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Missed Traumatic Rupture of the Diaphragm

Ryu SW, Chekar J, Yi IH, Seo BR, Park SH, Go SJ

A 48-year-old man came to the emergency department with altered consciousness and hemoperitoneum following a pedestrian traffic accident. He underwent immediate emergency laparotomy, and on the second day, he required...
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Penetrating Cardiac Injury and Traumatic Pericardial Effusion Caused by a Nail Gun

Calderon Miranda WG, Fuentes EJ, Hernández NE, Moscote Salazar LR, Parizel PM

Penetrating cardiac injury caused by nail gun is an uncommon life-threatening condition characterized by a rapidly severe hemodynamic status compromise. We report non-contrast-enhanced CT findings of a right ventricle myocardium...
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Temporary Closure for Sternotomy in Patient with Massive Transfusion Might Be Lethal

Kim M, Kim J, Kim SJ, Cho HJ

A 58-year-old male visited our emergency room for multiple traumas from explosion. On initial evaluation, hemopneumoperitoneum with liver laceration (grade 4) and colon perforation was identified. Hemopericardium with cardiac tamponade...
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Efficacy of Nefopam Analgesia for Trauma Patients in the Emergency Department

Lim TY, Kim JY, Choi SH, Yoon YH

PURPOSE: Nefopam is a centrally acting non-narcotic analgesic that has mostly been used for postoperative pain. We examined the efficacy of nefopam analgesia (alone and in combination with ketorolac) for...
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The Impact of Trauma Center Establishment on Laparotomy Patterns and Outcomes in Severe Hemoperitoneum Patients

Lee MA, Lee J, Chung M, Lee G, Park J, Choi K, Yoo BC

PURPOSE: The establishment of the trauma system has changed the quality of trauma care in many countries. As one of the first designated level I trauma centers in Korea, we...
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