Outcome of concurrent occult hemothorax and pneumothorax in trauma patients who required assisted ventilation.

Background. The management and outcomes of occult hemopneumothorax in blunt trauma patients who required mechanical ventilation are not well studied. We aimed to study patients with occult hemopneumothorax on mechanical ventilation who could be carefully managed without tube thoracostomy.

Clinical presentation, management, and outcome of patients with incidental renal angiomyolipoma in qatar.

Objectives: Our study aimed to analyze the clinical presentation, management, and outcome of renal angiomyolipoma patients incidentally detected upon computed tomography (CT) examination.

Methods: Between 2004 and 2008, all patients who underwent abdominal CT examination for any reason at the radiology department at Hamad General Hospital, Qatar were retrospectively reviewed. The diagnosis of renal angiomyolipoma was based on abdominal CT evaluation.

Early laparoscopic approach to pancreatic injury following blunt abdominal trauma.

The incidence of pancreatic injury following blunt abdominal trauma is rare. A timely accurate diagnosis of such injury is difficult and also the management remains controversial. Here, we reported the successful use of laparoscopy to diagnose, characterize and treat blunt pancreatic trauma in a 28-year-old male patient involved in a motor vehicle crash.

Compartmental anatomical classification of traumatic abdominal injuries from the academic point of view and its potential clinical implication.

Background: The mechanism and outcome of traumatic abdominal injury (TAI) varies worldwide. Moreover, data comparing TAIs in each abdominal compartment are lacking. We aimed to assess from the academic point of view, TAI based on its anatomical compartments.

Utility of bispectral index in the management of multiple trauma patients.

Background: Bispectral index (BIS) monitoring in multiple trauma patients has become a common practice in monitoring the sedation levels. We aimed to assess the utility of BIS in the trauma intensive care unit (ICU).

Methods: A prospective observational study was conducted in the trauma ICU at Hamad General Hospital in Qatar between 2011 and 2012.

Congestive Heart Failure With Apparently Preserved Left Ventricular Systolic Function: A 10-Year Observational Study.

We analyzed the clinical presentation and outcomes (from 2003 to 2013) of heart failure (HF) with apparently normal systolic function (HFPEF). Based on the echocardiographic left ventricular ejection fraction (LVEF), patients were divided into 2 groups, group 1 (<50%) and group 2 (≥50%). Of 2212 patients with HF, 20% were in group 2.

Utility of extended FAST in blunt chest trauma: is it the time to be used in the ATLS algorithm?

Introduction: The clinical significance of extended Focused Assessment with Sonography for Trauma (EFAST) for diagnosis of pneumothorax is not well defined.

Objectives: To investigate the utility of EFAST in blunt chest trauma (BCT) patients.

Study Design: A single blinded, prospective study.

Predictors of reintubation in trauma intensive care unit: qatar experience.

Objectives: To determine the causes, predictors and outcomes of re-intubation.

Methods: Retrospective analysis of data collected from the trauma data base registry was conducted to identify the extubation failure cases in Trauma ICU at Hamad General Hospital, the only Level I trauma center in Qatar between January 2009 and December 2010. Demographics, mechanism of Injury, complications, injury severity score (ISS), Glasgow Coma Scale (GCS), ICU-length of stay (LOS), and mortality were analyzed among trauma patients who need reintubation within 48 hrs after extubation (group 1) compared to successfully extubated patients (group 2).

Clinical presentation, management and outcomes of gastrointestinal stromal tumors.

Introduction: The present study investigated the incidence, management and outcome of Gastrointestinal Stromal Tumors (GIST) in Qatar.

Methods: A retrospective review of all GIST patients admitted between 1995 and 2012 was conducted. Patients' demographics, clinical presentation, tumor characteristics, radiological, pathological and immunohistochemical findings, surgical procedures, recurrence and mortality were recorded.

External air compression: A rare cause of blunt esophageal injury, managed by a stent.

Introduction: Blunt esophageal injuries secondary to external air compression of anterior chest and abdomen complicated with esophageal perforation are uncommon events associated with worse outcomes.

Presentation Of Case: We reported a rare case of esophageal perforation following an external air-compression injury along with the relevant review of literatures. The patient presented with chest pain and shortness of breath and was managed with tube thoracostomy, followed by thoracotomy and eventually with temporary endoscopic stenting.

The therapeutic challenges of degloving soft-tissue injuries.

Background: Degloving soft-tissue injuries are serious and debilitating conditions. Deciding on the most appropriate treatment is often difficult. However, their impact on patients' outcomes is frequently underestimated.

Time-based trauma-related mortality patterns in a newly created trauma system.

Background: Data on time-based trauma mortality (TTM) patterns in developing countries are lacking.

Objective: Our objective was to analyze the TTM in a newly established trauma center.

Methods: A retrospective analysis of all trauma-related mortality between 2010 and 2012 was conducted in Qatar.

Traumatic injury among females: does gender matter?

Background: Trauma remains one of the leading causes of morbidity and mortality worldwide. Generally, the incidence of traumatic injuries is disproportionately high in males. However, trauma in females is underreported.

Traumatic subarachnoid hemorrhage due to motor vehicle crash versus fall from height: a 4-year epidemiologic study.

Background: Traumatic brain injury (TBI) is a common cause of morbidity and mortality worldwide. It is difficult to estimate the real incidence of traumatic subarachnoid hemorrhage (TSAH). Although TSAH after trauma is associated with poor prognoses, the impact of mechanism of injury (MOI) and the pathophysiology remains unknown.

Mediastinal emphysema following fracture of the orbital floor.

Pneumomediastinum (PM) is mainly an atypical finding among traumatic neck or thoracic injury patients. Moreover, PM secondary to isolated orbital floor fracture remains a rare event which is infrequently associated with severe complications such as mediastinitis, airway obstruction and pneumothorax. Herein, we report an atypical case of mediastinal emphysema consequent to orbital floor fracture along with review of the literature.

Blunt traumatic injury in the Arab Middle Eastern populations.

Background: Trauma represents a global public health concern with an estimated 5 million deaths annually. Moreover, the incidence of blunt traumatic injuries (BTI) particularly road traffic accidents (RTAs) and workplace-related injuries are rising throughout the world-wide.

Objectives: We aimed to review the epidemiology and prevention of BTI, in the Arab Middle East.

Multicenter cross-sectional study of asymptomatic peripheral arterial disease among patients with a single previous coronary or cerebrovascular event in the Arabian Gulf.

Objective: To evaluate the epidemiology and predictors of asymptomatic peripheral artery disease (PAD) in patients with a single previous coronary or cerebrovascular event in the Arabian Gulf.

Methods: This was a cross-sectional, multicenter, observational survey in consecutive patients (≥18 years) with documented previous coronary and/or cerebrovascular atherothrombotic event in the United Arab Emirates (UAE), Kuwait and Qatar (64 centers), from October 2008 to December 2010. PAD was defined as an ankle brachial index <0.

Clinical presentation and outcome of mesenteric vein thrombosis: a single-center experience.

Mesenteric venous thrombosis (MVT) is an uncommon event. We retrospectively analyzed data for patients who were admitted with MVT between June 2005 and May 2012 in Qatar. The study included 35 patients with a mean age of 45 ± 11 years.

Workplace-related traumatic injuries: insights from a rapidly developing Middle Eastern country.

Traumatic workplace-related injuries (WRIs) carry a substantial negative impact on the public health worldwide. We aimed to study the incidence and outcomes of WRIs in Qatar. We conducted occupational injury surveillance for all WRI patients between 2010 and 2012.

Implications of foot ulceration in hemodialysis patients: a 5-year observational study.

Foot ulceration (FU) remains a serious concern for patients worldwide. We analyzed the incidence, risk factors, and outcome of FU in hemodialysis (HD) patients. A retrospective cohort study was conducted for 252 HD patients who were followed up for 5 years.

Abdominal aortic aneurysms and coronary artery disease in a small country with high cardiovascular burden.

We aimed to evaluate the frequency, clinical profiles and outcomes of abdominal aortic aneurysms (AAA), and their association with coronary artery disease (CAD) in a small country with high cardiovascular burden. Methods. Data were collected for all adult patients who underwent abdominal computed tomography scans at Hamad General Hospital in Qatar between 2004 and 2008.

Rollover car crashes with ejection: a deadly combination--an analysis of 719 patients.

Unlabelled: Rollover car crashes (ROCs) are serious public safety concerns worldwide.

Objective: To determine the incidence and outcomes of ROCs with or without ejection of occupants in the State of Qatar.

Methods: A retrospective study of all patients involved in ROCs admitted to Level I trauma center in Qatar (2011-2012).