Presentation
Presentation Chest trauma can lead to several serious injuries. Chest trauma patients usually present with chest pain and shortness of breath, but can also present in shock (altered mental status) or in traumatic arrest. [cdemcurriculum.com]
Age and Sex edits from the Medicare Code Editor alert you to codes that are used only with patients of a specific age or sex, helping to ensure accurate reporting Present on Admission symbol highlights the diseases that will always be coded as present [books.google.com]
Traumatic intracerebral hematoma was observed in the left frontal lobe, and severe traumatic subarachnoid hemorrhage was present throughout the brain. Cerebral contusion and hematoma without any organization were noted around the penetration. [ncbi.nlm.nih.gov]
Herein, we present a penetrating parietal lobe injury due to stab wound. [austinpublishinggroup.com]
Entire Body System
- Inflammation
He went on to an uneventful postoperative course with no residual nerve weakness, swelling or inflammation in the area. [oralhealthgroup.com]
• Exudative, serous, or secondary retinal detachment – An exudative retinal detachment occurs due to inflammation, injury or vascular abnormalities that results in fluid accumulating underneath the retina without the presence of a hole, tear, or break [slideshare.net]
If the area of injury is not very large, the products of inflammation, small blood clots, and other debris from the wound can be absorbed into the blood stream and disposed of. [medical-dictionary.thefreedictionary.com]
People with penetrating abdominal trauma may have signs of hypovolemic shock (insufficient blood in the circulatory system ) and peritonitis (an inflammation of the peritoneum, the membrane that lines the abdominal cavity ). [2] Penetration may abolish [en.wikipedia.org]
Many of these patients will have some superficial tenderness around the wound site, but no signs of peritoneal inflammation. [trauma.org]
- Severe Pain
Rib injuries can be frightening as the casualty may feel unable to breath due to the severe pain. [firstaidforfree.com]
- Internal Bleeding
They may also result in a severely damaged organ and internal bleeding. With treatment, such as surgery, your pancreas may heal over time, and serious problems may be prevented. [drugs.com]
Respiratoric
- Tachypnea
On exam tachypnea, tachycardia, hypoxia is common. In severe cases ecchymosis can be evident over chest wall and decreased breath sounds on auscultation. [cdemcurriculum.com]
Cardiovascular
- Hypotension
A case of a penetrating wound of the aortic arch was admitted 30 minutes after injury with orthopnoea, mild hypotension and distension of the cervical and brachial veins. Radiography showed mediastinal widening. [ncbi.nlm.nih.gov]
Subsequently she complained of dyspnea and became hypotensive. She was intubated prior to transport for her deteriorating mental status. [canadiem.org]
Damage control resuscitation principles include early implementation of massive transfusion protocols with fixed blood product ratios, avoidance of large-volume crystalloid administration, and appropriate use of permissive hypotension. [emedicine.medscape.com]
On exam Beck’s triad (hypotension JVD and distant heart sounds) is sometimes present. More frequently patients present hypotensive in shock, with pulsus parodoxus and narrowing of pulse pressure. [cdemcurriculum.com]
For a given blood vessel, decreased blood pressure can be the result of systemic hypotension due to hemorrhage, local hypotension due to hemorrhage proximal to the point of blood pressure cuff placement or intimal injury with partial thrombosis of the [hsj.gr]
- Hypertension
Anterior Chamber Brain and Optical Pathway Choroid Congenital Syndromes, Malformations and Abnomalities Conjunctiva Cornea Glaucomas, Ocular Hypertension Hypertensive Retinopathy Iris and Ciliary Body Lacrimal System Lens Lids Neuro-Ophthalmology Optic [atlasophthalmology.net]
Re: Decompressive craniectomy: surgical control of intracranial hypertension may improve outcome. Injury 41: 889-900. [omicsonline.org]
However, avoid hypertension which may exacerbate blood loss - aim for a systolic BP of 100-110 mm Hg. [patient.info]
Musculoskeletal
- Fracture
Handgun wounds of the extremities yield characteristic fracture patterns. Frequently seen, gunshot fractures include divot fractures of cortical bone, drill-hole fractures, butterfly fractures and double butterfly fractures. [hsj.gr]
Signs and symptoms of fractured ribs history of trauma to the chest pain at the site, especially when breathing in rapid shallow breathing ‘guarding’ of the injury First aid for fractured ribs check for any open injuries to the chest place the arm on [firstaidforfree.com]
Fractures of the extremities after penetrating injury were almost exclusively found after GSW (n = 13). One metacarpal fracture was found in a patient with SW. [sjtrem.biomedcentral.com]
Disposition Apart from patients with very superficial lacerations, superficial contusions and solitary rib fractures, most patients warrant admission for observation under Trauma services. Treatment depends on the nature of injury. [cdemcurriculum.com]
Head injury (for example, a penetrating wound or skull fracture) with loss of consciousness or amnesia for more than 24 hours. [diki.pl]
- Back Pain
In patients who are awake and lucid, chest trauma can present with chest pain to dyspnea to back or abdominal pain and occasionally syncope. [cdemcurriculum.com]
Neurologic
- Seizure
Late-onset seizures, occurring up to 15 years following the injury, can present as focal seizures or focal seizures with secondary generalization in as many as 50% of patients. [omicsonline.org]
[…] head trauma is fatal about 90 percent of the time, with many victims dying before arriving at the hospital For victims who survive the initial trauma, about 50 percent die in the emergency room About 50 percent of surviving patients will suffer from seizures [aans.org]
[…] venous sinus Wound involving face or orbit Wound involves temporal region (middle meningeal artery region) Subarachnoid Hemorrhage Delayed Subdural Hematoma formation Monitoring Intracranial Pressure Management Prophylactic broad spectrum antibiotics Seizure [fpnotebook.com]
- Convulsions
Early seizures following TBI can be prevented with anti-convulsant therapy that is typically instituted during the first week following pTBI, though there is no evidence that early anti-convulsant therapy reduces the incidence of late post-traumatic seizures [omicsonline.org]
Workup
[…] exploration: Diagnostic aid to determine the track of penetration through the tissue layers Laparoscopy: To evaluate and treat intra-abdominal injuries, including stab wounds to the anterior abdomen or those with uncertain peritoneal penetration See Workup [emedicine.medscape.com]
X-Ray
- Atelectasis
The treatment goal is to re-expand the lung with CPAP (positive pressure) or physiotherapy, and to avoid atelectasis. For patients with less severe injuries pain control and incentive spirometry can be attempted. [cdemcurriculum.com]
Treatment
Pathophysiology of heart wounds and their surgical treatment are discussed. [ncbi.nlm.nih.gov]
additional investigations or surgical treatment. [sjtrem.biomedcentral.com]
Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. [drugs.com]
Prognosis
Puncture Wound Prognosis Most puncture wounds heal well on their own. Patients will be given thorough instructions emphasizing wound care and cleansing and monitoring for infection. [emedicinehealth.com]
Firearm wounds still justify routine laparotomy due to both multiplicity of visceral injuries and bad prognosis. Identifiers Authors User assignment Assign yourself or invite other person as author. It allow to create list of users contirbution. [infona.pl]
While there is sufficient data to support ICP monitoring for prognosis in severe closed head injury, the only evidence of its use in pTBI comes from military settings. [omicsonline.org]
Understanding the trajectory of the bullet path is important in determining prognosis. The brain is divided into two hemispheres made up of four lobes each, with each lobe providing different functions. [aans.org]
[…] arrive at a hospital. [11] Injuries from firearms are the leading cause of TBI-related deaths. [11] Penetrating head trauma can cause cerebral contusions and lacerations, intracranial hematomas, pseudoaneurysms, and arteriovenous fistulas. [11] The prognosis [en.wikipedia.org]
Etiology
Glass, knife, wood, metal splinters and bullet injuries are the some examples in the etiology of these injuries [1-4]. [austinpublishinggroup.com]
Most individuals sustaining eye injuries are male with an estimated relative risk of 5.5 times greater than women. [1] Etiology Penetrating or perforating ocular injuries can be due to injury from any sharp or high velocity object. [eyewiki.aao.org]
Etiology Gunshot wounds, considered high-velocity projectiles, are the most common cause (64%) of penetrating abdominal trauma, followed by stab wounds (31%) and shotgun wounds (5%). Penetrating abdominal trauma may result from urban violence. [emedicine.medscape.com]
Epidemiology
The epidemiology of serious eye injuries from the United States Eye Injury Registry. [eyewiki.aao.org]
Effect of Implementing Safety‐Engineered Devices on Percutaneous Injury Epidemiology. Infection Control and Hospital Epidemiology, 25 (7), 536–542. doi: 10.1086/502436 Tuma, S., & Sepkowitz, K. A. (2006). [worksafe.qld.gov.au]
Authors — Ecker, R. et.al eMedicine, Traumatic Brain Injury (TBI) - Definition, Epidemiology, Pathophysiology, 2009, and Penetrating Head Trauma, 2009. [aans.org]
Epidemiology • Ocular trauma is the cause of blindness in about half a million people worldwide. • Trauma is the most important cause of unilateral loss of vision, particularly in developing countries. 4. • 90% are preventable • >50% of the total injuries [slideshare.net]
Interpretation of fatal gunshot wounds in post-mortem is fraught and requires expert attention. [ 3 ] Epidemiology Deaths from firearms reflect their availability in various countries. [patient.info]
Pathophysiology
Pathophysiology of heart wounds and their surgical treatment are discussed. [ncbi.nlm.nih.gov]
Authors — Ecker, R. et.al eMedicine, Traumatic Brain Injury (TBI) - Definition, Epidemiology, Pathophysiology, 2009, and Penetrating Head Trauma, 2009. [aans.org]
The exact pathophysiology of secondary tissue injury associated with pTBI is poorly understood and differs from that of closed-head injuries. [omicsonline.org]
The pathophysiology intraperitoneal and extraperitoneal bladder rupture is a model of blunt and penetrating trauma in general. [hsj.gr]
Pathophysiology Stab Wounds (or other hand initiated projectiles) Lacerate local tissues along the weapon path Stab Wounds enter skin perpendicularly and are deeper than long By contrast, Laceration s are typically from blunt forces that strike parallel [fpnotebook.com]
Prevention
Appropriate and adequate eye protection when performing visually threatening activities is the most effective method to prevent ocular trauma. [eyewiki.aao.org]
According to the Centers for Disease Control and Prevention, trauma wounds and injuries are the number one killer of Americans aged 1 to 44. [woundcarecenters.org]
Antibiotic medicine may be given before and after the surgery to prevent an infection. Caregivers may do surgery to clean and look for problems, such as bleeding, inside your abdomen. [drugs.com]
Studies, to date, do not support more than 24 hours of antimicrobial coverage for prevention of infection associated with a hollow viscous injury. [east.org]