Presentation
We present the case of a mixed martial arts (MMA) cage fighter who presented to the emergency department with a right sided common carotid artery pseudoaneurysm as a result of a neck trauma at an MMA event. [ncbi.nlm.nih.gov]
This pocket manual is an indispensable resource for everyone on the trauma/acute care team, with practical, easy-to-read coverage of the wide range of patients seen daily with urgent presentation – whether from injury, emergency general surgical disease [knygos.lt]
Entire Body System
- Pain
Precise diagnosis of central pain from other types of pain is clinically important because the management of central pain is quite different from those for other types of pain. [ncbi.nlm.nih.gov]
2 No response No response 1 Motor response† Moves spontaneously and purposefully Obeys commands 6 Withdraws to touch Localizes painful stimulus 5 Withdraws in response to pain Withdraws in response to pain 4 Responds to pain with decorticate posturing [merckmanuals.com]
- Weakness
The study also revealed weaknesses in the OSICS-8 that needed to be addressed. A recent major revision resulted in the development of the new 4-character OSICS-10. [ncbi.nlm.nih.gov]
Transient weakness and hyperactive reflexes may occur because of damage to the corticospinal tracts, or paraplegia may occur because of damage… Read More In spinal cord injury: Causes and levels of spinal cord injury …spinal cord injury is acute trauma [britannica.com]
Nice 4k btw bad: - weak drums (was that supposed to be a bassdrum?) [pouet.net]
- Crying
I cannot breathe, I feel like I am suffocating and just start to cry loudly. If I don’t, it feels like I can’t speak.” [hrw.org]
“You might have overwhelming negative emotions or not be able to stop crying. On the other hand, you might feel numb and unable to experience pleasure or pain,” she says. After trauma has sunk in, you might even feel guilty or ashamed. [webmd.com]
Let your child know it is normal to experience anger, guilt and sadness, and to express things in different ways—for example, a person may feel sad but not cry. Listen well. [childmind.org]
By concentrating on what’s happening in your body, you can release pent-up trauma-related energy through shaking, crying, and other forms of physical release. [helpguide.org]
- Ecchymosis
A urinary catheter is usually placed in seriously injured and obtunded patients provided there is no evidence of urethral injury (eg, blood at the meatus, ecchymosis of the perineum). [merckmanuals.com]
- Surgical Procedure
Percutaneous endoscopic gastrostomy (PEG) is widely used to provide nutritional support for patients with dysphagia and/or disturbed consciousness preventing oral ingestion, and PEG tube placement is a relatively safe and convenient non-surgical procedure [ncbi.nlm.nih.gov]
Gastrointestinal
- Nausea
[…] intense fear that the traumatic event will recur, particularly around anniversaries of the event (or when going back to the scene of the original event) withdrawal and isolation from day-to-day activities physical symptoms of stress, such as headaches and nausea [healthline.com]
Key Symptoms Fractures Contusions Open wound Vomiting or nausea Dizziness Edema Increased heart rate Low blood pressure Fever Disorientation or confusion Loss of consciousness Feeling of coldness as temperature drops Increased metabolism One of the biggest [docdoc.com.sg]
Emotional signs include: sadness anger denial fear shame These may lead to: nightmares insomnia difficulty with relationships emotional outbursts Common physical symptoms: nausea dizziness altered sleep patterns changes in appetite headaches gastrointestinal [integratedlistening.com]
Following trauma, you might also have: Flashbacks where you remember the traumatic event Trouble relating to or connecting with loved ones, friends, and co-workers Physical symptoms like headaches, chest pain, or nausea Strong emotions, including feelings [webmd.com]
Physical reactions to trauma Traumatic experiences can result in physical reactions including: fatigue or exhaustion disturbed sleep nausea, vomiting and dizziness headaches excessive sweating increased heart rate. [betterhealth.vic.gov.au]
- Vomiting
Key Symptoms Fractures Contusions Open wound Vomiting or nausea Dizziness Edema Increased heart rate Low blood pressure Fever Disorientation or confusion Loss of consciousness Feeling of coldness as temperature drops Increased metabolism One of the biggest [docdoc.com.sg]
Imaging is done more liberally in patients with persistent headache, vomiting, amnesia, seizures, age > 60 years, and drug or alcohol intoxication and in patients taking anticoagulant or antiplatelet drugs. [merckmanuals.com]
Children may feel terror, helplessness, or fear, as well as physiological reactions such as heart pounding, vomiting, or loss of bowel or bladder control. [nctsn.org]
Physical reactions to trauma Traumatic experiences can result in physical reactions including: fatigue or exhaustion disturbed sleep nausea, vomiting and dizziness headaches excessive sweating increased heart rate. [betterhealth.vic.gov.au]
- Diarrhea
You may even have physical symptoms like headaches, diarrhea, chronic fatigue, or gynecological problems. When you're actively serving, it can be difficult to report or talk about MST. [medicinenet.com]
Musculoskeletal
- Fracture
Sacral fracture and sacral nerve injury remain problems in orthopedics, especially in a sacral fracture combined with an anterior sacral nerve injury. [ncbi.nlm.nih.gov]
800 Fracture of vault of skull 800.0 Closed fracture of vault of skull without mention of intracranial injury 800.00 Closed fracture of vault of skull without mention of intracranial injury, unspecified state of consciousness convert 800.00 to ICD-10- [icd9data.com]
Read More joint injuries In joint disease: Traumatic joint diseases Blunt injuries to joints vary in severity from mild sprains to overt fractures and dislocations. [britannica.com]
Plain x-rays are obtained of any suspected fractures and dislocations. [merckmanuals.com]
- Contusion
800.10 Closed fracture of vault of skull with cerebral laceration and contusion, unspecified state of consciousness convert 800.10 to ICD-10-CM 800.11 Closed fracture of vault of skull with cerebral laceration and contusion, with no loss of consciousness [icd9data.com]
Fractures and burns are also traumatic injuries, as well as contusions, especially when they affect vital organs such as the heart. Cause of Condition Traumatic injuries happen for many reasons. [docdoc.com.sg]
Compression is commonly due to a blood clot inside the brain or formed outside or beneath… Read More head injury In nervous system disease: Craniocerebral trauma The concussive and shearing stresses of head injury may cause concussion, contusion of the [britannica.com]
‘Andrew was given 10 stitches, and was left with severe headaches as a result of the injury.’ wound, bruise, cut, gash, tear, rent, slash, gouge, scratch, graze, laceration, abrasion, contusion, lesion, sore View synonyms 1.1 mass noun The fact of being [lexico.com]
Patients with abnormalities on ECG usually have blood levels of cardiac markers measured and sometimes echocardiography to evaluate the patient for possible cardiac contusion. [merckmanuals.com]
Psychiatrical
- Withdrawn
Spend time with others to avoid becoming withdrawn, even if you do not feel up to it. You should seek professional help if symptoms persist and interfere with day-to-day activities, school or work performance, or personal relationships. [healthline.com]
Frequency: 5 Quality: Reference: Translated.com Maltese Bilanci mqeghda minghajr maturità fissa li jistghu jigu rtirati biss bla hsara ghal stqarrija minn qabel ta » aktar minn tliet xhur; English Balances placed without a fixed maturity that can be withdrawn [mymemory.translated.net]
If connecting to others is difficult… Many people who have experienced trauma feel disconnected, withdrawn and find it difficult to connect with other people. [helpguide.org]
They may not respond to conversation as they normally would and will often appear withdrawn or not present even when speaking. Another telltale sign of a trauma victim is anxiety. [psychguides.com]
Emotional reactions to trauma Emotional reactions to trauma can include: fear, anxiety and panic shock – difficulty believing in what has happened, feeling detached and confused feeling numb not wanting to connect with others or becoming withdrawn from [betterhealth.vic.gov.au]
Neurologic
- Irritability
Symptoms of post-traumatic stress disorder (PTSD) Someone with PTSD often relives the traumatic event through nightmares and flashbacks, and may experience feelings of isolation, irritability and guilt. [nhs.uk]
Common responses include: irritability sudden, dramatic mood changes anxiety and nervousness anger denial depression flashbacks or repeated memories of the event difficulty concentrating altered sleeping or insomnia changes in appetite intense fear that [healthline.com]
E Difficulty concentrating on and remembering other things E Having depressed or irritable mood (and getting angry easily) Having PTSD can be very difficult and can affect relationships, work, and physical health. [thiswayup.org.au]
[…] the traumatic events Low self esteem, negative talk about self (if this was not apparent prior to the trauma) Sleeping (difficulty falling or staying asleep) and eating disturbances Increased arousal (easily startling or quick to anger), agitation, irritability [nasponline.org]
Typical reactions of children ages 6 to 11: Anxiety Increased aggression, anger and irritability (like bullying or fighting with peers) Sleep and appetite disturbances Blaming themselves for the event Moodiness or crying Concerns about being taken care [childmind.org]
- Agitation
[…] re-enacting the traumatic events Low self esteem, negative talk about self (if this was not apparent prior to the trauma) Sleeping (difficulty falling or staying asleep) and eating disturbances Increased arousal (easily startling or quick to anger), agitation [nasponline.org]
Warning signs may include: being unable to handle the intense feelings or physical sensations feeling numb and empty experiencing strong distressing emotions that persist being physically tense, agitated or feeling on edge disturbed sleep or nightmares [psychology.org.au]
Tip 3: Self-regulate your nervous system No matter how agitated, anxious, or out of control you feel, it’s important to know that you can change your arousal system and calm yourself. [helpguide.org]
He was so agitated and so clearly hungover that I wondered how I could possibly help this hulking man. I asked him to take a seat, and tell me what I could do for him. His name was Tom. [amazon.com]
E Restrict stimulants (such as tea, coffee, chocolate, cola, or cigarettes) because you do not want to make your body even more agitated than it already is. E Try to eat something, even if you do not feel like eating. [thiswayup.org.au]
- Difficulty Concentrating
Common responses include: irritability sudden, dramatic mood changes anxiety and nervousness anger denial depression flashbacks or repeated memories of the event difficulty concentrating altered sleeping or insomnia changes in appetite intense fear that [healthline.com]
Decline in school performance, school avoidance, or difficulty concentrating Physical complaints with no apparent cause Maladaptive coping (drug or alcohol use, severe aggression) Repeated nightmares and reporting strong fears of death, violence, etc. [nasponline.org]
Emotional & psychological symptoms: Shock, denial, or disbelief Confusion, difficulty concentrating Anger, irritability, mood swings Anxiety and fear Guilt, shame, self-blame Withdrawing from others Feeling sad or hopeless Feeling disconnected or numb [helpguide.org]
E Problems with thinking, concentration, or remembering things (especially aspects of the traumatic event). E Preoccupation with thinking about the trauma. [thiswayup.org.au]
Common, less severe symptoms of CSR include tension, hypervigilance, sleep problems, anger, and difficulty concentrating. If left untreated, CSR can lead to PTSD. [ncbi.nlm.nih.gov]
- Dizziness
Key Symptoms Fractures Contusions Open wound Vomiting or nausea Dizziness Edema Increased heart rate Low blood pressure Fever Disorientation or confusion Loss of consciousness Feeling of coldness as temperature drops Increased metabolism One of the biggest [docdoc.com.sg]
Emotional signs include: sadness anger denial fear shame These may lead to: nightmares insomnia difficulty with relationships emotional outbursts Common physical symptoms: nausea dizziness altered sleep patterns changes in appetite headaches gastrointestinal [integratedlistening.com]
Physical reactions to trauma Traumatic experiences can result in physical reactions including: fatigue or exhaustion disturbed sleep nausea, vomiting and dizziness headaches excessive sweating increased heart rate. [betterhealth.vic.gov.au]
- Seizure
Certain medications can also be provided to release excess fluid or prevent seizures as in the case of a brain injury. When the injuries are severe, it’s common for doctors to place the patient in an induced coma. [docdoc.com.sg]
Imaging is done more liberally in patients with persistent headache, vomiting, amnesia, seizures, age > 60 years, and drug or alcohol intoxication and in patients taking anticoagulant or antiplatelet drugs. [merckmanuals.com]
Treatment
This treatment method could be an alternative treatment for pelvic fractures and sacral nerve injury. [ncbi.nlm.nih.gov]
Diagnosis & Treatment Some common approaches to trauma therapy include cognitive-behavioural therapy (CBT), psychodynamic therapy, sensorimotor therapy, eye movement and desensitization reprocessing (EMDR), and pharmacological treatment. [camh.ca]
Prognosis
Both tako-tsubo and toxic cardiomypathy have good prognosis after overcoming the acute phase. Key words: carbon monoxide - cardiogennic shock - cardiomyopathy - suicide - tako-tsubo cardiomypathy. [ncbi.nlm.nih.gov]
We'll keep you updated regarding Williamson's injury, but the early prognosis is that it doesn't appear to be serious and he should be fine once the team begins training camp later this year. [cbssports.com]
Possibly, by comparing type O to non-O blood type instead of A 1 A/A 1 B/BB to OO, the effect of ABO on prognosis was diluted. [doi.org]
Etiology
Contributions focusing on dispatch, major incidents, etiology, pathophysiology, rehabilitation, epidemiology, prevention, education, training, implementation, work environment, as well as ethical and socio-economic aspects may also be assessed for publication [sjtrem.com]
Epidemiology
Contributions focusing on dispatch, major incidents, etiology, pathophysiology, rehabilitation, epidemiology, prevention, education, training, implementation, work environment, as well as ethical and socio-economic aspects may also be assessed for publication [sjtrem.com]
Further research beyond this epidemiological study that evaluates where and how ABO antigens work (through blood, endothelial, or vWF, and the mechanisms, respectively) are warranted to assess the effects of emergency uncrossmatched type O RBC transfusion [ncbi.nlm.nih.gov]
Pathophysiology
Both types of cardiomyopathies often occure simultaneously due to similar pathophysiologic mechanisms. Both tako-tsubo and toxic cardiomypathy have good prognosis after overcoming the acute phase. [ncbi.nlm.nih.gov]
Contributions focusing on dispatch, major incidents, etiology, pathophysiology, rehabilitation, epidemiology, prevention, education, training, implementation, work environment, as well as ethical and socio-economic aspects may also be assessed for publication [sjtrem.com]
Prevention
[…] proven beneficial effects with respect to the prevention of fires or fire-related injuries. 28 The health sector, and especially the primary care sector, can play a potentially important role in the prevention of injuries to children and the prevention [doi.org]
It is a strong supporter of injury prevention, creating and producing programs in an effort to reduce the impact of morbidity and mortality on our nation. The members of the ATS are the critical players in trauma care. [amtrauma.org]
Sports injury prevention for baby boomers. American Academy of Orthopaedic Surgeons. https://orthoinfo.aaos.org/en/staying-healthy/sports-injury-prevention-for-baby-boomers. Accessed Dec. 17, 2018. Tips for a safe running program. [mayoclinic.org]
However, the prevention of PEG-insertion-related complications is important. [ncbi.nlm.nih.gov]
It is designed to help researchers and prevention practitioners to describe, measure and monitor the occurrence of injuries and to investigate their circumstances of occurrence using an internally agreed classification. [who.int]