Injury occurring secondary to distraction from a Sony Walkman or one of its clones.
Explore the source record for details and available documents.
Accidents↗
Biomedical subjects
R L Wigle
Publications and source records attributed to R L Wigle.
The reaction of copper and other projectile metals in body tissues.
To determine the effect of copper in tissue, copper specimens, along with other metals commonly used in firearm projectiles, were implanted into rats. Copper consistently produced a necrotic, abscesslike reaction in all tissues tested. Nickel produced a similar reaction, although of lesser magnitude. Aluminum, zinc, and lead produced no significant tissue reaction.
Abscess↗
A simple technique for securing tubes and drains.
A simple technique for securing tubes and drains based on a basic knot is presented. When properly done, it will reliably anchor all types of tubing with any type of suture.
Drainage↗
Spontaneous healing of a traumatic thoracic aortic tear: case report.
A patient with deceleration trauma of the thoracic aorta causing significant intimal disruption is described in whom complete angiographic resolution was documented during a period of medical management. Review of the literature, along with our experience, suggests that traumatic aortic disruption constitutes a spectrum of injury rather than an all-or-none phenomenon. Immediate surgery, especially in multiply injured patients, may be delayed or even postponed indefinitely if the injury is relatively limited.
Accidents, Traffic↗
Treatment of asymptomatic gunshot injuries to the spine.
Gunshot wounds to the spine and spinal canal are usually associated with significant neurologic loss. When this occurs, treatment is usually supportive, the predominant indication for surgical intervention being progression of the deficit. If the deficit does not progress, but a spinal block can be demonstrated to persist beyond the acute injury period, surgical decompression may also be indicated. When no neurologic deficit is present, the optimum approach is less clear. Complications such as infection or persistent cerebrospinal fluid (CSF) leak may necessitate surgical repair in asymptomatic patients, as well as those with neurologic loss. The presence of copper in the spinal canal is also considered by some to be an indication for surgical intervention in both groups.
Adult↗
Emergency department management of retained rectal foreign bodies.
A plastic toothbrush case was removed from the rectum of a prison inmate in the emergency department using a rigid sigmoidoscope and a fogarty catheter. The patient was subsequently discharged from the emergency department. Previous literature regarding rectal foreign bodies has emphasized inpatient treatment and tended to ignore the potential value of the emergency service. Guidelines for selecting appropriate patients for emergency department management are presented and basic principles for safe outpatient removal are reviewed.
Adult↗
Exsanguinating hemorrhage from peripheral varicosities.
A 48-year-old woman presented to the emergency department in cardiovascular collapse after the onset of spontaneous bleeding from a noninflamed, nontraumatized varicose vein of the lower extremity. Despite successful immediate resuscitation she later succumbed to the sequelae of hemorrhagic shock. There was no evidence of coagulopathy or coagulation defect. No cardiovascular disease was found on autopsy. Although not common, spontaneous rupture of peripheral varicosities occurs often enough to be of concern. The pathologic lesions have been classified as acute and chronic, with acute lesions occurring in otherwise normal skin. Exsanguination from this source is not mentioned in standard texts, and only 27 cases have been reported in the literature.
Emergencies↗