Lung Protrusion: Tragic Consequence of a Knife Assault

Lung Protrusion refers to the exposure of lung parenchyma from a defect in the chest wall. This is a case of knife assault which caused lung evisceration. A 20-year-old presented to the Emergency Department with bilateral stab wounds in the thorax, causing lung protrusion. He also had exposed lung parenchyma on the left side. He […]

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Scalp avulsion injury

Patient reportedly fell and hit her head on on a sharp rock, lacerating her scalp. The wound was thouroughly irrigated and debrided. Later the wound was closed with sutures and two drains were placed to minimize the chance of haematoma formation. Broad spectrum antibiotics were also given. Scalp lacerations are a common injury. Clinical evaluation […]

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Compartment Syndrome

Compartment syndrome is one of the true emergencies where timing is critical and every hour that passes matters. Compartment syndrome occurs when pressure in a confined space gets too high. This was compartment syndrome of the arm and forearm due to reperfusion injury that happened with the vessels being compressed for a long time then […]

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Successful Microsurgical Replantation of Scalp Amputation Using Medicinal and Chemical Leech Therapy: A Case Report

A 47-year-old woman presented to the hospital with a com- plete amputated scalp after her hair was caught in a laun- dry-packing machine. Compact compression dressing with gauze and elastic band was applied, owing to severe bleeding by completely ruptured both superficial temporal artery (STA) and superficial temporal vein (STV) (Fig. 1). The laceration ex- […]

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“The hand of God” – nurses try to comfort isolated patients in a Brazilian Covid isolation ward

From Brazil , a country that has recorded a very high number of infections from Covid-19, comes ““mão de deus“ “, conceived by a Brazilian nurse to break down the barrier of isolation and give comfort to the patients. For over a year engaged in the fight against Coronavirus , doctors and nurses all over the world, in addition to ensuring the necessary health care for patients forced to live in […]

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A Case of a Survivor to a Through-and-Through Head Gunshot Wound following Russian Roulette

Sir: Georges Arthur Surdez (1900 to 1949) is considered the inventor of Russian roulette. The first report of Russian roulette was published in January 30, 1937, in Collier’s magazine. In the original “game to die,” in 1917, in Romania, some Russian officers removed a cartridge from a revolver, spun the cylinder, snapped it back in place, placed […]

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Successful ankle replantation in two cases with different presentations

CASES Case 1 A 32-year-old man was assaulted with a sharp sword, resulting in total amputation of the lower extremity at the level of the tibiotalar joint, with clean-cut wound (Fig. 1A). He presented 4 hours after the injury, in a stable hemodynamic condition with no other associated injuries. The patient was immediately transferred to […]

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STEMI Associated with Overuse of Energy Drinks

2. Case Presentation The patient was a 26-year-old male who began having left-sided chest pain approximately 9 hours prior to presentation to the emergency department following drinking his usual quantity (~4L) of “Monster,” “Rock Star,” and other similar brands of energy drinks. The patient stated that he drank any kind of energy drink he could […]

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Thoracic impalement injury: A survivor with large metallic object in-situ

Case report A 25-year-old male send to emergency department (ED) due to thoracic impalement injury caused by a metallic bar. He crashed into a lorry from behind in high speed when he was driving a motor car. As a result, his car wind screen was broken, a blunt iron bar from the lorry pierced through […]

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MAJOR CRUSH INJURY LEFT UPPER LIMB

49 year old male met with a road traffic accident. Patient was driving a two wheeler which was overrun by a tipper  on 29.12.2010 at around 2.30 p.m. between Miryalguda and Damargidda Chevella mandal , Ranga Reddy distt. Andhra pradesh, India. Patient sustained extensive degloving injury to the left upper limb extending from the left mid […]

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Impalement head injury with serrated meat knife.

Abstract  An unsuspecting motorcycle passenger was ambushed and impaled on the right side of the head with a 30cm serrated meat carving knife during a sectarian crisis in the city of Jos, Plateau State, Nigeria. The patient escaped running with the knife in his head and was rescued to a military hospital from where he […]

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A woman working on a farm got her hair caught in a thresher machine and it ripped it right off her scalp.

Replantation is the treatment of choice in scalping injuries and should always be considered, even in case of a badly damaged scalp. Specific procedures regarding pre-, intra- and postoperative care are crucial to success in replantation. These include: haemodynamic stabilization of the patient without causing damage to possible donor vessels; cooling, cleaning and further proper […]

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Esthetic Reconstruction of Complex Facial Soft Tissue Trauma

All soft tissue injuries were treated with primary intention following debridement, irrigation, and primary surgical intervention by different methods depending on the defect size and location. They explained probable complications of primary intention to all patients and informed consents were obtained from all patients before surgical interventions. The medical ethics committee of their hospital approved […]

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Railway track injury

Case Report A 30-year-old male victim of railway track injury was brought to the emergency department by police. He had a lacerated/partly avulsed wound over face, involving forehead, nose and left cheek, with traumatic evisceration of left eye [Figure 1]. On arrival, the patient was found to have a threatened airway in view of extensive […]

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Penetrating Heart Injury due to Screwdriver Assault

Case Report This is a 16-year-old boy who experienced physical aggression in urban fight. He was assaulted by a screwdriver and had stab wound on the anterior face of the chest. He was transported from St. Louis, 192 km away, to our facility by ambulance in a stable hemodynamic status and arrived 8 hours later. Physical […]

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