3/21/2024 0 Comments Signs of trauma![]() There was a male predilection with a mean age of 29 years the general trauma patient was also more commonly male with a mean age of 32 years. did a retrospective observational study of vascular trauma over a period of 6 years (256 patients 135 penetrating and 121 blunt) at The Royal London Hospital. The injuries include supracondylar fracture of the humerus, posterior knee dislocation, or tibial plateau fracture. These injuries correlate with high morbidity and mortality. For the extremities, there are a few specific dislocations or fracture patterns that correlate with vascular injuries. īlunt vascular injuries more commonly occur within the torso secondary to motor vehicle accidents. ![]() Of these injuries, the extremities were the most commonly reported at 79%, with 66% of those occurring in the lower extremity. However, the rate increased to 12% during the recent tours in Afghanistan and Iraq. The rate increased slightly during the Korean and Vietnam wars to a rate of 2% to 3%. The rate in WWI was reported to be 0.4% to 1.3% and in World War II 0.96%. The reported rate of vascular injuries in the military setting has changed significantly since World War I (WWI) until the present. In the civilian setting, this accounts for less than 1% of all fractures. Blunt trauma (fractures, dislocations, crush, and traction) account for the other 5 to 25% of peripheral vascular injuries. In this setting, the most common arterial injury is that of the femoral or popliteal arteries which occur in 50% to 60% followed by the brachial artery which occurs in 30% of traumatic arterial injuries (west trauma). Projectiles from handguns account for 50% of these injuries, followed by stab wounds (30%), and shotguns (5%). Penetrating extremity trauma (PET) is the leading cause of peripheral vascular injuries, as they account for 75 to 80% of these injuries. However, these injuries account for greater than 20% of all trauma-related deaths. The Western Trauma Association (WTA) and Eastern Association for the Surgery of Trauma (EAST) each have recommendations on the workup and management of vascular injuries.Ĭivilian patients with vascular injuries (central and peripheral) account for 1% to 2% of all injuries reported in trauma patients. However, overall vascular injuries account for 1% of all traumatic injuries to extremities. ![]() Estimates are that penetrating injuries to the extremities account for 5% to 15% of traumas. Fortunately, in the civilian setting, it is an uncommon injury that presents to the trauma bay. Vascular trauma can come in three forms: blunt, penetrating, or combination. These injuries can occur in the civilian or military setting. ![]() He felt that a simple repair of the artery would have a greater benefit to the patient than ligation. At this time, many of the vascular injuries were pseudoaneurysm, arterial laceration or arterial-venous fistulas secondary to blood-letters. Lambert to suggest this repair is that he had observed the morbidity and mortality that patients were suffering from arterial ligation. Richard Lambert "to repair the vessel without compromising the lumen." The reason for Dr. Hallowell who was encouraged by his colleague Dr. The first urgent repair of an arterial injury in the literature occurred on June 15, 1759, by Dr. Trauma to the vascular system can be devastating.
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