A 69-year-old man was injured in a motor vehicle accident, and a penetrating cardiac injury was detected and surgically treated via video-assisted thoracoscopic surgery (VATS). Exploratory VATS may play a key role in the primary diagnosis of patients with high energy chest traumas with cardiac injury and simultaneously allow for the appropriate surgical interventions. Abstract Background Penetrating cardiac injuries are usually fatal and associated with poor survival rates. Case Presentation A 69-year-old man was injured in a motor vehicle accident and suffered from left hemothorax and multi ..read more

The critically ill patients’ background is heterogeneous and requires individually optimized treatment. Advances in comprehensive biomolecular information measurement and bioinformatics technologies have made it possible to analyze molecular pathogenesis in detail and this enabled reverse translational research for drug discovery. Abstract Each patient with a critical illness such as sepsis and severe trauma has a different genetic background, comorbidities, age, and sex. Moreover, pathophysiology changes dynamically over time even in the same patient. Therefore, individualized treatment is ..read more

Coronary computed tomography–angiography can diagnose coronary artery transection in patients with chest stab wounds before surgery. Unless a resuscitative thoracotomy is required, performing coronary CTA might be considered in patients with chest stab wounds. Abstract Background Penetrating thoracic trauma with coronary artery transection is a lethal injury, but is rare. We report a case of a cardiac stab wound with coronary artery transection that was successfully treated after preoperative diagnosis. Case Presentation A 36-year-old man was transferred to our emergency department with a le ..read more

Acute Medicine &Surgery, Volume 11, Issue 1, January/December 2024 ..read more

Acute Medicine &Surgery, Volume 11, Issue 1, January/December 2024 ..read more

In patients who have overdosed on prescription or over-the-counter drugs, logistic regression analysis identified paracetamol, alcohol, and abnormal vital signs at the scene as risk factors for requiring advanced care. Furthermore, the PAV score, which comprises these three factors, may be predictive of the need for advanced care. Abstract Aim Prescription drug and over-the-counter (OTC) drug overdose is a major problem in emergency departments in Japan, and some need advanced care which is more than observation. We aimed to identify the prehospital risk factors for the need of advanced care ..read more

There have been rare reports of chest tubes penetrating the liver and reaching the inferior vena cava. In our case, chest tube replacement caused this type of injury, and elective surgery saved the patient's life. Abstract Background Several reports on organ injury and death due to incorrect chest tube insertion exist; however, reports on the chest tube penetrating the liver and reaching the inferior vena cava are limited. Case Presentation A 79-year-old man presented with a clamped tube because of massive bleeding from the tube following right chest tube replacement in the hospital of origi ..read more

A computed tomography (CT) image of the patient's neck after a cricothyroidotomy was performed due to upper airway obstruction. The CT revealed that the tracheostomy tube was inserted into the thyrohyoid membrane, not the cricothyroid ligament ..read more

Takotsubo cardiomyopathy is a transient systolic dysfunction caused by emotional or physical stress. Psychogenic nonepileptic seizures mimic epileptic seizures without abnormal neuronal activity. Coexistence of these two conditions has rarely been reported. Takotsubo cardiomyopathy triggered by psychogenic nonepileptic seizures may have poor prognosis, requiring careful management and close monitoring. Abstract Background Coexistence of Takotsubo cardiomyopathy and psychogenic nonepileptic seizures has rarely been reported. Herein, we report a case of Takotsubo cardiomyopathy triggered by ps ..read more

Postintensive care syndrome family (PICS-F) is grave, which is a psychological, physical, and socioeconomic disorder of the family after the patient is admitted to the ICU that has a major impact on the quality of life of the families and the ability to support the recovery of ICU patients. Abstract Families of critically ill patients are predisposed to tremendous burdens when their relatives are admitted to the intensive care unit (ICU). Postintensive care syndrome family (PICS-F) can be described as a devastated life, encompassing psychological, physical, and socioeconomical burdens that b ..read more