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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Pencil into the orbit

Case Study In 2011, a 6 year old boy with orbital trauma in the form of a foreign object having penetrated his right eye attended the Ophthalmology Department of Imam Khomeini Hospital in Kermanshah. According to his parents, he suddenly fell when playing and a pencil went directly into the upper part of his right […]

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Deodorant bottle in the rectum

Abstract Encountering a foreign object in the rectum is rare; however, the incidence has greatly increased in recent years. Treatment of these patients requires a multidisciplinary approach because this condition may have serious complications. Presently described is management of 2 cases of rectal foreign body treated in the clinic. Keywords: Complication, foreign body, perforation, rectum Case Report A 40 […]

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A bullet lodged in the neck

Case Report: A 27-year-old African-Ugandan woman of Nilotic ethnicity presented to the Accident and Emergency Department of a tertiary hospital, following a GSI to her face. The injury was the result of a ‘stray’ bullet, shot from an AK-47 submachine gun at a distance of about 70m. Resuscitation and a surgical wound toilet were done […]

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Tetanus in an unvaccinated child

In 2017, a boy aged 6 years who had received no immunizations sustained a forehead laceration while playing outdoors on a farm; the wound was cleaned and sutured at home. Six days later, he had episodes of crying, jaw clenching, and involuntary upper extremity muscle spasms, followed by arching of the neck and back (opisthotonus) […]

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Limb salvage after gas gangrene

Case report: A 35-year-old Caucasian man with a history of chronic intravenous drug use presented to the emergency department with right upper limb pain and swelling lasting 24 hours. His initial vital signs were notable for temperature of 39°C, respiratory rate of 25 breaths per minute, heart rate of 120 beat per minute and blood […]

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Severe Frostbite in Extreme Altitude Climbers

A 54-year-old American man summited Everest in May 2016. During descent, he realized that his hands and feet, particularly the right hand and right foot, were frozen. During the summit push, he used only his right hand to hold onto the ropes. He rewarmed his right hand and right foot at camp 4 (8000 m). […]

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