Thoracic and Abdominal Trauma in Children

Al-Salem, Ahmed H.; Qaisaruddin, Syed

doi:10.5144/0256-4947.1999.58

Cited by 4 publications

(2 citation statements)

References 23 publications

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“…When hemorrhage coexists with thoracic injury, mortality increases to as high as 25% from 5% for hemorrhage alone. In the presence of head injuries, the mortality may reach 100% 21–23…”

Section: Socioeconomic and Medical Effects Of Rtasmentioning

confidence: 99%

Trauma care systems in Saudi Arabia: an agenda for action

2010

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Saudi Arabia is undergoing a rapid population growth that along with improved socioeconomics has led many individuals to own a car or even a number of cars per family, resulting in a greater number of vehicles on the roads. The reduced focus on good public transportation systems and the dependence on cars for transportation have created a diversity of drivers who are unfamiliar with the local driving rules and lack the basic skills for safe driving. This is in addition to some young drivers who frequently violate traffic laws and tend to speed most of the time. This unplanned expansion in road traffic has resulted in more car accidents, injuries, disabilities, and deaths. Accompanying that is an increased socioeconomic burden, depletion of human resources, emotional and psychological stress on families, and a strain on healthcare facilities. If this continues without prompt intervention, it will lead to increased insurance premiums and may become unmanageable. To minimize this impact, a national or regional multidisciplinary trauma system has to be developed and implemented. A trauma system is a preplanned, comprehensive, and coordinated regional injury response network that includes all facilities with the capability to care for the injured. Essential components of the system include trauma prevention, prehospital care, hospital care, rehabilitation, system administration, trauma care education and training, trauma care evaluation and quality improvement, along with the participation of society. Research has documented a significant decrease in morbidity and mortality from trauma after the implementation of such systems, depending on their efficiency. The purpose of this review is to discuss the problem of road traffic accidents in this country and address the trauma care system as an effective solution.

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“…When hemorrhage coexists with thoracic injury, mortality increases to as high as 25% from 5% for hemorrhage alone. In the presence of head injuries, the mortality may reach 100% 21–23…”

Section: Socioeconomic and Medical Effects Of Rtasmentioning

confidence: 99%

Trauma care systems in Saudi Arabia: an agenda for action

2010

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“…Traumatic diaphragmatic hernia is rare in children. [ 5 ] Its pathophysiology is poorly known, however, probably it results from the transmission to the diaphragm a pressure induced by the abdominal viscera. Road traffic accidents are the cause in 90% of cases.…”

Section: Discussionmentioning

confidence: 99%

Traumatic right diaphragmatic hernia in children: Diagnostic difficulties

Ndour¹,

Mustapha²,

Ndoye³

et al. 2015

Afr J Paediatr Surg

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Traumatic right diaphragmatic hernia is rare in children. Its diagnosis can be difficult in the acute phase of trauma because its signs are not specific, especially in a poly trauma context. We report two cases of traumatic right diaphragmatic hernia following a blunt thoraco-abdominal trauma, highlighting some difficulties in establishing an early diagnosis and the need for a high index of suspicion.

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A postmortem study of demographics and severity of thoracoabdominal injuries among patients attending a teaching hospital in northeast India

Datta,

Siddappa,

Dey

et al. 2024

Journal of Family Medicine and Primary Care

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Introduction: The global estimate reflects 4.4 million injury-related deaths every year and the thoracoabdominal region is frequently injured since it is a wide area. Methods: An autopsy-based cross-sectional study was conducted using a convenient sampling technique for three years. A Chi-square test was conducted for categorical variables. A P value of less than 0.01 was considered statistically significant. Results: Out of 80 cadavers, the male:female ratio was 1:0.31. The commonest age group was 20–29 years. Victims of road traffic accidents were 54 (67.5%) followed by falls from height 10 (12.5%). External thoracic injuries were commoner than internal and vice versa in abdominal injuries. Liver injuries were major in number. Combined thoracic-abdominal and associated injuries were observed in 67 (83.75%) victims. The commonest cause of death was craniocerebral injury combined with hemorrhagic shock (36.25%). Eighteen (22.5%) victims died on the spot having an Injury Severity Score (ISS) of 73.37 followed by a survival time of 1–7 days in 17 (21.25%) cases. A significant correlation was found between ISS and survival period. Conclusion: All thoracic and abdominal injuries represent a possible increase in morbidity and mortality; hence, working toward their prevention and timely intervention is necessary.

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Thoracic and Abdominal Trauma in Children

Cited by 4 publications

References 23 publications

Trauma care systems in Saudi Arabia: an agenda for action

Trauma care systems in Saudi Arabia: an agenda for action

Traumatic right diaphragmatic hernia in children: Diagnostic difficulties

A postmortem study of demographics and severity of thoracoabdominal injuries among patients attending a teaching hospital in northeast India

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