Journal of Trauma and Injury

The Efficacy of Ultrasound-Guided Lower Extremity Nerve Block in Trauma Patients: Sung Min Kwon, Jin Rok Oh, Ji Soo Shin; J Trauma Inj. 2015;28(3):87-90. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.87

1,643 View
4 Download

Abstract PDF: PURPOSE
We evaluated the efficacy of ultrasound-guided lower extremity nerve block in trauma patients.
METHODS
From July 2013 to April 2014, 17 patients with multiple trauma had lower extremity nerve block for immediate management of open wound in the lower extremity. We evaluated the patient satisfaction of the anesthesia and any complications related to the block.
RESULTS
During the lower extremity nerve block, incomplete nerve block occurred in one patient. This is the second case, the reason for this was the lack of technique. There was no anesthetic complications.
CONCLUSION
Ultrasound-guided lower extremity nerve block in trauma patients is an effective anesthesia technique in the immediate management of open wound in lower extremities.; Summary

Traumatic Subclavian Artery Dissection in Clavicle Fracture Due to Blunt Injury: Surgery or Stent in Long Segment Occlusion?: Soon Ho Chon, Kilsoo Yie, Jae Gul Kang; J Trauma Inj. 2015;28(3):219-221. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.219

1,754 View
11 Download

Abstract PDF: Subclavian injuries in blunt trauma are reported in less than 1% of all arterial injuries or chest related injuries. We report a female 68 yr-old patient whom has visited our emergency center due to a motorcycle traffic accident with complaints of right chest wall and shoulder pain. Her injury severity score was 22 and she was found with a comminuted clavicle fracture and subclavian artery injury. She developed delayed symptoms of pallor, pain and motor weakness with loss of pulse in her right arm. Attempts at intervention failed and thus, she underwent emergency artificial graft bypass from her subclavian artery to her brachial artery. Her postoperative course was uneventful and she is happy with the results. Although rare, a high index of suspicion for the injury must be noted and the inevitable surgical option must always be considered.; Summary

External Iliac Artery Injury Caused by Abdominal Stab Wound: A Case Report: Sang Bong Lee, Jae Hun Kim, Chan Ik Park, Kwang Hee Yeo; J Trauma Inj. 2015;28(3):215-218. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.215

1,717 View
10 Download

Abstract PDF: Traumatic iliac vessel injuries constitute approximately 25% of all abdominal vascular injuries. Hospital mortality has been reported at 25~60% and is a result of uncontrolled hemorrhage and hypovolemic shock caused by extensive blood loss. We report the case of a 25-year-old female patient who experienced an external iliac artery injury caused by abdominal minimal stab wound. Traumatic iliac vessel injuries are life-threatening complication of abdominal or pelvic injuries and prompt diagnosis and accurate treatment are important.; Summary

Pericardial Tamponade following Perihepatic Gauze Packing for Blunt Hepatic Injury: Jin Bong Ye, Young Hoon Sul, Seung Je Go, Oh Sang Kwon, Joong Suck Kim, Sang Soon Park, Gwan Woo Ku, Min Koo Lee, Yeong Cheol Kim; J Trauma Inj. 2015;28(3):211-214. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.211

2,023 View
2 Download

Abstract PDF: The primary and secondary survey was designed to identify all of a patient's injuries and prioritize their management. However 15 to 22.3% of patient with missed injuries had clinically significant missed injuries. To reduce missed injury, special attention should be focused on patients with severe anatomical injury or obtunded. Victims of blunt trauma commonly had multiple system involvement. Some reports indicate that inexperience, breakdown of estalished protocol, clinical error, and restriction of imaging studies may be responsible for presence of missed injury. The best way of reducing clinical significant of missed injuries was repeated clinical assessment. Here we report a case of severe blunt hepatic injury patient and pericardial injury that was missed in primary and secondary survey. After damage control surgery of hepatic injury, she remained hemodynamically unstable. Further investigation found cardiac tamponade during intensive care. This was managed by pericardial window operation through previous abdominal incision and abdominal wound closure was performed.; Summary

A Facial Subcutaneous Emphysema after Using a Fish Cake Skewer: Case Report: Soo Jin Park, Yang Hyun Chi, Sung Hoon Kim; J Trauma Inj. 2015;28(3):206-210. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.206

1,910 View
4 Download

Abstract PDF: Cervicofacial subcutaneous emphysema is a rare complication mainly resulting from dental procedures. The majority of cases are self-limiting and benign in clinical nature. However, although entry sites may be quite small and superficial, it can result in potential respiratory difficulties, such as pneumothorax and pneumomediastinum. We present the first case in which facial subcutaneous emphysema developed in a 6-year-old boy following use of a fish cake skewer while eating.; Summary

Pulmonary Bone Cement Embolism Following Percutaneous Vertebroplasty: Yong Han Cha; J Trauma Inj. 2015;28(3):202-205. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.202

1,839 View
6 Download
1 Citations

Abstract PDF

PURPOSE
Pulmonary cement embolization after vertebroplasty is a well-known complication. The reported incidence of pulmonary cement emboli after vertebroplasty ranges frome 2.1% to 26% with much of this variation resulting from which radiographic technique is used to detect embolization. Onset and severity of symptoms are variable.
CASE
DESCRIPTION: We present the case of a 83-year-old women who underwent fourth lumbar vertebroplasty and subsequently had dyspnea several days later. Posteroanterior chest radiography showed multiple linear densities. Computed tomography of thorax revealed also multiple bilateral, linear hyperdensities within the lobar pulmonary artery branches are detected in axial and coronal views. LITERATURE REVIEWS: Operative management of vertebral compression fractures has included percutaneous vetebroplasty for the past 25 years. Symptoms of pulmonary cement embolism can occur during procedure, but more commonly begin days to weeks, even months, after vertebroplsty. Most cases of pulmonary cement emboli with cardiovascular and pulmonary complications are treated nonoperatively with anticoagulation. Endovascular removal of large cement emboli from the pulmonary arteries is not without risk and sometimes requires open surgery for complete removal of cement pieces.
CONCLUSION
Pulmonary cement embolism is a potentially serious complication of vertebroplasty. If a patient has chest pain or respiratory difficulty after the procedure, chest radiography and possibly advanced chest imaging studies should be performed immediately.

Summary

Citations

Citations to this article as recorded by

Micro- and Nanoparticulate Hydroxyapatite Powders as Fillers in Polyacrylate Bone Cement—A Comparative Study
Anna Sobczyk-Guzenda, Paulina Boniecka, Anna Laska-Lesniewicz, Marcin Makowka, Hieronim Szymanowski
Materials.2020; 13(12): 2736. CrossRef

Wound Probing in Neck Trauma Patients: Jin Bong Ye, Young Hoon Sul, Yun Su Mun, Seung Je Go, Oh Sang Kwon, Gwan Woo Ku, Min Koo Lee; J Trauma Inj. 2015;28(3):198-201. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.198

1,720 View
5 Download

Abstract PDF: Neck trauma is a relatively uncommon but can be a life-threatening injury. Several guidelines for neck trauma is established to recommend a proper management such as no clamping of bleeding vessels, no probing of wounds, Trendelenberg position for preventing venous air embolism. Here, we present a regretful case of 49-year-old man with neck trauma presenting undesired bleeding after probing of wound, and then discuss about treatment guildeline for neck trauma with a review.; Summary

Unusual Brain Computed Tomography Artifact in Cerebellum Mimicking Hemorrhage: A Case Report: Jihun Lee, Ki Seong Eom, Tae Young Kim; J Trauma Inj. 2015;28(3):195-197. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.195

2,831 View
29 Download

Abstract PDF: Artifacts can seriously degrade the quality of computed tomography (CT) images, sometimes to the point of making them diagnostically unusable. Here, we report an unusual CT artifact that could have resulted in the misdiagnosis of a hyperdense hemorrhagic lesion in a 55-year-old man. The author recommend that when hemorrhagic lesion in posterior fossa is suggested on CT, the physician should carefully consider all patient-related clinical data prior to considering surgical intervention or a biopsy. Cranial magnetic resonance imaging (MRI) can help in preventing the misdiagnosis as hemorrhage of CT scan.; Summary

Delayed Diagnosis of Cerebral Infarction after Complete Occlusion of ICA due to Blunt Head Trauma: A Case of Report: Jung Ho Yun, Jung Ho Ko, Chun Sung Cho; J Trauma Inj. 2015;28(3):190-194. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.190

1,958 View
6 Download

Abstract PDF: Blunt cerebrovascular injury is defined as a vertebral or carotid arterial structural wall injury resulting from nonpenetrating trauma. Complete traumatic internal carotid artery occlusion is very rare condition accounting for 0.08~0.4 0f all trauma patients and believed to be associated with the greatest risk of ischemic stroke reported in 50~90% in a few small series. A 55-year-male was admitted with drowsy mentality and severe headache after a fall down accident. Brain computed tomography showed a subdural hematoma at the both frontal area with a fracture of the occipital skull bone. Two days after admission, he suddenly complained with a right side hemiparesis of motor grade 2. Brain magnetic resonance diffusion demonstrated multiple high flow signal changes from the left frontal and parietal lesion. Computed tomographic angiogram (CTA) revealed absence of the left ICA flow. Trans femoral cerebral angiography (TFCA) showed complete occlusion of the left internal carotid artery (ICA) at ophthalmic segment in the left ICA angiogram and flows on the left whole hemispheric lesions through the anterior communicating artery in the right ICA angiogram. We decided to conduct close observations as a treatment for the patient because of acute subdural hematoma and sufficient contralateral cerebral flow by perfusion SPECT scan. Two weeks after the accident, he was treated with heparin anticoagulation within INR 2~4 ranges. He recovered as the motor grade 4 without another neurologic deficit after 3 months; Summary

Trends in Article Published in the Journal of Trauma and Injury: Bibliometric and Citation Analysis: Yejin L Hutchison, Hyun Min Cha, Jae Hoon Oh, Hyung Goo Kang, Tae Ho Lim, Yoon Je Lee, Bo Seung Kang, Chang Sun Kim, Hyuk Joong Choi; J Trauma Inj. 2015;28(3):182-189. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.182

1,902 View
4 Download

Abstract PDF: PURPOSE
We performed a quantitative and qualitative analysis in the Journal of the Korean Society of Traumatology (JKST) by Bibliometrics to know the trends of articles.
METHODS
We reviewed articles in the JKST retrospectively through 1988 to 2014. Articles were classified into original articles, case reports, review articles, and also it is further classified as topics and the information related to the Department of Medicine of corresponding author. Original article was classified prospective and retrospective studies.
RESULTS
753 studies and average of 27.9 studies per year were posted on JKST. 576 original articles (76.5%) were posted. Retrospective studies around 449 studies (78%) were posted and there were about 35 descript studies and 541 analytic studies. The most common themes were related to abdominal trauma, 144 pieces, 95 pieces following damage to the chest and the 84 pieces of special order of trauma. Emergency department had the highest case whereas general surgery came to the second place.
CONCLUSION
Recently, there has been reduced proportion of original article in JKST. It was not possible to evaluate the Korea Citation index journals due to the fact that it does not correspond to listed register Journal of National Foundation of Korea. There will be the need for the effort to improve the maintenance of the posted article number, as well as the qualitative development of the posted articles.; Summary

Comparison Prehospital RTS (Revised trauma score) with Hospital RTS in Trauma Severity Assessment: Seung Yeop Lee, Young Jin Cheon, Chul Han; J Trauma Inj. 2015;28(3):177-181. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.177

2,382 View
25 Download
2 Citations

Abstract PDF

PURPOSE
Assessment of the trauma severity associated with the prognosis of trauma patients. But we are having a lot of difficulties in assess the severity because of scarcity of current first-aid records resources.
METHODS
We presumed that Applying the Revised trauma score which consist of vital signs and GCS score will be helpful to assess the sevirity.This study covers the 10069 patient of Ewah womans hospital (2011.1.1.-2014.12.31) who are able to verify the GCS score from fist-aid records.
RESULTS
There is no distinctions between prehospital RTS and hospital RTS. And shows high level of correlation between prehospital RTS and ISS.
CONCLUSION
Therefore we conclude that checking the GCS and RTS at prehospital state will be help to assess the severity of trauma patients.

Summary

Citations

Citations to this article as recorded by

Comparative Evaluation of Emergency Medical Service Trauma Patient Transportation Patterns Before and After Level 1 Regional Trauma Center Establishment: A Retrospective Single-Center Study
Hyeong Seok Lee, Won Young Sung, Jang Young Lee, Won Suk Lee, Sang Won Seo
Journal of Trauma and Injury.2021; 34(2): 87. CrossRef
Real-Time Monitoring Electronic Triage Tag System for Improving Survival Rate in Disaster-Induced Mass Casualty Incidents
Ju Young Park
Healthcare.2021; 9(7): 877. CrossRef

Analysis of Exposure Factors for Clinical and Preventive Aspects of Pediatric Electrical Burn Patients who Visited the Emergency Department: Sang Jun Park, Sung Wook Kim, Won Jung Jeong, Sang Hoon Oh, Jeong Taek Park; J Trauma Inj. 2015;28(3):170-176. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.170

1,827 View
5 Download
1 Citations

Abstract PDF

PURPOSE
The aims of this study were to discuss treatment and prevention under the age of 18 to identify the characteristics of the electrical burn patients.
METHODS
We retrospectively reviewed medical records of 97 patients with under age 18 of electric burn who were treated in emergency department of quarterly over 10,000 targets within the desired hospital for evaluation of electrical injuries between January 1, 2009 and December, 2013. We investigated age, gender, injury mechanism, season, degree of burn, surface of burn, complication, blood test, and voltage, kind of current.
RESULTS
Of the patients, 50 (50.5%) patients were in the first degree burn and 47 (49.5%) patients were in second degree burn. 68 (70.1%) patients had electric burn at home. 75 (85.2%) of 88 patients had normal sinus rhythm and other 13 people showed a RBBB, VPC, sinus bradycardia, sinus tachycardia. 41 (42.3) of 97 patients were in infants and 26 (26.8%) patients were in adolescence.
CONCLUSION
The results of this study emphasize the need for prevention of electricity at home for childhood and education of the adolescence.

Summary

Citations

Citations to this article as recorded by

A Case of Resuscitation of an Electrocuted Child by a 119 Paramedic
Jae-Min Lee, Dae-Won Kim, Hyeong-Wan Yun
Fire Science and Engineering.2020; 34(4): 135. CrossRef

Clinical Analysis of Frostbite: Jang Kyu Choi, Hyun Chul Kim, Hong Kyung Shin; J Trauma Inj. 2015;28(3):158-169. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.158

2,024 View
16 Download

Abstract PDF: PURPOSE
Frostbite can affect still soldiers. Initial clinical manifestations are similar for superficial and deep frostbite, so early treatment is identical. It is under-estimated by physicians. We try to identify the challenges of managing these complex tissue injuries.
METHODS
A retrospective analysis of 84 patients hospitalized at AFCH from 2009 to 2015 was conducted. We investigated differences of epidemiological characteristics, identification of soft tissue injury, treatment and complications between superficial (SF: 43; 51.2%) and deep (DF: 41; 48.8%) frostbite.
RESULTS
The major (94.0%) developed frostbite in dry circumstances (89.3%). Wet circumstances (66.7%) were more susceptible to DF rather than dry (46.7%). The 38 (45.2%) arrived to specialist within 7days. Most prone sites were feet, followed by hands. Toes had more deep injuries. DF presented more increased levels of ALT, CPK, CKMB, CRP. The bone scan of W+S+ was 48.3%, 87.1% and W+S- was 20.7%, 12.9%, respectively. The treatment resulted in improved or normalized perfusion scan with matching clinical improvement. It was a good tool to assess treatment response. Eighteen normal and 8 stenotic type of PCR resulted in normal with matching clinical improvement. One continuous obstructive waveform led to minor amputation. Twelve underwent both PCR and MRA. Among 6 normal PCR, 5 showed normal and one stenosis in MRA. All 5 stenosis and one obstruction showed the same findings in MRA. It was a good tool to evaluate vascular compromise. They were treated with rapid rewarming (11.6%, 22.0%), hydrotherapy (16.3%, 29.3%), respectively. Six (14.6%) underwent STSG, 2 (4.9%) had digital amputation in DF. Berasil, Ibuprofen, Trental were commonly administered. PGE1 was administered selectively for 6.8, 10.8 days, respectively. Raynaud's syndrome (16.3%), CRPS (4.7%), LOM (14.6%) and toe deformity (4.9%) were specific sequelae.
CONCLUSION
We should recommend intensive foot care education, early rewarming and evacuation to specialized units. The bone scanning and PCR should allow for a more aggressive and active approach to the management of tissue viability.; Summary

Value of Repeat Brain Computed Tomography in Children with Traumatic Brain Injury: Ho Jun Jo, Yong Su Lim, Jin Joo Kim, Jin Seong Cho, Sung Youl Hyun, Hyuk Jun Yang, Gun Lee; J Trauma Inj. 2015;28(3):149-157. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.149

1,985 View
8 Download
1 Citations

Abstract PDF

PURPOSE
Traumatic brain injury (TBI) is the most common cause of pediatric trauma patients came to the emergency department. Without guidelines, many of these children underwent repeat brain computed tomography (CT). The purpose of this study was to evaluate the value of repeat brain CT in children with TBI.
METHODS
We conducted a retrospective study of TBI in children younger than 19 years of age who visited the emergency department (ED) from January 2011 to December 2012. According to the Glasgow Coma Scale (GCS) and Pediatric Glasgow Coma Scale score of the patients, study population divided in three groups. Clinical data collected included age, mechanism of injury, type of TBI, and outcome.
RESULTS
A Total 83 children with TBI received repeat brain CT. There were no need for neurosurgical intervention in mild TBI (GCS score 13-15) group who underwent routine repeat CT. 4 patients of mild TBI group, received repeat brain CT due to neurological deterioration, and one patient underwent neurosurgical intervention. Routine repeat CT identified 12 patients with radiographic progression. One patient underwent neurosurgical intervention based on the second brain CT finding, who belonged to the moderate TBI (GCS score 9-12) group.
CONCLUSION
Our study showed that children with mild TBI can be observed without repeat brain CT when there is no evidence of neurologic deterioration. Further study is needed for establish indication for repetition of CT scan in order to avoid unnecessary radiation exposure of children.

Summary

Citations

Citations to this article as recorded by

Mortality and Epidemiology in 256 Cases of Pediatric Traumatic Brain Injury : Korean Neuro-Trauma Data Bank System (KNTDBS) 2010–2014
Hee-Won Jeong, Seung-Won Choi, Jin-Young Youm, Jeong-Wook Lim, Hyon-Jo Kwon, Shi-Hun Song
Journal of Korean Neurosurgical Society.2017; 60(6): 710. CrossRef

Correlation between Young and Burgess Classification and Transcatheter Angiographic Embolization in Severe Trauma Patients: Yong Han Cha, Young Hoon Sul, Ha Yong Kim, Won Sik Choy; J Trauma Inj. 2015;28(3):144-148. Published online September 30, 2015; DOI: https://doi.org/10.20408/jti.2015.28.3.144

1,964 View
6 Download

Abstract PDF: PURPOSE
Immediate identification of vascular injury requiring embolization in patients with pelvic bone fracture isn't an easy task. There have been many trials finding indicators of embolization for patients with pelvic bone fracture. Although Young and Burgess classification is useful in decision making of treatment, it is reported to have little value as indicator of embolization in major trauma patients. The aim of this study is to find out Young and burgess classification on predicting vessel injury by analzyng pelvic radiograph taken from major trauma patients with pelvic bone fracture.
METHODS
Among major trauma patients with injury severity scores (ISS) higher than 15 who visited our emergency room from January 2011 to June 2014, 200 patients were found with pelvic bone fracture in trauma series and thus pelvic CT angiography was taken. Setting aside patients with exclusion criteria, 153 patients were enrolled in this study for analysis of Young and Burgess classification.
RESULTS
The most common mechanism of injury was lateral compression in both groups. There was no statistical significant difference in Young and Burgess classification (p=0.397). The obturator artery was the most commonly injured artery in both groups. Six patients had more than one site of bleeding.
CONCLUSION
Prediction of transcatheter angiographic embolization using Young and Burgess classification in severe trauma patients is difficult and requires additional studies.; Summary

Article category