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[Cases of hanging with bound limbs--suicide, homicide or accident].

In the paper 6 cases of suicidal hanging and 1 case of accidental hanging were presented; in each case limbs of the victim were bound. These hangings always cause a suspicion of homicide, therefore the forensic specialist should pay particular attention to them, especially during the crime scene examination, they should also be carefully investigated by police and the public prosecutor's office.

Accidents↗

Benefits of Australian Design Rule 69 (full frontal crash protection) and airbags in frontal crashes in Australia.

In-depth data at MUARC was used to evaluate the Australian Design Rule 69 (ADR69) - Full frontal dynamic crash requirement, as well as the effectiveness of frontal airbag deployment on injury risk and associated cost of injury. ADR69 was introduced in Australia in mid-1995 and was based largely on the US equivalent FMVSS-208. The results indicate reductions in excess of 90% in the likelihood of sustaining AIS 2+ injuries in body regions where frontal airbags would be expected to benefit. The average injury cost savings for drivers of post-ADR69 manufactured vehicles was found to be up to AUD19,000 dollars depending on body region considered. Limitations and implications of these findings are discussed.

Abbreviated Injury Scale↗

Steam vaporizer injuries.

There were an estimated 656 cases of vaporizer-related injuries seen in hospital emergency departments in 1979. Two cases of burns with respiratory involvement are described. Both children were directly exposed to steam from commercial vaporizers and suffered cutaneous and respiratory burns. These cases emphasize the hazards of steam vaporizers, devices that have no proven therapeutic benefits.

Aminophylline↗

Applications of free scapular flap.

The scapular flap described by Saijo and dos Santos, presents some advantages such as a thin and hairless flap, large vessel diameters, and a long vascular pedicle with a constant anatomy. Furthermore, it provides combined use of skin and vascularized bone tissue from the scapula. Between the years 1988 and 1991, we have successfully used free scapular flaps for the reconstruction of various defects in twelve patients.

Adolescent↗

Position of neurosurgery in deployment medicine.

The rigid character of the skull provides protection for the brain; in trauma, however, concomitant brain swelling, contusion, and possible hematoma create increased intracranial pressure and likely further injury to brain and components. Rapid alleviation of such pressure reduces mortality and morbidity. Standard of care in neurosurgery mandates complex diagnostic and surgical facilities. Such is not available at forward echelons of deployed military medical units. The author compares the austerity of forward-located neurosurgery against that farther to the rear and recommends the former on the merits of the major reduction of time between injury and surgery.

Brain Injuries↗

[The diagnosis and surgical procedure in penetrating neck wounds].

In 53.6% of people with wounds of the neck there are injuries of the large vessels. Wounds of the neck often involve the trachea, pharynx, esophagus, mediastinum, pleural cavity. Active surgical management, careful revision of the wound canal, use of instrumental methods of examination allow the timely diagnosing of the penetrating character of the wound and performing rational operative interventions preventing fatal complications.

Adolescent↗

[A detailed examination of injuries to the head and neck caused by bullfighting, and of their surgical treatment; the role of the cervico-facial surgeon].

Bullfighting (corrida) dates back to the 13th century in France, especially in the Camargue and the South-West, even if this fight between man and wild bull had been described before in other countries. The current modern bullfight, as an artistic interpretation, was codified in Spain during the 18th century into 3 tercios (parts): the tercio of the lance, of the bandillera, and of the muletta, which end with the death of the bull. Celebrated by our Spanish neighbours as a national fiesta, the corrida represents a confrontation between the intelligence of man and the power of the bull. Injuries are the heavy cost of this art paid by each bullfighter. Most of them have been injured seriously, or even gored to death inside the bullring. Goring is a single injury, a mix of wound, burn, contusion and infection. Its treatment calls for an expert, which makes this type of surgery highly specialised. Head and neck trauma represents 16% of the total wounds in bullfighting. Its not very often that this type of injury happens, but each time it is serious. This study is based on 1450 case reports, deals with causes and accident circumstances, together with the type of injuries and their early management in the bullring's infirmary. The seriousness of these wounds would justify a head and neck surgeon being part of the medical staff during the corrida.

Accidents↗