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PubMed1980

Basilar artery occlusion in multiple trauma: case report.

The authors report a patient who sustained delayed occlusion of the basilar artery (BA) after an automobile accident. This report illustrates the clinical temporal profile of angiographically verified thromboembolic occlusion of the BA. Further propagation of thrombosis and/or late embolization in the proximal BA and distal vertebral artery resulted in fatal brain stem infarction.

Accidents, Traffic↗
PubMed1978

[Predictive value of metabolic profiles in multiple trauma].

An increase in the lactate:pyruvate ratio as well as in serum gluocse levels and a decrease in base excess values permit an early prediction of vital outcome in severely traumatized patients. Further laboratory data such as enzymes, bilirubin, and amino-acid concentrations, however, demonstrate significant differences between survivors and nonsurvivros at a later stage, i.e., from the 6th day on.

Acid-Base Equilibrium↗
PubMed2004

[Lightning injuries--a mixture of electrical, thermal and multiple trauma].

There are several misconceptions even among hospital personnel regarding damages and injuries caused by lightning. Few health care providers have experience from lightning injuries as they are rare and different (DC) from the more common high-voltage (AC) injuries. Furthermore, fatalities are uncommon. Burns do occur but are usually minor. Most lightning injuries occur in the summer season during outdoor leisure activities and in the vicinity of a tree or other large structures. In Sweden, on average, approximately seventeen persons per year are hospitalised and 0.2-0.8 persons per million inhabitants and year die due to lightning injuries. The primary treatment follows the general guidelines for other trauma, electrical, and burn injuries, i.e. as is described in the standardised ATLS, ABLS, or A-HLR programmes. However, there are some minor points that are different and may be stressed for a favourable outcome. In this paper these are addressed together with the epidemiology, effects and treatment of lightning injuries that are specific for Sweden. Unfortunately, little is known, apart from what is described in smaller case series, of the long time sequelae experienced by this patient population and further research is therefore particularly warranted in this respect.

Humans↗