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Background: Penetrating head injuries, whether low or high velocity, are dreadful casualties associated with a high incidence of morbidity and mortality. Immediate radiological examination is mandatory to determine the extent of head penetration, location of the penetrating foreign body and need for surgical intervention.Objectives: This study aimed to evaluate the incidence of penetrating head injuries among polytraumatized patients and to follow up and determine the different outcomes of patients with penetrating head injuries. Patients and methods: This was a prospective observational descriptive study included 63 traumatic patients with penetrating head injury who were recruited over 1 year duration starting from

Background: Trauma is a major public health problem worldwide, morbidity and mortality in solid organ injuries (SOIs) following blunt abdominal trauma are often related to the severity of associated injuries. The management of SOIs depends upon the hemodynamic status of the patients. Hemodynamically unstable patients often require surgical management. Nonoperative management (NOM) is preferred in hemodynamically stable patients. Objective: This study was conducted to detect both incidence of solid organs injuries in blunt abdominal trauma patients and pattern of injuries as well as outcome in operative management comparing to non-operative management patients. Patients and methods: During the study period, total number of 6908 polytrauma patients presented to Mansoura University Emergency Hospital. Among them 685 (9.9%) presented by abdominal trauma. There were 173 cases with penetrating abdominal trauma and 512 cases with blunt abdominal trauma (BTA). Among the cases with BAT, 268 cases were excluded and the remaining 244 were included in the current study. Results: The most common cause of trauma was road traffic accidents (RTA) (64.3%) of the cases. Solid organs were affected in (70.1%) of the cases, bowels and other abdominal organs were affected in (24.2%), combined solid organs and other abdominal injuries were detected in (5.7%) of the cases. Spleen was the most affected organ in 55.1% of the cases. Total operative management (OM) was required in 70 cases (37.8%) and total NOM was required in 115 cases (62.2%). The overall incidence of mortality was 5.4%. There was no statistically significant difference in the length of hospital stay between the cases according to management (operative or non-operative). Conclusion: Hemodynamically stable blunt abdominal trauma with solid organ injury may be managed safely using a NOM approach.

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Background: Trauma-related deaths are one of the top 10 causes of death. Resuscitation in trauma and critically ill patients are challenging. Clinical and laboratory parameters are used to verify the different measurements. Lactate is a diagnostic and prognostic biomarker in sepsis and trauma. Objective: The aim of the current work was to investigate lactate clearance in patients admitted to emergency department (ED) and compare with the revised trauma score to predict mortality rate in polytrauma patients. Patients and methods: This prospective case-control study included a total of 200 polytraumatic patients with availability of Blood sampling, admitted to Department of Emergency Medicine, Mansoura University Hospitals. This study was conducted over a period of 12 months. Serum lactate was collected in tubes before receiving any type of treatment. The analysis was performed within 1 h from blood collection and six hours. Results: Regarding association with mortality, Lactate first hour, Lactate after 6 hours and Lactate clearance demonstrated significant correlation with it (P<0.05), while the remaining factors were not correlated (P>0.05). Regarding association with incidence of discharge for ICU, type of injury and Revised trauma score were correlated with it (P<0.05). Conclusion:It could be concluded that serum lactate level and lactate clearance could be used as an independent predictor of mortality, incidence of discharge for ICU as well as admission to ICU with comparable efficacy to revised trauma score (RTS) in terms of Triage management.