Minor head trauma in infants and children: Evaluation. Minor head trauma in infants and children: Management. Acute mild traumatic brain injury (concussion) in adults. unexplained subconjunctival haemorrhages in babies and young children may indicate non-accidental injury. American College of Emergency Physicians. Considering that 70 of all chest traumas constitute blunt injuries, the importance of blunt injuries is understood.7,8,9 In addition, blunt chest trauma accounts for 15 of all trauma cases in the world. Mild cases (usually with good corrected vision) eyelid swelling (oedema), ecchymosis (bruising) conjunctival chemosis, subconjunctival haemorrhage. Centers for Disease Control and Prevention. They are often seen in: Automobile accidents Falls from excessive heights (usually >15’ vertically). American College of Emergency Physicians. Chest injuries are caused by blunt force trauma, penetrating trauma or both. Initial evaluation and management of blunt abdominal trauma in adults. In: Current Diagnosis & Treatment: Surgery. Trauma to the chest comes with the highest mortality in some studies, up to 60. Diagnosis and treatment of atraumatic splenic rupture: Experience of 8 cases. Chest trauma has quickly risen to the second most common traumatic injury in non-intentional trauma. Open globe injuries can be laceration and globe rupture. The closed globe injuries are further classified as contusion and lamellar lacerations. In: Hematology: Basic Principles and Practice. Blunt eye trauma can result in various intrinsic eye injuries.1 Blunt trauma can result in open and closed globe injuries. Infectious mononucleosis and other Epstein-Barr virus-associated diseases. Loss of movement (paralysis) on the opposite side of the body from the head injury. Management of splenic injury in the adult trauma patient. Drowsiness and progressive loss of consciousness. These might include contact sports, heavy lifting and other activities that increase the risk of stomach trauma. All patients with blunt abdominal trauma who have signs of peritonitis, frank bleeding, or worsening of clinical signs require an immediate laparotomy. If you've been diagnosed with an enlarged spleen, ask your health care provider whether you need to avoid activities for several weeks that could cause it to rupture. PMID: 3606246 Calhoon JH, et al: Management of blunt rupture of the heart. PMID: 26816225 Shorr RM, et al: Blunt thoracic trauma. ComplicationsĪ ruptured spleen can cause life-threatening bleeding into your stomach cavity. Emet M, et al: Assessment of cardiac injury in patients with blunt chest trauma. Symptoms include nausea, vomiting, internal bleeding, inflammation, pain, and aneurysms (weakened blood vessels). A softball to the eye, a tumble to the floor, a gunshot wound while hunting, or a wayward fist at a local watering hole all might send a patient to the trauma center with an orbital or ocular injury. Contact sports that involve blows to the chest also increase the risk of a ruptured spleen. Blunt force trauma can cause anything from minor bruising to internal injuries. A blow to the eye: Ocular and orbital trauma. If the spleen is already enlarged due to infection or another cause, there is increased risk that the spleen might rupture. An enlarged spleen can be caused by various underlying problems, such as mononucleosis and other infections, liver disease, and blood cancers. Your spleen can become enlarged when blood cells accumulate in the spleen. An injured spleen can rupture soon after the stomach trauma or, in some cases, days or weeks after the injury. A ruptured spleen is typically caused by a blow to the left upper stomach or the left lower chest, such as might happen during sporting accidents, fistfights and car crashes.
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