Injury
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In the aftermath of the devastating Haitian earthquake, we became the primary relief service for a large group of severely injured earthquake victims. Finding ourselves virtually isolated with extremely limited facilities and a group of critically injured patients whose needs vastly outstripped the available resources we employed a disaster triage system to organize their clinical care. This report describes the specific injury profile of this group of patients, their clinical course, and the management philosophy that we employed. It provides useful lessons for similar situations in the future.
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Comparative Study
Mental disorder as a risk factor for dog bites and post-bite cellulitis.
Patients with mental disorders are at an increased risk for sustaining traumatic injury. No study has evaluated the association between mental disorders and the injury of dog bite. We conducted case-control studies to investigate whether people with mental disorders are at elevated risks of dog bite and post-bite cellulitis. ⋯ Individuals with mental disorders are likely at an elevated risk for serious dog bites and post-bite cellulitis.
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Posteromedial ankle dislocation without malleolar fracture is a rare injury. Six patients who suffered from this injury were reviewed. ⋯ Those patients without chondral lesion have a good long-term prognosis if prompt reduction is performed. Associated chondral lesion is a significant contributing factor to late development of ankle osteoarthrosis.