Clinical Profile of Blunt Trauma Chest: A Hospital based Study

Introduction: Blunt trauma to the chest is a very commonoccurrence in setting of traumatic incidents occurring withhighest frequency in young adults between 15-35 years ofage. Traumatic chest injuries lead to significant burden ofmortality and morbidity in the young population. The mostcommon modes of injury in such patients is motor vehicleaccidents followed by other high energy traumatic scenarioslike falls from height, contact sports, violence etc. This studywas aimed at the evaluation and management of BCT with ribfractures and associated injuries.Material and Methods: The present study was a retrospectivecum prospective hospital based study done in SKIMS MedicalCollege Hospital, Srinagar, J & K, India. Sixty four patientswho attended the Emergency Department with history of bluntchest injury were included in the study. Patients of all gendersbetween 18 and 65 years of age were included in the study.The data regarding age, gender, mode of injury, presence ofthoracic injuries, abdominal injuries, skeletal injuries wasgathered and tabulated.Results: We observed a strong male preponderance with45 out of 64 patients being male. Most common mode ofinjury was traffic accidents followed by falls from height,fall of heavy objects, hit by animals, violence and contactsports. Associated injuries were seen in both thoracic andextra-thoracic organs. Musculoskeletal injuries were alsocommonly seen. Patients were managed according to ATLSprotocol; fifteen patients were managed with intercostal tubedrainage four of which required thoracotomy, four patientsrequired laparotomy for visceral injuries, four patientsrequired fixation of vertebral fractures and musculoskeletalinjuries were managed according to the orthopaedic protocols.In the present study four (6.25%) died as a result of massivethoracic injuries.Conclusion: Blunt chest injury is a serious injury whichcan result in life threatening complications which need to beanticipated, identified and adequately managed to reduce therates of poor outcome. Integrated management employingthe general surgeon, anesthetist, orthopaedician, internistand relevant paramedics is essential. Strict adherence toATLS protocol is imperative. Adequate fluid resuscitation,ventilatory support, O2 inhalation, pulmonary physical therapyand efficient analgesia can lead to quick recovery and reducedrates of surgical intervention

Open Lip Schizencephaly with Agenesis of Corpus Callosum: A Rare Embryological Defect In Combination.

A five week old newborne presented with recurrent abnormal movements . The child was borne of normal parents with non consangious marriage . There was no history of any ailment of mother during pregnancy and she was not on any drugs. The baby was borne by normal delivery and The CT Scan of the head showed Schizencephaly with Agenesis of Corpus Callosumwith gyralmalformation. Therewere no associated anomalies. Facial features were well developed and the muscle tone and power of the child was normal. The blood investigations were normal as was metabolic profile.

Hydatid disease of liver and disseminated hydatidosis: anatomical, microbiological and radiological perspective.

The article underlies the geographic locations of the disease as the disease is not uniformly distributed and is common in certain parts of the world and rare in other parts. The article tries to summarize the microbiological aspects along with the anatomical and surgical perspectives for in depth knowledge and reasons for spread of disease. The photographs indicate the radiological spectrum of the disease in line with the text.