A 60 year-old man sustained severe facial injury after a car accident. He was conscious at admission and had a laceration on his right fronto-temporal area. On ophthalmologic examination, the right eye was normal with 20/20 vision and only had echymosis on right lower lid. Visual acuity of the left eye was no light perception […]
Read MoreA 52-year-old man presented to the emergency department with painless, bloody tears from both eyes. The bleeding had begun spontaneously approximately 2 hours earlier, had lasted a few minutes, and had recurred just before presentation. He reported no orbital, ocular, or nasal trauma and no history of bloody tears, epistaxis, gingival bleeding, or easy bruising. […]
Read MoreA 17-year-old boy presented to the emergency department with pain and swelling in his jaw 2 hours after an e-cigarette exploded during use. The patient was in a hemodynamically stable condition and had no respiratory distress. He had a circular puncture to the chin, extensive lacerations in his mouth, multiple disrupted lower incisors, and bony […]
Read MoreOn April 23, 1986, a 3-year-old girl was brought to our institution after a 1.5-ton truck ran over her left lower limb. She suffered a floating knee injury with fractures at the supracondylar level of the femur and middle third of the tibia. An above the knee and near-total amputation was sustained at the supracondylar […]
Read MoreCase Presentation A 38-year-old male, a chronic alcoholic who committed an attempt of suicide, was presented to the emergency department of the University Hospital “St. George”- Plovdiv. On initial presentation, the patient was in a prone position, awake, oriented, and hemodynamically stable (blood pressure 140/90 mmHg and heart rate 92 bpm). The external examination revealed […]
Read MorePatient is a 30-year-old male who presented to the ED from the field with extensive facial trauma secondary to a firework blast to the face. His airway was secured immediately upon arrival due to an altered mental status with a GCS of 3 and poor oxygenation. A glidescope intubation with a size 7 tube was […]
Read MoreA 56 years old female presented with history of road traffic accident with resultant avulsion of her left side of face. There was degloving and avulsion of the left hemi-face including the upper lip nose, forehead skin and eyebrow, upper and lower eyelids and the entire left cheek. The zygomatic bone was also avulsed and […]
Read MoreA 13-year-old boy presented to our hospital because of snakebite on his left hand that had occurred six hours before. He was hunting bush rats, and when he put put his hand in a hole, he was bitten. On arrival he presented clinical hemorrhagic syndrome with gingival bleeding and an edema extending to his back […]
Read MoreCase presentation A 65-year-old man was lying under the cargo bed of a lorry, inspecting the undercarriage. Unaware of this, the lorry driver started his journey and the rear wheel rolled over the patient’s lower abdomen and pelvis. Bystanders who witnessed the accident transported him to the nearest hospital within 30 min of sustaining injury. Apart […]
Read MoreToday we have a case of a work accident in a 35 year old male.The right hand got amputated, breaking the metacarpal bones and pulling the finger flexor and extensor tendons with it. The injury was so severe that replantation of the amputated part was not an option. The wound was debrided and then a […]
Read MoreA 19-year-old woman presented with amputation of her left ear by a pit bull (Panels A and B). The patient’s tetanus vaccination and the dog’s rabies vaccination were up to date. The ear was débrided and replanted by microvascular anastomosis of a 0.3-mm branch of the posterior auricular artery. Since no suitable veins were found, […]
Read MoreBackground Ascariasis is the leading helminthic infection worldwide, with its peak prevalence noted in children aged 2–10 years. Although mainly asymptomatic, chronic and heavy infestation could lead to severe complications such as malnutrition, poor physical and cognitive development, as well as intestinal obstruction. We report the case of a 4-year-old boy with intestinal obstruction due to Ascaris […]
Read MoreA previously healthy 32-year-old man, a body-boarder, was transported to hospital by primary retrieval helicopter, within 2 h of a shark attack injuring both legs. Tourniquets were applied bilaterally to decrease haemorrhage. En route to hospital he was intubated with an endotracheal tube due to severe agitation from acute blood loss (figures 1 and 2). On arrival, the […]
Read MoreCASE REPORT A 36-year-old, right-handed male presented to our emergency department after accidentally crushing and severing his hand at the level of the wrist with an industrial roller-type press. The patient applied a bandage to the proximal forearm. The amputated right hand remained in the machine for 2 hours. The patient was taken to the […]
Read MoreA woman of 65, obese (BMI = 44.06), with no history of diabetes and allergies but with a mild form of myasthenia gravis (treated only with pyridostigmine po 60 mg every 6 hours), was bitten the evening before hospitalization while cleaning the home cellar by a spider, which, from the description and place where the bite […]
Read MoreCase Report A 73-yr-old Caucasian man was scheduled for bilateral parietal burr-holes to evacuate a subdural hematoma at the University Medical Center in Tucson, AZ—the primary teaching hospital of the University of Arizona College of Medicine. The patient had severe Parkinson’s disease treated with Sinemet® (combination of levodopa and carbidopa) (DuPont Pharma, Wilmington, DE), and […]
Read MoreCase Report A three-year-old Amerindian girl presented without warning to our 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. This village is located near the large Mazaruni River, amid dense jungle about 40 air miles from the Venezuelan […]
Read MoreThe patient is a 29-year-old male who was seriously burned by molten steel (about 1,500°C) from the top of the head throughout the body, in an accidental furnace explosion. Thirty hours after fluid resuscitation in a local hospital, he was referred to our hospital, when the patient was conscious and the vital signs were relatively […]
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