Most acute urological problems can be dealt with quite readily by the family physician. However, torsion of the testicle and major trauma require special consideration. Torsion should be managed by immediate surgical reduction. In the management of diagnosed injuries to the urinary tract, the four basic principles are exploration, repair, ...

Facial trauma is discussed under the headings of the initial general management of the injured patient, and the initial definitive management of the facial injuries. The family practitioner should take an active part in this care. Later, definitive management of the facial injuries is also discussed.

The effect of extradural corticosteroid injection in patients with nerve root compression syndromes associated with degenerative disease of the lumbar intervertebral discs was assessed in a double-blind controlled trial on 100 consecutive inpatients assigned by random allocation to treatment and control groups. Assessment during admission and at three months revealed ...

Three children were injured by putting their arms into spin dryers. In each case the injuries were severe. Though not common, these accidents should be preventable. Warning notices are useless for toddlers, and a built-in safety mechanism seems the only certain means of stopping such accidents.

Contents include: Aggressive factors in flight; General features of vertebral anatomy; Pathogenic theories of spinal fractures; Strength of vertebrae; Etiopathogenesis of spinal fractures in aviation medicine; Clinical features of spinal injuries; Radiology in the diagnosis of spinal injuries in aviation medicine; Traumatic sequelae in aviation medicine; Aircrew selection and spinal ...

Evaluation and treatment of a football player who has sustained life-threatening injuries is a rare but significant challenge for the sports medicine team. Early recognition and intervention in these injuries is crucial. Helmets and shoulder pads complicate management of these patients. In this article, I present a rapid and simple ...

An extensive information resource for health professionals on trauma. It exists to promote and disseminate the knowledge and practice of injury prevention and trauma care throughout the world. The site includes details of a mailing list for anyone involved in the management of injured patients. The Resources section contains a ...

This collection of trauma practice guidelines have been developed by the Eastern Association for the Surgery of Trauma (EAST), a non-profit organisation in the United States that aims to furnish leadership and foster advances in the care of injured patients. There are currently 27 evidence-based guidelines, each one available in ...

Where litigation and rehabilitation become enmeshed, doctors may have to face problems both complex and stressful. When disabling injuries occur, law and medicine must work together in the best interests of the client/patient. This paper offers specific advice to doctors who are called upon to give evidence concerning the state ...

Although most people who injure themselves receive treatment at Accident & Emergency (A&E) or a Minor Injuries Unit, presentation of minor injuries to general practice, either to the GP directly or via the practice nurse, is a common occurrence. There are several reasons for this. Often patients have to wait ...

This evidence-based clinical guidance on the management of corneal superficial injury is made available by the NHS funded resource, Clinical Knowledge Summaries (CKS). The guidance is aimed at healthcare professionals working within the NHS in England and it covers different clinical scenarios of corneal superficial injury, plus goals and outcome ...

The Advanced Trauma Life Support (ATLS) Program was developed to teach doctors one safe, reliable method to assess and initially manage the trauma patient. The ATLS principles represents an organized approach for evaluation and management of seriously injured patients and offers a foundation of common knowledge for all members of ...

Following publication by the Scottish Intercollegiate Guidelines Network (SIGN) of Early Management of Patients with a Head Injury, local practices were reviewed in a Glasgow trust. This led to both organisational and clinical changes. This article discusses how a training programme in performing neurological observations was developed to meet staff ...

People who are injured in severe traumatic incidents such as motorcycle accidents and knife or gunshot attacks generally require intensive, life-saving surgical intervention for head, chest or spinal injuries. One of the problems associated with such accidents is brachial plexus injury. Although this does not pose a threat to life, ...

Early recognition of limb ischemia may allow prompt, effective therapy for peripheral arterial injuries. A review of cases of peripheral arterial trauma at the Toronto General Hospital since 1953 revealed that 50% of the injuries were not immediately recognized. An expanding hematoma, pulsatile hemorrhage or the onset of a bruit ...