Delayed presentation of traumatic right-sided diaphragmatic hernia after abdominoplasty.

Traumatic diaphragmatic hernias are rare and challenging to diagnose. Following trauma, diagnosis may occur immediately or in a delayed fashion. It is believed that left traumatic diaphragmatic hernias are more common as a result of the protective right-sided anatomic lie of the liver.

In a mature trauma system, there is no difference in outcome (survival) between Level I and Level II trauma centers.

Background: The state of Pennsylvania (PA) has one of the oldest, most well-established trauma systems in the country. The requirements for verification for Level I versus Level II trauma centers within PA differ minimally (only in the requirement for patient volume, residency, and research). We hypothesized that there would be no difference in outcome at Level I versus Level II trauma centers.

Does prehospital prolonged extrication (entrapment) place trauma patients at higher risk for venous thromboembolism?

Background: The aim of this study was to determine if prolonged immobility and tissue injury from a prehospital entrapment would place patients at higher risk for in-hospital venous thromboembolism (VTE) complications. It was hypothesized that entrapment would increase in-hospital VTE.

Methods: All consecutive trauma admissions over a 10-year period were retrospectively reviewed.