European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Traumatic aortic transection is an uncommon but often fatal injury. It is typically a high energy injury and may occur in the multiply injured patient. ⋯ There is evidence that airbags and seat belts protect against these injuries. We present the case of a patient who survived.
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Case Reports
Lisfranc fracture--dislocation: an easily overlooked injury in the emergency department.
Lisfranc fracture-dislocations are rare, and their correct diagnosis is important. Misdiagnosis is common and can lead to chronic disability. Two cases of Lisfranc fracture-dislocations are presented and emphasis is made on the diagnosis in the Emergency Department.
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An intermediate ventilation/perfusion (V/Q) lung scan lacks diagnostic utility in excluding acute pulmonary embolism (PE). ⋯ The possibility of an intermediate V/Q lung scan is higher in elderly patients and in patients with previous cardiopulmonary disease (especially with chronic obstructive pulmonary disease). Emphysema is the only chest radiograph abnormality associated with a greater possibility of an intermediate V/Q lung scan.