Midcarpal amputation of the hand

Case Report A 30-year-old cheesemaker presented in their emergency room with a severe mutilating avulsion injury of the hand and forearm. His right adominant hand was pulled in a cheese cutting machine with six circular saw blades working in opposition to each other. He sustained a midcarpal amputation of the hand, a complete avulsion of […]

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Thoraco-abdominal impalement injury with two construction ironbars – A rare case report

Abstract Introduction: The work has been reported in line with the SCARE criteria. Thoracoabdominal impalement injuries are uncommon and very few cases have been reported. Impalement injuries result when a rigid object penetrates and remains lodged within the body. It has complex anesthetic and surgical management. We describe the successful surgical and anesthetic management of a […]

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Thoracotomy training simulator body

Medical advances that bring us closer and closer to reality 👨‍⚕️This isn’t a real human but rather a sophisticated thoracotomy training simulator body.This is a procedural, repairable and operable biofidelic manikin that provides new immersive training options for clinical educators and practitioners of emergency medical care.Improving clinical competency and operative outcomes without endangering patients and […]

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Death by sulfuric acid

Chemical burns are not as common as thermal burns, but they’re just as destructive to human tissue. In this particular instance the individual committed suicide by drinking a large quantity of sulfuric acid. Sulfuric acid is particularly nasty because it’s chemical composition quickly destroys the lipid membrane of cells and denatures proteins, causing instant cellular […]

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Complete Penile and Scrotum Skin Degloving Injury

CASE PRESENTATION A 59-year-old worker got his clothes entangled in grinding machine while operating the machine and was admitted to the Department of Burns and Plastic Surgery in Linyi People’s Hospital 5 hours after injury. The skin of penis and scrotum was completely torn off, with exposure of testes and entire shaft of penis. Only […]

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Proximal interphalangeal replantation

A 57-year-old woman suffered from incomplete amputations at the level of the PIP joint of the right index finger without distal circulation, along with crush fracture on the proximal phalangeal bone of middle, ring and little fingers due to being caught in the rotor of a food processor (Fig. 1, ​2). The patient underwent revascularization and PIP […]

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Lower Lip and Chin Reconstruction with Functional Myocutaneous Gracilis Flap

Case Report: A 50-year-old man presented to the emergency room with a wide lower lip injury caused by a human bite that occurred 2 hours earlier, with avulsion of approximately 80% of the lip and 30% of the chin ( Fig. 1 ). The patient carried the avulsed tissue in an ice bag. Neither history of smoking nor […]

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Cutaneous Manifestations of Lightning Injury: A Case Report

M. E. Asuquo, MBBS, FWACS, FICS, I. A. Ikpeme, MBBS, FWACS, FICS, and I. Abang, MBBCH CASE REPORT A 22-year-old woman with a history of inability to use both upper limbs since 2 months presented in the accident and emergency unit. This followed a lightning strike in a village while she was asleep in the […]

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Forequarter Replantation

An 18-year-old man presented with a workplace-related injury, wherein his left shirt sleeve was caught in a cloth rolling machine and consequently his left upper limb was avulsed and amputated at his shoulder. He presented to our center 3 hours after the incident, with the amputated part brought without cooling. Initial examination showed pallor but […]

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Multiple-level Replantation in Elderly Patient

CASE REPORT A 62-year-old, right-handed woman suffered a complete double-level amputation transversely across the left distal forearm and the wrist and a severe crush injury of the midhand in a tree-shredder ​(Fig.1). Cold ischemia time was less than 2 hours. The proximal amputation occurred at the forearm 3 cm proximal to the radiocarpal joint, the distal obliquely […]

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Auricular Necrotizing Wound From Brown Recluse Spider Bite

A 5-year-old white boy presented with soft-tissue cellulitis involving the soft tissue of the lower ear auricle and adjacent neck (Figs ​1a and ​1b) as a result of a brown recluse spider bite. Wound cultures gave negative results upon initial debridement. The involved area progressed from cellulitis to necrosis of the skin of the lateral neck and lower […]

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Motor vehicle accident

Case presentation A 29-year-old man was brought to our level one trauma hospital after a motor vehicle accident, during which he was ejected from the vehicle during the crash. He lost consciousness on impact but was alert and oriented on arrival at the hospital, and was able to move all four extremities during the initial […]

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An Alternative Approach for Treating Severe Injured Temporomandibular Joints by Gunshot Wounds

Abstract Temporomandibular joint (TMJ) reconstruction is a challenging clinical problem that has been revolutionized due to the development of total alloplastic TMJ replacement (TMJ-TJR); however, the costs are still very high. We used an alternative approach to treat comminuted mandibular condyle fracture with an unviable condyle head caused by gunshot wounds. Our surgical technique consisted […]

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Ballistic Trauma

Combat and domestic improvised explosive devices (IEDs) deserve special consideration and mention as they result in additional trauma to the soft and hard tissues that extend far beyond that of typical ballistic patterns of permanent and temporary cavitation effects seen with handguns, shotguns, or even high-powered rifles. In addition to direct tissue damage from blast […]

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Jellyfish injuries

Lakkana Thaikruea & Potjaman Siriariyaporn  It is widely known that box jellyfish are one of the most venomous marine animals in the world [1]. Envenomation involves the physical discharge of venom into tissues. The venom is a complex mixture of polypeptides and proteins, including hemolytic, cardiotoxic and dermatonecrotic toxins The islands of Samui and Pha-ngan have the […]

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Earthquake injuries

Lei Liu, Gang Tan, Fujun Luan, Xin Tang, Pengde Kang, Chongqi Tu, and Fuxing Pei The Wenchuan earthquake (May 12, 2008; 2:28 p.m. local time) was a disaster for China. Orthopedic surgeons faced major challenges in controlling fractures quickly and effectively, repairing tissue defects, closing the wounds, promoting wound healing, preventing infection, and minimising complications. […]

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Nine amputated fingers.

A 41-year-old male patient presented to Khoula Hospital, Muscat, Oman, in 2015 with nine amputated fingers. While operating a paper cutting machine, eight of the patient’s fingers were amputated through the proximal phalanges, while the right thumb was amputated through the distal phalanx [Figure 1]. The total ischaemia time when the patient was received at […]

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