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Journal articles on the topic 'Multiple traumas'

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Published: 4 June 2021

Last updated: 11 February 2022

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Labanauskienė, Jolanta, Haroldas Bernotas, and Benjaminas Siaurusaitis. "Vaikų smurtinių traumų ypatumai." Lietuvos chirurgija 5, no. 2 (2007): 0. http://dx.doi.org/10.15388/lietchirur.2007.3.2239.

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Jolanta Labanauskienė1, Haroldas Bernotas1, Benjaminas Siaurusaitis21 Vilniaus universiteto Vaikų ligoninė, Santariškių g. 7, LT-08406 Vilnius2 Vilniaus universiteto Medicinos fakulteto Vaikų ligų klinika, Santariškių g. 7, LT-08406 VilniusEl paštas: j.labanauskiene@yahoo.com Įvadas / tikslas Vaikų smurtinės traumos aktualios visame pasaulyje, taip pat ir Lietuvoje. Šių traumų klinikiniai požymiai nėra specifiniai, todėl nesant tikslių anamnezės duomenų šių traumų diagnostika nėra lengva. Šio tyrimo tikslas – nustatyti vaikų smurtinių traumų ypatumus, lyginant jas su atsitiktinėmis traumomis. Metodai Retrospektyviai analizuota vaikų, gydytų Vilniaus universiteto vaikų ligoninėje 2001-2005 metais, medicininiai dokumentai. Tirta po 200 ligonių, gydytų dėl smurtinių ir atsitiktinių traumų stacionare ir po 100 ligonių, gydytų ambulatoriškai. Analizuotos traumų priežastys, padariniai ir sunkumas. Rezultatai Vaikų smurtinių ir atsitiktinių traumų priežastys buvo skirtingos. Smurtinėms traumoms buvo būdingi galvos smegenų sužeidimai (55,5%), nosies kaulų, delnakaulių lūžiai, durtinės bei šautinės žaizdos, dauginiai kūno sumušimai. Jos buvo sunkesnės nei atsitiktinės traumos. Šioms buvo būdingi įvairių kūno vietų sumušimai, žaizdos, nudegimai, pavienių kaulų lūžiai. Išvados Vaikų smurtinių ir atsitiktinių traumų priežastys, sužeidimai ir sunkumas buvo skirtingi. Smurtinės traumos buvo daug sunkesnės pagal klinikinius kriterijus ir pediatrinę traumų skalę. Pagrindiniai žodžiai: vaikų smurtinės ir atsitiktinės traumos, ypatumai Specific features of the child abuse Jolanta Labanauskienė1, Haroldas Bernotas1, Benjaminas Siaurusaitis21 Vilnius University Childrens Hospital, Santariškių str. 7, LT-08406 Vilnius, Lithuania2 Clinic of Childrens Diseases of Vilnius University Medical Faculty,Santariškių str. 7, LT-08406 Vilnius, LithuaniaE-mail: j.labanauskiene@yahoo.com Background / objective Child abuse trauma is a concerning issue worldwide, also in Lithuania. Clinical signs of such traumas are not specific, therefore, in lack of definite anamnestic data, the diagnostics of child abuse traumas is complicated. The purpose of this research is to determine the features of child abuse traumas by comparing them to accidental traumas. Methods A retrospective study of medical documents was carried out with regard to the children treated at Vilnius University Children’s Hospital in 2001–2005. The study included two groups. Each group included 200 in-patients and 100 out-patients with abuse and accidental traumas. The causes, consequences and severity of traumas were analyzed. Results Causes of child abuse traumas differed from those of accidental traumas. Child abuse traumas typically included cerebral affection (55.5% ), broken nasal and metacarpus bones, punctured and gunshot wounds and multiple body bruises. These traumas were more severe than accidental traumas which typically included bruises of different body parts, wounds, burns and single broken bones. Conclusions The causes, consequences and severity of child abuse traumas were different from those of accidental traumas. With regard to clinical criteria and according to the Pediatric Trauma Scale, abuse traumas were much more severe than accidental traumas. Key words: child abuse and accidental injuries, specific features

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Meneguolo, M., F. Faccioli, R. Bertoldin, G. D'incà, and S. Guazzieri. "Urological Emergencies in Patients with Multiple Traumas: Our Experience." Urologia Journal 63, no. 2 (1996): 246–50. http://dx.doi.org/10.1177/039156039606300218.

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The Authors describe their limited but significant experience (101 cases) regarding the diagnostic and therapeutic approach to patients with multiple traumas with involvement of the urogenital tract. Approach to the renal trauma in these patients appears to be highly controversial. Experience has shown that in cases of severe renal trauma, when the urologist is called immediately to visit the patient so that a complete and correct urological diagnostic procedure can be planned, the possibilities of conservative treatment to save the kidney are greater.

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Taftachi, Farrokh, Leyla Abdolkarimi, Maryam Ameri, Azadeh Memarian, Alireza Behzadi, and Hooman Bakhshandeh. "Association Between Adrenal Hematoma and Mortality in Pediatric Multiple Blunt Traumas: An Autopsy Evaluation." Global Journal of Health Science 9, no. 4 (2016): 70. http://dx.doi.org/10.5539/gjhs.v9n4p70.

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Adrenal hematoma is a common hidden catastrophic complication in pediatric victims of multiple blunt traumas. Adrenal hematoma has no obvious symptoms and may not be detected by diagnostic methods such as magnetic resonance imaging, computed tomography scan, and sonography; consequently, this complication may be neglected in children with multiple blunt traumas and cause death through sudden adrenal crisis.The current study was conducted on 55 dead children (&lt;13 y) and 110 matured youths (13–17 y) who died in consequence of multiple blunt traumas, comprising car crashes, fall from heights, and falling debris. Our autopsy results showed that the overall prevalence of adrenal hematoma was 26% and this rate was higher in lower ages (1–6 y). There was no significant difference regarding the occurrence of adrenal hematoma between the genders. Adrenal hematoma was most common in abdominal and pelvic traumas. Peritoneal hemorrhage, liver damage, spleen rupture, omental injury, retroperitoneal hemorrhage, renal hematoma, and pelvic fracture were the most common complications associated with adrenal hematoma. In contrast to the previous studies, hematoma was mostly observed in the left adrenal. The incidence of damage to the pancreas, which similarly to the adrenal is a retroperitoneal organ, was very low (1.7%).The high incidence of adrenal hematoma due to severe abdominopelvic trauma in children warrants further research. Future studies should shed sufficient light on the efficacy of prophylactic steroids in patients with suspicion of severe abdominopelvic trauma.

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Ered, Arielle, and Lauren M. Ellman. "Specificity of Childhood Trauma Type and Attenuated Positive Symptoms in a Non-Clinical Sample." Journal of Clinical Medicine 8, no. 10 (2019): 1537. http://dx.doi.org/10.3390/jcm8101537.

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Background: Childhood traumatic experiences have been consistently associated with psychosis risk; however, the specificity of childhood trauma type to interview-based attenuated positive psychotic symptoms has not been adequately explored. Further, previous studies examining specificity of trauma to specific positive symptoms have not accounted for co-occurring trauma types, despite evidence of multiple victimization. Methods: We examined the relationship between childhood trauma (Childhood Trauma Questionnaire) with type of attenuated positive symptom, as measured by the Structured Interview for Psychosis-risk Syndromes (SIPS) among a non-clinical, young adult sample (n = 130). Linear regressions were conducted to predict each attenuated positive symptom, with all trauma types entered into the model to control for co-occurring traumas. Results: Results indicated that childhood sexual abuse was significantly associated with disorganized communication and childhood emotional neglect was significantly associated with increased suspiciousness/persecutory ideas, above and beyond the effect of other co-occurring traumas. These relationships were significant even after removing individuals at clinical high-risk (CHR) for psychosis (n = 14). Conclusions: Our results suggest that there are differential influences of trauma type on specific positive symptom domains, even in a non-clinical sample. Our results also confirm the importance of controlling for co-occurring trauma types, as results differ when not controlling for multiple traumas.

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Jencks, Jennifer W., and George S. Leibowitz. "The Impact of Types and Extent of Trauma on Depressive Affect Among Male Juvenile Sexual Offenders." International Journal of Offender Therapy and Comparative Criminology 62, no. 5 (2016): 1143–63. http://dx.doi.org/10.1177/0306624x16676099.

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High levels of depression have been found among incarcerated youth, which suggests that mental health problems are associated with delinquent behavior and are part of a constellation of risk factors that contribute to youth entering the juvenile justice system. In this project, we investigated trauma and mental health issues among male youth in residential treatment, and addressed the following questions: (a) Does childhood trauma predict current depression for male juvenile sexual offenders? (b) If so, do different types of traumas predict depressive affect better than others? and, (c) Does extent of trauma exposure predict depression? Data on incarcerated male juvenile sexual offenders were analyzed ( n = 379). Multiple regressions of various types of traumas and cumulative trauma and depression were conducted. Emotional abuse was the strongest predictor of depressive affect for this sample, and multiple exposures to trauma were the second strongest predictor.

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Sumardi, Fitri Sepviyanti, Iwan Abdul Rachman, and Bambang J. Oetoro. "Tatakelola Anestesi untuk Dekompresi Kraniektomi pada Cedera Otak Traumatik Berat dengan Penyulit Obesitas Morbid." Jurnal Neuroanestesi Indonesia 9, no. 1 (2020): 33–44. http://dx.doi.org/10.24244/jni.v9i1.247.

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Anestesi dan pembedahan mungkin meyebabkan risiko yang cukup besar untuk pasien obesitas, apalagi obesitas morbid. Populasi orang gemuk meningkat, baik di negara maju dan berkembang, sehingga para ahli anestesi lebih sering menghadapi tantangan dalam mengelola pasien obesitas. Trauma multipel bertanggung jawab atas 5 juta kematian per tahun di seluruh dunia dan merupakan penyebab kematian utama bagi orang-orang muda di bawah 40 tahun, mewakili peristiwa akut dan tak terduga. Kami akan melaporkan seorang lelaki 36 tahun dengan obesitas morbid, BMI 48,97 kg/m2, yang mengalami multipel trauma akibat kecelakaan lalulintas, yang akan menjalani operasi evakuasi perdarahan subdural dan dekompresi kraniektomi. Pemilihan obat dan dosis aman sangat sulit pada pasien dengan multipel trauma, karena mungkin status volumenya tidak diketahui secara akurat. Rencana anestesi harus mempertimbangkan status resusitasi dan riwayat penyakit penyerta lain. Peran penting lainnya dari anestesiologis adalah pencegahan cedera sekunder yang disebabkan oleh syok berulang atau resusitasi tidak tepat. Anesthesia Management for Craniectomy Decompression on Severe Brain Traumatic Injury with Comorbid Morbid Obesity AbstractAnesthesia and surgery may cause considerable risk for obese patients, especially morbid obesity. Obese populations increase, both in developed and developing countries, so anesthesiologists more often face challenges in managing obese patients. Multiple traumas is responsible for 5 million deaths per year worldwide and is the leading cause of death for young people under 40, representing acute and unexpected events. We will report a 36-year-old man with morbid obesity, a BMI of 48.97 kg/m2, who experienced multiple traumas due to a traffic accident, who will undergo an evacuation operation for subdural hemorrhage and craniectomy decompression. The selection of drugs and safe doses is very difficult in patients with multiple traumas, because their volume status may not be accurately known. Anesthetic plan must consider resuscitation status and history of other comorbidities. Another important role of anesthesiologist is the prevention of secondary injury caused by recurrent shock or improper resuscitation.

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Aguirre, Nicole, Andrew Milewski, Rohini Kopparam, Joseph Shin, and Deborah Ottenheimer. "Women Seeking Asylum: Multiple Traumas Inflicted by Multiple Perpetrators [6B]." Obstetrics & Gynecology 133, no. 1 (2019): 22S. http://dx.doi.org/10.1097/01.aog.0000559390.33054.36.

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Özçete, Enver, Selahattin Kiyan, İlhan Uz, Meltem Songür Kodik, and Yusuf Ali Altuncı. "The role of whole-body computed tomography in determining risky patient group with regard to polytrauma patients in the emergency department." Hong Kong Journal of Emergency Medicine 25, no. 3 (2018): 123–29. http://dx.doi.org/10.1177/1024907918755174.

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Backround: High rates in trauma-related mortality pose a major health problem and increase every day. Early diagnosis and treatment can be lifesavers for this patient group in the emergency departments, which serve as the first place to admit trauma patients in a hospital. Objectives: We aim to determine high-risk criteria to indicate trauma patients getting the most use from whole-body tomography in patients with multiple traumas and reduce unnecessary computed tomography. Methods: We examined retrospectively all electronic files and computed tomography results of patients, who had been admitted to emergency department due to trauma, and who had undergone whole-body computed tomography. Results: We found that possibility of multiple injuries increased by 5.9 times in patients requiring mechanical ventilation. Possibility of multiple injuries in patients with free fluid in the Focused Assessment with Sonography for Trauma increased by 5.6 times. We also observed that possibility of multiple injuries in patients with Glasgow Coma Score < 13 increased by 4.3 times. Possibility of multiple injuries in hypoxic patients increased by 3.2 times. Possibility of multiple injuries in patients with a pulse ≥ 120/min increased by 1.8 times. Possibility of multiple injuries in patients with shock index ≥ 0.9 increased by 1.7 times. Conclusion: High-risk group in terms of multiple traumas involves mechanical ventilation need in trauma patients, positive Focused Assessment with Sonography for Trauma, Glasgow Coma Score being under 13, hypoxia, tachycardia, positive shock index, and extravehicular traffic accidents. Whole-body computed tomography should be performed in this patient group.

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BRESLAU, N., E. L. PETERSON, L. M. POISSON, L. R. SCHULTZ, and V. C. LUCIA. "Estimating post-traumatic stress disorder in the community: lifetime perspective and the impact of typical traumatic events." Psychological Medicine 34, no. 5 (2004): 889–98. http://dx.doi.org/10.1017/s0033291703001612.

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Background. Community surveys have assessed post-traumatic stress disorder (PTSD) in relation to traumatic events designated by respondents as the worst they have ever experienced. An assessment of PTSD in relation to all reported traumas would impose too great a burden on respondents, a considerable proportion of whom report multiple traumas. The ‘worst event’ method is efficient for identifying persons with PTSD, but may overestimate the conditional probability of PTSD associated with the entire range of PTSD-level traumas. In this report, we evaluate this potential bias.Method. The Detroit Area Survey of Trauma (n=2181) estimated the PTSD risk from two samples of traumas: (1) a representative sample of traumas formed by selecting a random trauma from each respondent's list of traumas; and (2) traumas designated by respondents as the worst (the standard method).Results. Both estimation methods converged on key findings, including identifying trauma types with the highest probability of PTSD and sex differences in the risk of PTSD. Compared to the random events, the ‘worst event’ method yielded a moderately higher conditional probability for PTSD (0·136 v. 0·092). The bias was due almost entirely to the deviation of the distribution of the worst events from expected values, if all event types had equal prior selection probabilities. Direct adjustment, setting the distribution equal to expected values and applying the observed probabilities of PTSD associated with individual event types brought the estimate close to the unbiased estimate, based on the randomly selected traumas.Conclusions. Only the ‘worst event’ method can be used as a short-cut to assessing all traumas. The bias in the estimated risk of PTSD is modest and is attenuated by direct adjustment.

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Sun, J., P. Bertrand, R. Kraenzler, and P. J. Arnoux. "Spine virtual traumas under multiple impact situations." Computer Methods in Biomechanics and Biomedical Engineering 12, sup1 (2009): 237–39. http://dx.doi.org/10.1080/10255840903094050.

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Lee, Hak-Jae, Eol Choi, Nak-Joon Choi, et al. "Risk Factors of Bacteremia following Multiple Traumas." Emergency Medicine International 2020 (April 6, 2020): 1–7. http://dx.doi.org/10.1155/2020/9217949.

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Background. Bacteremia is a major nosocomial infection that frequently occurs in trauma patients, increasing morbidity and mortality. The aim of this study was to identify risk factors and to describe epidemiological patterns for early onset (EOB) and late onset (LOB) bacteremia after trauma. Methods. We retrospectively reviewed medical records of all trauma patients admitted to the surgical intensive care unit and general ward between January 2011 and December 2015. The information was collected for each patient and recorded in a computer database: early onset bacteremia (EOB) was defined as when onset occurred within 7 days after trauma, and late onset bacteremia (LOB) was defined as when onset occurred after 7 days from trauma. Results. Thirty-four patients of 859 (4%) developed bacteremia during their hospital stay: 4 (11.8%) developed EOB, 26 (76.4%) LOB, and 4 (11.8%) patients developed both of them. Sixty events of bacteremia happened to these patients: 9 (15.0%) EOB and 51 (85.0%) LOB. Gram-positive cocci were isolated more frequently than Gram-negative bacilli in both groups. Gram-positive cocci were more frequently isolated in EOB than in LOB; otherwise, there was no statistical significance (77.8% vs. 64.7%, p=0.683). Central line-associated blood stream infection (CLABSI) and surgical site infection (SSI) were the most common identified source for LOB. Presence of liver (OR: 2.66, p=0.035) and pelvic injury (OR: 2.25, p=0.038), gastrointestinal tract perforation (OR: 5.48, p=0.002), and massive transfusion (OR: 3.36, p=0.006) represented risk factors for bacteremia. Conclusions. Presence of pelvic and liver injury on arrival in emergency department, gastrointestinal tract perforation, and massive transfusion within the first 24 hours after trauma appears to be significant risk factors for bacteremia.

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Poon, Maggie Wai-Ling. "EMDR in Competition with Fate: A Case Study in a Chinese Woman with Multiple Traumas." Case Reports in Psychiatry 2012 (2012): 1–4. http://dx.doi.org/10.1155/2012/827187.

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This paper described the application of eye movement desensitization reprocessing (EMDR) for addressing the posttraumatic stress disorder (PTSD) symptoms in a Chinese woman who had experienced multiple traumas in her childhood. EMDR is an integrative therapeutic intervention that uses a standardized eight-phase approach to treatment. It is also a proven, effective, and efficient treatment for trauma. In this client with multiple traumas, the etiological event that lay the foundation of her dysfunctional responses was reprocessed first. The successful resolution of this event allowed the positive treatment effects to transfer to other traumatic events of a similar theme. This case also illustrates the importance of identifying a culturally appropriate positive cognition (PC) in contributing to the success of the treatment.

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Bedreag, Ovidiu Horea, Alexandru Florin Rogobete, Mirela Sarandan, et al. "Volemic Resuscitation in a Patient with Multiple Traumas and Haemorrhagic Shock. Anti-oxidative Therapy Management in Critical Patients. A Case Report." Acta Medica Marisiensis 62, no. 1 (2016): 152–54. http://dx.doi.org/10.1515/amma-2016-0002.

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Abstract A patient with multiple traumas is usually found in severe haemorrhagic shock. In 40% of the cases, the patient with multiple traumas and haemorrhagic shock cannot recover due to secondary injuries and complications associated with the shock. In this paper we present the case of a male patient 30 years old, who suffered a car accident. The patient is admitted in our hospital with haemorrhagic shock due to femur fracture, acute cranial-cerebral trauma and severe thoracic trauma with bleeding scalp wound, associated with lethal triad of trauma. The clinical and biological parameters demand massive transfusion with packed red blood cells (PRBCs), fresh frozen plasma (FFP), cryoprecipitate (CRY) and colloidal solution (CO) sustained with vassopresor for the haemodynamic stabilisation. During his stay in the ICU, the patient benefits from anti-oxidative therapy with Vitamin C, Vitamin E and Vitamin B1. After 14 days the clinical state of the patient improves and he is transferred in Polytrauma Department.

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Lewis, Stephanie J., Karestan C. Koenen, Antony Ambler, et al. "Unravelling the contribution of complex trauma to psychopathology and cognitive deficits: a cohort study." British Journal of Psychiatry 219, no. 2 (2021): 448–55. http://dx.doi.org/10.1192/bjp.2021.57.

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BackgroundComplex traumas are traumatic experiences that involve multiple interpersonal threats during childhood or adolescence, such as repeated abuse. These traumas are hypothesised to cause more severe psychopathology and poorer cognitive function than other non-complex traumas. However, empirical testing has been limited to clinical/convenience samples and cross-sectional designs.AimsTo investigate psychopathology and cognitive function in young people exposed to complex, non-complex or no trauma, from a population-representative longitudinal cohort, and to consider the role of pre-existing vulnerabilities.MethodParticipants were from the Environmental Risk Longitudinal Twin Study, a population-representative birth cohort of 2232 British children. At age 18 years (93% participation), we assessed lifetime exposure to complex and non-complex trauma, past-year psychopathology and current cognitive function. We also prospectively assessed early childhood vulnerabilities: internalising and externalising symptoms at 5 years of age, IQ at 5 years of age, family history of mental illness, family socioeconomic status and sex.ResultsParticipants exposed to complex trauma had more severe psychopathology and poorer cognitive function at 18 years of age, compared with both trauma-unexposed participants and those exposed to non-complex trauma. Early childhood vulnerabilities predicted risk of later complex trauma exposure, and largely explained associations of complex trauma with cognitive deficits, but not with psychopathology.ConclusionsBy conflating complex and non-complex traumas, current research and clinical practice underestimate the severity of psychopathology, cognitive deficits and pre-existing vulnerabilities linked with complex trauma. A better understanding of the mental health needs of people exposed to complex trauma could inform the development of new, more effective interventions.

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Melo, José Roberto Tude, Laudenor Pereira Lemos-Júnior, Rodolfo Casimiro Reis, et al. "Do children with Glasgow 13/14 could be identified as mild traumatic brain injury?" Arquivos de Neuro-Psiquiatria 68, no. 3 (2010): 381–84. http://dx.doi.org/10.1590/s0004-282x2010000300010.

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OBJECTIVE: To identify in mild head injured children the major differences between those with a Glasgow Coma Scale (GCS) 15 and GCS 13/14. METHOD: Cross-sectional study accomplished through information derived from medical records of mild head injured children presented in the emergency room of a Pediatric Trauma Centre level I, between May 2007 and May 2008. RESULTS: 1888 patients were included. The mean age was 7.6±5.4 years; 93.7% had GCS 15; among children with GCS 13/14, 46.2% (p<0.001) suffered multiple traumas and 52.1% (p<0.001) had abnormal cranial computed tomography (CCT) scan. In those with GCS 13/14, neurosurgery was performed in 6.7% and 9.2% (p=0.001) had neurological disabilities. CONCLUSION: Those with GCS 13/14 had frequently association with multiple traumas, abnormalities in CCT scan, require of neurosurgical procedure and Intensive Care Unit admission. We must be cautious in classified children with GCS 13/14 as mild head trauma victims.

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ŞENER, Mustafa Talip, and Gökmen KARABAĞ. "Are Dental Lesions Identified Properly in Multiple Traumas?" Turkiye Klinikleri Journal of Medical Sciences 34, no. 4 (2014): 373–77. http://dx.doi.org/10.5336/medsci.2014-39215.

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Yang, Yi, Ling Liu, Dawei Jiang, et al. "Critical illness–related corticosteroid insufficiency after multiple traumas." Journal of Trauma and Acute Care Surgery 76, no. 6 (2014): 1390–96. http://dx.doi.org/10.1097/ta.0000000000000221.

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Schwartz, Isabella, Jeanna Tsenter, Mara Shochina, et al. "Rehabilitation Outcomes of Terror Victims With Multiple Traumas." Archives of Physical Medicine and Rehabilitation 88, no. 4 (2007): 440–48. http://dx.doi.org/10.1016/j.apmr.2007.01.001.

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Paiva, Luciana, Damiana Aparecida Trindade Monteiro, Daniele Alcalá Pompeo, Márcia Aparecida Ciol, Rosana Aparecida Spadotti Dantas, and Lídia Aparecida Rossi. "Readmissions due to traffic accidents at a general hospital." Revista Latino-Americana de Enfermagem 23, no. 4 (2015): 693–99. http://dx.doi.org/10.1590/0104-1169.0242.2623.

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AbstractObjective: to verify the occurrence and the causes of hospital readmissions within a year after discharge from hospitalizations due to traffic accidents.Methods: victims of multiple traumas due to traffic accidents were included, who were admitted to an Intensive Care Unit. Sociodemographic data, accident circumstances, body regions affected and cause of readmission were collected from the patient histories.Results: among the 109 victims of traffic accidents, the majority were young and adult men. Most hospitalizations due to accidents involved motorcycle drivers (56.9%). The causes of the return to the hospital were: need to continue the surgical treatment (63.2%), surgical site infection (26.3%) and fall related to the physical sequelae of the trauma (10.5%). The rehospitalization rate corresponded to 174/1,000 people/year.Conclusion: the hospital readmission rate in the study population is similar to the rates found in other studies. Victims of severe limb traumas need multiple surgical procedures, lengthier hospitalizations and extended rehabilitation.

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Ekmekyapar, Muhammed, Muhammet Turtay, Sukru Gurbuz, Serdar Derya, Hasan Gokce, and Omer Solgun. "Rupture of testicle accompanying multiple traumas: A case report." Annals of Medical Research 27, no. 12 (2020): 3278. http://dx.doi.org/10.5455/annalsmedres.2020.06.660.

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Faridaalaee, Gholamreza, Bahman Naghipour, Sajjad Ahmadi, and Seyed Hesam Rahmani. "Carotid artery thrombosis and cerebral infarction after multiple traumas." Journal of Emergency Practice and Trauma 3, no. 2 (2016): 68–70. http://dx.doi.org/10.15171/jept.2016.01.

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Yoshikawa, Satoru, Yasuhiro Sumino, Joonbeom Kwon, et al. "Effects of multiple simulated birth traumas on urethral continence function in rats." American Journal of Physiology-Renal Physiology 313, no. 5 (2017): F1089—F1096. http://dx.doi.org/10.1152/ajprenal.00230.2017.

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Multiple vaginal parities have been reported to be an important risk factor for stress urinary incontinence (SUI). Simulated birth trauma with single vaginal distention (VD) has been used to induce the SUI condition in animals; however, the effect of multiple simulated birth traumas on the urethral continence function has not been well characterized. Therefore, we examined the effects of multiple VDs on urethral functions in vivo and the changes in gene expressions of several molecules in the urethra using female SD rats, which were divided into three groups; sham, VD-1 (single VD), and VD-3 groups (3 times of VDs every 2 wk). Two weeks after the final VD, leak point pressure (LPP) and urethral responses during sneezing were evaluated. Also, changes in mRNA levels of urethral molecules were quantified with RT-PCR. The VD-1 group did not show any change in LPP with only a tendency of decrease in amplitudes of the urethral responses during sneezing (A-URS); however, the VD-3 group showed a significant decrease in LPP and urethral responses such as baseline urethral pressure and A-URS accompanied with SUI episodes during sneezing. Nicotinic receptor subtypes and transforming growth factor (TGF)-β1 were significantly increased in both VD-1 and VD-3 groups while TNF receptor (TNFR)-1, IL-6, collagens, and matrix metalloproteinases-9 were significantly increased only in the VD-3 group. These data indicate that rats with multiple simulated birth traumas exhibit profound impairment of the urethral continence function and that these functional changes are associated with those in cytokines, extracellular matrix molecules, and nicotinic receptor subtypes in the urethra.

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Monteleone, A. M., P. Monteleone, U. Volpe, et al. "Impaired cortisol awakening response in eating disorder women with childhood trauma exposure: evidence for a dose-dependent effect of the traumatic load." Psychological Medicine 48, no. 6 (2017): 952–60. http://dx.doi.org/10.1017/s0033291717002409.

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BackgroundChildhood trauma is a non specific risk factor for adult eating disorders (ED), and the hypothalamic-pituitary-adrenal (HPA) axis seems to mediate such a risk. Here we explored the impact of different types of childhood trauma and of traumatic load on the cortisol awakening response (CAR) of women with anorexia nervosa (AN) or bulimia nervosa (BN).MethodsSaliva samples were collected at awakening and after 15, 30, 60 min to measure cortisol levels by 121 women (44 AN patients, 36 BN patients and 41 healthy women). Participants filled in the Childhood Trauma Questionnaire.ResultsAN and BN patients with childhood maltreatment exhibited an attenuated CAR compared with non-maltreated ones. In the whole ED patient group, the CAR showed a progressive impairment with the increasing number of reported trauma types. Although significant negative correlations emerged between the type or the number of traumas and the CAR, only the number of traumas remained significantly associated with the CAR in a stepwise multiple regression analysis.ConclusionsPresent findings confirm that childhood trauma is associated with an impaired CAR in adult AN and BN patients and demonstrate for the first time a negative dose-dependent effect of the traumatic load on HPA axis activity.

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Laforte, Stéphanie, Caroline Dugal, Claude Bélanger, and Natacha Godbout. "Childhood emotional abuse and posttraumatic stress symptoms in women: the mediating role of mindfulness." Journal of Interpersonal Relations, Intergroup Relations and Identity 10 (2017): 105–16. http://dx.doi.org/10.33921/hbdy2203.

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More than one-third of adults report having experienced emotional abuse in childhood, which is one of the most common interpersonal traumas. Although survivors of interpersonal trauma are at risk of developing post-traumatic stress symptoms, few studies have specifically examined the links between childhood emotional abuse and symptoms of post-traumatic stress in adulthood. Recent studies highlight the role of mindfulness as a key variable in understanding how interpersonal traumas can be associated with long-term post-traumatic stress symptoms (Godbout, Dion, & Bigras, 2016). The purpose of this study is to examine the mediating role of mindfulness in the relationship between emotional abuse in childhood and post- traumatic stress symptoms. The sample consisted of 354 women from the community who responded to self -reported online questionnaires. The results of multiple regression analyses show that the relationship between emotional abuse in childhood and symptoms of post-traumatic stress is explained by a decrease in mindfulness capacities. Overall, the results highlight the role of mindfulness as a mechanism partially explaining the impacts of interpersonal traumas in childhood.

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Graham, Rebecca A., Joy D. Osofsky, Howard J. Osofsky, and Tonya C. Hansel. "School based post disaster mental health services: decreased trauma symptoms in youth with multiple traumas." Advances in School Mental Health Promotion 10, no. 3 (2017): 161–75. http://dx.doi.org/10.1080/1754730x.2017.1311798.

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Papurica, Marius, Alexandru Florin Rogobete, Dorel Sandesc, et al. "Redox Changes Induced by General Anesthesia in Critically Ill Patients with Multiple Traumas." Molecular Biology International 2015 (November 26, 2015): 1–11. http://dx.doi.org/10.1155/2015/238586.

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The critically ill polytrauma patient is a constant challenge for the trauma team due to the complexity of the complications presented. Intense inflammatory response and infections, as well as multiple organ dysfunctions, significantly increase the rate of morbidity and mortality in these patients. Moreover, due to the physiological and biochemical imbalances present in this type of patients, the bioproduction of free radicals is significantly accelerated, thus installing the oxidative stress. In the therapeutic management of such patients, multiple surgical interventions are required and therefore they are being subjected to repeated general anesthesia. In this paper, we want to present the pathophysiological implications of oxidative stress in critically ill patients with multiple traumas and the implications of general anesthesia on the redox mechanisms of the cell. We also want to summarize the antioxidant treatments able to reduce the intensity of oxidative stress by modulating the biochemical activity of some cellular mechanisms.

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Saberinia, Amin, and Parvin Kashani. "Management of multiple traumas in emergency medicine department: A review." Journal of Family Medicine and Primary Care 8, no. 12 (2019): 3789. http://dx.doi.org/10.4103/jfmpc.jfmpc_774_19.

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Chimot, Loïc, Lionel Leroux, and Nicolas Morel. "Acute myocardial infarction and multiple traumas: a dilemma of protocol." American Journal of Emergency Medicine 30, no. 1 (2012): 266.e3–266.e5. http://dx.doi.org/10.1016/j.ajem.2010.12.005.

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Kiriyama, Ryota, Takehiko Okagawa, Hironori Oyamatsu, Seijiro Niimi, Kotaro Ozaki, and Norimitsu Yabusaki. "Multiple traumas with coagulation abnormality treated by video-assisted thoracoscopy." Journal of the Japanese Association for Chest Surgery 35, no. 1 (2021): 18–22. http://dx.doi.org/10.2995/jacsurg.35.18.

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Bennett, Diana C., Edward J. Thomas, Katherine E. Porter, Rachel B. Broman, Sheila A. M. Rauch, and Minden B. Sexton. "Context Matters: Posttraumatic Stress Disorder Symptom Associations With Military Sexual Trauma Event Characteristics and Dual Histories of Interpersonal Trauma." Violence and Victims 34, no. 1 (2019): 69–84. http://dx.doi.org/10.1891/0886-6708.34.1.69.

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Despite the high rates of military sexual trauma (MST) experienced by service members and veterans, little is known about how contextual features of the MST event or concurrent histories of other interpersonal traumas are associated with diverse clinical presentations. This study examined contextual factors of MST events (number of perpetrators, location of MST, relationship to perpetrator, location of MST) and dual history of interpersonal traumas (including sexual abuse or assault throughout the lifespan, repeated MST, and intimate partner violence) in relation to total symptoms and symptom clusters of Posttraumatic Stress Disorder (PTSD). MST involving multiple perpetrators was related to higher avoidance and hyperarousal. MST while combat-deployed was associated with higher hyperarousal. Veterans endorsing a history of partner violence presented with higher reexperiencing and avoidance. Recognition of phenotypic differences may assist providers in treatment planning and optimizing outcomes.

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Melo, José Roberto Tude, Rodolfo Casimiro Reis, Laudenor Pereira Lemos-Júnior, et al. "Skull radiographs and computed tomography scans in children and adolescents with mild head trauma." Arquivos de Neuro-Psiquiatria 66, no. 3b (2008): 708–10. http://dx.doi.org/10.1590/s0004-282x2008000500019.

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OBJECTIVE: To identify which pediatric patients with mild head trauma are candidates for skull radiographs or cranial computed tomography (CCT) scans. METHOD: Patients with mild head trauma aged from 0 to 19 years presenting to the Emergency Department of a trauma centre from Salvador City, Brazil, between May 2007 and May 2008. RESULTS: A total of 1888 mild head trauma patients were admitted; mean age was 7.4 (±5.5) years. A total of 1956 skull radiographs and 734 CCT scans were performed. About 44.4% patients with Glasgow coma score (GCS) 13 and 55.4% with GCS 14 had abnormal CCT scans. In patients with multiple traumas, 16% had abnormal findings on CCT scans. CONCLUSION: We strongly recommend routine CCT studies to patients with GCS of 13 and 14 or to multiple trauma victims, independently of score. Routine screening skull radiographs were not useful in the evaluation of mild head trauma patients in this study.

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Adams, Shona, and Steven Allan. "Human givens rewind trauma treatment: description and conceptualisation." Mental Health Review Journal 24, no. 2 (2019): 98–111. http://dx.doi.org/10.1108/mhrj-06-2018-0016.

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Purpose Human Givens (HG) Rewind technique is a graded trauma-focused exposure treatment for post-traumatic stress disorder and trauma. The purpose of this paper is threefold: first, to describe the technique; second, to provide an outline of its potential benefits; and third, to present some preliminary evidence. Design/methodology/approach This paper provides an overview of HG therapy and describes the stages of HG Rewind trauma treatment and its potential benefits. Similarities and differences between Rewind and other Cognitive Behavioural Therapy techniques are explored. Possible underlying mechanisms are discussed. Findings Preliminary evidence suggests that Rewind could be a promising trauma treatment technique and that HG therapy might be cost effective. The findings highlight the need for further research and a randomised controlled trial (RCT) on Rewind is warranted. Practical implications During the rewind technique, the trauma does not need to be discussed in detail, making treatment potentially more accessible for shame-based traumas. Multiple traumas may be treated in one session, making it possible for treatment to potentially be completed in fewer sessions. Social implications This UK-based treatment may be cost effective and make treatment more accessible for people who do not want to discuss details of their trauma. Originality/value This is the first description of HG Rewind in the peer-reviewed literature. Alternative explanations for mechanisms underlying this trauma treatment are also presented.

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Oshima, Kiyohiro, Masato Murata, Makoto Aoki, et al. "Report of Four Cases with Equestrian Injury: Therapeutic Approach and Outcome." Case Reports in Emergency Medicine 2018 (June 27, 2018): 1–4. http://dx.doi.org/10.1155/2018/8283179.

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Equestrianism is associated with a risk of severe trauma due to falls and/or direct injury from the horse, depending on the mechanism of injury. This article presents four cases of equestrian injury treated in Gunma University Hospital: Case 1: hepatic injury (fall and kick by the horse); Case 2: left hemopneumothorax and pulmonary contusion with multiple rib fractures (fall and trampling by the horse); Case 3: lumbar compression fracture (fall); and Case 4: scrotum injury (horse bite). Equestrian injuries may be high-energy traumas. Therefore, adhering to relevant primary care guidelines may prevent mortality by trauma.

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Lewis, Stephanie J., Karestan C. Koenen, Antony Ambler, et al. "Psychopathology and cognitive deficits in young people exposed to complex trauma." BJPsych Open 7, S1 (2021): S36—S37. http://dx.doi.org/10.1192/bjo.2021.149.

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AimsComplex traumas are traumatic experiences that involve multiple interpersonal threats during childhood or adolescence, such as repeated abuse. This type of trauma is hypothesized to lead to more severe psychopathology and poorer cognitive function than other non-complex traumas, such as road traffic accidents. However, empirical testing of this hypothesis has been limited to clinical or convenience samples and cross-sectional designs. To better understand this topic, we aimed to investigate psychopathology and cognitive function in young people exposed to complex, non-complex, or no trauma from a population-representative longitudinal cohort, and to consider the role of pre-existing vulnerabilities.MethodParticipants were from the Environmental Risk (E-Risk) Longitudinal Twin Study, a population-representative birth-cohort of 2,232 children born in England and Wales in 1994-95. At age 18 years (93% participation), we assessed lifetime exposure to complex and non-complex trauma. We also assessed past-year psychopathology including general psychopathology ‘p’ and several psychiatric disorders, as well as current cognitive function including IQ, executive function, and processing speed. Additionally, we prospectively assessed early childhood vulnerabilities including internalizing and externalizing symptoms at age 5, IQ at age 5, family history of mental illness, family socioeconomic status, and sex.ResultWe found that participants who had been exposed to complex trauma had more severe psychopathology and poorer cognitive function across wide-ranging measures at age 18, compared to both trauma-unexposed participants and those exposed to non-complex trauma. Early childhood vulnerabilities had an important role in these presentations, as they predicted risk of later complex trauma exposure, and largely explained associations of complex trauma with cognitive deficits, but not with psychopathology.ConclusionBy conflating complex and non-complex traumas, current research and clinical practice under-estimate the severity of psychopathology and cognitive deficits linked with complex trauma, as well as the role of pre-existing vulnerabilities. A better understanding of the mental health needs of people exposed to complex trauma and underlying mechanisms could inform the development of new effective interventions.

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Keniston, Alyssa, Alan Lewandowski, Katelyn Briggs, and Delaney Whynot. "A-86 Reactive Attachment Disorder in Adulthood: A Neuropsychological Perspective." Archives of Clinical Neuropsychology 36, no. 6 (2021): 1133. http://dx.doi.org/10.1093/arclin/acab062.104.

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Abstract Objective The sequelae of poor attachment and trauma on psychological and social functioning is well documented, however, this complex relationship applied to a neuropsychological profile is less understood. The current case uses a neuropsychological assessment to further understand the brain-behavior relationship in a case of poor maternal attachment, multiple traumas, psychiatric comorbidities, and poor social adaptation. Method Patient is a 22-year-old, right-handed, Eastern European woman with fetal alcohol and infant toxic mold exposure, failure to thrive, maternal neglect, adoption and relocation to the United States (age four), posttraumatic stress disorder (PTSD; multiple reported sexual traumas and bullying victimization), and depression. Referred for a neuropsychological evaluation for longstanding inattention, learning difficulties, being socially and emotionally withdrawn, and suspected Autism Spectrum Disorder (ASD). Results Data revealed average intellectual ability, dyscalculia, Attention Deficit Hyperactivity Disorder (ADHD), PTSD, and depression. A self-report measure of ASD revealed a strong perception of ASD, characterized by inability to read verbal cues or other’s emotions, and poor communication and self-expression, however, this diagnosis was not supported by formal assessment and behavioral observations; instead, it was determined a diagnosis of Reactive Attachment Disorder (RAD). Conclusions This case provides an example of the complex interplay of poor maternal–infant bonding coupled by adolescent trauma on adult attachment style and compromised social interactions. More specifically, the case addresses the poly-etiologic and neuropsychological impact of an insecure attachment style and trauma on self-perceptions of social and emotional withdrawal commonly seen in ASD. The case further stresses the overlapping presentations RAD, ADHD, learning disabilities, and psychiatric comorbidities.

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Keshet, Hadar, and Eva Gilboa-Schechtman. "The Focality of Sexual Trauma and Its Effects on Women’s Symptoms and Self-Perceptions." Psychology of Women Quarterly 43, no. 4 (2019): 472–84. http://dx.doi.org/10.1177/0361684319861100.

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Sexual trauma is associated with particularly harmful consequences in comparison to other types of trauma. Studies investigating differences between trauma-types usually focus on the most distressing (i.e., main) trauma of each participant and do not consider the cumulative effects of multiple traumas, which many individuals experience. We sought to fill this gap by examining the effects of trauma-type (sexual vs. nonsexual), as well as the focality assigned to the sexual trauma (whether it was perceived as a main vs. background trauma), on symptoms and self-perceptions. Our sample comprised 231 Jewish-Israeli women: 96 with a single trauma-type and 135 with multiple (two to three) trauma-types. Women completed online measures of trauma history, symptoms, and self-perceptions. Women who were exposed to sexual trauma reported greater symptom severity and self-perception impairments than women with a history of nonsexual trauma-type(s). Among women with multiple trauma-types, those with a main sexual trauma reported greater symptom severity and self-perception impairments than women with a background sexual trauma. When controlling for levels of posttraumatic symptoms, differences in self-perceptions ceased to be significant. Our findings highlight the importance of collecting a detailed trauma history, with attention to trauma-centrality, and of addressing various symptoms and self-perceptions among sexual trauma survivors.

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Jovanovic, Mladen, Zlata Janjic, and Dusan Maric. "Treatment algorithms for high-energy traumas of lower extremities." Medical review 55, no. 9-10 (2002): 437–42. http://dx.doi.org/10.2298/mpns0210437j.

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Introduction High-energy traumas are open or closed injuries caused by force (missile, traffic injuries, crush or blust injuries, falling from heights), affecting the body surface and transferring high amount of kinetic energy inducing great damage to the tissue. Management of such lower extremity injuries has evolved over past several decades, but still remains a difficult task for every surgical team. Specific anatomic and functional characteristics combined with extensive injuries demands specific treatment protocols. Multiple injuries In a multiple injured patient the first priority is management of life-threatening trauma. Despite other injuries, surgical treatment of limb-threatening injuries must start as soon as life-threatening condition has been managed. Treatment algorithms Algorithms are especially beneficial in management of severely injured, but salvageable extremities and in making decision on amputation. Insight into mechanisms of injury, as well as systematic examination of the affected limb, should help us understand the extensiveness of trauma and make an adequate management plan. Prevention of infection and surgical approach Prevention of wound infection and surgical approach to high- energy limb trauma, which includes wound extension, wound excision, skeletal stabilization and if necessary muscle compartment release, should be done in the first 6 hours after injury. Methods of soft tissue reconstruction Commonly used methods for soft tissue defects must provide wound coverage in less than five days following injury. Rehabilitation Early passive and active mobilization and verticalization of patients is very important for successful treatment. Conclusion Good and timely evaluation of the injured and collaboration between plastic and orthopedic surgeons from the beginning of treatment, are crucial for final outcome.

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Lin, Pei-Jung, Yu-Tang Chang, and Chiou-Lian Lai. "Ischemic Stroke Following Multiple Traumas in a Child: A Case Report." Kaohsiung Journal of Medical Sciences 22, no. 4 (2006): 189–93. http://dx.doi.org/10.1016/s1607-551x(09)70306-7.

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Harder, Valerie S., Victoria N. Mutiso, Lincoln I. Khasakhala, Heather M. Burke, and David M. Ndetei. "Multiple traumas, postelection violence, and posttraumatic stress among impoverished Kenyan youth." Journal of Traumatic Stress 25, no. 1 (2012): 64–70. http://dx.doi.org/10.1002/jts.21660.

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Paraschos, Michael D., Maria Patrani, Aikaterini Pistiki, et al. "Defective cytokine production early after multiple traumas: Modulation in severe sepsis." Cytokine 76, no. 2 (2015): 222–26. http://dx.doi.org/10.1016/j.cyto.2015.05.021.

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Fossion, Pierre, Christophe Leys, Chantal Kempenaers, Stéphanie Braun, Paul Verbanck, and Paul Linkowski. "Disentangling Sense of Coherence and Resilience in case of multiple traumas." Journal of Affective Disorders 160 (May 2014): 21–26. http://dx.doi.org/10.1016/j.jad.2014.02.029.

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Shiryazdi, SeyedMostafa, Mohammad Mirshamsi, HamidReza Piri Ardakani, and SeyedAli Shiryazdi. "Relationship Between Shock Index and Clinical Outcome in Patients with Multiple Traumas." Internal Medicine and Medical Investigation Journal 2, no. 3 (2017): 94. http://dx.doi.org/10.24200/imminv.v2i3.90.

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Background: Initial assessment of hemodynamic parameters and timely management of patients regarding hypovolemic shock occurrence is the most essential clinical action in trauma patients and shock index (SI) has considerable accuracy associated with wide application. Therefore, this study is planned to evaluate the relationship of the shock index and clinical outcome in patients with multiple trauma referring to Shahid Sadoughi Hospital of Yazd in 2011.Methods: The present study was a descriptive cross-sectional study carried out on 334 patients with multiple trauma referring to Emergency Center of Shahid Sadoughi Hospital of Yazd in 2011. Patients were divided into two separate groups based on Shock index score (≥ 0.9 as abnormal SI and < 0.9 as normal SI).Finally, data were analyzed using Chi-square and independent sample t-test in SPSS ver.19.Results: There was significant difference between the two groups in terms of mean of and gender distribution (P= 0.001). There was also a significant difference between patients with head and neck trauma and pelvic injuries in terms of frequency distribution (P< 0.05). Hemodynamic parameters were also significantly different in the two studied groups (P< 0.001). Also, with regard to the frequency distribution of intensive care unit admission (ICU) and mortality rate, there was significant difference in the two groups.Conclusion: Shock index has considerable predictive value in patients with multiple trauma and can be used in initial management and assessment of patients with multiple trauma before any other diagnostic procedures since it is easily calculated. Shock index can also rapidly diagnose the real condition of trauma patient in primary hours and prevent secondary unpleasant clinical outcomes.

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Gregoric, Pavle, Djordje Bajec, Ana Sijacki, and Borivoje Karadzic. "Correlation between IL 6 level and syetem-complications following multiple trauma in patients with blunt abdominal injuries." Srpski arhiv za celokupno lekarstvo 131, no. 3-4 (2003): 118–21. http://dx.doi.org/10.2298/sarh0304118g.

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Severe trauma is the third cause of death and the first one in the most vital and young population. In USA more children die of trauma then of all other causes. Blunt abdominal trauma takes 56 % cases of multiple traumas of all etiologies. Among multiple injured patients, near to 50 % have some system-complications, more of 60 % in the group of critically injured (ISS>35). Cytokines play the main role in the inflammatory reaction during the early phase response on trauma. Their secretion predicts system-complications as ARDS, SIRS, even MODS. Hypothetically, level of concentration of Interleukin-6 (IL 6) can improve methods of early diagnostic procedures for detecting SIRS and MODS, when scores are still low (preclinical level), at which stages therapy is more powerful and also cheaper. This prospective study includes 35 multiple injured persons with blunt abdominal trauma (75>ISS>18). We have used standard diagnostic procedures. Concentration of IL 6 was detected with ELISA-test. Levels of IL 6 were significantly higher in correlation with SIRS score groups. Correlation with MODS score was not significant for the lowest scores, but IL 6 showed significant higher levels in the second and the third MODS score group.

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de Tychey, Claude, Joëlle Lighezzolo-Alnot, Philippe Claudon, Salomé Garnier, and Nadine Demogeot. "Resilience, Mentalization, and the Development Tutor." Rorschachiana 33, no. 1 (2012): 49–77. http://dx.doi.org/10.1027/1192-5604/a000027.

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The present article first theoretically defines the term “resilience” from the clinical psychoanalytic standpoint, in view of differentiating normal development from pathological development following trauma. It then formalize two essential processes underlying resilience: mentalization and the ability to identify a developmental tutor . We studied two Romanian 12-year-old twin girls who exhibit opposing adaptations following multiple, cumulative traumas (premature birth, early severe deficiencies, parental maltreatment, parental abdication and abandonment). The study is a projective clinical study that uses a pluridimensional methodology (interviews, storytelling test, Rorschach test, and house-drawing test). The clinical data obtained clearly demonstrate the importance of two major axes in accounting for resilience or maladjustment in the face of trauma.

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You, In-Gyu, and Cheong-Hwan Lim. "The Usefullness of Percutaneous Transarterial Embolization in Patients with Severe Multiple Traumas." Journal of the Korean Society of Radiology 6, no. 2 (2012): 107–14. http://dx.doi.org/10.7742/jksr.2012.6.2.107.

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Voggenreiter, Gregor, Michael Aufmkolk, Matthias Majetschak, et al. "Efficiency of chest computed tomography in critically ill patients with multiple traumas." Critical Care Medicine 28, no. 4 (2000): 1033–39. http://dx.doi.org/10.1097/00003246-200004000-00020.

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Elma, Bekir. "A Rare But Highly Fatal Clinical Condition in Multiple Traumas: Tension Pneumopericardium." Archives of Basic and Clinical Research 2, no. 3 (2020): 107–10. http://dx.doi.org/10.5152/abcr.2020.22.

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Cénat, Jude Mary, Daniel Derivois, Martine Hébert, Laetitia Mélissande Amédée, and Amira Karray. "Multiple traumas and resilience among street children in Haiti: Psychopathology of survival." Child Abuse & Neglect 79 (May 2018): 85–97. http://dx.doi.org/10.1016/j.chiabu.2018.01.024.

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Loupatatzis, Christos, Sebastian Schindera, Jan Gralla, et al. "Whole-body computed tomography for multiple traumas using a triphasic injection protocol." European Radiology 18, no. 6 (2008): 1206–14. http://dx.doi.org/10.1007/s00330-008-0875-3.

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