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Biomedical subjects

T R Layton

Publications and source records attributed to T R Layton.

18 recordsLinked to original sources
PubMed1996

Stonewall Jackson's wounds.

BACKGROUND: Lieutenant General Thomas J. "Stonewall" Jackson, one of the most famous and successful Confederate generals of the American Civil War, was shot at the battle of Chancellorsville in Virginia on May 2, 1863, after leading his army in a surprise attack that destroyed the entire right flank of the Union army. STUDY DESIGN: A thorough review was made of all firsthand accounts of the events surrounding General Jackson's wounding, all papers listed in the medical literature describing General Jackson's care, and several classical as well as several recent texts and articles about General Jackson. In addition, a site visit was made to examine the actual geographic locations where the events surrounding General Jackson's wounding occurred. RESULTS: After his wounding on May 2, General Jackson was rendered appropriate care-under the circumstances- by Doctor Hunter Holmes McGuire, Jackson's medical director. Doctor McGuire controlled the hemorrhage from Jackson's wounds, helped evacuate the General from the battlefield, amputated the general's badly injured left arm, and diligently cared for Jackson until the General's death on May 10, 1863. CONCLUSIONS: General Jackson's death was a direct result of his wounds, the effects of hemorrhagic shock, a chest injury, and pneumonia. The wounding and death of General Stonewall Jackson had a profoundly negative effect on the fate of the Confederate cause in the American Civil War since the Confederacy irreplaceably lost one of its best generals.

Famous Persons↗
PubMed1985

Cold injury complicating burn therapy.

The immediate application of cool water to a burn provides prompt relief of pain; however, we must become aware of the complications associated with the use of ice and ice water in this regard. Two cases of extremity ischemia secondary to burn wound therapy are reported with a discussion of patient care. The most important aspect of this injury is prevention.

Adult↗
PubMed1985

Burns in motor vehicle accidents.

Burns received as a result of motor vehicle accidents (MVA's) create special problems in their care, as they are frequently severe and are often associated with other injuries. One hundred seventy-eight consecutive patients with burns sustained in an MVA were studied. The mean TBSA burn was 33.9%. The mortality was 24.7%, but the mean burn size in this fatal group was almost doubled at 63.9%. The injury most commonly associated with death was inhalation injury (in 36.3%). Thirty-six per cent of the patients sustained other injuries in addition to their burn, the most frequent of which was to the musculoskeletal system (67 injuries). Multiple trauma had little effect on mortality unless severe, but fractures especially complicated burn wound care unless surgically stabilized. Current methods of management are presented along with our approach to multiply injured burn patients.

Accidents, Traffic↗
PubMed1985

Missile embolus of the portal vein.

A missile embolus, an extremely rare lesion, presents an unusual and challenging problem for the clinician. A case is discussed in which a patient sustained a gunshot wound of the portal vein, and the bullet entered the portal venous system and then lodged in the superior mesenteric vein. The portal vein injury was repaired. The missile then migrated into the right branch of the portal vein and was not extracted. The patient recovered. This appears to be the first reported case of a missile embolus of the portal venous system.

Adult↗
PubMed1984

The effect of high-frequency jet ventilation on intracranial pressure in patients with closed head injuries.

Positive pressure ventilation (PPV) can increase intracranial pressure (ICP) in patients with closed head injuries. This adverse effect may be secondary to elevated peak airway pressures. High-frequency jet ventilation (HFJV) has been shown to produce lower peak airway pressures and decrease ICP in experimental animals. This report describes a patient with a head injury who was ventilated with a high-frequency jet ventilator.

Brain Injuries↗
PubMed1983

Blunt traumatic rupture of the right atrium and the right superior pulmonary vein.

Blunt trauma to the chest may produce a spectrum of cardiac lesions extending from asymptomatic myocardial contusion to rapidly fatal cardiac rupture. A case is discussed in which a patient with signs of cardiac tamponade after blunt trauma was found to have a rupture of the atrium. During repair of the cardiac injury, an unusual tear of the right superior pulmonary vein was also discovered. Both injuries were successfully repaired and the patient recovered.

Accidents, Traffic↗
PubMed1983

Hay baler injury.

Explore the source record for details and available documents.

Accidents, Occupational↗
PubMed1981

Traumatic forequarter amputation.

Traumatic forequarter amputation is a rare and devastating injury in which the arm, scapula, clavicle, and pectoral muscles are avulsed from the body by a tremendous force. The case of a man who survived this injury is presented. Replantation at this level has not been successful: treatment recommended consists of control of hemorrhage, wound debridement, ligation of vessels and nerves, coverage of their exposed stumps with muscle, unless excess contamination is present; electrical or cosmetic prostheses can be fitted later.

Amputation, Traumatic↗
PubMed1981

High free fall with survival.

A free fall, the unimpeded drop of a body from a known point to a known impaction point, is common in modern society. Death usually results when distance is more than six stories. The following case report describes the circumstances which allowed a young man attempting suicide to survive a 17-storey free fall. Although his impact velocity was estimated to be 72 m.p.h. (uncorrected for air drag), he impacted in a supine position on an automobile trunk lid so that some of the force was dissipated by tires and shock absorbers. Multiple fractures and soft-tissue injuries and a subsequent stress ulcer were successfully treated and the patient has a satisfactory level of physical activity while remaining under psychiatric care 1 year postinjury.

Adult↗
PubMed1980

Multiple cardiac lesions from blunt trauma.

Blunt chest trauma may produce a variety of cardiac lesions, which may occur alone or in combination. A case with a ventricular septal defect, left ventricular aneurysm, and coronary arteriovenous fistula with an associated rupture of the thoracic aorta following blunt trauma is presented in order to demonstrate that multiple, life-threatening cardaic lesions may be managed successfully. Surgical repair 32 days postinjury with Teflon patch plus ligation of the fistula were followed by recovery in the patient presented.

Adolescent↗
PubMed1980

Tracheoesophageal fistula from nonpenetrating trauma.

A patient with a tracheoesophageal fistula from blunt chest trauma is presented and the literature is reviewed. A common pathophysiologic factor is the involvement of a young male in a deceleration injury. Early surgical intervention with division of the fistula and repair of the tracheal and esophageal defects is recommended.

Adult↗
PubMed1979

Rupture of the left atrium from blunt trauma.

Severe cardiac injury may occur in multiple-trauma patients and the associated injuries may obscure a significant and potentially fatal cardiac wound. In the patient presented, a left auricular appendage tear was found after he suddenly became hypotensive intraoperatively. After its repair he has recovered and returned to his previous employment.

Adult↗
PubMedDate not supplied

Gasoline injection.

Injection of petroleum distillates is rare. We recently cared for a man with a long history of drug abuse who attempted intravenous injection with gasoline into a right forearm vein in order to "get high." We believe he accomplished an intramuscular and subcutaneous injection of gasoline which resulted in a severe impairment of the right hand and forearm from damage to the right median, ulnar, and radial nerves.

Adult↗