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Miscellaneous procedures
Published in A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha, Clark’s Procedures in Diagnostic Imaging: A System-Based Approach, 2020
A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha
The pelvis is a common site of injury following polytrauma. Fractures to the pelvic ring with associated vascular and/or soft tissue injuries require a rapid assessment because of their impact on patient morbidity and mortality. (See Chapter 3, page 166, for pelvis and hip protocol.)
Patterns of traumatic injuries and outcomes to motorcyclists in a developing country: A cross-sectional study
Published in Traffic Injury Prevention, 2021
Russell Seth Martins, Sabah Uddin Saqib, Mishal Gillani, Syeda Ramlah Tul Sania, Muhammad Umer Junaid, Hasnain Zafar
Although orthopedic injuries are most common in motorcycle accidents, polytrauma involving the abdomen and chest is also frequently seen (Alicioglu et al. 2008; Hasan et al. 2019). The hospital course of victims of motorcycle-related injuries is commonly complicated by morbidity such as infections, bed sores, and acute respiratory distress (Araujo and Whitaker 2016). Severe disability on discharge, often in the form of limb amputation, and death are also seen (Alicioglu et al. 2008; Alghnam et al. 2019). Moreover, apart from complicating in-hospital management, polytrauma also frequently leaves victims with a long-term burden of physical disability and psychosocial impairment (Bouillon and Neugebauer 1998; Peixoto et al. 2018). However, while orthopedic and general patterns of injury have received attention in the past (Bhatti et al. 2018; Hasan et al. 2019), polytraumatic injuries and associated outcomes are yet unexplored in Pakistan’s context.
Road traffic accidents as a cause of multiple injuries at a major teaching and referral hospital in a low and middle income country
Published in Traffic Injury Prevention, 2020
Vincent Muoki Mutiso, Christopher Odok, Derrick Simiyu, Roy Ogenya, Yaaser Shabbir Hamza, Stephen Mwenje, Michelle Mayuba
Road Traffic Accidents are the commonest cause of Polytrauma (Alberdi et al. 2014) and currently are responsible for 9% of the deaths in Kenya (Gathecha et al. 2018) with an increasing global rate worsened by an increase in numbers of motor vehicles (Yucel et al. 2018). Improvement is only expected when a development threshold is met (Lagarde et al. 2007; Kopits and Cropper 2003). As would be expected the economic cost is high (Botchey et al. 2017). In this study almost 90% of the multiple injuries were caused by road traffic accidents with motorcycles and pedestrians being the most affected. Most of the casualties had no form of safety equipment at the time of the accident and about 7.3% of them were intoxicated. As a public state funded hospital with the majority of patients being poor, and judging by the long hospital stay, hospitalization comes at a high cost. Additionally the relatively young age of the victims means that there is a major deleterious effect on the economic output of these individuals. Road safety should be urgently prioritized.