August 26, 2010
Bladder Rupture Following Assault
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An assaulted patient is found to have rib fractures and an intraperitoneal bladder rupture that was repaired during an exploratory laparotomy.
August 21, 2010
Aortic Dissection in Blunt Trauma
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A patient involved in a car accident causing his vehicle to roll, sustained an aortic dissection just distal to the renal arteries requiring open aortic grafting to repair it.
August 13, 2010
Cardiac laceration
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A patient was transferred to the Emergency Department of our hospital, having sustained two major stab injuries to the upper abdomen.
July 31, 2010
Biventricular shotgun injury of the heart
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20 years old man came with profound shock and bilateral massive hemothorax and jugular vein distension as result of cardiac tamponade. He underwent successful cardiac repair and had an uneventful post operative course.
May 17, 2010
A Coeliac artery aneurysm - An uncommon risk of blunt abdominal trauma
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Coeliac arterial aneurysms are rare, but with significant risk of rupture, multiple methods of treatment have been successful and early recognition and intervention is crucial.
August 04, 2009
Venous laceration to lower limb without fasciotomy
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Trauma surgeons deal rarely with isolated penetrating venous injuries to the lower limbs due to the proximity of the vein-arterial complex. The limb remains vascularized but intensely swollen and a fasciotomy must be considered. Inserting a 'drip line' into both severed ends permits immediate venous return and improves the venous hypertension to the point where a fasciotomy can be avoided. This 'damage control' act does allow one to come back a day later and to reestablish continuity with any interposition graft available. The contralateral long saphenous is first choice, a synthetic graft second, a ligature and fasciotomy third choice.
January 10, 2009
Penetrating Cardiac Injuries
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82% survival in 35 consecutive stab heart patients was achieved in a South African metropolitan community hospital during the year 2008. Excellent and expediant prehospital management, skilled emergency room personnel and available surgical skill is necessary to achieve these results. The survival rate depends on the number of patients analyzed. The last 160 patients have a 70% survival rate, the last 35 patients have an 82% survival rate. Every surgical team can achieve good results under appropriate leadership.
October 05, 2008
C-spine fractures following falls in older patients
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This case highlights the importance of the history and high index of suspicion of c-spine fracture older patients following falls.
March 15, 2008
Impalement on the top of fence
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Thoracic trauma caused by a dart on the top of a fence.
July 27, 2007
Thoracic gunshot and retroaortic bullet
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The patient sustained a gunshot wound to the lower right thorax. He was admitted to the emergency department and remained haemodynamically normal throughout his assessment. There was a right pneumothorax…
July 10, 2007
Gunshot to Carotid Artery
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A gunshot wound to the left neck, disrupting the internal and external carotid arteries. Operative repair with reversed vein graft.
June 15, 2007
Atypical use of the FAST1 manubrial intraosseous cannula.
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We write describing our experience using the First Access for Shock and Trauma (FAST1) intra-osseous (I/O) cannula to perform a rapid sequence induction (RSI) at the roadside. The casualty was the victim of an RTC with difficult IV access and in urgent need of anaesthesia due to airway compromise and severe head injury. The I/O cannula was sited swiftly and without difficulty despite the patient being in the right decubitus position for postural airway drainage. Onset of anaesthesia/muscle relaxation showed no discernable delay compared with the intravenous route. Fluid flow and cannula security were also adequate.
January 08, 2007
Superficial Femoral Artery Impalement. Arterial Shunt
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A combined femur fracture and superficial femoral artery impalement injury managed with temporary shunting to restore flow before fracture fixation and definitive repair.
November 28, 2006
Angiographic Coiling for Pelvic Haemorrhage
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Angiographic Coiling for Pelvic Haemorrhage
Karim Brohi
London, England
Case Presentation
A 47 year old man is brought to the trauma centre having had a wall collapse…
July 01, 2006
Classic Case: Tension Gastrothorax
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A rare case of tension gastrothorax following blunt trauma and diaphragmatic rupture.
October 16, 2005
Infrahepatic Inferior Vena Cava injury
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Gunshot wound to the abdomen, with injury to the lateral wall of the infrahepatic inferior vena cava. The IVC was accessed through a right medial visceral rotation and a lateral repair performed.
