Unwitnessed penetrating head injuries (PHIs) are often challenging. The inability to locate a foreign body should not exclude this diagnosis nor should it delay treatment. Attempts must be made to clarify the mechanism of injury, as this may allow for a better understanding of the patient's condition.
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http://dx.doi.org/10.1002/ccr3.724 | DOI Listing |
BMC Med Res Methodol
January 2025
Prehospital Center Region Zealand, Ringstedgade 61, 14th Floor, Naestved, 4700, Denmark.
Background: Effective interventions to reduce drowning incidents require accurate and reliable data for scientific analysis. However, the lack of high-quality evidence and the variability in drowning terminology, definitions, and outcomes present significant challenges in assessing studies to inform drowning guidelines. Many drowning reports use inappropriate classifications for drowning incidents, which significantly contributes to the underreporting of drowning.
View Article and Find Full Text PDFJ Frailty Aging
November 2024
Kate Warren, Royal Wolverhampton Hospitals NHS Trust, United Kingdom,
Healthcare demand from falls in older adults is increasing, but guidance from the literature is lacking on the value of neuroimaging, particularly for those who have fallen but have no head injury or an unclear history. We carried out retrospective analysis of data from Emergency Department attendances at a large English hospital to assess compliance with guidelines and explore utility of CT scans for those not covered by existing guidance. Following a fall, 49% (577) of older adults received a cranial CT scan, 4.
View Article and Find Full Text PDFCureus
October 2024
Emergency Medicine, Southeast Health Medical Center, Dothan, USA.
Radial head subluxation (RHS), commonly known as 'nursemaid's elbow,' typically presents in pediatric patients with acute-onset unilateral arm pain and pseudoparalysis. The classic mechanism of injury involves a longitudinal traction force pulling the radial head through the annular ligament. Bilateral RHS is exceedingly rare, with only a few cases documented in the literature; notably, all cases with a provided history and physical exam presented with the classic mechanism of injury, aiding in diagnosis and treatment.
View Article and Find Full Text PDFJ Paediatr Child Health
November 2024
Paediatric Emergency Department, Sunderland Royal Hospital, Sunderland, United Kingdom.
Br J Hosp Med (Lond)
August 2024
Stroke Medicine, Northwick Park Hospital NHS Trust, Imperial College London, London, UK.
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