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At least 595 records · Page 33Linked to original sources
PubMed2000

Early surgical suction and washout for treatment of cytotoxic drug extravasations.

This case report is presented to assess safety and efficiency of early suction and saline washout of extravasated cytotoxic drugs. Through multiple small skin incisions, the area of extravasation is first suctioned and subsequently extensively washed out with saline. Incisions are left open and the arm is elevated for 24 hours. A complete healing was obtained in five days without any skin or soft tissue loss. No additional treatment was needed. Early referral and surgical treatment by suction and washout is a safe and reliable treatment protocol for major cytotoxic drug extravasation injuries.

Adult↗
PubMed1995

Sucking wounds of the limbs.

Subcutaneous emphysema affecting a limb in isolation is rare. Three cases of subcutaneous emphysema caused by a sucking wound of the limb are presented. Differentiation from infection with a gas-forming organism is imperative. This distinction can be made if a number of factors are taken into consideration. These include, concise knowledge of the history and mechanism of injury, and in particular, full appreciation of the amount of energy transfer causing the wound, the macroscopic appearance of the wound, the presence or absence of systemic symptoms, the time from injury to the development of subcutaneous emphysema, and the radiographic appearance of the soft tissues.

Adult↗
PubMed2004

Compartment syndrome caused by suction.

Compartment syndrome is probably underdiagnosed particularly when the mechanism of injury is indirect. This case is unusual in that the syndrome occurred as a consequence of suction injury and illustrates the benefits of early tissue pressure measurement and surgical decompression.

Accidents, Occupational↗
PubMed2007

[Dermatitis artefacta presenting as photodermatosis].

Dermatitis artefacta is a form of a self-injury due to psychiatric disorders or internal conflicts. Delayed diagnosis often leads to unnecessary treatments. A 17-year old girl was referred with a putative photodermatosis presenting with erosions on an erythematous base on the face and forearms. The unusual rapid onset of new lesions following phototesting and in particular a reaction induced after a simulated light exposure substantiated the diagnosis of dermatitis artefacta. Faced with the diagnosed the patient admitted she had induced the lesions and was referred for psychiatric care.

Adolescent↗
PubMed1977

Drain-cover injuries in children.

This report highlights unnecessary injuries to the hands, forearms, and feet of small children, caused by falling drain-cover gratings, colloquially known as "shores". It is suggested that a simple locking device, similar to that employed on manhole covers, would eliminate this type of injury.

Accident Prevention↗
PubMed1997

Trauma of the wrist.

In wrist injury, plain radiographs form the basis of diagnostic imaging, and can provide definitive answers in most cases. MR imaging is the method of choice for several diagnostic problem cases. These problems can include radiographically occult fractures where MRI enables early diagnosis compared to follow-up radiographs. Early stage diagnosis of a post-traumatic avascular osteonecrosis with high sensitivity and specificity, is only possible with MRI. In these instances, radiographs are only sensitive in later stages and scintigraphy is quite nonspecific. Stress fractures, invisible with other modalities, are also demonstrable with MRI. In addition, MRI is helpful in special circumstances with regard to non-union or pseudarthrosis. In wrist instability, radiographs in combination with stress views and fluoroscopy are still the initial diagnostic step. MRI, with the advantage of direct visualization of the wrist ligaments and triangular fibrocartilage complex, offers very promising results in this area. Generally, for the evaluation of wrist injury, MRI can be considered the most important second-step procedure in patients where radiographs are nondiagnostic.

Carpal Bones↗
PubMedDate not supplied

The role of hyperbaric oxygen in current emergency medical care.

HBO is the definitive treatment for carbon monoxide poisoning, air or gas embolism, and decompression sickness. It is an important adjunct to other treatment modalities in the management of patients with cyanide poisoning, exceptional blood loss (anemia), crush injury, and gas gangrene. In addition, HBO has many investigational uses such as reduction of edema in acute bowel obstruction before surgical intervention. It should be remembered that the best hope for tissue recovery occurs when HBO is initiated within 4 to 6 hours of injury. After this time irreversible muscle and peripheral nerve damage usually will have occurred in ischemic tissue.

Adult↗
PubMed2006

Pediatric upper extremity injuries.

The pediatric musculoskeletal system differs greatly from that of an adult. Although these differences diminish with age, they present unique injury patterns and challenges in the diagnosis and treatment of pediatric orthopedic problems.

Brachial Plexus Neuropathies↗
PubMed1998

The epidemiology of open long bone fractures.

Open long bone fractures occur with a frequency of 11.5 per 100,000 persons per year. They are more common in males and they have a bimodal age distribution. Open fractures of the tibial diaphysis are the commonest, but open femoral diaphyseal, distal femoral and proximal tibial fractures tend to occur in the most seriously injured patients. Lower limb open fractures are more severe than open fractures of the upper limbs. Not only is the soft tissue damage less in open upper limb fractures, but there are fewer associated musculoskeletal injuries.

Accidents, Traffic↗
PubMed1998

A critical reappraisal of indications for fasciotomy after extremity vascular trauma.

OBJECTIVE: To critically reevaluate the indications for fasciotomy in vascular trauma of the extremities. DESIGN: Case-control study. SETTING: Level I trauma center. MATERIALS AND METHODS: One hundred sixty-three vascular injuries to the extremeties were analyzed. Fasciotomy as an adjunct to vascular repair was performed in 45 limbs (28%), based either on the nature of injury or measured compartment pressure of greater than 35 mm Hg. MAIN OUTCOME MEASURES: Need for fasciotomy or limb amputation. RESULTS: Fasciotomy was performed for 29.5% of isolated arterial injuries, 15.2% of isolated venous injuries, and 31.6% of combined arterial and venous injuries, and was not related to venous repair or ligation. Seven delayed fasciotomies were performed either for vascular repair failure (5 patients) or compartment syndrome (2 patients). The highest incidence was for popliteal vessel injury (arterial 57%, combined 61%). Of the 33 lower-extremity fasciotomies, 58% were for popliteal vessel injury. In 51 combined injuries of the lower extremity, only 7 (19%) of 38 patients with injury above the knee required fasciotomy, as compared with 8 (62%) of 13 with injury to the popliteal vessels (P<.001), with or without venous repair. There were 3 amputations, all resulting from vascular repair failure. CONCLUSIONS: The presence of a combined vascular injury or the need for venous ligation does not necessitate routine fasciotomy. The need for fasciotomy may be maximal for injuries to popliteal vessels.

Adolescent↗
PubMed1999

Ceiling fan injuries: the Townsville experience.

From 1 April 1995 to 31 March 1997, 50 people presented to Townsville General Hospital with injuries caused by ceiling fans. Injuries ranged from grazes to compound skull fractures, and seven patients required admission to hospital for ongoing treatment. Most of these injuries could have been avoided. Current safety guidelines for the use of ceiling fans are inadequate.

Accidents, Home↗
PubMed2000

Vascular injuries of the upper extremity.

Vascular injuries of the upper extremity represent approximately 30% to 50% of all peripheral vascular injuries. The majority of injuries are to the brachial artery, and 90% of injuries are due to penetrating trauma. Return of function is often related to concomitant injury to peripheral nerves. However, timely restoration of blood flow is essential to optimize outcome. The diagnosis is made by physical examination and limited Doppler ultrasonography. Arteriography may be helpful if there are multiple sites of injury. Anticoagulation with heparin should be given if not otherwise contraindicated. Revascularization should be completed within the critical ischemic time: 4 hours for proximate injuries and 12 hours for distal injuries. Revascularization methods include resection and primary repair or resection with an interposition graft. The sequence of repair of multiple injuries to the extremity begins with arterial revascularization followed by skeletal stabilization and nerve and tendon repair.

Adult↗