Traumatic pulmonary pseudocyst (TPP) is a rare complication of blunt chest trauma and closely related with severe injury. However, it has been poorly documented. We present retrospective review TPP cases treated at our hospital.The medical records computed tomography scans patients from January 2010 to December 2013 were retrospectively studied.A total 978 underwent for during the study period, 81 (8.3%) had 150 TPPs. The most common mechanism injury was being struck by motorized vehicle (n...

Objectives: As a protective measure to slow down the transmission of coronavirus disease 2019 in Korea, social distancing was implemented from February 29 th , 2020.This study aimed evaluate prevalence domestic incidents and intentional injury during March 2020 when effect.Methods: There were 12,638 patients who visited Level 1 trauma center Chungnam province with injuries incidents, familial discord, injury.The compared average previous 5 years, for every between 2015 2019.Results: The...

Background:The Acute Physiology and Chronic Health Evaluation (APACHE) II scoring system the Sequential Organ Failure Assessment (SOFA) are widely used for critically ill patients.We evaluated whether APACHE score SOFA predict outcome trauma patients in intensive care unit (ICU).Methods: We retrospectively analyzed admitted to ICU a single center between January 2014 December 2015.The was figured out based on data acquired from first 24 hours of admission; 3 days ICU.A total 241 were...

Resuscitative endovascular balloon occlusion of the aorta (REBOA) has recently gained popularity as an adjunct to resuscitation patients with traumatic shock. However, effectiveness REBOA is still debated because inconsistent indications across centers and lack medical records. The purpose this study was investigate feasibility by analyzing clinical results from a single center.This included 96 who underwent between August 2016 September 2021 at regional trauma center according center's...

Background Fibrinogen concentrate (FC) can be administered during massive transfusions to manage trauma-induced coagulopathy. However, its effectiveness in survival remains inconclusive due scarce high-level evidence. This study aimed investigate the hemostatic effects of FC regarding mortality hemorrhage caused by trauma. Methods retrospective analyzed 839 patients who received (red blood cells (RBCs) ≥5 units 4 hours or ≥10 24 hours) at a level I trauma center between 2015 and 2022....

Resuscitative endovascular balloon occlusion of the aorta (REBOA) has emerged as a salvage technique changing paradigm in management noncompressible torso hemorrhage. However, training for REBOA procedure is rarely performed. The (ET-REBOA) course was conducted to develop skills participants.Sixteen residents and 12 specialists participated this educational course. All participants were provided with precourse learning materials. ET-REBOA consisted 2 sections; an ultrasound-guided sheath...

Purpose The optic nerve sheath diameter (ONSD) measured by ultrasonography is among the indicators of intracranial pressure (ICP) elevation. However, whether ONSD measurement useful for initial treatment remains controversial. Thus, this study aimed to investigate relationship between computed tomography (CT) and ICP in patients with traumatic brain injury (TBI). Methods A total 246 severe trauma from January 1, 2015 until December 31, were included study. 179 damage potential elevation TBI...

Background:The aim of this study was to investigate the effects using a systematic approach tracheostomy care by clinical nurse specialist and surgical intensivists for patients with who were transferred from intensive unit (SICU) general ward.Methods: In retrospective study, subjects limited SICU ward.The period divided into preintervention (January 1, 2007 December 31, 2010) postintervention 2011 2014), electronic medical records used analyze compare patient characteristics, outcomes,...

Purpose: Two years have passed since a level I trauma center was officially opened in the Gacheon Gil Hospital, South Korea. We analyzed 2014 and 2015 registered patient data from Korean Trauma Data Base (KTDB) to identify trends care factors that influence quality of at center. Methods: extracted KTDB included age, sex, systolic blood pressure emergency room arrival, revised score, injury severity transfusion amount, cause death analyzed. Results: A total 3269 patients were admitted our...

Stab wounds, particularly those affecting multiple body regions, present considerable challenges in trauma care. This report describes a case of sustained self-inflicted stab injuries to the abdomen and thighs 23-year-old male patient. Although patient's vital signs were stable bleeding was minimal from thigh wounds without overt vascular injury, patient experienced sudden, profound hemorrhage right thigh, leading cardiac arrest. Successful resuscitation followed by surgical repair...

Blunt traumatic vertebral artery injury (TVAI) is relatively rare, but it may frequently be associated with head and neck trauma.TVAI difficult to diagnose diverse outcomes, thus a clinical challenge.There are no widely accepted guidelines for treatment diagnosis, so that the diagnosis of TVAI can easily delayed.Therefore, any suspicion from clues on initial imaging important TVAI.The authors report case patient diagnosed as having transverse foramen fracture.[

Anaphylactic reaction during the perioperative period typically exhibits rapid onset, varying clinical manifestations, and an expected mortality rate of 1.5-9%. Neuromuscular blocking agents are leading cause anaphylaxis. Here, we report a severe case anaphylaxis that developed in 66-year-old man due to cisatracurium administration. And he was successfully managed by extracorporeal membrane oxygenation. Cardiopulmonary resuscitation performed oxygenation, patient weaned off 24 hours later.

Background: Hemorrhage is the leading cause of death in trauma settings. Non-compressible torso hemorrhage, which caused by abdominopelvic and thoracic injuries, an important subsequent organ dysfunction poor outcomes multiple patients. The management hemodynamically unstable patients with non-compressible hemorrhage has changed, concept damage control resuscitation been developed last decades. Currently, resuscitative endovascular balloon occlusion aorta (REBOA) as a method temporary...

Traumatic cardiac injury is not rare. Especially contusion with sternal fracture due to blunt trauma in common. But rupture direct from fractured sternum very There were two case of supposed be sternum. We operated immediately, so we could save these patients. Our cases show that it's rare but make right side heart.

Purpose Nutritional therapy in the intensive care unit is an essential factor for patient progress. The purpose of this study was to compare resting energy expenditure (REE) calculated by prediction equations (PEs) REE measured indirect calorimetry (IC) trauma patients. Methods Patients admitted who received mechanical ventilation between January and December 2015 were enrolled. IC (CCM Express, MGC Diagnostics) following PEs: Harris-Benedict, Fleisch, Robertson Reid, Ireton-Jones, maximum...

<p>Cardiac tamponade is an acute life-threatening condition that predominantly involves the intra-pericardial space; however, expanding mediastinal hematoma can also sometimes cause cardiac tamponade. Here we describe case of a 45-year-old male driver in whom traffic accident resulted rupture left internal thoracic artery (ITA), extra-pericardial hematoma, and sternal fracture. After resuscitation, he was scheduled to undergo angio-embolization repair ruptured ITA, but suddenly...

A penetrating hepatic trauma can be accompanied by gallbladder (GB) injury. It is often detected abdominal computed tomography (CT) but missed without CT. One should consider the possibility of GB injury through side in patients with adjacent to GB. Key Words: Cholecystitis, Acute; Hemorrhage; Liver; Lung; Injuries

A 73-year-old man, who, in an inebriated state, had slipped a flowerbed and was wounded on the left flank, transferred to Trauma Center, Gil Medical Gachon University College of Medicine. Based chest abdominopelvic computed tomography, he diagnosed with multiple rib fractures hemopneumothorax hemithorax found have bony fragment spleen. He not presented peritonitis exsanguinous symptoms during observation period. Seven days later, tomography abdomen showed suspected diaphragmatic injury...