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

1Emory School of Medicine, Atlanta, Georgia, USA 2Department of Neurosurgery, Emory School of Medicine, Atlanta, Georgia, USA 3Department of Surgery, Emory School of Medicine, Atlanta, Georgia, USA Correspondence to Dr Faiz U Ahmad, ude.yrome@damha.ziaf 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 […]

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

Department of Oral and Maxillofacial Surgery, School of Dentistry, University Centre of Para – CESUPA, Belem, PA, Brazil 1Department of Periodontology, School of Dentistry, University Centre of Para – CESUPA, Belem, PA, Brazil 2Cell Culture Laboratory, Faculty of Dentistry, Federal University of Pará, Belem, PA, BrazilAddress for correspondence: Dr. André Luis Ribeiro Ribeiro, Cell Culture Laboratory, […]

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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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Amputated thumb by an electrical saw

A 44-year-old male presented to our department with an amputated thumb with radial part of the hand (Fig. 1). His injury was occurred by an electrical saw. The index finger circulation was intact. The margins of both the parts were crushed and severely damaged. Under general anesthesia and tourniquet control, they explored the wound. After […]

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Attacked from a bear while grazing his cattle

A 35 year old male patient reported to emergency OPD with history of bear attack when he had gone to the jungle to graze his cattle. There was history of loss of consciousness for half an hour but no history of vomiting and ENT bleeding. On examination the patient was stable, neurological and cervical spine examinations […]

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Agricultural Machine Accident

A 19-year-old man from Kosovo was working on a farm when an agricultural machine ran over his leg causing severe injuries. The patient underwent a complicated operation comprising of debridement of devitalised tissue, soft tissue reconstruction and external fixation of broken bone segments. After a period of several months he managed to walk again. Case […]

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Anticoagulant-induced priapism progressing to penile gangrene: a devastating complication!

Case presentation A 35-year-old man, non-diabetic, non-hypertensive, married, having two children with normal erectile function, presented 4 h after sustaining gunshot injury to the left side of chest and left upper limb (figure 1). There were no injuries to the external genitalia. On evaluation, he had left pneumo-haemothorax which was relieved with insertion of intercostal chest […]

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The Big Bang: Facial Trauma Caused by Recreational Fireworks

Authors: Josher Molendijk, BSc, MSc,1 Bob Vervloet, BSc, MSc,1 Eppo B. Wolvius, DDS, MD, PhD,1 and Maarten J. Koudstaal, MD, DDS, PhD1 Case A 29-year-old man was hit directly in the face by a rocket in the night of January 1, 2011. The patient was seen at the emergency department of our institution according to the Advanced Trauma Life […]

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Vicious Animal Attack

The patient is a 30-year-old female, who presented to the ED in extreme pain after walking in the woods and being attacked by an unknown animal. There were significant wounds to her left leg, forearm, shoulder, back, ear, and face with substantial skin, subcutaneous tissue, and muscle damage. She received a tetanus booster, antibiotics, rabies […]

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Emergency department thoracotomy for the critically injured patient: Objectives, indications, and outcomes

Release pericardial tamponade and control cardiac hemorrhageThe highest survival rate following EDT is in patients with penetrating cardiac wounds, especially when associated with pericardial tamponade [7,17]. Early recognition of cardiac tamponade, prompt pericardial decompression, and control of cardiac hemorrhage are the key components to successful EDT and patient survival following penetrating wounds to the heart […]

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Maxillofacial Injuries after a Bear Attack

Case report A 55 year old male farmer from Daporijo, Arunachal Pradesh, was referred to our hospital in September 28, 2015, with history of bear mauling. He went to the forest to hunt and tame wild bovines (Bos frontalis). He unexpectedly came across a bear (Ursus thibetanus). The bear attacked his upper body as he […]

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Jaguar Attack on a Child

Case Report A three year old Amerindian girl presented without warning to emergency department (ED) in the country’s only tertiary care hospital, after being attacked by a jaguar in the remote Isseneru Village, Cuyuni-Mazaruni (Region 7), Guyana. Her mother says that she turned away from the child to tend to the clothes when she heard […]

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