Cardiac tamponade caused by blunt thoracic injuries is a rare case with a high mortality rate. Usually patients not survived pre hospital. We present the case of a 50-yearold man admitted to our emergency department after a motorcycle accident, and he had cart handle injury to the chest. He presented with unstable hemodynamic with bruise on the precordial area, and fell into cardiac arrest. Standard CPR carried out continued with intubation and ROSC. FAST showed fluid in the pericardial sac. On pericardiocentesis, 40 mL blood aspirated. A median sternotomy performed, a lacerations found in the right ventricle and right ventricle pulmonary junction. Prompt diagnosis and definitive surgery save lives in traumatic acute cardiac tamponade caused by blunt chest trauma. FAST may be beneficial in diagnosing cardiac tamponade, and pericardiocentesis can be a temporary measure. A median sternotomy was a safe surgical approach in controlling the cardiac injury. The patient discharged on the fifth postoperative day.
Introduction. It estimated that around 15% of diabetic patients would experience diabetic foot ulcer (DFU) in their lifetime. Negative pressure wound therapy (NPWT) is proven to be more effective than conventional treatments. NPWT creates a moist wound environment, increases local blood flow, and stimulates tissue granulation, thereby accelerating wound healing. This study conducted to determine the risk factors that affect the length of stay of DFU with NPWT.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.