Damage Control Interventional Radiology: The bridge between non-operative management and damage control surgery.

Traumatic injuries continue to be on the rise globally and with it, the role interventional radiology (IR) has also expanded in managing this patient cohort. The role of damage control surgery (DCS) has been well established in the trauma management pathway, however it is only recently that Damage Control IR (DCIR) has become increasingly utilized in managing the extremis trauma and emergency patient.Visceral artery embolizations (both temporary and permanent), temporary balloon occlusions including Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in iliac arteries and aorta respectively are amongst the treatment options now available for the trauma (and non-traumatic bleeding) patient.

Deliberate self-harm and trauma - A descriptive analysis from a London major trauma centre.

Objectives: The objective of this study is to present a retrospective analysis of patients presenting to a Major Trauma Centre (MTC) following deliberate self-harm (DSH) and identifying the precipitants of DSH and psychiatric morbidity that will serve to inform the provision of care for these patients.

Patients And Methods: This was a retrospective observational study from a London Major Trauma Centre that identified all injured patients that presented with deliberate self-harm. Data was analysed from our established trauma database.

Nigeria's Covid-19 response and struggle to stem the tide of cases.

On March 22, 2020, the World Health Organization (WHO) pro- claimed the severe acute respiratory syndrome coronavirus 2 (SARS- CoV-2 or Covid-19), and the virus has had global impact, with sig- nificant mortality rates observed in high-income countries (HICs) in Europe and the United States (USA). Numerous low- and middle-income countries (LMICs) have signifi- cant unmet healthcare demands, and citizens frequently experience the negative repercussions of their inadequate health care systems. Nigeria, the most populous nation in Africa with an estimated 200 million inhabitants, is not an exception.

Trauma Care in Low- and Middle-Income Countries.

 Trauma-related injury causes higher mortality than a combination of prevalent infectious diseases. Mortality secondary to trauma is higher in low- and middle-income countries (LMICs) than high-income countries. This review outlines common issues, and potential solutions for those issues, identified in trauma care in LMICs that contribute to poorer outcomes.