Articles: trauma.
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Thoracic Surgery PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Video-assisted thoracic surgery (VATS) sympathectomy is the definitive therapy for primary palmar hyperhidrosis with high success rates and low recurrence. Classically, a 3-port bilateral VATS approach is utilized. We report our novel application and experience of single-port VATS sympathectomy with the VasoView® endoscopic vein harvesting devices. ⋯ The following authors have nothing to disclose: Rainbow Lau, Calvin Ng, Randolph Wong, Eugene Yeung, Micky Kwok, Innes Wan, Malcolm UnderwoodNo Product/Research Disclosure Information.
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Pediatric emergency care · Mar 2014
Case ReportsCerebral sinus thrombosis in a 6-year-old boy after a minor head injury.
Posttraumatic cerebral sinus thrombosis is an uncommon disease in children that is rarely seen in the setting of a closed head injury. We report a 6-year-old boy who developed cerebral sinus thrombosis after an apparent minor head injury. The clinical presentation, neuroimaging findings, and treatment strategies are discussed. Serial neurological evaluation and close observation are important, and the decision for anticoagulation should be carefully considered with hematological consultants.
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A helicopter emergency medical service (HEMS) capable of winching offers several advantages over standard rescue operations. Little is known about the benefit of physician winching in addition to a highly trained paramedic. ⋯ Our high POI rate of 40% (48/120) coupled with long rescue times and the occasional severe injuries support the argument for winching Physicians. Not doing so would deny a significant proportion of patients time-critical interventions, advanced analgesia and procedural sedation.
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Thoracic Surgery PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: To minimize the risk of therapeutic and diagnostic actions ⋯ The following authors have nothing to disclose: Kulsara RustemovaNo Product/Research Disclosure Information.
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Ulus Travma Acil Cer · Mar 2014
Case ReportsCatastrophic necrotizing fasciitis after blunt abdominal trauma with delayed recognition of the coecal rupture - case report.
Necrotizing fasciitis (NF) is a rare bacterial infection with dramatic course, characterized by widespread necrosis of the skin, subcutaneous tissue, and superficial fascia which can often lead to death. We present a case of a 27-year-old male with NF. One day after experiencing blunt abdominal trauma caused by falling over bike handlebars, the patient was admitted to a regional hospital and treated for diffuse abdominal pain and large hematoma of the anterior abdominal wall. ⋯ Despite all resuscitation measures including fluids, blood transfusions, and parenteral nutrition, lung infection and MODS caused death 42 days after initial operation. Blunt abdominal trauma can cause the rupture of intestine, and if early signs of peritoneal irritation should present, emergency laparotomy should be performed. Disastrous complication are rare but lethal.