A5036561587- Trauma Management and Diagnosis
- Traumatic Ocular and Foreign Body Injuries
- Cardiac Arrest and Resuscitation
- Combustion and Detonation Processes
- Burn Injury Management and Outcomes
- Spinal Hematomas and Complications
- Cardiovascular and Diving-Related Complications
- Pesticide Exposure and Toxicity
- Pediatric Urology and Nephrology Studies
- Aortic Disease and Treatment Approaches
- Maternal and fetal healthcare
- Diverticular Disease and Complications
- Sepsis Diagnosis and Treatment
- Maternal and Perinatal Health Interventions
- Pelvic and Acetabular Injuries
- Spinal Fractures and Fixation Techniques
- Hernia repair and management
- Traumatic Brain Injury and Neurovascular Disturbances
- Gun Ownership and Violence Research
- Vascular Procedures and Complications
- Reconstructive Surgery and Microvascular Techniques
- Urological Disorders and Treatments
- Tracheal and airway disorders
- Biomedical Research and Pathophysiology
- Pleural and Pulmonary Diseases
Memorial Regional Hospital
2016-2019
A 21-year-old male involved in a motorcycle crash presented with abdominal hemorrhage and widened mediastinum on chest radiograph. He required an initial exploratory laparotomy for mesenteric injuries. An aortic injury was confirmed computed tomography imaging he subsequently underwent attempted endovascular repair. During that procedure, the patient experienced massive thoracic cardiac arrest profound respiratory failure. Damage-control surgery rescue extracorporeal membrane oxygenation...
More people are struck and killed by lightning each year in Florida than any other state the UnitedStates. This report discusses a couple that was simultaneously while walkingarm-in-arm. Both patients presented with characteristic burns were admitted forhemodynamic monitoring, serum labs, observation subsequently discharged home.Despite superficial appearance of burns, serious internal electrical injuries common.Therefore, strike victims should be evaluated for cardiac arrhythmias,...
Melanosis coli is a condition in which the colon develops brown to black discoloration. It associated with chronic laxative use and frequently diagnosed incidentally during colonoscopy or histopathologic evaluation.A 74-year-old woman presented Emergency Department severe abdominal pain bilious emesis. During cecal volvulus repair, her melanosis was nearly misdiagnosed as bowel ischemia.Melanosis diagnostic finding that can easily be confused ischemia, may create dilemma for surgeon who...
Lung herniation (LH) is a rare clinical entity involving the protrusion of lung outside thoracic cage. It has variety etiologies and presentations, making diagnosis difficult. We present case 20-year-old male who reported pleuritic pain after falling from skateboard. Evaluation through computed tomography (CT) scanning chest revealed an anterior hernia associated with rib fractures. This emphasizes need for clinicians to include in differential patients trauma inexplicable or persistent...
BACKGROUND: Overwhelming hemorrhage or other intra-abdominal complications may be associated with obstetrical gynecologic (OB/GYN) procedures and require the surgical training of an Acute Care/Trauma Surgeon.The OB Critical Assessment Team (OBCAT Alert) was developed at our institution to facilitate a multidisciplinary response complex OB/GYN cases.We sought review characterize Surgeon's role in these cases. METHODS:We conducted retrospective all emergency consults during case from 2008...
Venous air embolus (VAE) occurs when gas, specifically atmospheric air, enters into the vascular system. Although rare, they can be fatal due to risk of cardiovascular collapse. In this report, we present a unique case 66-year-old female trauma patient with an inferior vena cava embolism. An overview potential cause is presented, along review management VAE.
We present two separate cases of young male patients with congenital kidney anomalies (horseshoe and crossed fused renal ectopia) identified following blunt abdominal trauma. Despite being rare, ectopic fusion the kidneys are occasionally noted in a trauma patient during imaging or upon exploration abdomen. Incidental findings may influence management traumatic injuries to preserve protect patient’s function. Renal be asymptomatic hematuria, flank pain, hypotension, shock, even minor low...
One of the most feared complications in colorectal surgery is an anastomotic leak (AL) following a resection. While various recommendations have been proposed to prevent this potentially fatal complication, leaks still occur. We present case AL resulting complicated and outcome. This demonstrates importance high clinical suspicion, early recognition, immediate management.
Background: Because of the everincreasing costs and complexity institutional medical reimbursement policies, necessity for extensive laboratory work-up potentially infected patients has come into question. We hypothesized that intensivists are able to differentiate between non-infected clinically, without need pan-culture, identify location infection clinically in order administer timely appropriate treatment. Methods: Data collected prospectively on critically ill suspected having an...
Popliteal artery injuries may have devastating consequences if not recognized in a timely fashion. The risk of delayed diagnosis vascular injury is particularly high blunt trauma to the lower extremity. We present case popliteal that unusual two respects: severity (a complete transection setting injury) and lack clinical radiographic signs commonly associated musculoskeletal injuries.
An emergency surgical airway is a lifesaving intervention required in the event of loss or respiratory failure when conventional endotracheal intubation cannot be performed. The Acute Care Surgery/Trauma Service critical component angioedema/difficult protocol at our institution. We conducted retrospective review (2007-2016) to analyze role service has managing patients requiring an airway. Cases were analyzed for preexisting conditions, hospital location procedure, techniques,...
The decision to introduce canines (K9s) a law enforcement (LE) agency does not typically involve the evaluation of fiscal or clinical impact on local hospitals. This study compared injury, cost, and care associated with K9s common nonlethal force method, Thomas A Swift Electrical Rifle (TASER), highlight cost resources required treat both patient types. Patients treated for LE-related K9 TASER injuries at Level I community-based trauma center (2011-2016) were evaluated level (e.g.,...