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Trauma Cases and ReviewsISSN: 2469-5777

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 Open Access DOI:10.23937/2469-5777/1510012

Organ Donation in a Pediatric Trauma Victim

Jessica Gantz and Savithiri Ratnapalan

Article Type: Case Report | First Published: October 24, 2015

A previously well 7 year old female was struck by a car traveling 60-70 kms/hr while crossing the street on her bicycle. She had no helmet on at the time of the collision, was thrown 15 feet and landed on her head according to witnesses at the scene. Initial assessment by paramedics within 5 minutes of the event demonstrated a palpable pulse, a patent airway, but no respiratory effort. Initial Glasgow Coma Scale (GCS) was recorded as 3. Other obvious injuries noted were an open right femur frac...

 Open Access DOI:10.23937/2469-5777/1510011

Segmental Bone Muscle and Skin Cross Leg Flap for the Treatment of Posttraumatic Infected Segmental Bone Defect in a Child - A Case Report

Piotr Pedzisz, Ireneusz Babiak, Jakub Janowicz and Mateusz Kulig

Article Type: Case Report | First Published: September 21, 2015

A mangled limb in a pediatric patient produces therapeutic dilemma whether to amputate or salvage greater than in adult. We herein present a case of a 10 year old child with high energy injury to both lower limbs. The bone muscle and skin segment of the limb planned for amputation has been used as a 'spare part' for the contralateral shin defect in order to save at least one weight bearing limb. The cross leg flap has been successful. The patient walks without limp using PTB prosthesis....

 Open Access DOI:10.23937/2469-5777/1510010

Managing Fractures at the Thoracolumbar Junction in Developing Nations: A Review of 89 Cases

Bert Park

Article Type: Review Article | First Published: September 21, 2015

Fractures at the thoracolumbar junction are the most commonly encountered spine injuries in developing countries. Despite the devastating consequences for those with concomitant neurologic deficits, within hospitals having limited resources there remains an attitude akin to 'therapeutic nihilism'; i.e. simply keeping these patients at prolonged bedrest and then bracing them, while 'hoping for the best'. Over an 18-year period encompassing some 100 working/teaching trips abroad to underserved are...

 Open Access DOI:10.23937/2469-5777/1510009

Gun Shot Wound to Left Chest with 'Transmediastinal' Trajectory. A Case Report and Review

Reilly D. Hobbs, Joshua A. Marks, John C. Kucharczuk and Patrick M. Reilly

Article Type: Case Report | First Published: September 18, 2015

A 21-year old African American male presented with a single gunshot wound to the left posterior chest inferior and medial to the scapular spine. EMS performed a left needle thoracostomy for tension pneumothorax. In the trauma bay, the patient was hemodynamically stable with a GCS 15 and moving all extremities. A chest tube was placed with an initial output of 700 mL of blood and the patient was intubated. A portable chest radiograph demonstrated a bullet overlying the right inferior hilum....

 Open Access DOI:10.23937/2469-5777/1510008

The Safety and Therapeutic Effectiveness of Universal Donor Frozen RBC, Frozen Platelets and Frozen Plasma Stored at - 80℃ in Mechanical Freezers to Treat Wounded Casualties

C.R. Valeri and G. R. Giorgio

Article Type: Review Article | First Published: September 12, 2015

The frozen blood products will eliminate or reduce the severe adverse events of mortality and morbidity associated with the current FDA approved red blood cell products, platelet products and plasma products. The universal donor group O positive and O negative frozen RBC, group O leukoreduced single donor frozen platelets, and AB frozen plasma obtained from male donors will provide blood products that are compatible with acceptable in vivo survival and function to treat patients and reduce or el...

 Open Access DOI:10.23937/2469-5777/1510007

Analysis of a Clinically Failed, Mechanically Intact, Reconstructive Compression Plate

Bharadwaj Cheruvu, Sunil Karmacharya, Richard Laughlin and Tarun Goswami

Article Type: Research Article | First Published: September 07, 2015

A reconstructive orthopedic bone plate was submitted for analysis. Traditional failure analysis methods were used to assess the mode of the plate failure. Metallographic investigation of the plate was carried out in this report. Since limited data was available in the literature and clinical data related to subject demography, date of removal as well as reasons for removal unknown, in depth analysis was not possible. However, the plate was received in in-tact condition with minor biological depo...

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