Effects of other intraabdominal injuries on the diagnosis, management, and outcome of small bowel injuries: Hackan DJ, Ali J, Jastamiah SS. J Trauma 2000;4:606–610.
DOI: http://dx.doi.org/10.1016/S0735-6757(01)80143-1
The American Journal of Emergency Medicine , Vol. 19 , Issue 5 ,
Published in issue: September 2001
Injuries distracting from intraabdominal injuries after blunt trauma Peter C Ferrera, Vincent P Verdile, Joel M Bartfield, Howard S Snyder, Richard F Salluzzo
DOI: http://dx.doi.org/10.1016/S0735-6757(98)90032-8
The American Journal of Emergency Medicine , Vol. 16 , Issue 2 ,
Published in issue: March 1998
x While most conscious patients with severe intraabdominal injuries (IAI) will usually present with either abdominal pain or tenderness, there is a small group of awake and alert patients in whom the physical examination will be falsely negative because of the presence of associated extraabdominal (“distracting”) injuries. We sought to define the types of extraabdominal injuries that could lead to a false negative physical examination for potentially severe IAI in adult victims of blunt trauma. This study was prospectively performed on consecutive blunt trauma patients over a 14-month period in our level I trauma center.
Predictive value of liver transaminases levels in abdominal trauma Ismail Bilgic, Sibel Gelecek, Ali Emre Akgun, M. Mahir Ozmen
DOI: http://dx.doi.org/10.1016/j.ajem.2014.03.052
The American Journal of Emergency Medicine , Vol. 32 , Issue 7 ,
Published online: April 7 2014
x We aimed to evaluate whether hepatic transaminase levels could predict the presence and severity of liver injury following abdominal trauma.
Hematocrit as a predictor of significant injury after penetrating trauma Norman A Paradis, Sharon Balter, Christopher M Davison, Gary Simon, Michael Rose
DOI: http://dx.doi.org/10.1016/S0735-6757(97)90001-2
The American Journal of Emergency Medicine , Vol. 15 , Issue 3 ,
Published in issue: May 1997
x A study was undertaken to determine if there are differences in hematocrit (HCT) during the initial evaluation of patients with and without significant visceral intrathoracic or intraabdominal injury after penetrating trauma and, if so, the predictive value of this parameter. Sixty consecutive adults with potentially significant penetrating trauma who presented to an urban municipal trauma center during a 10-week period were studied. Diagnostic variables were recorded for all patients at risk for significant injury, defined as intrathoracic or intraabdominal injury requiring surgical intervention.
Massive bilateral diaphragmatic rupture after an apparently minor automobile accident Tatyana R. Humphreys, Stephanie Abbuhl
DOI: http://dx.doi.org/10.1016/0735-6757(91)90088-2
The American Journal of Emergency Medicine , Vol. 9 , Issue 3 ,
Published in issue: May 1991
x A case of massive bilateral diaphragmatic rupture following a low impact motor vehicle accident is described. The patient experienced herniation of intraabdominal contents into the throacic cavity, but suffered no additional injuries. Few cases of bilateral diaphragmatic rupture have been reported and no cases of acute bilateral rupture have been described as an isolated injury. Diaphragmatic rupture in general may be a difficult injury to recognize. Based on our review of recent cases of diaphragmatic rupture (1979–1990), most patients presenting acutely have additional trauma (89.9%) but only vague symptoms related to their diaphragmatic insult.
Delayed diagnosis of injuries in pediatric trauma: the role of radiographic ordering practices Emily L. Willner, Hollie A. Jackson, Alan L. Nager
DOI: http://dx.doi.org/10.1016/j.ajem.2010.10.033
The American Journal of Emergency Medicine , Vol. 30 , Issue 1 ,
Published online: February 7 2011
x We sought to describe the use of radiographic studies in pediatric major trauma patients and determine the extent to which a selective, clinically guided use of imaging contributes to delayed diagnosis of injury (DDI).
Nalbuphine analgesia in the prehospital setting John K. Stene, Lisa Stofberg, Gregg MacDonald, Roy A. Myers, Ameen Ramzy, Barry Burns
DOI: http://dx.doi.org/10.1016/0735-6757(88)90109-X
The American Journal of Emergency Medicine , Vol. 6 , Issue 6 ,
Published in issue: November 1988
x Forty-six patients with moderate to severe pain caused by orthopedic injuries, burns, multiple trauma, or intraabdominal conditions were treated with intravenous (IV) nalbuphine hydrochloride (Nubain; DuPont Pharmaceuticals, Wilmington, DE) by paramedics before arrival at the hospital. Patients who weighed <60 kg received 15 mg nalbuphine, and patients weighing >60 kg received 20 mg nalbuphine. Forty-one of 46 patients (89%) experienced pain relief from nalbuphine, with maximum relief occurring within 15 minutes after the administration of the drug.
Splenic rupture after colonoscopy Raphael P.H. Meier, Christian Toso, Francesco Volonte, Gilles Mentha
DOI: http://dx.doi.org/10.1016/j.ajem.2010.02.025
The American Journal of Emergency Medicine , Vol. 29 , Issue 2 ,
Published online: May 3 2010
x Colonoscopy is currently the gold standard diagnostic and therapeutic procedure for rectum and colon pathologies. The rate of complications is low; the most frequent are perforation and intraluminal bleeding. The occurrence of splenic rupture is uncommon after colonoscopy. Although potentially fatal, it remains rarely considered in the differential diagnosis of post-colonoscopic abdominal pain. We report a case of splenic rupture diagnosed 48 hours after colonoscopy, treated with urgent splenectomy.
Traumatic cervical spinal epidural hematoma mimics brachial plexus injury Hsing-Lin Lin, Liang-Chi Kuo, Yuan-Chia Cheng, Jiun-Nong Lin, Shing-Ghi Lin, Tsung-Ying Lin, Wei-Che Lee
DOI: http://dx.doi.org/10.1016/j.ajem.2010.01.012
The American Journal of Emergency Medicine , Vol. 28 , Issue 8 ,
Published online: May 3 2010
x Cervical spinal epidural hematoma is rare, and most cases are reported sporadically as caused by spontaneous bleeding. Traumatic cervical epidural spinal hematoma is extremely rare, and mimicking the symptoms of brachial plexus injury has never been reported. We describe a 32-year-old man who sustained a motorcycle accident and had multiple trauma with bilateral lung contusion and spleen laceration. He had left clavicle bone fracture and was diagnosed to have brachial plexus injury with the symptoms of weakness and paresthesia of left upper limb.
Is arterial base deficit still a useful prognostic marker in trauma? A systematic review I. Ibrahim, W.P. Chor, K.M. Chue, C.S. Tan, H.L. Tan, F.J. Siddiqui, M. Hartman
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.012
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: December 14 2015
x Arterial base deficit (BD) has been widely used in trauma patients since 1960. However, trauma management has also evolved significantly in the last 2 decades. The first objective of this study was to systematically review the literature on the relationship between arterial BD as a prognostic marker for trauma outcomes (mortality, significant injuries, and major complications) in the acute setting. The second objective was to evaluate arterial BD as a prognosis marker, specifically, in the elderly and in patients with positive blood alcohol levels.
Hemoperitoneum after blunt abdominal trauma 27 years after splenectomy: better think twice Luca Tagliabue, David Rotzinger, Olivier Hugli
DOI: http://dx.doi.org/10.1016/j.ajem.2015.12.032
Publication stage: In Press Corrected Proof
The American Journal of Emergency Medicine
Published online: December 17 2015
x Traumatic splenic tissue injury in patients having previously undergone splenectomy has been very rarely reported. However, bleeding from splenic tissue (splenosis or accessory spleen) is should be added to the differential diagnosis of traumatic hemoperitoneum in patients having undergone previous splenectomy.
Pneumoperitoneum, pneumoretroperitoneum, and pneumomediastinum caused by laryngeal fracture after multiple trauma Thomas Mussack, Ernst Wiedemann, Ulrike Szeimies
DOI: http://dx.doi.org/10.1053/ajem.2001.27170
The American Journal of Emergency Medicine , Vol. 19 , Issue 6 ,
Published in issue: October 2001
x —Intraabdominal extraluminal air caused by perforated hollow viscus may appear in 10% to 15% of patients with blunt abdominal trauma mandating an emergency laparotomy.1 In many cases hollow viscus perforations are diagnosed secondarily by the signs of incipient peritonitis or increasing abdominal tenderness.2 The high morbidity and mortality of these injuries after blunt abdominal trauma justify an aggressive approach to diagnosis and surgical treatment.3,4 However, there are reported few patients with blunt abdominal trauma and free intraabdominal air in the absence of a bowel perforation.
Blunt splenic injury in adults: Multi-institutional study of the eastern association for the surgery of trauma: Peitzman AB, Heil B, Rivera L, et al. J Trauma 2000;49:177–189.
DOI: http://dx.doi.org/10.1016/S0735-6757(01)80140-6
The American Journal of Emergency Medicine , Vol. 19 , Issue 5 ,
Published in issue: September 2001
Diagnosis and management of small bowel injuries: A survey of the american association for the surgery of trauma: Brownstein MR, Bunting T, Mayer AA, et al. J Trauma 2000; 48:402–407.
DOI: http://dx.doi.org/10.1016/S0735-6757(01)80141-8
The American Journal of Emergency Medicine , Vol. 19 , Issue 5 ,
Published in issue: September 2001
Relatively short diagnostic delays (less than 8 hours) produced morbidity and mortality in small bowel injuries: An analysis of time to operative intervention in 198 patients from a multicenter experience: Fakhry SM, Brownstein MR, Watts DD, et al. J Trauma 2000;48:408–415.
DOI: http://dx.doi.org/10.1016/S0735-6757(01)80142-X
The American Journal of Emergency Medicine , Vol. 19 , Issue 5 ,
Published in issue: September 2001
Blunt bowel and mesenteric injuries: the role of screening computed tomography: Malhotra AK, Fabian TC, Katsis SB, et al. J Trauma 2000;48:991–1000.
DOI: http://dx.doi.org/10.1016/S0735-6757(01)80144-3
The American Journal of Emergency Medicine , Vol. 19 , Issue 5 ,
Published in issue: September 2001
Further evaluation of colostomy in penetrating colon injury: Gonzalez RP, Falimirski ME, Holevar MR. Am Surgeon 2000; 66:342–346.
DOI: http://dx.doi.org/10.1016/S0735-6757(01)80145-5
The American Journal of Emergency Medicine , Vol. 19 , Issue 5 ,
Published in issue: September 2001
Delayed presentation of diaphragmatic rupture with stomach herniation and strangulation Evangelos Falidas, Stavros Gourgiotis, Konstantinos Vlachos, Constantinos Villias
DOI: http://dx.doi.org/10.1016/j.ajem.2015.02.052
The American Journal of Emergency Medicine , Vol. 33 , Issue 9 ,
Published online: March 6 2015
x Blunt traumatic rupture of the diaphragm is a relatively uncommon but severe consequence that is usually seen in polytraumatized patients after thoracoabdominal trauma. Traumatic diaphragmatic rupture presents diagnostic difficulty, with basic radiological investigations discovering no more than half of all cases, whereas complications may present long after the initial injury has occurred. Late presentation is associated with increased morbidity. We herein report a rare case of diaphragmatic hernia due to missed traumatic diaphragmatic rupture in a 28-year-old man who experienced blunt thoracoabdominal trauma and presented with dyspnea and epigastric pain 4 months after his initial injury.
Traumatic abdominal hernia: Report of three cases and review of the literature Pradip Sahdev, Ralph R. Garramone Jr., Bharat Desani, Vijay Ferris, John P. Welch
DOI: http://dx.doi.org/10.1016/0735-6757(92)90217-L
The American Journal of Emergency Medicine , Vol. 10 , Issue 3 ,
Published in issue: May 1992
Combination of white blood cell count with liver enzymes in the diagnosis of blunt liver laceration Wei-Che Lee, Liang-Chi Kuo, Yuan-Chia Cheng, Chao-Wen Chen, Yen-Ko Lin, Tsung-Ying Lin, Hsing-Lin Lin
DOI: http://dx.doi.org/10.1016/j.ajem.2009.06.005
The American Journal of Emergency Medicine , Vol. 28 , Issue 9 ,
Published online: March 26 2010
x It is sometimes difficult to decide whether to perform abdominal computed tomographic (CT) scans for possible liver laceration in patients who have sustained less severe or minor blunt abdominal trauma. This study was conducted to find out whether the basic laboratory workup could provide information of possible liver laceration in blunt abdominal trauma patients and act as an indication for CT scans.
