The Experts below are selected from a list of 309 Experts worldwide ranked by ideXlab platform
Jyoti Barwa - One of the best experts on this subject based on the ideXlab platform.
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Traumatic Asphyxial Deaths Due to an Uncontrolled Crowd at Railway station: Two case reports
Journal of Indian Academy of Forensic Medicine, 2010Co-Authors: Amit Sharma, Anju Rani, Jyoti BarwaAbstract:Deaths in stampede accidents are not new in India. Majority of causalities occurred as a result of Traumatic Asphyxia in such cases. Traumatic Asphyxia is a rare syndrome first described over 150 years ago by Olivier. It is caused by sudden compressive chest trauma and is associated with craniocervical cyanosis, facial edema and petechiae, sub-conjunctival hemorrhage, and neurological symptoms. Although minor incidents of jostling are common at railway stations, but deaths occurring consequent to stampede by an uncontrollable crowd is not very common. A stampede occurred at New Delhi railway station which results in death of two persons and injuring many. The autopsy findings along with circumstantial evidence, results in arriving of conclusion that these deaths occurs as a consequence of Traumatic Asphyxia. Various clinical features of this condition are described in the literature, a brief review of which is given in this article. In the conclusion few preventive measures are also suggested so that in future such tragedies can be averted.
S H Chu - One of the best experts on this subject based on the ideXlab platform.
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Traumatic Asphyxia.
Plastic and reconstructive surgery, 1994Co-Authors: E K Yeong, M T Chen, S H ChuAbstract:Four patients showing classic physical stigmata of Traumatic Asphyxia were studied. Cervicofacial cyanosis and edema, subconjunctival hemorrhage, and multiple ecchymotic hemorrhage of the face, neck, and upper part of the chest were documented. Admission Glasgow coma scale scores ranged from 8 to 15. All but one had no associated injury. Skin discoloration resolved within 3 weeks. Complete resolution of subconjunctival hemorrhage occurred 1 month later. In our series, sore throat, hoarseness, dizziness, numbness, and headaches were common. Profound lower leg pitting edema, hemoptysis, hemotympanum, and transient visual loss were noted. Chest radiographic findings were normal in all patients. Microscopic hematuria was noted in one patient. Diagnosis is made from the history and characteristic appearance of the patient. Treatment is directed to the associated injury. Oxygen supplement with head elevation to 30 degrees is the mainstay of treatment. If the patient survives the initial insult, the prognosis is excellent.
Golocovsky M - One of the best experts on this subject based on the ideXlab platform.
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Traumatic Asphyxia: an indicator of potentially severe injury in trauma
Injury, 1996Co-Authors: J. R. Dunne, Gad Shaked, Golocovsky MAbstract:Ollivier, in 1837, while doing autopsies of people trampled by crowds in Paris, noted a complex of craniocervical cyanosis, subconjunctival haemorrhage, and cerebral vascular engorgement and coined the term ‘masque ecchymotic”. In 1900, Perthes’ gave a more complete description of this syndrome to include mental dullness, hyperpyrexia, haemoptysis, tachypnoea, and contusion pneumonia2. Since then others have further defined this syndrome, documenting petechiae of the mucous membranes, epistaxis, oesophageal haemorrhage, haematemesis, microscopic haematuria, albuminuria, spinal-cord muscle paralysis, peripheral nerve damage, amnesia and convulsions describing what is now known as ‘Traumatic Asphyxia”,‘. Traumatic Asphyxia is an unusual syndrome caused by a crush-type injury to the chest or upper abdomen and can be an indicator of severe injury. We describe two cases of Traumatic Asphyxia as well as an updated review of the literature.
Gökhan Ispir - One of the best experts on this subject based on the ideXlab platform.
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Perthes Syndrome associated with intramedullary spinal cord hemorrhage in a 4-year-old child: a case report
Cases journal, 2008Co-Authors: Mehmet Senoglu, Nimet Senoglu, Hafize Öksüz, Gökhan IspirAbstract:Perthes Syndrome (Traumatic Asphyxia) is rare, which is caused by sudden compressive chest trauma and characterized by subconjunctival hemorrhage, facial edema, craniocervical cyanosis, and petechiae on the upper chest and face. We present the case of a 4-year-old Caucasian girl who developed Traumatic Asphyxia associated with intramedullary spinal cord hemorrhage following thoracic compression. We have not found the association of Perthes syndrome with intramedullary spinal cord hemorrhage described in the medical literature. To our knowledge, the current case is the first report of Perthes Syndrome associated with intramedullary spinal cord hemorrhage.
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Perthes Syndrome associated with intramedullary spinal cord hemorrhage in a 4-year-old child: a case report
Cases Journal, 2008Co-Authors: Mehmet Senoglu, Nimet Senoglu, Hafize Öksüz, Gökhan IspirAbstract:Background Perthes Syndrome (Traumatic Asphyxia) is rare, which is caused by sudden compressive chest trauma and characterized by subconjunctival hemorrhage, facial edema, craniocervical cyanosis, and petechiae on the upper chest and face. Case presentation We present the case of a 4-year-old Caucasian girl who developed Traumatic Asphyxia associated with intramedullary spinal cord hemorrhage following thoracic compression. Conclusion We have not found the association of Perthes syndrome with intramedullary spinal cord hemorrhage described in the medical literature. To our knowledge, the current case is the first report of Perthes Syndrome associated with intramedullary spinal cord hemorrhage.
H. Tscherne - One of the best experts on this subject based on the ideXlab platform.
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Das Perthes-Syndrom Die klassische Symptomtrias als Rarität in der unfallchirurgischen Praxis
Der Unfallchirurg, 2001Co-Authors: T. Gösling, U. Schmidt, T. Herzog, H. TscherneAbstract:Das Perthes-Syndrom, im angloamerikanischem Sprachraum als “Traumatic Asphyxia” bezeichnet, ist gekennzeichnet durch die Trias: 1. Subkonjunktivale Einblutungen, 2. Petechien, 3. Zyanose im Kopf-Hals-Bereich. Ursachlich ist ein schweres Thoraxkompressionstrauma. Die Diagnosestellung erfolgt durch Anamneseerhebung und klinische Inspektion. Typische Begleitverletzungen intrathorakal und intraabdominell konnen zu einem lebensbedrohlichem Zustand fuhren. Anhand eines illustrativen Fallbeispiels wird dieses in der unfallchirurgischen bzw. notfallmedizinischen Praxis seltene Krankheitsbild naher beschrieben.
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Das Perthes-Syndrom Die klassische Symptomtrias als Rarität in der unfallchirurgischen Praxis
Der Unfallchirurg, 2001Co-Authors: T. Gösling, U. Schmidt, T. Herzog, H. TscherneAbstract:Das Perthes-Syndrom, im angloamerikanischem Sprachraum als “Traumatic Asphyxia” bezeichnet, ist gekennzeichnet durch die Trias: 1. Subkonjunktivale Einblutungen, 2. Petechien, 3. Zyanose im Kopf-Hals-Bereich. Ursächlich ist ein schweres Thoraxkompressionstrauma. Die Diagnosestellung erfolgt durch Anamneseerhebung und klinische Inspektion. Typische Begleitverletzungen intrathorakal und intraabdominell können zu einem lebensbedrohlichem Zustand führen. Anhand eines illustrativen Fallbeispiels wird dieses in der unfallchirurgischen bzw. notfallmedizinischen Praxis seltene Krankheitsbild näher beschrieben. Perthes syndrom or Traumatic Asphyxia is a condition characterised by subconjunctival hemorrhage, cervicofacial petachiae and cyanosis caused by severe compression of the chest. Diagnosis is made by history and clinical examination. Associated injuries such as intrathoracic or abdominal lesions can be life-threatening and must be strictly assessed. This report demonstrates an illustrative case of this rare injury.
