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Multiple Injuries

Multiple Injury


Presentation

  • At present, liver trauma cannot be separated from multiple injuries; morbidity and mortality depend more on the affiliated trauma than on specific liver injury.[ncbi.nlm.nih.gov]
  • RESULTS: Out of the 1,871 injured patients, 810 (43.3%) presented with a single injury.[ncbi.nlm.nih.gov]
  • The present data indicate an almost synchronical rapid activation and dysfunction of complement, suggesting a trauma-induced complementopathy early after injury.[ncbi.nlm.nih.gov]
  • A case is presented that demonstrates the value of a full-body digital radiography system in diagnosing pathology in pediatric multiple trauma patients.[ncbi.nlm.nih.gov]
  • A 3-year-old girl is presented who sustained injuries including traumatic teeth extraction, multiple bruises, femoral shaft fracture and haemorrhage resulting in severe anaemia as a result of physical assault by her father.[ncbi.nlm.nih.gov]
Hypothermia
  • The management of hypothermia, acidosis, blood products, and adjuvant therapy showed regional as well as institutional variability, and surprisingly few massive transfusion protocols specifically address these issues.[ncbi.nlm.nih.gov]
Wound Infection
  • Postoperative complications occurred in 16 cases (21 cases/times): pancreatic fistula (5 cases/times) and incisional wound infection (5 cases/times), intra-abdominal infection (3 cases/times), stress ulcer (3 cases/times), pleural effusion (3 cases/times[ncbi.nlm.nih.gov]
Hypoxemia
  • The key interventions during the ICU treatment of SMI include: adequate analgesia and appropriate sedation; timely management of hypoxemia; reasonable fluid resuscitation and CRRT.[ncbi.nlm.nih.gov]
Respiratory Insufficiency
  • Two patients are alive at 5 and 12 months with sustained endovascular exclusion of the pseudoaneurysm, but one patient with severe brain damage died 9 months after treatment from respiratory insufficiency.[ncbi.nlm.nih.gov]
Coxa Vara
  • Growth arrest of the left distal tibial growth plate and osteonecrosis of the femoral head and neck, slipped capital femoris epiphysis (SCFE), and coxa vara of the right femur led to balanced leg length inequality 2 years after the injury.[ncbi.nlm.nih.gov]
Self-Inflicted Wound
  • Although multiple self-inflicted wounds are most often caused by sharp objects such as knives, on occasion multiple gunshot wounds and rarely, blunt trauma may also be encountered.[ncbi.nlm.nih.gov]

Workup

  • The definitive management plan based on a completed diagnostic workup was devised after 47 minutes (IQR, 37-59) in group I and after 82 minutes (IQR, 66-110) in group II.[ncbi.nlm.nih.gov]
  • The time required for resuscitation (period A), diagnostic workup (period B) and total stay in the emergency room (period C) was used as a marker of trauma team performance. Data are described as median and interquartile range.[ncbi.nlm.nih.gov]
  • A complete revision of the first edition, this book presents the most current concepts of chiropractic diagnostic workup, injury mechanisms, patient management, and prognosis of cervical and soft tissue injuries caused by automobile crashes.[books.google.com]

Treatment

  • This study reviewed randomized and nonrandomized studies that (1) compared early and delayed treatment or early treatment and DCO and (2) reported the incidence of ARDS, mortality rate, or LOS.[ncbi.nlm.nih.gov]
  • Fourteen patients (3.7%) had injuries that did not require further treatment. Twenty-five patients (6.7%) had injuries that required further treatment.[ncbi.nlm.nih.gov]
  • PURPOSE: To report an experience with emergency endovascular treatment of traumatic thoracic aortic ruptures in multi-injured patients.[ncbi.nlm.nih.gov]
  • Thus, it can be concluded that organization and timing of trauma treatment steps help in improving the quality of trauma treatment process.[ncbi.nlm.nih.gov]
  • In 42 cases, one case died of severe hemorrhagic shock, and the remaining 41 cases (97.6%) were cured (including 40 cases receiving surgical operation and one case receiving the conservative treatment).[ncbi.nlm.nih.gov]

Prognosis

  • Abstract PURPOSE: The purpose of this study is to study the use of soluble urokinase plasminogen activator receptor (suPAR) for the prognosis of multiple organ dysfunction (MOF) after multiple traumas.[ncbi.nlm.nih.gov]
  • CONCLUSIONS: Multiple injuries do not affect the neurological or rehabilitative prognosis of spinal cord injuries.[ncbi.nlm.nih.gov]
  • A complete revision of the first edition, this book presents the most current concepts of chiropractic diagnostic workup, injury mechanisms, patient management, and prognosis of cervical and soft tissue injuries caused by automobile crashes.[books.google.com]

Etiology

  • Inflammatory pseudotumor is a rare disease, that is regarded as a benign reactive inflammatory process, although its etiology and pathogenesis are still unknown.[iris.univr.it]

Epidemiology

Sex distribution
Age distribution

Prevention

  • Strict cardiac monitoring following multiple trauma will prevent serious or even fatal outcome of cardiac injury.[ncbi.nlm.nih.gov]
  • The principle therapy of multiple injuries with pancreatic injury is to rescue life, followed by active treatment to prevent injuries which giving rise to the abnormal respiratory and circulatory functions, management of cerebral hernia and other injuries[ncbi.nlm.nih.gov]
  • BACKGROUND: Bleeding is one of the leading causes of preventable death after traumatic injury. Trauma-associated coagulopathy complicates the control of bleeding. The published approaches on the management of this coagulopathy differ significantly.[ncbi.nlm.nih.gov]
  • The mechanisms of action might involve direct immunomodulatory effect, prevention of bacterial translocation, or most likely a combination of both.[ncbi.nlm.nih.gov]
  • CONCLUSIONS: The pre-hospital use of TxA should be considered for severely injured patients to prevent the worsening of trauma-induced coagulopathy and unnecessarily high fibrinogen consumption.[ncbi.nlm.nih.gov]

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