Tag Archives: penetrating

Penetrating Trauma

Cliff Reid, Karel Habig, and Geoff Healy discuss the approach to patients with penetrating injury.

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CGD 7th May 2014 – There Will Be Blood!!

Another excellent clinical governance day for the Sydney HEMS team where we got down and dirty with trauma-induced coagulopathy, how to deal with maxillofacial haemorrhage, tools used to plug the gaps, a recollection of epic winching, and a Sim that … Continue reading

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Scene times & penetrating trauma

An observational cohort study of penetrating trauma patients treated by the Mobile Emergency Care Unit in Copenhagen, Denmark over a seven-and-a-half year period sought to determine the effect of on-scene time on 30-day mortality. In this setting, in cases of … Continue reading

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Military pre-hospital thoracotomy

Military doctors in Afghanistan reviewed their experience of thoracotomy done within 24 hours of admission to their hospital. The ballistic nature of thoracic penetrating trauma (mainly Afghan civilians without body armour) differs from the typical knife-wound related injury seen in … Continue reading

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Spine immobilisation in penetrating trauma

In a retrospective study of 45,284 penetrating trauma patients, unadjusted mortality was twice as high in the 4.3% of  patients who underwent spine immobilisation, compared with those who were not immobilised. An accompanying editorial comments: ‘The number needed to treat with … Continue reading

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Ballistic penetrating neck injury and the risk of immobilisation

British military physicians reported the outcomes of patients sustaining penetrating neck injury from the Iraq and Afghanistan conflicts. Three quarters were injured in explosions, one quarter from gunshots. Of 90 patients, only 1 of the 56 survivors to reach a … Continue reading

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Is cervical spine protection always necessary following penetrating neck injury?

This short cut review in the Best Bets format attempted to answer the question: “is cervical spine protection always necessary following penetrating neck injury?” From the available evidence they draw the following conclusions: In stab wounds to the neck (with … Continue reading

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