Abdomen and Pelvis

Brooks, Adam; Civil, Ian; Braslow, Benjamin; Schwab, C. William

doi:10.1007/1-84628-060-5_14

Cited by 16 publications

(1 citation statement)

References 19 publications

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“…According to Brooks, SPs cause about 90% of the wartime penetrating wounds 7. Bala and colleagues reported that 94.4% of the blast bowel injuries were caused by SPs 8.…”

Section: Discussionmentioning

confidence: 99%

A modern combat trauma

et al. 2013

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IntroductionThe world remains plagued by wars and terrorist attacks, and improvised explosive devices (IED) are the main weapons of our current enemies, causing almost two-thirds of all combat injuries. We wished to analyse the pattern of blast trauma on the modern battlefield and to compare it with combat gunshot injuries. Materials and methods Analysis of a consecutive series of combat trauma patients presenting to two Bulgarian combat surgical teams in Afghanistan over 11 months. Demographics, injury patterns and Injury Severity Scores (ISS) were compared between blast and gunshot-injured casualties using Fisher's Exact Test. Results The blast victims had significantly higher median ISS (20.54 vs 9.23) and higher proportion of ISS>16 (60% vs 33.92%, p=0.008) than gunshot cases. They also had more frequent involvement of three or more body regions (47.22% vs 3.58%, p<0.0001). A significantly higher frequency of head (27.27% vs 3.57%), facial (20% vs 0%) and extremities injuries (85.45% vs 42.86%) and burns (12.72% vs 0%) was noted among the victims of explosion ( p<0.0001). Based on clinical examination and diagnostic imaging, primary blast injury was identified in 24/55 (43.6%), secondary blast injury in 37 blast cases (67.3%), tertiary in 15 (27.3%) and quaternary blast injury (all burns) in seven (12.72%). Conclusions Our results corroborate the 'multidimensional' injury pattern of blast trauma. The complexity of the blast trauma demands a good knowledge and a special training of the military surgeons and hospital personnel before deployment.

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“…According to Brooks, SPs cause about 90% of the wartime penetrating wounds 7. Bala and colleagues reported that 94.4% of the blast bowel injuries were caused by SPs 8.…”

Section: Discussionmentioning

confidence: 99%

A modern combat trauma

et al. 2013

View full text Add to dashboard Cite

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Colicky Epigastric and Right Upper Quadrant Pain

Billmann¹,

Bokor-Billmann²,

Beck³

2014

JAMA Surg

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A woman in her 50s presented to our emergency department with a 3-hour history of sudden epigastric and right upper quadrant pain. She did not report any previous abdominal surgery. The colicky pain did not migrate during that period and occurred in paroxysms at 9-to 10-minute intervals. The patient was afebrile and had no nausea or vomiting. Physical examination revealed mild tachycardia (96/min) and moderate abdominal distension without signs of peritonism; the bowel sounds were hyperactive. Careful examination ruled out incarcerated hernias in the groin, femoral triangle, and obturator foramen. Blood analysis results showed mild leukocytosis (total white blood cell count, 10.

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