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    Wyświetlanie 1-7 z 7
    Tytuł:
    Giant Splenic Hematoma can be a Hidden Condition
    Autorzy:
    Jensen, Kristian Kiim
    Hangaard, Stine
    Powiązania:
    https://bibliotekanauki.pl/articles/1395770.pdf
    Data publikacji:
    2014-08-01
    Wydawca:
    Index Copernicus International
    Tematy:
    blunt trauma
    spleen
    splenic hematoma
    Opis:
    An otherwise healthy 28-year old male presented to his general practitioner with dyspnoea in the morning and abdominal discomfort through months. Four months earlier, he had experienced a blunt trauma to the left side of his abdomen. Abdominal ultrasonography revealed a splenic hematoma and the patient was admitted to hospital. Vital signs were normal, and blood samples revealed a marginal anaemia and elevated C-reactive protein, but were otherwise normal. Computed tomography showed an 18 centimetre wide splenic hematoma. The patient was referred to another hospital for conservative treatment in the outpatient clinic.
    Źródło:
    Polish Journal of Surgery; 2014, 86, 8; 380-382
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Evaluation of ISS, RTS, CASS and TRISS scoring systems for predicting outcomes of blunt trauma abdomen
    Autorzy:
    Alam, Arshad
    Gupta, Arun
    Gupta, Nikhil
    Yelamanchi, Raghav
    Bansal, Lalit
    Durga, C
    Powiązania:
    https://bibliotekanauki.pl/articles/1391304.pdf
    Data publikacji:
    2021
    Wydawca:
    Index Copernicus International
    Tematy:
    blunt trauma abdomen
    Clinical Abdominal Scoring System
    Injury Severity Score
    Revised Trauma Score
    Trauma and Injury Severity Score
    Opis:
    Introduction: Trauma is the leading cause of mortality in people below the age of 45 years. Abdominal trauma constitutes one-fourth of the trauma burden. Scoring systems in trauma are necessary for grading the severity of the injury and prior mobilization of resources in anticipation. Aim: The aim of this study was to evaluate RTS, ISS, CASS and TRISS scoring systems in blunt trauma abdomen. Materials and methods: A prospective single-center study was conducted on 43 patients of blunt trauma abdomen. Revised trauma score (RTS), Injury Severity Score (ISS), Clinical Abdominal Scoring System (CASS) and Trauma and Injury Severity Score (TRISS) were calculated and compared with the outcomes such as need for surgical intervention, post-operative complications and mortality. Results: The majority of the study subjects were males (83.7%). The most common etiology for blunt trauma abdomen as per this study was road traffic accident (72.1%). Spleen was the most commonly injured organ as per the study. CASS and TRISS were significant in predicting the need for operative intervention. Only ISS significantly predicted post-operative complications. All scores except CASS significantly predicted mortality. Conclusions: Among the scoring systems studied CASS and TRISS predicted the need for operative intervention with good accuracy. For the prediction of post-operative complications, only the ISS score showed statistical significance. ISS, RTS and TRISS predicted mortality with good accuracy but the superiority of one score over the other could not be proved.
    Źródło:
    Polish Journal of Surgery; 2021, 93, 2; 9-15
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Numerical and clinical analysis of an eyeball injuries under direct impact
    Autorzy:
    Koberda, Mateusz
    Skorek, Andrzej
    Kłosowski, Paweł
    Żmuda-Trzebiatowski, Marcin
    Żerdzicki, Krzysztof
    Lemski, Paweł
    Stodolska-Koberda, Urszula
    Powiązania:
    https://bibliotekanauki.pl/articles/2203010.pdf
    Data publikacji:
    2023-05-23
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    trauma
    numerical model
    finite element method
    blunt force trauma
    eyeball rupture
    eye protection
    Opis:
    Objectives The objective of this study was to develop a numerical model of the eyeball and orbit to simulate a blunt injury to the eyeball leading to its rupture, as well as to conduct a comparative analysis of the results obtained using the finite element method against the clinical material concerning patients who had suffered an eyeball rupture due to a blunt force trauma Material and Methods Using available sclera biometric and strength data, a numerical model of the eyeball, the orbital contents, and the bony walls were developed from the ground up. Then, 8 different blunt force injury scenarios were simulated. The results of numerical analyses made it possible to identify possible locations and configurations of scleral rupture. The obtained results were compared against the clinical picture of patients hospitalized at the Department of Ophtalmology, Medical University of Gdańsk in 2010–2016 due to isolated blunt force trauma to the eyeball. Results It has been demonstrated that the extent of damage observed on the numerical model that indicated a possible location of eyeball rupture did not differ from the clinically observed configurations of the scleral injuries. It has been found that the direction of the impact applied determines the location of eyeball rupture. Most often the rupture occurs at the point opposite to the clock-hour/positions of the impact application. The eyeball rupture occurs in the first 7–8 ms after the contact with the striking rigid object. It has been established that the injuries most often affected the upper sectors of the eyeball. Men are definitely more likely to sustain such injuries. Eyeball ruptures lead to significant impairment of visual acuity. Conclusions This study may contribute to a better understanding of injury mechanisms and better treatment planning. It may also contribute to the development of eyeball protection methods for employees exposed to ocular injuries.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2023, 36, 2; 263-273
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Injury Risk in Behind Armor Blunt Thoracic Trauma
    Autorzy:
    Bass, C. R.
    Salzar, R. S.
    Lucas, C. R.
    Davis, M.
    Donnellan, L.
    Folk, B.
    Sanderson, E.
    Waclawik, S.
    Powiązania:
    https://bibliotekanauki.pl/articles/90978.pdf
    Data publikacji:
    2006
    Wydawca:
    Centralny Instytut Ochrony Pracy
    Tematy:
    blunt trauma
    Thora
    armor
    ballistic
    zagrożenia zdrowia
    zagrożenia mechaniczne
    uszkodzenie kości
    profilaktyka
    środki ochrony indywidualnej
    służba wojskowa
    kamizelka kuloodporna
    Opis:
    First responders and military personnel are particularly susceptible to behind armor blunt thoracic trauma in occupational scenarios. The objective of this study was to develop an armored thorax injury risk criterion for short duration ballistic impacts. 9 cadavers and 2 anthropomorphic test dummies (AUSMAN and NIJ 0101.04 surrogate) were tested over a range of velocities encompassing low severity impacts, medium severity impacts, and high severity impacts based upon risk of sternal fracture. Thoracic injuries ranged from minor skin abrasions (abbreviated injury scale [AIS] 1) to severe sternal fractures (AIS 3+) and were well correlated with impact velocity and bone mineral density. 8 male cadavers were used in the injury risk criterion development. A 50% risk of AIS 3+ injury corresponded to a peak impact force of 24,900 ± 1,400 N. The AUSMAN impact force correlated strongly with impact velocity. Recommendations to improve the biofidelity of the AUSMAN include implementing more realistic viscera and decreasing the skin thickness.
    Źródło:
    International Journal of Occupational Safety and Ergonomics; 2006, 12, 4; 429-442
    1080-3548
    Pojawia się w:
    International Journal of Occupational Safety and Ergonomics
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Determination of the Risk of Head and Neck Injuries of the User of Bulletproof Helmets
    Określenie ryzyka wystąpienia urazów głowy i szyi użytkowników hełmów kuloodpornych
    Autorzy:
    Landwijt, M.
    Romek, R.
    Powiązania:
    https://bibliotekanauki.pl/articles/233422.pdf
    Data publikacji:
    2015
    Wydawca:
    Sieć Badawcza Łukasiewicz - Instytut Biopolimerów i Włókien Chemicznych
    Tematy:
    behind armour blunt trauma (BABT)
    ballistic helmet
    head injury criterion (HIC)
    odporność balistyczna hełmów
    BABT
    hełm kuloodporny
    kryteria urazu (HIC)
    Opis:
    Introduction of more and more effective body ballistic shields, especially for head, allowed decreasing of the extent of injuries caused by projectiles and fragments. Application of modern materials (aramides, high molecular weight polyethylene) reduced the risk of projectile penetration through the shield, resulting in reduction of contact injuries, head trauma, breaking of skull bones and brain damage caused by penetrating bullet. Standard tests for determination of ballistic resistance of helmets define penetration of a projectile into ballistic shield and deflexion of shell. The energy of shot is partially absorbed by helmet, but it is mostly transmitted to a head, giving it a linear and/or angular acceleration. This phenomenon is a direct cause of inertial trauma. Performed tests, proved that optimisation of ballistic helmet’s construction is a very complex process and it depends on many parameters starting from the shape of a shell ending with fixing-absorbing solutions.
    Wprowadzanie coraz doskonalszych osłon balistycznych ciała, przede wszystkim głowy, pozwoliło na zmniejszenie rozległości urazów związanych z działaniem pocisków i odłamków. Zastosowanie nowoczesnych materiałów (aramidy, polietylen o ultra wysokiej masie cząsteczkowej) zminimalizowało ryzyko penetracji pocisków przez osłony, co spowodowało istotne ograniczenie ilości urazów o charakterze kontaktowym urazów głowy, złamań kości czaszki, uszkodzeń mózgu przez penetrujący pocisk. Standardowe badania wyznaczające odporność balistyczną hełmów określają penetrację pocisku w ochronę balistyczną i ugięcie czerepu. Energia postrzału jest częściowo absorbowana przez hełm, ale w znacznej części zostaje przekazana na głowę nadając jej pewne przyspieszenie liniowe i/lub kątowe. Jest to bezpośrednia przyczyna urazu bezwładnościowego. Wykonane badania pokazały, że optymalizacja konstrukcji hełmów balistycznych jest bardzo złożonym procesem, zależnym począwszy od kształtu czerepu po rozwiązania mocująco-amortyzujące.
    Źródło:
    Fibres & Textiles in Eastern Europe; 2015, 4 (112); 103-108
    1230-3666
    2300-7354
    Pojawia się w:
    Fibres & Textiles in Eastern Europe
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Thoracic trauma – principals of surgical management
    Autorzy:
    Lasek, Jerzy
    Jadczuk, Eugeniusz
    Powiązania:
    https://bibliotekanauki.pl/articles/895749.pdf
    Data publikacji:
    2020-05-29
    Wydawca:
    Gdański Uniwersytet Medyczny
    Tematy:
    penetrating
    blunt
    Thoracic
    trauma
    surgery
    Opis:
    Thoracic trauma continues to be a significant surgical problem. It is estimated that 25% of trauma-related deaths are due to penetrating and blunt thoracic injuries. Principals of surgical management of specific thoracic injuries (tension pneumothorax, open pneumothorax, massive haemothorax, flail chest, cardiac injuries, ruptures of the aorta, tracheobronchial tree lesions, oesophageal and diaphragmatic injuries) have been reviewed. Awareness of the potential for deterioration and early correct identification of life threatening thoracic injuries are the keys to successful management. Good outcomes in the management of thoracic injuries depend on rapid transport of the injured patient to the hospital, effective diagnostic and therapeutic measures and an aggressive involvement of an experienced surgical team, optimally in the operating theatre. Successful management of these injuries depends on effective prioritisation of procedures based on the ABC principals combined with a rapid diagnosis of severe injuries and aggressive surgical treatment of life-threatening lesions following penetrating and blunt trauma. Rapid decompression of tension pneumothorax and emergency thoracotomy, especially in patients following penetrating thoracic trauma may result in good outcomes. Effective management of severe thoracic injuries requires an integrated approach and cooperation of a multidisciplinary trauma team, including experienced thoracic and cardiac surgeons.
    Źródło:
    European Journal of Translational and Clinical Medicine; 2020, 3, 1; 66-73
    2657-3148
    2657-3156
    Pojawia się w:
    European Journal of Translational and Clinical Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Multi-organ trauma with rupture and Stanford type B dissection of thoracic aorta. Management sequence. Current possibilities of medical treatment
    Autorzy:
    Majewski, Włodzimierz
    Samad, Rabih
    Bąk, Paweł
    Wardyn, Jarosław
    Kowalski, Ernest
    Dec, Paweł
    Powiązania:
    https://bibliotekanauki.pl/articles/1391805.pdf
    Data publikacji:
    2020
    Wydawca:
    Index Copernicus International
    Tematy:
    blunt thoracic aortic injury (BTAI)
    lateral car crash
    multi-organ trauma
    thoracic endovascular aortic repair (TEVAR)
    traumatic aortic pseudoaneurysm
    treatment
    Opis:
    A case of a 46-year-old car driver struck with great force by a tram through the driver’s door is presented. The main trauma consisted in chest injury with multi-rib fracture along with rupture and dissection of the thoracic aorta. Immediate medical rescue actions consisted only in procedures necessary to support vital functions; the patient survived owing to being promptly transported to the Emergency Department to undergo thoracotomy and laparotomy with massive blood transfusion. Polytrauma angio-CT scan revealed a posttraumatic thoracic aorta lesion which in turn was treated by deployment of an endovascular thoracic stent graft. This way, the immediate risk of death was averted, and the remaining traumatic lesions and conditions could be treated. Patient was discharged to a Rehabilitation Center on the 49th day of treatment. The authors stress that trauma resulting from accidents with this particular mechanism, i.e. lateral car crash on the driver’s side with the driver’s door being staved in by the tram, should be managed by immediate transport of the patient to the Emergency Center. In such cases early drainage of the pleural cavity can deteriorate patient’s status by increasing the bleeding from the ruptured aorta.
    Źródło:
    Polish Journal of Surgery; 2020, 92, 6; 45-50
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-7 z 7

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