Journal of Trauma and Injury最新文献_第4页

Journal of Trauma and Injury Pub Date : 2025-06-01 Epub Date: 2025-03-25 DOI: 10.20408/jti.2024.0067

Yi Liu, Zosimo Ken L Jimeno, Wan Azman Wan Sulaiman

引用次数: 0

Cerebral fat emboli monitoring using transcranial Doppler ultrasound and confirmation of a successful treatment response: a case report. 使用经颅多普勒超声监测脑脂肪栓塞并确认成功治疗反应：1例报告。

Journal of Trauma and Injury Pub Date : 2025-06-01 Epub Date: 2025-03-25 DOI: 10.20408/jti.2024.0075

Morgan Jude, Ryan Martin, Ivy Nguyen, Christine Cocanour, Heather Nicoletto, Keyanna Raihani, Alicia Alley, Jeffrey R Vitt

{"title":"Cerebral fat emboli monitoring using transcranial Doppler ultrasound and confirmation of a successful treatment response: a case report.","authors":"Morgan Jude, Ryan Martin, Ivy Nguyen, Christine Cocanour, Heather Nicoletto, Keyanna Raihani, Alicia Alley, Jeffrey R Vitt","doi":"10.20408/jti.2024.0075","DOIUrl":"10.20408/jti.2024.0075","url":null,"abstract":"Fat emboli syndrome is a rare and potentially fatal condition that most commonly manifests after traumatic long-bone fractures. Cerebral fat emboli are one of the most feared complications leading to permanent neurologic injury, though methods for optimal monitoring in high-risk patients are lacking. We present a case of a 16-year-old female patient who presented to the emergency department following a motor vehicle collision with multiple injuries, including a comminuted femoral shaft and pelvic ring fracture, as well as an acute basilar artery occlusion due to fat embolism. Continuous transcranial Doppler ultrasound (TCD) of the bilateral middle cerebral arteries was utilized for emboli detection and evaluation of right-to-left shunt. The patient was found to have a high burden of microemboli on TCD in combination with a right-to-left shunt conferring increased risk of additional neurologic injury. Following surgical fixation of her orthopedic injuries, repeated TCD assessment demonstrated no further evidence of microemboli thus demonstrating efficacious response to definitive treatment. This report highlights the utility of TCD for early monitoring and detection of cerebral emboli in patients at risk for fat emboli syndrome as well as evaluating response to intervention.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"152-158"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12229806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful laparotomy for intra-abdominal hypertension following veno-venous extracorporeal membrane oxygenation after severe thoracoabdominal trauma: a case report. 严重胸腹外伤后静脉-静脉体外膜氧合后腹腔高压成功剖腹手术1例报告。

Journal of Trauma and Injury Pub Date : 2025-06-01 Epub Date: 2025-03-25 DOI: 10.20408/jti.2024.0060

Yo Huh, Jonghwan Moon, Kyoungwon Jung, Hye-Min Sohn

{"title":"Successful laparotomy for intra-abdominal hypertension following veno-venous extracorporeal membrane oxygenation after severe thoracoabdominal trauma: a case report.","authors":"Yo Huh, Jonghwan Moon, Kyoungwon Jung, Hye-Min Sohn","doi":"10.20408/jti.2024.0060","DOIUrl":"10.20408/jti.2024.0060","url":null,"abstract":"Veno-venous (VV) extracorporeal membrane oxygenation (ECMO) is often used as a life-saving therapy for lung injuries; however, it presents challenges, including bleeding risks and potential reductions in ECMO flow. This case report details the intricate management of a 16-year-old boy who suffered severe thoracoabdominal trauma following a nine-floor fall. The patient sustained severe lung injury and damage to multiple solid organs, including liver lacerations, and was placed on VV-ECMO. When initiating ECMO, it is crucial to carefully consider anticoagulation to avoid potential bleeding complications. Therefore, despite the usual risks associated with ECMO, such as bleeding and reduced flow rates, anticoagulation was withheld due to the risk of hemorrhage from the liver injury. While on ECMO support, the patient experienced a sudden decrease in flow and blood pressure, suggesting an increase in intra-abdominal pressure. An immediate decompressive laparotomy revealed a significant hemoperitoneum, primarily caused by oozing from the liver laceration. The prompt recognition of abdominal distension and the timely decision to proceed with surgery without further imaging were key to the successful treatment. Postoperatively, the patient showed good recovery, with gradual weaning from ECMO, extubation, and eventual discharge. In conclusion, this case highlights the importance of ongoing monitoring for patients with complex trauma who are on ECMO. External factors, including elevated intra-abdominal pressure, can impair ECMO performance. Meticulous management and a multidisciplinary approach are essential in these intricate cases, which involve the nonsurgical treatment of solid organ damage accompanied by severe lung injury.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"142-146"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12229804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Traumatic globe avulsion secondary to a penetrating orbital injury from a bicycle handlebar: a case report. 创伤性眼球撕脱伤继发于自行车车把穿透性眼眶伤：1例报告。

Journal of Trauma and Injury Pub Date : 2025-06-01 Epub Date: 2025-04-01 DOI: 10.20408/jti.2024.0070

Nishanth S Iyengar, Edward Xie, Patricia Pahk, Nariman S Boyle

引用次数: 0

Deciphering the effectiveness of computed tomography scoring systems in improving mortality prediction for traumatic brain injury: a systematic review and bibliometric analysis. 解读计算机断层扫描评分系统在提高外伤性脑损伤死亡率预测中的有效性：系统回顾和文献计量学分析。

Journal of Trauma and Injury Pub Date : 2025-06-01 Epub Date: 2025-06-25 DOI: 10.20408/jti.2025.0009

Astrid Ekklesia Saputri, Eunike Priscila, Rian Ka Praja, Ysrafil Ysrafil

{"title":"Deciphering the effectiveness of computed tomography scoring systems in improving mortality prediction for traumatic brain injury: a systematic review and bibliometric analysis.","authors":"Astrid Ekklesia Saputri, Eunike Priscila, Rian Ka Praja, Ysrafil Ysrafil","doi":"10.20408/jti.2025.0009","DOIUrl":"10.20408/jti.2025.0009","url":null,"abstract":"Purpose: Traumatic brain injury is associated with adverse prognoses and significant neurological impairments that negatively affect patients' quality of life and physiological well-being. The aim of this study was to compare various computed tomography (CT) scoring systems in order to evaluate their effectiveness in predicting mortality and in risk stratification.Methods: The evolution and trends in the use of CT scoring systems were analyzed through a bibliometric analysis of 72 Scopus-indexed documents using VOSviewer ver. 1.6.19. A systematic review was conducted following the 2020 PRISMA guidelines, with data obtained from PubMed Advance, Scopus, and Google Scholar for the period 2003-2024. A total of 198 journals were identified and subsequently filtered down to 6 that met the inclusion criteria.Results: The bibliometric analysis revealed a progressive shift toward the use of CT scoring systems for novel diagnostic purposes and mortality prediction. The Rotterdam CT score demonstrated the highest total link strength and was most frequently published in 2017. In contrast, the Marshall CT score was more widely referenced in studies published after 2020. Despite being recognized for its sensitivity, the Helsinki CT score has not garnered equivalent research attention. Furthermore, the review suggested that the Rotterdam CT score is superior in predicting mortality among traumatic brain injury patients, with the Marshall CT score also demonstrating potential.Conclusions: A review of the extant literature indicates that the Helsinki CT score exhibits the highest predictive accuracy, effectively estimating both mortality probability and long-term prognosis. Since 2015, research on the Helsinki CT score has steadily increased.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"82-90"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12229812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment of placental abruption following blunt abdominal trauma: a case report. 钝性腹部创伤后胎盘早剥的治疗：1例报告。

Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2024-12-04 DOI: 10.20408/jti.2024.0050

Jinjoo Kim, Seokyung Kim, Dongwook Kwak, Donghwan Choi

引用次数: 0

Heterodigital flap as a solution for a thumb defect: a case report. 用异位腓骨皮瓣治疗拇指缺损：病例报告。

Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2024-11-18 DOI: 10.20408/jti.2024.0049

Bontor Daniel Sinaga, Dwi Purnomo Setyo Budi, Mochamad Sadabaskara

{"title":"Heterodigital flap as a solution for a thumb defect: a case report.","authors":"Bontor Daniel Sinaga, Dwi Purnomo Setyo Budi, Mochamad Sadabaskara","doi":"10.20408/jti.2024.0049","DOIUrl":"10.20408/jti.2024.0049","url":null,"abstract":"Thumb traumatic injuries are incredibly common in hand injuries. The thumb is essential to hand function in order to do daily tasks like gripping, holding, opposing, circumducting, and movements. As a result, compared to injuries to other fingers, a thumb injury significantly impairs hand function. Traumas can cause soft tissue loss linked to vascular injuries that require revascularization. Replantation is the surgical treatment most frequently suggested to patients who have had their thumbs amputated in an attempt to restore function and attractiveness. There are alternative reconstructive techniques, such as skin grafting or local, distal, and free flaps, when replantation of the severed segment is not feasible. Reconstruction techniques vary depending on where the amputation occurred and include transfer site reconstruction and homodigital and heterodigital flaps. We reported a case of a woman who has a right traumatic thumb injury due to blender accident. Primary suturing and debridement were done to save the thumb. But after several days, the thumb was necrotic and not viable. Heterodigital island flap from the right middle finger was chosen. Radial forearm skin was grafted to cover the middle finger defect. This gave satisfactory results. Wound healing was quite good, but there were signs of scar tissue growth after several months of follow-up. The function and mobility of the thumb and hand were also achieved well through the QuickDASH (quick Disability of the Arm, Shoulder and Hand) score. Heterodigital flap provides satisfactory results both aesthetically and functionally in traumatic thumb injury cases.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"56-60"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Differentiation of antimicrobial toxicity and sepsis-induced disseminated intravascular coagulation in an orthopedic burn patient in India: a case report. 印度一名骨科烧伤患者的抗菌药物中毒与败血症引起的弥散性血管内凝血的鉴别：病例报告。

Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2024-11-18 DOI: 10.20408/jti.2024.0040

Parampreet Singh Saini, Ankita Aggarwal, Tarunpreet Saini

{"title":"Differentiation of antimicrobial toxicity and sepsis-induced disseminated intravascular coagulation in an orthopedic burn patient in India: a case report.","authors":"Parampreet Singh Saini, Ankita Aggarwal, Tarunpreet Saini","doi":"10.20408/jti.2024.0040","DOIUrl":"10.20408/jti.2024.0040","url":null,"abstract":"Drug-induced thrombocytopenia, hemolytic anemia, and leukopenia are serious, and sometimes fatal, complications of common medications. These conditions are challenging to diagnose in patients with polytrauma injuries due to the presence of multiple potential etiologies. In such clinical scenarios, sepsis-induced disseminated intravascular coagulation is a more frequent diagnosis. The clinical manifestations of these conditions can be indistinguishable. We present the case of a 32-year-old man who sustained a left open grade 2 leg fracture and 18% to 20% second-degree superficial electrical flash burns on his right leg. Following primary management, skin testing for antibiotic sensitivity was performed, and prophylactic therapy with ceftriaxone, gentamycin, and metronidazole was initiated for the grossly contaminated wounds. On the second day of emergency admission, the patient developed hepatorenal dysfunction accompanied by severe thrombocytopenia (<30×103/mm3). The suspected antimicrobial agents were discontinued by the third day. Within 48 hours, the patient's hepatorenal function markedly improved; however, the blood dyscrasia progressed to severe pancytopenia over the next few days. Despite worsening parameters, the patient's vitals were maintained, and he exhibited no overt bleeding. On the fourth day, the patient developed opportunistic fungal bronchopneumonia, indicated by bilateral lower lobe infiltrates on chest x-ray and an elevated serum galactomannan level. He received supportive care, broad-spectrum antibiotics, and antifungal treatment, with a full recovery within 2 weeks. Antibiotic toxicity must be distinguished from other medical conditions to ensure appropriate management and a favorable prognosis.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"44-50"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful treatment of hemophagocytic lymphohistiocytosis in a trauma patient: a case report. 创伤患者噬血细胞淋巴组织细胞病的成功治疗一例报告。

Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2025-03-25 DOI: 10.20408/jti.2024.0093

Young Soo Chung, Jihoon Kim

{"title":"Successful treatment of hemophagocytic lymphohistiocytosis in a trauma patient: a case report.","authors":"Young Soo Chung, Jihoon Kim","doi":"10.20408/jti.2024.0093","DOIUrl":"10.20408/jti.2024.0093","url":null,"abstract":"Hemophagocytic lymphohistiocytosis (HLH) is a rare, life-threatening hyperinflammatory syndrome characterized by excessive activation of the immune system. This case report describes an unusual presentation of HLH triggered by severe trauma from a motorcycle accident, which is a departure from traditional associations with infections, malignancies, or autoimmune conditions. A 40-year-old man with multiple traumatic injuries developed persistent fever, pancytopenia, and elevated inflammatory markers following orthopedic surgery. Despite empiric antibiotic therapy, his condition deteriorated, exhibiting high fever, skin rash, hepatic dysfunction, and marked elevation of ferritin levels (32,901 ng/mL). Bone marrow biopsy confirmed the diagnosis of HLH, and treatment was initiated according to the HLH-2004 protocol, which included methylprednisolone, intravenous immunoglobulin, and immunosuppressive therapy. The patient demonstrated significant clinical improvement and was discharged after 37 days, with no recurrence observed during the follow-up period. This case underscores the need to consider HLH in trauma patients presenting with unexplained inflammatory responses and illustrates that prompt diagnosis and aggressive treatment can lead to successful outcomes.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":" ","pages":"66-70"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Changes in the clinical features and demographics of donors after brain death, before and after the establishment of a regional trauma center: 20 years of experience at a single center in Korea. 脑死亡后、区域创伤中心建立前后供体临床特征和人口统计学的变化：韩国单一创伤中心20年的经验

Journal of Trauma and Injury Pub Date : 2025-03-01 Epub Date: 2025-03-31 DOI: 10.20408/jti.2024.0068

Myung Jin Jang, Sang Tae Choi, Gil Jae Lee, Doo Jin Kim, Won Suk Lee

{"title":"Changes in the clinical features and demographics of donors after brain death, before and after the establishment of a regional trauma center: 20 years of experience at a single center in Korea.","authors":"Myung Jin Jang, Sang Tae Choi, Gil Jae Lee, Doo Jin Kim, Won Suk Lee","doi":"10.20408/jti.2024.0068","DOIUrl":"10.20408/jti.2024.0068","url":null,"abstract":"Purpose: Organ transplantation is considered the definitive treatment for end-stage organ disease. However, the scarcity of donor organs compared to the number of patients awaiting transplants is a major barrier. This study aimed to assess the impact of a regional trauma center on organ procurement and to provide a basis for future collaboration between regional trauma centers and transplant centers.Methods: This retrospective study analyzed organ donors after brain death over a 20-year period from January 1, 2003, to December 31, 2022. It compared patients before and after the establishment of the regional trauma center, as well as trauma and nontrauma patients. The study investigated general patient characteristics and the number and types of donated organs.Results: The average age of patients significantly increased from 37.75 years before the trauma center was established to 46.72 years after (t=-4.32, P<0.001). The organ acquisition rate significantly increased from 3.03 before to 3.47 after (t=-2.96, P=0.003). Suicide (t=6.52, P=0.011) and cardiopulmonary resuscitation cases were more common among nontrauma patients than among trauma patients (t=8.34, P=0.004). However, the organ acquisition rate was significantly higher among trauma patients than among nontrauma patients (3.53 vs. 3.21; t=2.04, P=0.004).Conclusions: This study identified changes in the characteristics and donor organs of patients diagnosed with brain death after the establishment of a regional trauma center. Given the increase in the proportion of trauma patients and the rate of organ acquisition per capita post-establishment, efforts should be made to encourage organ donation from patients diagnosed with brain death through close collaboration between regional trauma centers and organ transplant centers.","PeriodicalId":52698,"journal":{"name":"Journal of Trauma and Injury","volume":"38 1","pages":"14-21"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0