Bilateral anterior shoulder dislocation.

Shoulders are the most common major joint to become disarticulated, and shoulder dislocation is a frequent patient presentation to the ED. Bilateral shoulder dislocations, however, are rare and typically caused by seizure activity or electrocution. Posterior disarticulation is most common following seizure activity. This article describes an adolescent girl who dislocated both shoulders anteriorly following seizure activity.

Suicide by pedestrian versus motor vehicle: a case report.

Suicide is the deliberate act of ending one's own life. Historically, men commit suicide more frequently than do women; however, rates have increased for women worldwide in recent years. Transportation injuries have been widely reported as means of suicide such as operators of motor vehicles or jumpers into the pathway of trains. Few definitive reports exist of pedestrians deliberately jumping into the pathway of a motor vehicle. A security camera demonstrates a pedestrian deliberately entering the pathway of a moving vehicle resulting in death from multiple blunt force trauma.

Bioterrorism and disaster preparedness among medical specialties.

OBJECTIVE: A core priority of all medical specialties includes information for members regarding inherent priorities and principles. The authors sought to investigate the priority and contribution of various medical specialties to the fields of bioterrorism, terrorism, disaster preparedness, and emergency preparedness. DESIGN: A mixed study design (quantitative and qualitative) was used to identify pertinent characteristics of various medical specialties. A scored survey analysis of resources available from the representative organizations and/or societies of the primary medical specialties and select subspecialties was examined and scored based on availability, ease of accessibility, updated status, and content. A MEDLINE search completed through PubMed using the medical subject headings bioterrorism, terrorism, disaster preparedness, and emergency preparedness coupled with specific medical specialties was conducted to assess the involvement and contribution of each to the medical literature. MAIN OUTCOME MEASURES: The primary study outcome was to evaluate the priority of and existing resources available to members for bioterrorism/terrorism and disaster/emergency preparedness among various medical specialties as reflected by their representative organizations and scientific publication. RESULTS: The search of individual medical specialties and of the medical literature (2000-2010) revealed that these topics (via keywords bioterrorism, terrorism, disaster preparedness, and emergency preparedness) are indeed a priority topic for the majority of medical specialties. A number of specialties with expectant priority in these topics were confirmed. All seven primary care specialties demonstrated a core priority of these topics and offered resources. The MEDLINE (PubMed) search yielded 7,228 articles published from 2000 to 2010. CONCLUSION: Bioterrorism/terrorism and disaster/ emergency preparedness are priority topics of most medical specialties. This core priority is demonstrated by both the medical specialty resources in addition to the contribution of scientific articles from these medical specialties. This reflects the diverse medical care that is necessary for terrorist threats and the collaborative efforts that will help to make the medical response to these threats more cohesive.