Trauma Series: Is It Really Necessary For Every Trauma Patient?
Journal Title: The Journal of Middle East and North Africa Sciences - Year 2017, Vol 3, Issue 8
Abstract
Objective: To review role of Trauma Series, established by American college of surgery for patients of multiple trauma, which include lateral cervical spine, AP chest, and anteroposterior pelvis in evaluation of trauma patient in our local set up. Methods: A retrospective descriptive study was carried out 10 months in the Department of Diagnostic Radiology, Aga Khan University Hospital Karachi. Subject of our study were adult patients with blunt trauma who had undergone trauma series. Results: Total of 600 x-rays of 200 pa66tients were reviewed. The age range from 16 - 65 years (Mean 24.5 +/- 8.5). Trauma series was negative in 162 patients, as they had normal lateral cervical spine, anteroposterior chest, and anteroposterior pelvis x-rays, however it turned out to be positive in 38 patients. These 38 patients were received in Emergency with history of trauma among these most of the patients had the history of RTA. Out of 38 positive cases (total 45 sites of injury), 10 rib fracture, 10 fractures of clavicle,1 pneumothorax, 2 pleural effusion, 4 cervical spine fracture, 1 dislocation of cervical spine, 1 rudimentary intervertebral disc at C6-C7, 7 fracture of femur and 4 fracture of pubic rami,1 ischium fracture,2 iliac fracture, 1 hip dislocation,1 inter-trochanteric region fracture identified. Conclusion: Our review suggests that use of whole trauma series in evaluation of trauma in conscious patient is not necessary when adequate clinical information can be obtained. Instead, a selective approach by using individual component of whole trauma series in conscious patient may be effective.
Authors and Affiliations
Qurat UI Ain Shah, Raza Sayani, Muhammad Anwar Saeed, Muhammad Asif Bilal
Keywords
Related Articles
- EP ID EP211237
- DOI -
- Views 89
- Downloads 0
A Case of a Successful Bilateral Shoulder Dislocation Reduction Using the Scapular Rotation Method in The Emergency Service
Shoulder joint dislocations are the most common dislocations seen in emergency services and usually seen in the form of unilateral anterior dislocations. Bilateral shoulder joint dislocations, on the other hand, are very...
Maternal Body Composition during Pregnancy, Maternal Outcome & Neonatal Complications
Background: It is well proven that becoming overweight and obese during pregnancy increase complications in mother while delivering and neonates. Objective: Present study is envisaged to understand the correlation betw...
Colorectal Cancer: Exploring Awareness in Lebanon
Background: In 2014, the World Health Organization (WHO) has identified Colorectal Cancer (CRC) as the fourth leading cause of cancer-related deaths (694,000 deaths) after lung (1.59 million deaths), liver (745,000 death...
Riemann’s Hypothesis and Conjecture of Birch and Swinnerton-Dyer are False
All eyes are on the Riemann’s hypothesis, zeta, and L-functions, which are false, read this paper. The Euler product converges absolutely over the whole complex plane. Using factorization method, we can prove that Riemam...
Importance and Properties of Aloe Vera In the Production of Hair Shampoo
Aloe Vera has several uses in the food, pharmaceutical, and cosmetic industry; this plant has functional, antioxidant and therapeutic properties, adequate use and consumption of these plants, is associated with a stable...