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For those who manage major trauma victims, the topic of Fat Embolism weighs heavily on the mind. The incidence of this problem can approach 90% in patients who have sustained major injuries. If it progresses to the rare clinical entity known as Fat embolism..., Ernst Von Bergmann, in 1873, was the first person credited with making a clinical diagnosis of Fat embolism. He did this on the basis of knowledge gathered from experiments with cats 10 years previously, in which he injected them with intravenous oils...., The diagnosis of FES Is mainly a clinical one. It Is dependent on clinical identification of dyspnea, petechiae, and cognitive dysfunction in the first few days following trauma, long bone fracture, or intramedullary surgery. Various laboratory studies... Click to Read More
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This Is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work Is properly cited...., Fat emboli occur in all patients with long-bone fractures, but only few patients develop systemic dysfunction, particularly the triad of skin, brain, and lung dysfunction known as the Fat Embolism Syndrome (FES). Here we review the FES literature under..., The incidence of FES varies from 1–29%. The etiology may be traumatic or, rarely, nontraumatic. Various factors increase the incidence of FES. Mechanical and biochemical theories have been proposed for the pathophysiology of FES. The clinical manifestations... Click to Read More
Haematoxylin and eosin stain of a microscopic section of the lungs showing a blood vessel with fibrinoid material and an optical empty space indicative of the presence of lipid dissolved during the staining process...., A Fat Embolism (which via major trauma may progress to Fat Embolism syndrome) Is a type of Embolism in which the embolus consists of fatty material. They are often caused by physical trauma such as fracture of soft tissue trauma, and burns .  Fat embolism..., In terms of signs and symptoms the severe form of this condition presents as acute pulmonary heart disease this may lead to death  .Clinical Fat Embolism Syndrome presents with tachypnea , elevated temperature , anuria , drowsiness , and occasionally... Click to Read More
early fracture stabilization (within 24 hours) of long bone fracture Is most important factor in prevention of FES..., use of reamers with decreased shaft width reduces the risk during femoral reaming for intramedullary fixation..., use of external fixation for definitive fixation of long bone fractures in medically unstable patients decreases the risk ... Click to Read More
From the Department of Medicine (E.K.) and Cardiovascular Division, Department of Medicine (B.B., G.P.), Brigham and Womens Hospital, Harvard Medical School, Boston, MA...., From the Department of Medicine (E.K.) and Cardiovascular Division, Department of Medicine (B.B., G.P.), Brigham and Womens Hospital, Harvard Medical School, Boston, MA...., From the Department of Medicine (E.K.) and Cardiovascular Division, Department of Medicine (BB., G.P.), Brigham and Womens Hospital, Harvard Medical School, Boston, MA.... Click to Read More