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Biomedical subjects

L N Sykes

Publications and source records attributed to L N Sykes.

3 recordsLinked to original sources

Management of hemorrhage from severe scalp lacerations with Raney clips.

A 23-year-old man was assaulted about the head and face with a wrench, sustaining multiple severe scalp lacerations. Massive bleeding from the lacerations ensued, resulting in refractory hypovolemic shock. Emergency department control of this hemorrhage was accomplished by the application of Raney clips to the edges of the scalp lacerations. Following stabilization and radiologic studies, the patient was admitted to the ICU, where his scalp wounds were managed definitively. The remainder of his hospital course was unremarkable, and he was discharged on the third hospital day to be followed in the surgical clinic as an outpatient.

Adult

An improved technique for partial splenectomy.

Partial splenectomy should be a part of the armamentarium of every surgeon managing traumatized patients. Patients with hematologic disorders may also be candidates for partial splenic resection. An improved technique for partial splenic resection is presented.

Humans

Dum-dums, hollow-points, and devastators: techniques designed to increase wounding potential of bullets.

When considering the kinetic energy formula (KE = 1/2 MV2) to estimate wounding potential of bullets, bullet velocity has assumed the premier role as the determinant of wounding capability. Particular characteristics of the bullet such as mass have assumed positions of secondary importance or have been largely ignored. In recent years, however, important changes in bullet design have occurred that can markedly change the character of gunshot wounds. Dum-dum bullets, hollow-points, shot shells, and explosive bullets have been designed so as to cause delivery of greater kinetic energy to the victim. Surgeons managing gunshot wounds must be familiar with these types of bullets in order to properly care for the victims and to ensure their own safety during the process.

Firearms