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March 15, 2008
Impalement on the top of fence

Thoracic trauma caused by a dart on the top of a fence.

July 27, 2007
Thoracic gunshot and retroaortic bullet

London, UK,

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

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.

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

London, UK,

A combined femur fracture and superficial femoral artery impalement injury managed with temporary shunting to restore flow before fracture fixation and definitive repair.

July 01, 2006
Classic Case: Tension Haemothorax

London, UK,

A classic description of tension haemothorax.

July 01, 2006
Classic Case: Tension Gastrothorax

London, UK,

A rare case of tension gastrothorax following blunt trauma and diaphragmatic rupture.

October 16, 2005
Infrahepatic Inferior Vena Cava injury

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.