Basic trauma life support: what is it?
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Clinical Protocols↗
Biomedical subjects
D Q McArdle
Publications and source records attributed to D Q McArdle.
Rupture of the left ventricle and interventricular septum by blunt trauma.
We report a survivor of blunt trauma with rupture of the left ventricle and the interventricular septum. A review of the literature revealed no previous report of a survivor of this combination of nonpenetrating injuries, and only four previous survivors of left ventricular rupture due to blunt trauma.
Adult↗
Brain tumor and achondroplasia: a case report and review of the literature.
This is the first reported case of a meningioma occurring in an achondroplastic dwarf. The patient had been treated for lumbar stenosis 7 years previously and later developed mental status change and visual loss due to a large tuberculum sella meningioma. Statistical analysis of the prevalence of both diseases in the United States shows insufficient evidence for a pathogenetic link between the two diseases.
Achondroplasia↗
The diagnosis of intra-abdominal injury in patients with cervical cord trauma.
A review of the records of 288 patients sustaining blunt cervical column and/or cord injuries revealed that twelve (4.2%) had significant intra-abdominal injuries, all occult, and all detected by peritoneal lavage. Three of 58 patients in shock (BP less than 100 mm Hg) with neurologic deficits were found to have intra-abdominal injuries. Shock in another 15 was the result of major associated injuries and/or the loss of sympathetic vascular tone. Thus 40 of these 58 patients (69%) had neurogenic shock. An analysis of the mechanisms of injury and associated injuries indicated that those at risk of having significant intra-abdominal injury are those who have been injured in a vehicular crash and those who have other obvious major injuries that can cause shock. The data indicate that patients not at risk of having intra-abdominal injury can be selected for early attempts at anatomic cervical realignment in an effort to achieve return of neurologic function.
Abdominal Injuries↗