Penetrating Trauma to the Subclavian Vessels
Fig. 34.1 The anatomy of the thoracic outlet showing the relations of the subclavian vessels The Subclavian Artery On the right side, the subclavian artery arises from the innominate artery…
Fig. 34.1 The anatomy of the thoracic outlet showing the relations of the subclavian vessels The Subclavian Artery On the right side, the subclavian artery arises from the innominate artery…
Where KE = Kinetic energy, M = the mass of the bullet, and V = maximum velocity. When a bullet strikes tissue (e.g. the human body), wounding energy is transferred to the body according to the…
Fig. 27.1 Patient No. 1: a 22-year-old female crime victim, who sustained multiple GSW with a single non-penetrating GSW to the head. Entry wound at R cheek, exit wound on…
Fig. 44.1 Intestines are covered with a sterile plastic bag Fig. 44.2 Cuts are made on the plastic bag to allow better drainage of fluid Fig. 44.3 A moist Kerlix…
Fig. 36.1 (a, b) Repair of pulmonary laceration. Main sketch: wedge excision with stapler If you decide to also access the opposite thoracic cavity, you can proceed by transecting the…
Fig. 45.1 Gastric injuries may be repaired with a running single-layer closure; full thickness bites of the stomach will ensure hemostasis from the well-vascularized gastric wall Fig. 45.2 Tangential injuries…
Clinical picture (stable) Interest in penetrating trauma Time of thoracoscopy Diagnosis or Treatment Indication Position Significant hemothorax or continuous bleeding + Immediate Diagnosis: source of the bleeding, complete exploration Discussed,…
Priority Colour Label Immediate Red P1 or T1 Urgent Yellow P2 or T2 Delayed Green P3 or T3 Expectant Blue/black T4 Dead Black/white T0 P or Priority System This has…
Fig. 15.1 Image of a left flail chest (red ellipse) with associated subcutaneous emphysema (red arrow) Soft tissue emphysema is another common abnormality that is often identified on radiographic imaging…
Fig. 82.1 Confirmation of a complex vascular injury that caused exsanguinations. Patient demised on arrival to the emergency department. ERT was not successful Fig. 82.2 En bloc dissection showing a…