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Diagnostics
Special Issues
Diagnosis and Management of Traumatic Injury
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Diagnosis and Management of Traumatic Injury

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: closed (31 August 2023) | Viewed by 2176

Special Issue Editor

Dr. Chih-Yuan Fu

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Guest Editor
1. Attending Physician and Professor of the Department of Trauma and Emergency Surgery at Chang Gung Memorial Hospital, Taipei, Taiwan
2. Secretary-General of the Fomosa Association of Surgery for Trauma, Taipei, Taiwan
Interests: trauma surgery; laparoscopic surgery; general surgery; abdominal surgery; gastrointestinal surgery; laparotomy; cholecystectomy; laparo-endoscopic surgery; gastric surgery

Special Issue Information

Dear Colleagues,

The diagnosis of traumatic injury involves a thorough physical examination and medical history review. Diagnostic tests, including X-rays, CT scans, and MRIs, may be used to assess the extent of the injury and identify any associated injuries. In cases of severe trauma, initial assessment and management will occur in the emergency department, with ongoing care and treatment provided by various healthcare professionals, including surgeons, anesthesiologists, and rehabilitation specialists.

The management of traumatic injury depends on the type and severity of the injury. Initial management may involve stopping bleeding, addressing any life-threatening injuries, and stabilizing the patient's condition. Once the patient is stabilized, treatment may involve surgery to repair or remove damaged tissue, medication to manage pain and inflammation, and rehabilitation to promote healing and restore function. Physical therapy, occupational therapy, and other supportive measures may also be incorporated into the patient's treatment plan.

The management of traumatic injury is a complex and multidisciplinary process that requires coordination and collaboration between various healthcare professionals. Timely and appropriate diagnosis and management can improve outcomes for patients and help them to recover from their injuries as much as possible.

Therefore, studies about trauma diagnosis and management could be vital. The current Special Issue will serve as a platform to discuss the diagnosis and management of traumatic injuries.

Dr. Chih-Yuan Fu
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diagnostics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Published Papers (2 papers)

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Research

10 pages, 229 KiB  
Article
Blunt Trauma in Children: Efficacy and Safety of Transarterial Embolization, 10-Year Experiences in a Single Trauma Center
by Seyoung Ko, Hoon Kwon, Chang Won Kim, Hojun Lee, Jae Hun Kim, Hohyun Kim and Chan Ik Park
Diagnostics 2023, 13(21), 3392; https://doi.org/10.3390/diagnostics13213392 - 6 Nov 2023
Viewed by 781
Abstract
Background: Transcatheter arterial embolization (TAE) is an established approach for controlling hemorrhage in adults with acute abdominal and pelvic trauma. However, its application in pediatric trauma is not well established. This study aimed to evaluate the safety and effectiveness of TAE in a [...] Read more.
Background: Transcatheter arterial embolization (TAE) is an established approach for controlling hemorrhage in adults with acute abdominal and pelvic trauma. However, its application in pediatric trauma is not well established. This study aimed to evaluate the safety and effectiveness of TAE in a population of pediatric patients with blunt trauma. Methods: This retrospective study was conducted in pediatric patients (<18 years) who underwent TAE for blunt trauma between February 2014 and July 2022. The patients were categorized into subgroups based on age and body weight. Patient demographics, injury severity, transfusion requirements, and clinical outcomes were analyzed. Results: Exactly 73 patients underwent TAE. Technical success was achieved in all patients (100%), and clinical success was achieved in 83.6%. The mortality and complication rates were 4.1% and 1.4%, respectively. The mean duration of hospitalization was 19.3 days. Subgroup analysis showed that age, body weight, and sex did not significantly affect clinical success. The injury severity score and transfusion requirement were predictors of clinical success, with lower values associated with better outcomes. Conclusions: TAE is effective and safe for managing blunt pediatric trauma in younger and lighter patients. Injury severity and transfusion requirement are predictors of clinical success. Full article
(This article belongs to the Special Issue Diagnosis and Management of Traumatic Injury)
14 pages, 1239 KiB  
Article
Usefulness of Endoscopic Retrograde Cholangiopancreatography in the Diagnosis and Treatment of Traumatic Pancreatic Injury in Children
by Seong Chan Gong, Sanghyun An, In Sik Shin and Pil Young Jung
Diagnostics 2023, 13(12), 2044; https://doi.org/10.3390/diagnostics13122044 - 13 Jun 2023
Cited by 1 | Viewed by 1126
Abstract
Pediatric trauma patients are increasing, and trauma is the leading cause of death in children. Pancreatic injury is known as the fourth most common solid organ injury, but the diagnosis of pancreatic injury is often delayed due to the retroperitoneal location of the [...] Read more.
Pediatric trauma patients are increasing, and trauma is the leading cause of death in children. Pancreatic injury is known as the fourth most common solid organ injury, but the diagnosis of pancreatic injury is often delayed due to the retroperitoneal location of the pancreas and the low sensitivity and specificity of diagnostic tests. Endoscopic retrograde cholangiopancreatography (ERCP) is an important test for the diagnosis and treatment of various biliary tract and pancreatic diseases. However, cases of performing ERCP in traumatic pancreatic injury in children have been rarely reported. Thus, we aimed to evaluate the usefulness of ERCP in traumatic pancreatic injury in children. Between January 1983 and December 2022, pediatric patients under the age of 18 who were treated for traumatic pancreatic injury at a single institution were recruited and retrospectively analyzed. Patient characteristics and clinical outcomes were assessed. Thirty-one patients were enrolled in this study. Among them, 15 (48.4%) patients underwent ERCP. The time to diet was significantly longer in the ERCP group. There were no statistically significant differences in other characteristics between the ERCP and the non-ERCP group. In nine (60%) patients of the ERCP group, ERCP was used for therapeutic intervention or as a decision-making tool for surgery, and was used to resolve pancreas-related complications. ERCP may be useful for the diagnosis and treatment of traumatic pancreatic injury in children. In addition, ERCP can be safely applied in children, and complications related to ERCP also may not increase. When obscure pancreatic injury is suspected, it is necessary to consider performing ERCP. Full article
(This article belongs to the Special Issue Diagnosis and Management of Traumatic Injury)
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