- N Engl J Med 2022; 387:581-583
The long-term physical, mental, and social sequelae of traumatic injuries are substantial and have often been neglected. This burden is especially high among members of marginalized populations.
- N Engl J Med 2022; 386:2233-2234
A century after “the war to end all wars,” we continue to find our human community divided by conflict and our military service members at the leading edge. The ghostly scars of shell shock, later termed post-traumatic stress disorder (PTSD), have haunted generations of soldiers, as well as civilian survivors...
- N Engl J Med 2022; 386:2213-2220
Cold injury is a combination of direct cellular damage from freezing and cellular ischemia from vasospasm and small-vessel thrombosis. The severity is related to the degree to which frozen tissues are reperfused on thawing.
- N Engl J Med 2022; 386:2169-2177
Microscopic and immunohistochemical examination revealed chronic traumatic encephalopathy in 10 of 225 brains (4.4%) from a military brain bank. The relative risks of CTE were calculated for exposure to blasts, traumatic brain injury, and previous participation in contact sports.
- N Engl J Med 2022; 386:1955-1956
Firearm-related injury is now the leading cause of death among children and teens. We continue to fail to protect our youth from a preventable cause of death.
- N Engl J Med 2022; 386:1485-1487
For more than 60 years, motor vehicle crashes were the leading cause of injury-related death among young people. Beginning in 2017, however, firearm-related injuries took their place to become the most common cause of death from injury.
- N Engl J Med 2022; 386:e23
Extended focused assessment with sonography for trauma involves obtaining images in six focused views to assess for pericardial, intraperitoneal, and pelvic fluid and for hemothorax and pneumothorax. This video demonstrates the use of this point-of-care ultrasound examination.
- N Engl J Med 2022; 386:e10
A 21-year-old man presented with rigors and right-eye pain and swelling after an assault. There was swelling and dusky discoloration of the eyelid, decreased visual acuity, and elevated intraocular pressure. He underwent surgical débridement, and the intraoperative findings indicated orbital necrotizing fasciitis.
- N Engl J Med 2021; 385:2179-2179
A 36-year-old man presented with a large mass on his back after he slipped on the stairs and slid down on his back. Magnetic resonance imaging showed a large, encapsulated, subcutaneous, suprafascial lesion consistent with a Morel–Lavallée lesion.
- N Engl J Med 2021; 385:264-264
A 19-year-old woman presented with a gunshot wound to the abdomen. She was unable to move her legs and had no sensation below the knees. Imaging showed a comminuted lumbar vertebral fracture.
- N Engl J Med 2021; 384:2173-2175
In a city where gun violence was rampant before Covid, bloodshed has only increased with the upheaval of the structure of everyday life. Many images from a surgery resident’s trauma rotation haunt her, and one boy in particular will always stay with her.
- N Engl J Med 2021; 384:1581-1583
A 1996 mass shooting in Australia launched one of the world’s most powerful natural experiments in firearm-injury prevention. This experience provides important lessons for the United States and other jurisdictions with high rates of gun violence.
- N Engl J Med 2021; 384:774-775
In this analysis involving patients treated in Minnesota during protests after George Floyd’s death, 89 patients were identified who had been injured by less-lethal weapons (45 by projectiles, including rubber bullets; 32 by chemical irritants; and 12 by both). A substantial number of patients sustained serious injuries, including injuries to...
- N Engl J Med 2020; 383:e139
A 65-year-old man who had previously undergone bilateral hip arthroplasty presented with a dislocated hip after a fall. When a handheld Doppler device used to assess the pulses in his feet was placed on the dorsalis pedis, it picked up music in addition to the pulse, as shown in a...
- N Engl J Med 2020; 383:1081-1083
This report from a level 1 trauma center located near the site of protests describes several serious injuries resulting from use of beanbag munitions by police for crowd control.
- N Engl J Med 2020; 383:e68
The onus of advocacy for suffering Black patients has been placed almost solely on this country’s disproportionately few Black clinicians — an unsustainable situation, particularly since they are already shouldering the effects of systemic racism on their own lives.