Pub Date : 2021-08-01DOI: 10.5005/jp-journals-10030-1320
Tariq Janjua, F. Bangash, L. Moscote-Salazar
{"title":"Airway Management of Massive Hemoptysis in a Tracheostomized Patient: A Clinical Approach","authors":"Tariq Janjua, F. Bangash, L. Moscote-Salazar","doi":"10.5005/jp-journals-10030-1320","DOIUrl":"https://doi.org/10.5005/jp-journals-10030-1320","url":null,"abstract":"","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86321774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-01DOI: 10.5005/jp-journals-10030-1325
S. Rizoli
{"title":"Social Distancing for Patients and Doctors? A New Post-COVID World","authors":"S. Rizoli","doi":"10.5005/jp-journals-10030-1325","DOIUrl":"https://doi.org/10.5005/jp-journals-10030-1325","url":null,"abstract":"","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88447997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-01DOI: 10.5005/JP-JOURNALS-10030-1324
Michel B. Aboutanos, E. Rodas, Nancy Valencia-Rojas
{"title":"Fostering Knowledge Transfer to Strengthen the Surgical Workforce in LMIC: Lessons Learned from an International Observership Program","authors":"Michel B. Aboutanos, E. Rodas, Nancy Valencia-Rojas","doi":"10.5005/JP-JOURNALS-10030-1324","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10030-1324","url":null,"abstract":"","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"21 1","pages":"61-65"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83257340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-01DOI: 10.5005/jp-journals-10030-1321
O. Neto, Luiz ER Moutinho, L. Costa
Aim and objective: This paper reports a case of early traumatic hepatothorax and discusses diagnosis and treatment according to an updated literature review. Background: Hepatothorax is the abnormal displacement of the liver to the chest. It is a rare condition, which may be challenging to diagnose, and is associated with high energy blunt trauma. Hepatothorax may evolve in different phases: initial, latent, and obstructive; and lead to significant complications and death. Case description: This paper reports the case of a female patient, 35-year-old, diagnosed with hepatothorax due to a car crash causing a high- energy thoracoabdominal trauma. Due to poor clinical progress after chest drainage, a subsequent helical computerized tomography was done and diagnosed a right diaphragmatic injury and hepatic herniation to the chest. The patient underwent early surgical correction of the diaphragmatic injury and she was later successfully discharged home without complications after a 1-year follow-up. Conclusion: The literature reports numerous underdiagnosed cases and later surgical correction of traumatic hepatothorax. In this case, persistent dyspnea, despite chest drainage, following a high-energy trauma led to the search and identification of the hepatothorax. Clinical significance: Physicians should have a high index of suspicion for traumatic hepatothorax in high-energy blunt thoracoabdominal trauma and consider early surgical repair, which is associated with lower morbidity and mortality in this type of injury.
{"title":"Early Traumatic Hepatothorax: An Underdiagnose Complication of High Energy Blunt Trauma","authors":"O. Neto, Luiz ER Moutinho, L. Costa","doi":"10.5005/jp-journals-10030-1321","DOIUrl":"https://doi.org/10.5005/jp-journals-10030-1321","url":null,"abstract":"Aim and objective: This paper reports a case of early traumatic hepatothorax and discusses diagnosis and treatment according to an updated literature review. Background: Hepatothorax is the abnormal displacement of the liver to the chest. It is a rare condition, which may be challenging to diagnose, and is associated with high energy blunt trauma. Hepatothorax may evolve in different phases: initial, latent, and obstructive; and lead to significant complications and death. Case description: This paper reports the case of a female patient, 35-year-old, diagnosed with hepatothorax due to a car crash causing a high- energy thoracoabdominal trauma. Due to poor clinical progress after chest drainage, a subsequent helical computerized tomography was done and diagnosed a right diaphragmatic injury and hepatic herniation to the chest. The patient underwent early surgical correction of the diaphragmatic injury and she was later successfully discharged home without complications after a 1-year follow-up. Conclusion: The literature reports numerous underdiagnosed cases and later surgical correction of traumatic hepatothorax. In this case, persistent dyspnea, despite chest drainage, following a high-energy trauma led to the search and identification of the hepatothorax. Clinical significance: Physicians should have a high index of suspicion for traumatic hepatothorax in high-energy blunt thoracoabdominal trauma and consider early surgical repair, which is associated with lower morbidity and mortality in this type of injury.","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90587717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-01DOI: 10.5005/jp-journals-10030-1322
A. A. Chacón-Aponte, É. A. Durán-Vargas, J. A. Arévalo-Carrillo, A. Agrawal, I. Lozada‐Martínez, Tariq Janjua, L. Moscote-Salazar, V. Maurya, Rakesh Mishra, Mohammed Maan Al-Salihi, Moshiur Rahman
The level of consciousness following head trauma generally correlates with the overall prognosis of an individual. It is a consensus that following a head injury, patients able to talk (Glasgow coma scale verbal of 3 or 4) perform well over time. However, there is a subset of patients who suddenly deteriorates and succumb despite talking after trauma. Such an event was labeled as “talk and die”. This review aims to summarize the published literature on talk and die syndrome, considering the relevance of this condition, especially in Latin America and the Caribbean, where there are high rates of traumatic brain injury.
{"title":"Talk and Die Syndrome: A Narrative Review","authors":"A. A. Chacón-Aponte, É. A. Durán-Vargas, J. A. Arévalo-Carrillo, A. Agrawal, I. Lozada‐Martínez, Tariq Janjua, L. Moscote-Salazar, V. Maurya, Rakesh Mishra, Mohammed Maan Al-Salihi, Moshiur Rahman","doi":"10.5005/jp-journals-10030-1322","DOIUrl":"https://doi.org/10.5005/jp-journals-10030-1322","url":null,"abstract":"The level of consciousness following head trauma generally correlates with the overall prognosis of an individual. It is a consensus that following a head injury, patients able to talk (Glasgow coma scale verbal of 3 or 4) perform well over time. However, there is a subset of patients who suddenly deteriorates and succumb despite talking after trauma. Such an event was labeled as “talk and die”. This review aims to summarize the published literature on talk and die syndrome, considering the relevance of this condition, especially in Latin America and the Caribbean, where there are high rates of traumatic brain injury.","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88349256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-01DOI: 10.5005/JP-JOURNALS-10030-1317
A. Agrawal, L. Moscote-Salazar, Md Moshiur Rahman
{"title":"Coronavirus Disease (SARS-CoV-2) and Neurocritical Care: Challenges for Neurosurgeons","authors":"A. Agrawal, L. Moscote-Salazar, Md Moshiur Rahman","doi":"10.5005/JP-JOURNALS-10030-1317","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10030-1317","url":null,"abstract":"","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"110 1","pages":"89-90"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77454005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-01DOI: 10.5005/jp-journals-10030-1323
Jacob Kirkorowicz, N. Atherton, Yueqi Yan
Aim and objective: Our objective was to determine whether patients presenting as activated traumas to a trauma center serving a high methamphetamine (meth) prevalence region differed in outcomes based on whether they tested positive vs negative for methamphetamine at the time of presentation. Materials and methods: A case-control design was used to examine the trauma outcomes among patients who tested meth-positive vs matched controls. The trauma outcomes evaluated were needed for laparotomy, rate of inpatient admission, rate of ICU admission, hospital length of stay, ICU length of stay, ventilation status, ventilation time, injury severity score, and mortality. Propensity score matching was used to match meth-positive cases and comparison cases on sex, age (in years), race, primary financial resources to pay for the visit, presentation time, and the county where s/he lived at the time of presentation. Results: Meth-positive patients and matched comparison cases did not differ in the need for laparotomy. Meth-positive patients experienced a longer hospital stay ( p = 0.011), longer duration of ventilator use ( p = 0.05), and a higher injury severity score ( p < 0.001). Positive cases were more likely than matched comparison cases to be admitted to the ICU ( p < 0.001) and to be placed on mechanical ventilation ( p < 0.001). Meth- positive patients had a marginally significantly higher rate of inpatient admission ( p = 0.066). No significant difference was found between the two groups in mortality rate at discharge and length of ICU stays. Conclusion: Meth positivity is notably associated with an increased injury severity score on presentation. If meth use is known or suspected before arrival, trauma resources should be mobilized appropriately to prepare for a severe traumatic injury. The fact that meth positivity increases the likelihood of ICU admission and ventilator use, with increased hospital length of stay and increased ventilator time, indicates that meth positivity in trauma patients places a large burden on hospital staffing and resources.
{"title":"Trauma Outcomes in Methamphetamine-positive Patients vs Matched Methamphetamine-negative Controls in a Central Valley California Trauma Center","authors":"Jacob Kirkorowicz, N. Atherton, Yueqi Yan","doi":"10.5005/jp-journals-10030-1323","DOIUrl":"https://doi.org/10.5005/jp-journals-10030-1323","url":null,"abstract":"Aim and objective: Our objective was to determine whether patients presenting as activated traumas to a trauma center serving a high methamphetamine (meth) prevalence region differed in outcomes based on whether they tested positive vs negative for methamphetamine at the time of presentation. Materials and methods: A case-control design was used to examine the trauma outcomes among patients who tested meth-positive vs matched controls. The trauma outcomes evaluated were needed for laparotomy, rate of inpatient admission, rate of ICU admission, hospital length of stay, ICU length of stay, ventilation status, ventilation time, injury severity score, and mortality. Propensity score matching was used to match meth-positive cases and comparison cases on sex, age (in years), race, primary financial resources to pay for the visit, presentation time, and the county where s/he lived at the time of presentation. Results: Meth-positive patients and matched comparison cases did not differ in the need for laparotomy. Meth-positive patients experienced a longer hospital stay ( p = 0.011), longer duration of ventilator use ( p = 0.05), and a higher injury severity score ( p < 0.001). Positive cases were more likely than matched comparison cases to be admitted to the ICU ( p < 0.001) and to be placed on mechanical ventilation ( p < 0.001). Meth- positive patients had a marginally significantly higher rate of inpatient admission ( p = 0.066). No significant difference was found between the two groups in mortality rate at discharge and length of ICU stays. Conclusion: Meth positivity is notably associated with an increased injury severity score on presentation. If meth use is known or suspected before arrival, trauma resources should be mobilized appropriately to prepare for a severe traumatic injury. The fact that meth positivity increases the likelihood of ICU admission and ventilator use, with increased hospital length of stay and increased ventilator time, indicates that meth positivity in trauma patients places a large burden on hospital staffing and resources.","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85067596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-01DOI: 10.5005/JP-JOURNALS-10030-1319
Amber N Himmler
{"title":"Una Extranjera en el Extranjero","authors":"Amber N Himmler","doi":"10.5005/JP-JOURNALS-10030-1319","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10030-1319","url":null,"abstract":"","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"9 1","pages":"87-88"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90606195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.5005/JP-JOURNALS-10030-1309
Carlos A Lozano De Avila, Giovanna M Rivas Zuñiga, Katty C Square Nieves, N. D. J. Z. Medrano, Jaime M Iglesias Medrano
The term body packer refers to the carrying of illegals in the body of a person with the aim of contraband. It is estimated that around 5% of the world’s adult population used illicit drugs at least once in 2015. While most body packers are asymptomatic, a small percentage requires a surgical intervention due to complications such as intestinal obstruction. In the current report, we will present the case of a patient admitted with this complication to the emergency unit of a hospital in the city of Cartagena.
body packer这个词指的是在一个人的身体里携带非法物品，目的是走私。据估计，2015年全球约有5%的成年人至少使用过一次非法药物。虽然大多数身体包装者没有症状，但由于肠梗阻等并发症，一小部分人需要手术干预。在本报告中，我们将介绍卡塔赫纳市一家医院急诊科收治的一例患有这种并发症的患者。
{"title":"Body Packer: An Experience in a Reference Hospital","authors":"Carlos A Lozano De Avila, Giovanna M Rivas Zuñiga, Katty C Square Nieves, N. D. J. Z. Medrano, Jaime M Iglesias Medrano","doi":"10.5005/JP-JOURNALS-10030-1309","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10030-1309","url":null,"abstract":"The term body packer refers to the carrying of illegals in the body of a person with the aim of contraband. It is estimated that around 5% of the world’s adult population used illicit drugs at least once in 2015. While most body packers are asymptomatic, a small percentage requires a surgical intervention due to complications such as intestinal obstruction. In the current report, we will present the case of a patient admitted with this complication to the emergency unit of a hospital in the city of Cartagena.","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"204 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72961540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.5005/JP-JOURNALS-10030-1312
A. Simons, Ezequiel Monteverde, A. Francavilla, A. Gattari, Deborah Turina, A. Costas, P. López, P. Neira
the diagnostic and therapeutic complexity that these patients present, motivate the consideration for presentation of the following cases admitted to a pediatric intensive care unit (PICU) in a 5-year period. These cases showed different evolution and mechanism of injury. Two of them required emergency surgical exploration with final procedures derived from intraoperative findings. In the third case, given his good general condition and hemodynamic stability, it was decided to maintain a non-operative approach with satisfactory results. The mortality of these patients is high during the golden hour, since the therapeutic results depend on a high-degree suspicion index.
{"title":"Herida Penetrante Cervical En Pediatría","authors":"A. Simons, Ezequiel Monteverde, A. Francavilla, A. Gattari, Deborah Turina, A. Costas, P. López, P. Neira","doi":"10.5005/JP-JOURNALS-10030-1312","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10030-1312","url":null,"abstract":"the diagnostic and therapeutic complexity that these patients present, motivate the consideration for presentation of the following cases admitted to a pediatric intensive care unit (PICU) in a 5-year period. These cases showed different evolution and mechanism of injury. Two of them required emergency surgical exploration with final procedures derived from intraoperative findings. In the third case, given his good general condition and hemodynamic stability, it was decided to maintain a non-operative approach with satisfactory results. The mortality of these patients is high during the golden hour, since the therapeutic results depend on a high-degree suspicion index.","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81741628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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