1/5. A suicidal death by explosives.A 23-year-old man committed suicide by detonating an explosive substance clutched to his abdomen. The face was singed, the hands were lacerated and the chest and the upper part of abdomen were badly mutilated. The death was due to the destruction of several vital organs. The injuries had a directional nature. Only the consideration of all the facts of the case in relation to the situation, nature, distribution and extent of wounds and the preceding medical and social history allowed a reconstruction of the circumstances.- - - - - - - - - - ranking = 1keywords = nature (Clic here for more details about this article) |
2/5. Suicidal bus bombing of French Nationals in pakistan: physical injuries and management of survivors.BACKGROUND: Suicidal bombing is particularly devastating and an increasingly common form of terrorist violence. In this paper, we present an epidemiologic description of the physical injuries of patients who survived the suicidal bombing attack in the context of the limited medical resources of a developing nation. methods: The management of individual patients was reviewed from a preprinted trauma form. Information on the nature of injuries, operative management and hospital course was recorded and data analyzed using the Trauma Registry. RESULTS: Twelve survivors out of 36 bomb blast victims brought to the Aga Khan University Hospital were transferred from primary receiving hospitals. The average number of injuries per patient was eight. The mean injury severity score was 10.8. The majority of patients had secondary and tertiary blast injuries. Most of the survivors had calcaneal injuries; these have not been reported in the literature in similar terrorist attacks. Twelve operative interventions were undertaken. All of the 12 patients were stabilized and evacuated within 24 h of admission. CONCLUSIONS: All of the 12 patients transferred to the Aga Khan University Hospital survived. Unlike the reported injuries, calcaneal fractures were most commonly encountered in the survivors.- - - - - - - - - - ranking = 0.5keywords = nature (Clic here for more details about this article) |
3/5. Optimum management of hand blast injuries.A series of 27 blast and gunshot injuries of the hand is presented. These wounds exhibit a spectrum of complexity and may include extensive soft tissue trauma complicated by burns, foreign bodies, fractures and amputations. A systematic management sequence is outlined to evaluate, treat, reconstruct and rehabilitate these hands, with the primary goal of obtaining early maximal function. Since these injuries vary in nature and complexity, this management sequence is specifically adapted to deal with the individual injury. A "reconstructive ladder" of techniques is utilized, ranging from "simple" (e.g., direct closure, skin grafts, local flaps) to "complex" (free flaps, toe-to-thumb transfer). The individual procedure selected is the most straightforward, consistent with expediency and early return of a functional hand. The return of these hands to function has been facilitated by recent advances in tissue assessment, free tissue transfer, and skilled hand therapy.- - - - - - - - - - ranking = 0.5keywords = nature (Clic here for more details about this article) |
4/5. retinal detachment due to firecracker injury.Seven cases of retinal detachment due to firecracker injury are reported. Most involved young boys. Associated anterior segment changes as well as the nature of the retinal breaks attested to the similarity between firecracker injuries and blunt contusion injuries. Despite successful retinal reattachment in all cases, visual results were poor. To prevent visual loss from firecracker injury, educational programs directed to school age boys seem needed.- - - - - - - - - - ranking = 0.5keywords = nature (Clic here for more details about this article) |
5/5. Clinical aspects of ball-bearing bomb injuries.This paper reports the effects on 22 victims of a bomb containing ball-bearings. Of five patients requiring admission to hospital three had sustained injuries due specifically to ball-bearings. The mechanism of the weapon, and the nature of the injuries are described. The particular type of wounds sustained, their presentation and management are discussed.- - - - - - - - - - ranking = 0.5keywords = nature (Clic here for more details about this article) |