Injury
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Review Meta Analysis
Risk factors that predict mortality in patients with blunt chest wall trauma: a systematic review and meta-analysis.
The risk factors for mortality following blunt chest wall trauma have neither been well established or summarised. ⋯ The risk factors for mortality in patients sustaining blunt chest wall trauma were a patient age of 65 years or more, three or more rib fractures and the presence of pre-existing disease especially cardiopulmonary disease. The development of pneumonia post injury was also a significant risk factor for mortality. As a result of the variable quality in the studies, the results of the selected studies should be interpreted with caution.
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Multicenter Study
Epidemiology of electrical injury: findings from a community based national survey in Bangladesh.
The objective of this study is to explore the magnitude and pattern of electrical injury in Bangladesh. ⋯ Electrical injury is an emerging cause of mortality and morbidity in both urban and rural areas of Bangladesh. Males and rural people were the more vulnerable group for electrical injury compared to women and the urban population. The home is the most common place for injury occurrence.
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Review Case Reports
Penetrating liver injury managed with a combination of balloon tamponade and venous stenting. A case report and literature review.
AAST-OIS grade V complex hepatic injuries are often fatal as a result of exsanguination. We report a patient presenting in extremis with a penetrating injury to the right kidney, liver, middle hepatic vein, diaphragm, and lung. A combination of intrahepatic balloon tamponade and hepatic venous stenting was used to control exsanguinating haemorrhage, the first time this combination has been reported. Rapid assessment and treatment and a team approach, together with the innovative application of haemostatic techniques, allowed a multidisciplinary team to salvage this patient.