ABSTRACT
Among 69 persons involved in a train crash, 53 were injured. Twenty-two persons were admitted to hospital. No-one was killed. There was a significantly increased risk of getting hurt when facing forward in the moving train. The mechanism of injury for the majority was being thrown forward and thereby hitting parts of the seats in front. The iron frames of the seats became exposed as some parts of the seats were only loosely attached. Arrangements to reduce injuries in train crashes could be an improved maintenance of the seats and their frames and the use of safety belts.
Subject(s)
Accidents, Traffic , Railroads , Wounds and Injuries/prevention & control , Accidents, Traffic/prevention & control , Accidents, Traffic/statistics & numerical data , Adolescent , Adult , Aged , Child , Child, Preschool , Denmark , Female , Humans , Male , Middle Aged , Wounds and Injuries/diagnosis , Wounds and Injuries/etiologyABSTRACT
A 27-year-old woman, immigrated from Libanon, pregnant and at term was admitted with pain in the lower abdomen. The history was badly recognized because of the patient's inability to speak Danish. X-ray revealed a fracture of the left acetabulum with a minor central dislocation of the femoral head. During a new seizure she had another fracture of the right acetabulum also with a minor central dislocation of the femoral head and an undisplaced fracture of the proximal humerus on the left side. She was then delivered by a caesarean section. The seizures were later found to be due to grand mal type epileptic attacks. This case underlines the importance of a careful clinical and radiological investigation of patients with complaints of pain related to the central joints after seizures.
Subject(s)
Accidental Falls , Epilepsy, Tonic-Clonic/diagnosis , Fractures, Bone/diagnosis , Multiple Trauma/diagnosis , Pregnancy Complications/diagnosis , Acetabulum/diagnostic imaging , Acetabulum/injuries , Adult , Diagnosis, Differential , Epilepsy, Tonic-Clonic/complications , Female , Femur Head/injuries , Fractures, Bone/diagnostic imaging , Fractures, Bone/etiology , Humans , Humeral Fractures/diagnosis , Humeral Fractures/diagnostic imaging , Humeral Fractures/etiology , Joint Dislocations , Multiple Trauma/diagnostic imaging , Multiple Trauma/etiology , Pregnancy , Tomography, X-Ray ComputedABSTRACT
Thirty-eight multi-traumatized patients admitted to the Emergency Room at the county hospital in Vejle underwent computerized tomography (CT) after a standard protocol in the initial evaluation. Eighteen patients were intubated during CT. Eighteen patients had positive findings in more than one of the regions of the body. In total 35 positive findings were made in the 38 patients. Our procedure of CT-scanning multi-traumatized patients is described and the use of CT in the initial evaluation of the multi-traumatized patient is discussed. We find that CT with a standardized procedure supplements the clinical evaluation with important information about potentially life-threatening conditions some of which may be clinically unexpected. Prior to CT the patient must be stabilized in the Emergency Room. After that CT is a simple modality, which furthermore is fast and safe to perform.
Subject(s)
Multiple Trauma/diagnosis , Tomography, X-Ray Computed , Wounds and Injuries/diagnosis , Adult , Child , Emergencies , Female , Humans , Male , Retrospective Studies , Trauma Severity Indices , Wounds and Injuries/diagnostic imagingABSTRACT
A case of fatal bilateral lower extremity myonecrosis in a nonimmunocompromized man with septicaemia caused by Aeromonas hydrophila is described. Immediate surgical revision combined with treatment with new cephalosporins should be considered in the treatment of severe soft tissue infections, especially when the patient is known to have a trauma with waterborne contamination or is immunocompromised.
