NASD: Trends in Blunt Abdominal Trauma Among Hospital In-Patients
To analyze changes in background factors, injury pattern, and prognosis regarding blunt Abdominal trauma in Sweden, the 30-year postwar (1946-75) development was investigated in a rural district. 396 patients were treated, showing a great increase during the last 5 years. The highest frequency was seen in patients aged 11- 20 years. Abdominal trauma occurred most commonly during July and August. The growing aetiological importance of road accidents is shown. Equestrian accidents were common early in the period and again towards the end. The incidence of cerebrally confused patients increased. The organs most commonly traumatized were kidney, liver, and spleen. The frequency of multiple intra-Abdominal Injuries and also associated extra-Abdominal Injuries increased with time. There was a tendency towards shorter hospital stays. Mortality rates did not change during the period, even though Injuries have become increasingly severe (judged by the Injury Severity Score). It is concluded that the improved care of patients compensated precisely for the increased severity of Injuries, as reflected in mortality.

Search of: "Abdominal Injuries" - List Results - ClinicalTrials.gov
"Abdominal Injuries"

Hollow viscus injury in children: Starship Hospital experience
Hollow visceral Injuries are not very common sequels of Abdominal Injuries. Increasing number of duodenal wall hematoma is being recognized due to more liberal use of CT scan following blunt Abdominal injury. All these were treated conservatively with no complications. Small bowel Injuries mainly happen within close proximity to the DJ flexure and majority of them were located on the anti-mesenteric border. Most Injuries were in males.

Clinical policy: critical issues in the evaluation of adult patients presenting to the emergency department with acute b
Clinical policy: critical issues in the evaluation of adult patients presenting to the emergency department with acute b

Portable Guides to Investigating Child Abuse -- Recognizing When a Child's Injury or Illness Is Caused by Abuse
Accidental Abdominal Injuries usually involve a long fall to a flat surface, a motor vehicle accident or, rarely, are the result of contact sports. Accidental Abdominal Injuries usually involve older children who are brought to medical attention immediately, whereas children with nonaccidental Abdominal Injuries will be younger, and a delay in seeking medical attention is more common. Nonaccidental Abdominal Injuries more commonly involve hollow organs (e.g., the gut and stomach) than accidental Injuries, but the liver, spleen, and pancreas can all suffer nonaccidental injury. For some reason, the kidneys are rarely injured.

Research Activities, March 2007: Child/Adolescent Health: Certain types of severe abdominal injury may signal child abuse in young children
The medical diagnosis of suspected child abuse was significantly associated with all patient and injury characteristics evaluated: mortality, undernourishment, young age, traumatic brain injury, hollow viscous injury, pancreatic injury, and other intra-Abdominal Injuries. More than three-quarters of hollow viscous injury and two-thirds of pancreatic injury and traumatic brain injury were found in the suspected abuse group. In contrast to patients in the child abuse group, 15 percent of whom were undernourished, less than 5 percent of the nonabused group were undernourished. The study was supported in part by the Agency for Healthcare Research and Quality (HS00060).

Back Seat Lap/Shoulder Belts
Most of the analyses are based on Fatality Analysis Reporting System (FARS) data from 1988 through the first six months of 1997. The primary analysis compares the fatality risk for back seat outboard belted occupants (lap or lap/ shoulder belted) to the corresponding risk for unbelted occupants, as well as the fatality risk for lap/ shoulder belted occupants to the risk for lap belted occupants. Fatality risk is the ratio of fatalities in the back seat to fatalities in the front seat (a control group). This procedure of comparing a subject group to a control group is called "double pair comparison." The principal conclusions are: back seat lap belts are 32 percent effective in reducing fatalities and lap/ shoulder belts are 44 percent effective in reducing fatalities when compared to unrestrained back seat occupants in passenger cars. In passenger vans and Sport Utility Vehicles, lap belts are 63 percent effective and lap/ shoulder belts are 73 percent effective. The change from lap to lap/ shoulder belts has significantly enhanced occupant protection, especially in frontal crashes. In all crashes, lap/ shoulder belts are 15 percent more effective than lap belts alone. In frontal crashes, lap/ shoulder belts are 25 percent more effective than lap belts alone. Back seat lap belts reduce the risk of head Injuries while increasing the risk of Abdominal Injuries in potentially fatal frontal crashes. Lap/ shoulder belts reduce the risk of both head and Abdominal Injuries in potentially fatal frontal crashes relative to lap belts only: head Injuries by 47 percent and Abdominal Injuries by 52 percent.

Energy Citations Database (ECD) - - Document #7013903
One hundred twelve cases of blunt splenic rupture were prospectively entered (October 1987-October 1991) into surgical or nonsurgical management groups using these criteria for the nonsurgical group: hemodynamic stability-age less than 55 years-CT scan appearance of grade I, II, or III injury-absence of concomitant Injuries precluding Abdominal assessment+absence of other documented Abdominal Injuries.^All ages were included and AAST injury scaling was used.^Patients were grouped from the trauma room.^The surgical treatment group included 66 patients (49 splenectomies, 17 splenorraphies).^These patients were generally older and more severely injured, required more transfused blood, and a longer ICU stay.^The nonsurgical group included 46 patients with 33 older than 14 years.^There were 3 patients over the age of 55 years inappropriately included in this group, and nonsurgical therapy failed in all three.^Statistical analysis (chi 2) showed that more splenic Injuries were observed and more spleens were saved with these criteria applied prospectively compared with a previous retrospective series in the same institution.^The series had a success rate of 93%, and validates the criteria used for safe, nonsurgical management of the ruptured spleen and adds a new criterion: a maximum age of 55 years.

Lapbelt Injuries and the Seatbelt Syndrome in Pediatric Spinal Cord Injury
In the seatbelt syndrome, the most common injury is intra-Abdominal, which is thought to result from the compression of organs between the lapbelt anteriorly and the bony vertebral column posteriorly, especially considering the small anteroposterior diameter of a child ( 3 , 10 ). Moreover, the less muscular, thinner Abdominal wall in children offers less protection against blunt trauma. The most common intra-Abdominal Injuries are HVIs, with the small intestine most commonly involved ( 3 , 4 , 11 ). The jejunum is the most common site of small intestine involvement, especially around the ligament of Treitz, because the fixation promotes shear stress tears; another vulnerable fixed site is the ileocecal valve ( 11 ). Other commonly involved intra-Abdominal or retroperitoneal organs are the mesentery, solid organs such as liver, spleen, and kidneys, vascular structures, and the genitourinary system (ureters and bladder). Injuries to the vertebral column and SCI are the second most common within the seatbelt syndrome ( 4 ).

Program Brief: Child Health Research Findings—Acute Care/Injuries
Between 1995 and 2001, more than half (61 percent) of traumatic Abdominal Injuries in young children 0 to 4 years of age resulted from motor vehicle accidents. Other significant causes were child abuse (16 percent) and falls (14 percent). Children who were abused and had Abdominal and central nervous system injury were more likely than other children with Abdominal trauma to die while in the hospital, according to this analysis of data on 927 cases of blunt Abdominal Injuries in young children.

Handout on Health: Sports Injuries
Handout on Health: Sports Injuries

Medical Device Safety:Laparoscopic Trocar Injuries...
Medical Device Safety:Laparoscopic Trocar Injuries...

CDC Mass Casualties | Explosions and Blast Injuries: A Primer for Clinicians
Clinical signs of blast-related Abdominal Injuries can be initially silent until signs of acute abdomen or sepsis are advanced.

Birth Injuries
Abdominal Injuries [C21.866.017] +

Soft Tissue Injuries
Abdominal Injuries [C21.866.017] +

FCIC: Sports Injuries
FCIC: Sports Injuries

Table of contents for Sports injuries guidebook
Contents Injury Finder Preface Acknowledgments Chapter 1 Body Conditioning and Maintenance Evan M. Chait Chapter 2 Prevention and Treatment Toolbox Elise Weiss, Todd D. Hirsch, and Grant Cooper Chapter 3 Injury Types and Assessments Paul M. Steingard Chapter 4 Concussions and Head Injuries Josh Krassen Chapter 5 Neck and Spine Injuries Greg Rowdon and Hank Sherman Chapter 6 Shoulder Injuries Edmund S. Evangelista Chapter 7 Arm and Elbow Injuries Andrew L Sherman Chapter 8 Wrist and Hand Injuries Frank C. McCue and Susan Saliba Chapter 9 Chest and Abdominal Injuries Daniel A. Brzusek Chapter 10 Lower-Back Injuries Stuart Kahn and Arjang Abbasi Chapter 11 Hip Injuries Michael M. Weinik, Ian B. Maitin, and Ferdinand J. Formoso Chapter 12 Thigh and Hamstring Injuries Lisa M. Bartoli Chapter 13 Knee Injuries Michael Kelly and Yvonne Johnson Chapter 14 Lower-Leg and Ankle Injuries William G. Hamilton and Andrew A. Brief Chapter 15 Foot and Toe Injuries William G. Hamilton and Andrew A. Brief Chapter 16 Alternative Treatments Roberta Lee Works Consulted About the Editor About the Contributors

FR Doc 04-10931
The 2,910 fatalities were divided into three groups for the analysis: (a) Vehicle to pole impacts (599); (b) vehicle to vehicle or other roadside objects impacts, which include partial ejections in these cases (1,715); and (c) complete occupant ejections in non- rollovers (636). In this target population, 40 percent of the total fatalities are caused by head/ face Injuries, 38 percent by chest Injuries and 8 percent by Abdominal Injuries. In contrast, for the 7,248 non-fatal AIS 3-5 target population, chest Injuries are the predominant maximum injury source accounting for 59 percent, head/ face Injuries account for 13 percent, and Abdominal Injuries account for 6 percent. Combining all serious to fatal Injuries, chest Injuries account for 53 percent, head/ face Injuries account for 20 percent, and Abdominal Injuries account for 7 percent. In April 2001, NHTSA analyzed fatalities in the 1991, 1995, and 1999 FARS files using non-rollover, near-side impact data. The fatalities occurred in the first and second rows of seats in

Explosions and Blast Injuries: A Primer for Clinicians
Clinical signs of blast-related Abdominal Injuries can be initially silent until signs of acute abdomen or sepsis are advanced.

Summary
&lt;ol&gt; &lt;li&gt;Computed tomography (CT) with and without oral contrast&lt;/ li&gt; &lt;li&gt;Focused Abdominal sonography for trauma (FAST)&lt;/ li&gt; &lt;li&gt;Diagnostic peritoneal lavage&lt;/ li&gt;&lt;/ ol&gt;</ value_txt> <url_str>http:/ / www.acep.org/ workarea/ showcontent.aspx?id=8808</ url_str> </ doc_id> <doc_id> <field_id>1176</ field_id> <display_section_id>21</ display_section_id> <display_section_seq>10</ display_section_seq> <display_seq>90</ display_seq> <display_nbr>27 </ display_nbr> <section_lbl>Scope</ section_lbl> <field_lbl>Major Outcomes Considered</ field_lbl> <value_txt>&lt;p&gt;Sensitivity, specificity, and prognostic value of diagnostic tests&lt;/ p&gt;</ value_txt> <url_str>http:/ / www.acep.org/ workarea/ showcontent.aspx?id=8808</ url_str> </ doc_id> <doc_id> <field_id>1240</ field_id> <display_section_id>22</ display_section_id> <display_section_seq>20</ display_section_seq> <display_seq>100</ display_seq> <display_nbr>1 </ display_nbr> <section_lbl>Methodology</ section_lbl> <field_lbl>Methods Used to Collect/ Select Evidence</ field_lbl> <value_txt>&lt;p&gt;Hand-searches of Published Literature (Primary Sources)&lt;br / &gt; Hand-searches of Published Literature (Secondary Sources)&lt;br / &gt; Searches of Electronic Databases&lt;/ p&gt;</ value_txt> <url_str>http:/ / www.acep.org/ workarea/ showcontent.aspx?id=8808</ url_str> </ doc_id> <doc_id> <field_id>1180</ field_id> <display_section_id>22</ display_section_id> <display_section_seq>20</ display_se

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