J Trauma
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Review Case Reports
Baluster entrapment avulsion of the little finger: a new clinical entity--case reports.
Five cases of avulsion injuries of the little finger are described. The mechanism of injury was identical in all cases. The little finger was entrapped by a baluster when the patient frantically attempted to grasp the handrail to avoid falling down stairs. To our knowledge, this type of injury has not been reported previously.
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Review Case Reports
Successful roadside resuscitative thoracotomy: case report and literature review.
Patients with injuries severe enough to require cardiopulmonary resuscitation (CPR) have a dismal prognosis. Time to surgical intervention is a major determinant of outcome in moribund trauma patients who have a potential for survival. With the exception of endotracheal intubation during evacuation to surgical intervention, no other usual prehospital procedures have been validated to affect outcome in such cases of extremis. ⋯ The patient recovered fully and was discharged home in 21 days, neurologically intact. Four years later, the patient was alive, healthy, and working. This report demonstrates the feasibility of prehospital thoracotomy and raises provocative issues regarding future intense surgical involvement in prehospital care.
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Review Case Reports
Pediatric transesophageal echocardiography in the evaluation of acute disruption of the mitral valve following blunt thoracic trauma: case report.
Disruption of the mitral valve following blunt thoracic trauma has been only occasionally reported. A case of a pediatric patient with this complication is presented and the value of transesophageal echocardiography in diagnosis and management is documented.