of temporary intravascular shunts (TIVS) at a regional trauma center...
- Ureteral injury due to blunt abdominal traumaWei Jing Lee
Department of Emergency Medicine, Chi Mei Medical Center, Yung Kang City, Tainan, Taiwan
Eur J Emerg Med 13:244-6. 2006..Acute hydronephrosis and hematuria were noted. Retrograde pyelography and ureteroscopic examination revealed left distal ureter edema with obstruction. The hydronephrosis resolved after temporary double-J-stenting...
- Management of spleen injuries in the adult trauma population: a ten-year experienceMargherita Cadeddu
Surgical Outcomes Research Centre and Department of Surgery, McMaster University and St Joseph s Healthcare Hamilton, ON
Can J Surg 49:386-90. 2006..The secondary objective was to assess the changes in the patterns of managing splenic injuries in the past 10 years...
- Management of high grade renal trauma: 20-year experience at a pediatric level I trauma centerC G Henderson
Division of Pediatric Urology, Children s National Medical Center, Department of Urology, George Washington University School of Medicine and Health Sciences, DC, USA
J Urol 178:246-50; discussion 250. 2007..To evaluate our experience with the expectant nonoperative management of high grade, blunt renal trauma in children, we reviewed our 20-year experience regarding evaluation, management and outcomes in patients treated at our institution...
- Diagnosis and management of blunt abdominal solid organ injuryThomas J Schroeppel
Department of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA
Curr Opin Crit Care 13:399-404. 2007..Operative interventions need to occur expeditiously in hemodynamically unstable patients with hepatic and splenic injuries...
- Limitations of splenic angioembolization in treating blunt splenic injuryRobert Cooney
Department of Surgery, Penn State Milton S Hershey Medical Center, 17033, USA
J Trauma 59:926-32; discussion 932. 2005..This study examines the use of selective splenic angioembolization (SAE) as part of a management algorithm for adult splenic injury...
- Splenic embolization revisited: a multicenter reviewJames M Haan
Department of Surgical Critical Care, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Green Street, Baltimore, MD 21201 1595, USA
J Trauma 56:542-7. 2004..Splenic embolization can increase nonoperative salvage. However, complications are not clearly defined. A retrospective multicenter review was performed to delineate the risks and benefits of splenic embolization...
- Pericardial rupture and cardiac herniation after blunt chest traumaJacques T Janson
Department of Cardiothoracic Surgery, Tygerberg Hospital, University of Stellenbosch, Tygerberg, South Africa
Ann Thorac Surg 75:581-2. 2003..If pericardial rupture is not recognized and treated promptly it could be fatal owing to cardiac herniation...
- Evolution of a multidisciplinary clinical pathway for the management of unstable patients with pelvic fracturesW L Biffl
Department of Surgery, Denver Health Medical Center, Denver, Colorado 80204 4507, USA
Ann Surg 233:843-50. 2001..To determine whether the evolution of the authors' clinical pathway for the treatment of hemodynamically compromised patients with pelvic fractures was associated with improved patient outcome...
- High success with nonoperative management of blunt hepatic trauma: the liver is a sturdy organGeorge C Velmahos
Division of Trauma and Critical Care, Department of Surgery, University of Southern California and the Los Angeles County USC Healthcare Network, Los Angeles 90033, USA
Arch Surg 138:475-80; discussion 480-1. 2003..Nonoperative management of liver injuries (NOMLI) is highly successful and rarely leads to adverse events...
- Efficacy of thoracic computerized tomography in blunt chest traumaL Omert
Department of Surgery, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA
Am Surg 67:660-4. 2001..In patients with severe mechanisms of injury and normal CXRs TCT expeditiously identifies occult chest injuries that require treatment in 5 per cent of this population...
- Popliteal artery injury: Royal Perth experience and literature reviewMazri M Yahya
Department of Vascular Surgery and General Surgery, Royal Perth Hospital, Perth, Western Australia, Australia
ANZ J Surg 75:882-6. 2005..The aim of the present study was to review the authors' experience with this condition and discuss the best approach to investigation and management...
- The usefulness of transcatheter arterial embolization for patients with blunt polytrauma showing transient response to fluid resuscitationAkiyoshi Hagiwara
Department of Traumatology and Critical Care Medicine, School of Medicine, Kyorin University, Tokyo, Japan
J Trauma 57:271-6; discussion 276-7. 2004..This study aimed to determine whether nonsurgical management using transcatheter arterial embolization (TAE) is safe for patients with blunt multiple trauma who transiently respond to the initial fluid resuscitation...
- Blunt liver injury: from non-operative management to liver transplantationM Veroux
Department of Surgery and Transplantation, University Hospital, Via S Sofia, 78, University of Catania, 95123, Catania, Italy
Injury 34:181-6. 2003..In high-grade hepatic trauma, the evolution toward liver failure is an indication for liver transplantation...
- Pelvic fracture pattern does not always predict the need for urgent embolizationEric L Sarin
Department of Surgery, Denver Health Medical Center, Colorado 80204, USA
J Trauma 58:973-7. 2005..Previous clinical reviews have associated fracture geometry with arterial hemorrhage, specifically implicating those injuries with evidence of major ligamentous disruption (MLD)...
- Blood transfusion is an independent predictor of increased mortality in nonoperatively managed blunt hepatic and splenic injuriesWilliam P Robinson
Section of Trauma, Burns, and Critical Care, Department of Surgery, University of North Carolina, Chapel Hill, North Carolina, USA
J Trauma 58:437-44; discussion 444-5. 2005..We hypothesized that transfusion would adversely affect mortality and outcome in patients presenting with blunt hepatic and splenic injuries after controlling for injury severity and degree of shock...
- Nonoperative management of spleen and liver injuriesDeborah M Stein
Division of Critical Care Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA
J Intensive Care Med 21:296-304. 2006..This review will discuss current concepts in nonoperative management of liver and spleen, including diagnosis, patient selection, nonoperative management strategies, benefits, risks, and complications...
- Severe liver trauma: the transplant surgeon's perspective. A case reportGabriele Catalano
Liver Transplant Unit, Cisanello Hospital, University of Pisa, Pisa, Italy
Hepatogastroenterology 55:1458-9. 2008..Therefore, the authors strongly advocate the whole algorithm for patients with severe liver traumas be put under control of an experienced LT team in order to improve surgical results...
- Concomitant injuries are an important determinant of outcome of high-grade blunt hepatic traumaB Schnüriger
Department of Visceral and Transplantation Surgery, Berne University Hospital, Berne, Switzerland
Br J Surg 96:104-10. 2009..A retrospective single-centre study was performed to investigate the safety of non-operative management of liver injury and the impact of concomitant intra- and extra-abdominal injuries on clinical outcome...
- Therapeutic laparoscopy for abdominal traumaY B Chol
Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, 388 1 Poongnap dong, Songpa Gu, Seoul 138 736, Korea
Surg Endosc 17:421-7. 2003..Instead of open laparotomy, laparoscopy can be used safely and effectively for the diagnosis and treatment of traumatic abdominal injuries...
- Diagnostic laparoscopy decreases the rate of unnecessary laparotomies and reduces hospital costs in trauma patientsA S Taner
J Laparoendosc Adv Surg Tech A 11:207-11. 2001..The value of diagnostic laparoscopy (DL) in avoiding unnecessary laparotomies and its effects on hospital costs was evaluated in a prospective clinical trial...
- Feasibility of laparoscopic splenectomy in stable blunt trauma: a case seriesWael I Nasr
Department of Surgery, University of Massachusetts Medical School, University of Massachusetts Memorial Hospital, Worcester, Massachusetts 01605, USA
J Trauma 57:887-9. 2004
- Blunt cardiac traumaMikhael F El-Chami
Department of Internal Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia, USA
J Emerg Med 35:127-33. 2008..On the other hand, transesophageal echocardiogram seems to be more sensitive and specific in trauma patients and should be the test of choice in patients with high clinical suspicion for blunt cardiac trauma...
- Acute myocardial infarction due to left anterior descending coronary artery dissection after blunt chest traumaGerard Oghlakian
Department of Medicine, New Jersey Medical School, Newark, NJ, USA
Emerg Radiol 17:149-51. 2010..Our case illustrates the importance of electrocardiography and contrast-enhanced chest CT in initial evaluation of patients with blunt chest trauma and suspected injury to the coronary arteries...
- Predictors of abnormal chest CT after blunt trauma: a critical appraisal of the literatureM Brink
Department of Radiology, Radboud University Nijmegen Medical Centre, The Netherlands
Clin Radiol 64:272-83. 2009..To identify and to evaluate predictors that determine whether chest computed tomography (CT) is likely to reveal relevant injuries in adult blunt trauma patients...
- Case report: pericardial rupture and cardiac herniation after blunt trauma: a case diagnosed using cardiac MRIJ H Sohn
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Songpa Gu, Seoul, Korea
Br J Radiol 78:447-9. 2005..If pericardial rupture is not recognized and treated promptly, it may be fatal owing to cardiac herniation. We report a case of traumatic herniation of the heart for which a CT scan and MRI made a major contribution to the diagnosis...
- Acute traumatic aortic rupture: a comparison of surgical and stent-graft repairH Rousseau
Department of Radiology, University Hospital Rangueil, 01 av J Poulhes, 31403 Toulouse, France
J Thorac Cardiovasc Surg 129:1050-5. 2005..The study's objective was to comparatively evaluate surgery and stent-graft repair of acute or subacute traumatic aortic rupture...
- Traumatic ureteral injuries: a single institution experience validating the American Association for the Surgery of Trauma-Organ Injury Scale grading scaleCharles D Best
Department of Urology and Division of Trauma and Critical Care, Los Angeles County and University of Southern California, Los Angeles, California 90089, USA
J Urol 173:1202-5. 2005..We evaluated the American Association for the Surgery of Trauma-Organ Injury Scale (AAST-OIS) for ureteral injuries as a predictor of outcomes for complexity of repair, morbidity, mortality and associated injuries...
- Pericardial rupture after blunt chest traumaNabeel Farhataziz
Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas 75390 8896, USA
J Thorac Imaging 20:50-2. 2005..Radiographs and computed tomography of the chest may provide clues to the diagnosis. We present one case of left pleuropericardial rupture and another of traumatic diaphragmatic pericardial rupture...
- A new model for blunt liver injuries in the swineO Grottke
Department of Anaesthesiology, Institute for Laboratory Animal Science, RWTH Aachen University Hospital, Pauwelsstrasse 30, Aachen, Germany
Eur Surg Res 44:65-73. 2010..To elaborate the impact of new haemostatic agents we developed an instrument for the pressure-controlled induction of blunt liver injuries in a porcine animal model...
- The academic challenge of teaching psychomotor skills for hemostasis of solid organ injuryCharles E Lucas
Department of Surgery, Wayne State University, Detroit, Michigan, USA
J Trauma 66:636-40. 2009..Technical procedures on the liver, the most frequent intra-abdominal solid organ injured, were assessed in five decades...
- Evaluation and management of renal injuries: consensus statement of the renal trauma subcommitteeR A Santucci
Department of Urology, Wayne State University School of Medicine, Detroit, USA
BJU Int 93:937-54. 2004..To determine the optimal evaluation and management of renal injuries by review of the world's English-language literature on the subject...
- Endovascular stent grafts for acute blunt aortic injuryM B Dunham
Departments of Surgery and Critical Care at the Calgary Health Region, Calgary, Alberta, Canada, and Harborview Medical Center, Seattle, Washington, USA
J Trauma 56:1173-8. 2004..The purpose of this study was to determine the outcome of EVSG for patients with BAI at two tertiary (Level I) trauma centers...
- Imaging of cardiac herniation in traumatic pericardial ruptureNaiem Nassiri
School of Medicine, Oregon Health and Science University, Portland, OR 97239, USA
J Thorac Imaging 24:69-72. 2009..The imaging, along with greater awareness of this injury, may provide a more rapid diagnosis, thus potentially preventing the severe clinical deterioration often seen in these patients...
- Selective operative management of major blunt renal traumaCaleb Bozeman
Department of Urology, Louisiana State University Health Sciences Center, Shreveport, Louisiana 71130, USA
J Trauma 57:305-9. 2004..We reviewed the management and outcomes of patients at our Level I trauma center suffering major blunt renal trauma diagnosed and staged by CT scan...
- Stent-graft repair of traumatic thoracic aortic disruptionsEric D Wellons
Department of Vascular Surgery, Atlanta Medical Center, GA, USA
J Vasc Surg 40:1095-100. 2004..The objective of this study was to evaluate the efficacy of thoracic aortic disruptions treated with commercially available proximal aortic extension cuffs...
- CT in blunt liver traumaWoong Yoon
Department of Radiology, Chonnam National University Hospital, Chonnam National University Medical School, 8 Hak Dong, Dong Ku, Gwangju 501 757, South Korea
Radiographics 25:87-104. 2005..Follow-up CT is needed in patients with high-grade liver injuries to identify potential complications that require early intervention...
- Hepatic resection in the management of complex injury to the liverPatricio Polanco
University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA
J Trauma 65:1264-9; discussion 1269-70. 2008..Delayed, planned anatomic resection was also applied...
- Safety of early mobilization of patients with blunt solid organ injuriesJason A London
Division of Trauma and Emergency Surgery, Department of Surgery, University of California, Davis, 2315 Stockton Blvd, Ste 4207, Sacramento, CA 95817, USA
Arch Surg 143:972-6; discussion 977. 2008..Many surgeons believe that early mobilization of patients with blunt solid organ injuries increases the risk of delayed hemorrhage...
- A new approach to outcome prediction in trauma: A comparison with the TRISS modelOmar Bouamra
University of Manchester, The Trauma Audit and Research Network, Clinical Sciences Building, Hope Hospital, Salford, United Kingdom
J Trauma 61:701-10. 2006..Our model tried to overcome some of the concerns of the trauma community, namely missing data, functional form of the predictors, inclusion criteria and patient's death within 30 days...
- Cardiac herniation due to blunt trauma: early diagnosis facilitated by CTAaron J Wielenberg
Loyola University Medical Center Maywood, IL 60153, USA
AJR Am J Roentgenol 187:W239-40. 2006
- The use of chest computed tomography versus chest X-ray in patients with major blunt traumaMatthias Traub
Trauma Service, Royal North Shore Hospital, St Leonards, NSW 2065, Australia
Injury 38:43-7. 2007..This study identifies the clinical features associated with further diagnostic information obtained on a CT chest scan compared with a standard chest X-ray in patients sustaining blunt trauma to the chest...
- Selective management of isolated and nonisolated grade IV renal injuriesJill C Buckley
Department of Urology, University of California School of Medicine, and Urology Service 3A20, San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, CA 94110, USA
J Urol 176:2498-502; discussion 2502. 2006..We also determined if management and outcome differ significantly between cases of isolated grade IV renal injuries and those with associated multiorgan injuries...
- Contrast-enhanced cardiac MRI in blunt chest trauma: differentiating cardiac contusion from acute peri-traumatic myocardial infarctionSam Southam
Department of Radiology, University of New Mexico HSC, Albuquerque, NM 87131 0001, USA
J Thorac Imaging 21:176-8. 2006....
- Implantation of foldable intraocular lens with anterior optic capture in isolated posterior capsule ruptureYong Ming Por
J Cataract Refract Surg 32:707-8. 2006
- Laparoscopic treatment of blunt splenic injuries: initial experience with 11 patientsC G S Huscher
Department of Surgery, Azienda Ospedaliera S Giovanni Addolorata, Via dell amba Aradam 9, 00184, Rome, Italy
Surg Endosc 20:1423-6. 2006..In these cases, the videolaparoscopic approach could allow full abdominal cavity investigation, hemoperitoneum evacuation with autotransfusion, and spleen removal or repair...
- Derivation of a clinical decision rule to exclude thoracic aortic imaging in patients with blunt chest trauma after motor vehicle collisionsTodd C Ungar
Department of Emergency Medicine, Denver Health Medical Center, Denver, Colorado 80204, USA
J Trauma 61:1150-5. 2006..The purpose of this study was to define a group of patients with blunt chest trauma after motor vehicle collision (MVC) that do not require aortic imaging based on information available in the emergency department...
- A pilot study to derive clinical variables for selective chest radiography in blunt trauma patientsRobert M Rodriguez
University of California, San Francisco, CA, USA
Ann Emerg Med 47:415-8. 2006..The goal of this pilot study was to determine whether clinical criteria can identify blunt trauma patients with significant acute intrathoracic injury on chest radiograph...
- Blunt ureteropelvic junction disruptionKhashayar Vaziri
Inova Fairfax Hospital, Falls Church, VA, USA
J Am Coll Surg 202:707. 2006
- Diagnosis and management of bladder injuriesJoseph N Corriere
The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
Urol Clin North Am 33:67-71, vi. 2006..Intraperitoneal ruptures need formal surgical closure,whereas extraperitoneal lesions may be treated, under certain circumstances, with cathe-ter drainage and observation...
- Complications of renal traumaHosam S Al-Qudah
Department of Urology, Wayne State University School of Medicine, Detroit, MI 48201, USA
Urol Clin North Am 33:41-53, vi. 2006..Treatment varies by etiology and may range from watchful waiting to percutaneous drainage to, in rare cases, nephrectomy...
- Are plain radiographs of the spine necessary during evaluation after blunt trauma? Accuracy of screening torso computed tomography in thoracic/lumbar spine fracture diagnosisGabriel E Berry
Department of Surgery and Radiology, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157, USA
J Trauma 59:1410-3; discussion 1413. 2005..The objective of this study is to determine whether the data obtained from admission chest/abdomen/pelvis (CAP) computed tomography (CT) scans after blunt trauma has utility in thoracolumbar spine evaluation...
- Occult pneumothorax in trauma patients: should this be sought in the focused assessment with sonography for trauma examination?Michael M K Tam
Department of Accident and Emergency, Accident and Emergency Medicine Academic Unit, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
Emerg Med Australas 17:488-93. 2005..The aim of the present study is to determine the incidence of occult pneumothorax (as shown by CT) in the subgroup of trauma patients undergoing FAST...
- Added value of routine chest MDCT after blunt trauma: evaluation of additional findings and impact on patient managementMonique Brink
Department of Diagnostic Imaging, Radboud University Nijmegen Medical Centre, Internal number Huispost 667, Geert Groote plein 10, 6500 HB Nijmegen, The Netherlands
AJR Am J Roentgenol 190:1591-8. 2008..The objective of our study was to evaluate the added value of a low-threshold routine thoracic MDCT algorithm compared with a selective MDCT algorithm in adult blunt trauma patients...
- "Low-dose" recombinant activated factor VII results in less blood and blood product use in traumatic hemorrhageT Daniel Harrison
Department of Surgery, Lehigh Valley Hospital, Allentown, Pennsylvania 18105 1556, USA
J Trauma 59:150-4. 2005..This study was designed to compare mortality and blood product use in patients who received recombinant activated factor VII (rFVIIa) for traumatic hemorrhage to a matched historic control...
- Prior blunt chest trauma may be a cause of single vessel coronary disease; hypothesis and reviewMette Damkjaer Christensen
Medical Department, Frederikssund County Hospital, DK 3600 Frederikssund, Denmark
Int J Cardiol 108:1-5. 2006..It seems likely that lesser damage could lead to longer-term stenosis we suspect that this sequence is grossly under-reported. This could have medico-legal implications...
- Diagnosis and treatment of traumatic intrathoracic major bronchial disruptionAdel K Ayed
Department of Surgery, Faculty of Medicine, Chest Diseases Hospital, Kuwait University, P O Box 24923, 13110 Safat, Kuwait
Injury 35:494-9. 2004..The purpose of this study was to review our experience with intrathoracic major bronchial disruptions due to trauma and to describe the diagnosis and treatment...
- The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with traumaIan G Stiell
Department of Emergency Medicine, University of Ottawa, Ottawa, Ont, Canada
N Engl J Med 349:2510-8. 2003..It is unclear how the two decision rules compare in terms of clinical performance...
- Importance of delayed imaging for blunt renal traumaJ C Blankenship
Department of Urology. Regional Medical Center, University of Tennessee, Memphis 38163, USA
World J Surg 25:1561-4. 2001..Therefore we advocate repeat imaging 2 to 4 days after trauma resulting in grade III to V blunt renal lacerations to identify delayed complications that may require intervention...
- The role of interventional radiology in the management of blunt renal injury: a practical protocolA Hagiwara
Department of Traumatology and Critical Care Medicine, Kyorin University School of Medicine, 6-20-2 Shinkawa Mitaka-shi, Tokyo 181-8611, Japan
J Trauma 51:526-31. 2001..This was the only patient who required surgery for renal injury. CONCLUSION: Surgery can be avoided in most cases of blunt renal injury. Hemodynamic instability and injury to main renal veins remain indications for surgical exploration...
- Clinical predictors for the selective use of chest radiographs in pediatric blunt trauma evaluationsMichael A Gittelman
Division of Emergency Medicine, Cincinnati Children s Hospital Medical Center, Cincinnati, Ohio 45229, USA
J Trauma 55:670-6. 2003..This study sought to determine those clinical markers associated with an abnormal chest radiograph in nonintubated, pediatric, blunt trauma victims...
- Admission angiography for blunt splenic injury: advantages and pitfallsJ Haan
Department of Surgery, University of Maryland School of Medicine, Baltimore, USA
J Trauma 51:1161-5. 2001..To analyze the use of admission angiography as a nonoperative adjunct for management of blunt splenic injury...
- Prospective evaluation of criteria for obtaining thoracolumbar radiographs in trauma patientsJames F Holmes
Division of Emergency Medicine, UC Davis Medical Center, University of California, Davis School of Medicine, Sacramento, California 95817 2282, USA
J Emerg Med 24:1-7. 2003..The use of high-risk clinical screening criteria identified virtually all blunt trauma patients with acute TL spine injuries. These criteria, however, have poor specificity and positive predictive value...
- Nonoperative management of solid abdominal organ injuries from blunt trauma: impact of neurologic impairmentM B Shapiro
Division of Trauma and Surgical Critical Care, Hospital of the University of Pennsylvania, Philadelphia, USA
Am Surg 67:793-6. 2001..No differences were noted in the rates of delayed laparotomy or survival between normal, mild to moderately head-injured, and severely head-injured patients...
- Thoracolumbar fracture in blunt trauma patients: guidelines for diagnosis and imagingJeremy M Hsu
Royal North Shore Hospital, St Leonards, NSW 2065, Australia
Injury 34:426-33. 2003..The aim of the study was to determine a clinical diagnostic pathway for the imaging of the thoracolumbar spine in blunt trauma patients...
- Ureteral wound caused by blunt abdominal traumaUlf Gunnarsson
Department of Surgery, Uppsala Academic Hospital, Uppsala, Sweden
Scand J Urol Nephrol 37:88-9. 2003..This case underlines the possibility that important injuries may not be visible on the initial CT scan that is often used in trauma diagnostics...
- Do we really need routine computed tomographic scanning in the primary evaluation of blunt chest trauma in patients with "normal" chest radiograph?A K Exadaktylos
Trauma and Emergency Unit, Inselspital, University of Berne, Inselspital, Berne, Switzerland
J Trauma 51:1173-6. 2001..A major cause of morbidity and mortality after blunt chest trauma remains undetected injuries. This study evaluates the role of routine computed tomographic (CT) scan...
- Isolated free fluid on computed tomographic scan in blunt abdominal trauma: a systematic review of incidence and managementChristian Rodriguez
Department of Surgery, Stamford Hospital, Stamford, Connecticut 06904, USA
J Trauma 53:79-85. 2002..This study was undertaken to attempt to determine what to do when free fluid without solid organ injury is seen on abdominal CT scan in patients with blunt trauma...
- Technology-driven triage of abdominal trauma: the emerging era of nonoperative managementD Demetriades
Keck School of Medicine, University of Southern California, Los Angeles, California 90033, USA
Annu Rev Med 54:1-15. 2003..Improvement of the optical system of minilaparoscopes may allow reliable bedside laparoscopy for suspected diaphragmatic injuries...
- Neck crepitance: evaluation and management of suspected upper aerodigestive tract injurySteven L Goudy
Department of Surgery, University of Louisville School of Medicine, Kentucky 40292, USA
Laryngoscope 112:791-5. 2002..To determine safe criteria for the management of patients with crepitance of the neck...
- Associated injuries in blunt solid organ trauma: implications for missed injury in nonoperative managementPreston R Miller
Department of Surgery, University of Tennessee Health Science Center, Memphis 38163, USA
J Trauma 53:238-42; discussion 242-4. 2002..To better understand the incidence and risk of missed injury, patterns of associated intra-abdominal injury were examined in all patients with blunt liver and spleen injuries, and missed injuries were reviewed in patients undergoing NOM...
- A case of isolated posterior capsule rupture and traumatic cataract caused by blunt ocular traumaS I Lee
Department of Ophthalmology, Dongkang Hospital, Ulsan, Korea
Korean J Ophthalmol 15:140-4. 2001..The break seems to function as a capsulotomy which provides a clear visual axis. We report this case with a review of the literatures...
- CT diagnosis of traumatic bronchial rupture in childrenMonica Epelman
Department of Radiology, Rambam Medical Center, The Rappaport Faculty of Medicine, Technion Isreal Institute of Technology, Haifa, Israel
Pediatr Radiol 32:888-91. 2002..The radiographic findings of bronchial rupture have been reported in very few series. We report the findings in two children with bronchial rupture diagnosed by CT, in whom CT resulted in a significant change in patient management...
- Distracting injuries in patients with vertebral injuriesCindy H Chang
Division of Emergency Medicine, University of California, Davis School of Medicine, Sacramento, CA 95817, USA
J Emerg Med 28:147-52. 2005..Other types of distracting injuries did not contribute to the sensitivity of the clinical screening criteria in the detection of patients with vertebral injuries...
- Blunt splenic injury: usefulness of transcatheter arterial embolization in patients with a transient response to fluid resuscitationAkiyoshi Hagiwara
Department of Traumatology and Critical Care Medicine, Kyorin University School of Medicine, 6 20 2 Shinkawa Mitaka shi, Tokyo 181 8611, Japan
Radiology 235:57-64. 2005..To evaluate the use of transcatheter arterial embolization (TAE) in hemodynamically unstable patients with blunt splenic injury in whom there is a transient response to initial fluid resuscitation...
- Eleven years of liver trauma: the Scottish experienceJohn M Scollay
Department of Clinical and Surgical Sciences Surgery, The University of Edinburgh, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, Scotland, EH16 4SA, United Kingdom
World J Surg 29:744-9. 2005..Associated injuries were common. Outcome was worse in patients with advanced age, blunt trauma, multiple injuries and those requiring an immediate laparotomy...
- Cost effectiveness of recombinant activated factor VII for the control of bleeding in patients with severe blunt trauma injuries in the United KingdomS Morris
Health Economics Research Group, Brunel University, Uxbridge, Middlesex UB8 3PH, UK
Anaesthesia 62:43-52. 2007..Preliminary results suggest that relative to placebo, recombinant activated factor VII may be a cost-effective therapy to the UK National Health Service...
- Blunt trauma and the role of routine pelvic radiographsT M Duane
Department of Surgery, Eastern Virginia Medical School, Norfolk 23507, USA
Am Surg 67:849-52; discussion 852-3. 2001..Because removal of these films would minimize cost we recommend the elimination of routine pelvic films for the awake and alert blunt trauma patient...
- Interventional techniques are useful adjuncts in nonoperative management of hepatic injuriesE H Carrillo
Department of Surgery, University of Louisville School of Medicine, Kentucky 40292, USA
J Trauma 46:619-22; discussion 622-4. 1999....
- Pre-hospital fluid therapy in the critically injured patient--a clinical updateEldar Søreide
Division of Acute Care Medicine, Stavanger University Hospital, Stavanger, Norway
Injury 36:1001-10. 2005..This review is intended to help the clinician to balance the pros and cons of fluid therapy in the individual patient...
- The literature increasingly supports expectant (conservative) management of renal trauma--a systematic reviewRichard A Santucci
Urology, Detroit Receiving Hospital, Wayne State University School of Medicine, Michigan, USA
J Trauma 59:493-503. 2005..Conservative management has many benefits, the greatest of which is decreasing the rate of iatrogenic nephrectomy. We have reviewed the world's literature to determine the level of support for expectant management of renal injury...
- Traumatic subconjunctival crystalline lens dislocationNazife Sefi Yurdakul
Izmir Ataturk Education and Research Hospital, Department of Ophthalmology, Izmir, Turkey
J Cataract Refract Surg 29:2407-10. 2003..To evaluate the clinical features and visual outcomes in patients with traumatic subconjunctival crystalline lens dislocation...
- The Canadian C-spine rule for radiography in alert and stable trauma patientsI G Stiell
Clinical Epidemiology Unit, F6, Ottawa Health Research Institute, 1053 Carling Ave, Ottawa, Ontario, Canada K1Y 4E9
JAMA 286:1841-8. 2001..High levels of variation and inefficiency exist in current clinical practice regarding use of cervical spine (C-spine) radiography in alert and stable trauma patients...
- Pericardial tamponade with a positive abdominal FAST scan in blunt chest traumaJulian Speight
Department of General Surgery, Whangarei Area Hospital, Whangarei, New Zealand
J Trauma 61:743-5; discussion 745. 2006
- Endovascular management of vascular traumaBenjamin W Starnes
Madigan Army Medical Center, Tacoma, WA 98431, USA
Perspect Vasc Surg Endovasc Ther 18:114-29. 2006..This chapter reviews current literature with regard to the endovascular management of traumatic vascular injuries with regions being broadly defined as neck, trunk, and extremity...
- Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomesDemetrios Demetriades
Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, USA
J Am Coll Surg 195:1-10. 2002..Pelvic fractures are often associated with major intraabdominal injuries or severe bleeding from the fracture site...
- Right diaphragm rupture with extended traumatic dissection of the descending aortaCharalambos Zisis
Department of Cardiothoracic Surgery, Evangelismos Hospital, Athens, Greece
Ann Thorac Surg 82:e1-2. 2006..The diagnostic assessment must have a high index of suspicion, whereas the surgical manipulation needs to be fast and targeted to the major thoracic injuries of the patient...
- Commentary on "Torso vascular trauma at an urban level I trauma center"William D Jordan
Section of Vascular Surgery, University of Alabama at Birmingham, Birmingham, AL 35294 1210, USA
Perspect Vasc Surg Endovasc Ther 18:113. 2006
- Blunt and penetrating traumatic ruptures of the diaphragmH Esme
Department of Thoracic Surgery, Faculty of Medicine, Afyon Kocatepe University, Pembe Hastane, 03200 Afyon, Turkey
Thorac Cardiovasc Surg 54:324-7. 2006..The purpose of this study was to review our experience with the management of TDR in order to identify the factors contributing to diagnostic delay and associated morbidity and mortality...
- Torso vascular trauma at an urban level I trauma centerThomas J Goaley
Department of Surgery, Emory University, Atlanta, GA 30303, USA
Perspect Vasc Surg Endovasc Ther 18:102-12. 2006..The presentation and management of injuries to the great vessels of the torso from major penetrating and blunt trauma are reviewed...
- Chest trauma associated with heart dislodgementRoberto Fumagalli
Faculty of Medicine, Università degli Studi Milano Bicocca R F, Milano, Italy
J Trauma 60:1114-6. 2006
- Diagnosis and management of bladder injury by trauma surgeonsChi Hsun Hsieh
Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Kwei Shan, Taoyuan, Taiwan
Am J Surg 184:143-7. 2002..However, bladder injuries are usually associated with other major injuries, and it is our concern here how bladder injuries have been managed as part of multiple trauma...
- Hepatic artery transection after blunt trauma: case presentation and review of the literatureMaurizio A Miglietta
New York University School of Medicine, Department of Surgery, Bellvue Hospital Center, New York, NY 10016, USA
J Pediatr Surg 41:1604-6. 2006..This case represents the first reported hepatic artery transection and the second hepatic artery injury described in children. Hepatic artery injuries are associated with high mortality, and their management is complex and controversial...
- Intracavitary Hemostatic Agent for Non-compressible HemorrhageMartin Bluth; Fiscal Year: 2007..This therapeutic approach will reduce killed in action (KIA) rate, increased life saving capability for the medic, and reduce need for surgery and transfusion. [unreadable] [unreadable] [unreadable]..
- TESTING A DECISION AID FOR THE MANAGEMENT OF INJURIESJohn Clarke; Fiscal Year: 1993....
- Clinical Decision Rule to Identify Children with Intra-Abdominal InjuriesJames Holmes; Fiscal Year: 2008..unreadable]..
- Hypertonic Modulation of Inflammation following InjuryEileen M Bulger; Fiscal Year: 2010..The results of these studies will provide valuable information to determine the ultimate therapeutic use of the resuscitation strategy. ..
- The Effect of Hypertonic Resuscitation for Blunt TraumaEileen Bulger; Fiscal Year: 2005..abstract_text> ..
- Gut Ischemia/Reperfusion Injury: Modulation by NutrientsRosemary Kozar; Fiscal Year: 2006..The sponsors are an integral part of this arrangement and are especially suited to ensure success of the proposed project...
- MR Imaging of Non-Alcoholic Fatty Liver DiseaseClaude B Sirlin; Fiscal Year: 2010..Developing a safe and accurate method to diagnose and follow this disease may lead to earlier diagnosis and more effective treatment. ..
- Are Volume Standards Accurate Measures of Quality?Laurent Glance; Fiscal Year: 2005..abstract_text> ..
- OPTIMAL PREHOSPITAL CARE OF CHILDHOOD CARDIAC ARRESTIan Stiell; Fiscal Year: 2004..The PIs propose to conduct a large feasibility review in five urban areas and to conduct four study planning workshops. ..
- Transducible Molecular Probes for Imaging TumorsClaude Sirlin; Fiscal Year: 2004..abstract_text> ..
- Gene Gun Technology, Opioids, and Corneal DiseasesIAN ZAGON; Fiscal Year: 2003..Ultimately, such data can be employed to design molecular strategies to remedy visual dysfunction. ..
- Extended work schedules and health outcomes in the USGerald McGwin; Fiscal Year: 2002..Analyses will be adjusted for a number of possible confounders and effect modifier obtained from MEPS and NHIS including socio-demographic factors, family descriptors and lifestyle factors. ..
- TRAUMA-RELATED ERYTHROPOIETIC SUPPRESSIONDavid Livingston; Fiscal Year: 2003..Understanding the mechanisms behind post-trauma anemia will allow therapeutic interventions improving endogenous erythropoiesis to be targeted. ..
- CERVICAL SPINE INJURIES IN FRONT, REAR AND SIDE IMPACTSManohar Panjabi; Fiscal Year: 2004....
- ProTECT II: Progesterone for TBI, MCCT Planning GrantDavid Wright; Fiscal Year: 2007..unreadable] [unreadable] [unreadable]..
- Age-Dependent Ketone Metabolism After Brain InjuryMayumi Prins; Fiscal Year: 2007..abstract_text> ..
- Effect of lipid modification on peripheral arterial disease (PAD)Christie Ballantyne; Fiscal Year: 2007..Finally, these studies will advance our understanding of the molecular mechanisms of inflammation and thrombosis associated with aggressive lipid modification. ..
- Evaluating Hospital Outcomes for Injured PatientsDavid Clark; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Homocysteine/Hypertension & Vascular Lesion FormationPeter Lin; Fiscal Year: 2008..abstract_text> ..
- Functional effects of B cells activated by spinal cord injury in miceDANIEL ANKENY; Fiscal Year: 2008..If so, then manipulating (specifically, inhibiting) B cell function may be useful as an acute and chronic therapy for these patients. [unreadable] [unreadable] [unreadable] [unreadable]..
- Alcohol, firearms, and adolescent gunshot injury riskDOUGLAS WIEBE; Fiscal Year: 2008..This study will help to identify how adolescents are restricted in time and space by their daily activities, thereby identifying particular locations and times of enhanced, and reduced, assaultive injury risk. ..
- Telerobotic Minimally Invasive ASD RepairJeremy Cannon; Fiscal Year: 2002..The initial experiments will be done with an open chest model and subsequently a port access procedure will be developed. ..
- Improving Trauma Outcomes:A Patient Centered ApproachEllen Mackenzie; Fiscal Year: 2008..unreadable]..
- EYE GROWTH DURING INFANCYScott Lambert; Fiscal Year: 2001..In addition, by understanding the mechanisms retarding ocular growth, it may be possible to modulate the excessive ocular growth which occurs in certain pathological conditions such as retinopathy of prematurity. ..
- GENE THERAPY OF DIABETIC PENILE ENDOTHELIAL DYSFUNCTIONHunter Wessells; Fiscal Year: 2004..Such a strategy may ultimately be beneficial to men with ED due to diabetes as well as smoking, hypercholesterolemia, and aging. ..
- Surfactant protein variants in pediatric lung injuryNeal Thomas; Fiscal Year: 2006..unreadable] [unreadable]..
- OUTCOMES FOLLOWING LIMB RECONSTRUCTION VS AMPUTATIONEllen Mackenzie; Fiscal Year: 2003..In addition, they propose to extend analysis of the 2-year data to address several important clinical and methodological issues. ..
- Neural Substrates of Cognitive Recovery after TBIRamona Hicks; Fiscal Year: 2005..This information will contribute to our understanding of neural substrates associated with brain repair, and ultimately, to interventions that will enhance functional recovery. ..
- Transducer for indirect blood pressure& O2 saturationLeslie Geddes; Fiscal Year: 2005..The neonatologist, the premature infant physician and the small-infant pediatrician have no single instrument that provides all of these vital signs. ..
- 'Costs & Effectiveness of Trauma Care in the Elderly'Ellen Mackenzie; Fiscal Year: 2004....
- Placental Vascular Compromise and Preterm DeliveryJohn Thorp; Fiscal Year: 2005....
- Manufacturing Process for Albumin-ICG Solder & Denatured Albumin ScaffoldYasmin Wadia; Fiscal Year: 2006..3) Blood conservation by reducing transfusion requirements. 4) Can be used laparoscopically for elective surgeries on liver and kidney. [unreadable] [unreadable]..
- Neurorehabilitation with Progesterone & PregnenoloneDavid Wright; Fiscal Year: 2005..Therefore, we will examine two delayed treatment paradigms (7 days & 28 days post injury) on the recovery process at the behavioral and morphological levels of analysis. ..
- Polysomal RNA Antitumor ImmunityJohn Chi; Fiscal Year: 2005..Results from these experiments will help characterize the potential use of dendritic cells transfected with polysomal RNA in creating antigen specific tumor vaccines for brain tumors. ..
- Immortalized Human Cavernosal Endothelial CellsHunter Wessells; Fiscal Year: 2005..abstract_text> ..
- Neural Melanocortin Signaling and Erectile FunctionHunter Wessells; Fiscal Year: 2005..The findings may allow us to develop receptor-specific therapeutic strategies, which may ultimately be beneficial to men and women with sexual dysfunction. ..
- Evaluation of an Abusive Head Trauma Prevention ProgramWendy Lane; Fiscal Year: 2004..In addition rates of risk factors including poverty, teenage pregnancy, late prenatal care, low birth weight, and single parenthood among cases and controls will be compared. ..
- Sphingosine 1-phosphate and PMN Ca2+ entry in traumaCarl Hauser; Fiscal Year: 2009..Determine the side effects and complications of SOCE inhibition after shock. 3. Determine the effects of injury on intracellular S1P/SOCE signaling 4. Determine the mechanisms by which circulating S1P activates PMN after trauma. ..
- Axon Plasticity and Recovery of Function after Traumatic Brain InjuryNeil Harris; Fiscal Year: 2010....
- Predictors of Skin Cancer in Commercial Airline PilotsJoyce Nicholas; Fiscal Year: 2005..abstract_text> ..