Arrow injuries in Bhutan present a unique public health challenge, reflecting the cultural significance of archery in this Himalayan kingdom. Despite being a traditional sport and an integral part of Bhutanese identity, the growing incidence of arrow-related injuries raises concerns about safety and highlights the need for targeted preventive measures. In this case series, we present six cases of arrow injuries in the head and neck region offering insights into our experiences and the challenges encountered in their management. Additionally, cultural and regulatory aspects influencing archery practices and safety protocols are considered. The findings underscore the importance of community education, enhanced safety measures, and regulatory interventions to reduce the prevalence of arrow injuries while preserving the cultural heritage of archery in Bhutan. Addressing this issue necessitates a multidisciplinary approach that combines public health initiatives, cultural sensitivity, and policy interventions.
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http://dx.doi.org/10.1177/2050313X241271809 | DOI Listing |
A A Pract
January 2025
From the Department of Anesthesiology, Sheba Medical Center, Ramat Gan, Israel.
This case series reviews surgeries involving elderly patients with femoral neck fractures on apixaban who underwent spinal anesthesia (SA) within 72 hours of their last dose. Despite patients being on anticoagulation, no neurological complications occurred, suggesting SA may be practical in cases where the benefits of timely surgery outweigh the potential risks, including apixaban discontinuation for a period of less than the recommended 72 hours with detectable levels of the drug remaining in the plasma. Quantitative apixaban measurements offered useful anticoagulation status insights, though safe thresholds remain undefined.
View Article and Find Full Text PDFBMC Emerg Med
December 2024
The Israel National Center for Trauma and Emergency Medicine Research, Gertner Institute for Epidemiology and Health Policy Research, Chaim Sheba Medical Center, Tel-Hashomer, Ramat Gan, Israel.
Background: In the complex landscape of modern warfare, understanding combat-related injuries leading to hospitalization is crucial for optimizing injury treatment. This study aims to compare combat casualty characteristics and outcomes during the major conflicts between Israel and Hamas in 2023 and 2014 as a basis for understanding the effectiveness of trauma care practices for wounded soldiers.
Methods: A cohort study of soldiers hospitalized due to combat injuries during two major wars between Israel and Hamas in 2023 and 2014, using data from the Israeli National Trauma Registry.
Graefes Arch Clin Exp Ophthalmol
December 2024
Rotterdam Eye Hospital, Rotterdam, The Netherlands.
J Shoulder Elbow Surg
November 2024
Eurac Research, Institute for Mummy Studies, Bolzano, Italy.
Front Surg
November 2024
Department of Neurotraumatic Surgery, The First Hospital of Jilin University, Changchun, Jilin, China.
A penetrating brain injury is a rare type of neurosurgical trauma associated with extremely high mortality and disability rates. Penetrating skull base injuries caused by arrows seldom occur because injuries caused by such weapons are more likely to be accidental. However, the number of self-inflicted injuries is increasing, and these injuries have varying patterns and high mortality rates.
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