2024 Issue 1

Commercial Determinants of Health and its influence on trauma care Author: Asela Gunawardena DOI: https://doi.org/10.62474/SLJT-GOWR4144 Commercial determinants of health (CDoH) are the private sector activities that affect people’s health, directly or indirectly, positively or negatively. The private sector influences the social, physical, and cultural environments through business actions and societal engagements. CDoH includes all products and

Raising the Bar on Trauma Standards in Sri Lanka Prof Sharmila Dissanaike, M.D., FACS, FCCM Peter C. Canizaro Chair and University Distinguished Professor, Texas Tech University Health Sciences Center, Lubbock, Texas, USA. Correspondence to: sharmila.dissanaike@ttuhsc.edu DOI:https://doi.org/10.62474/SLJT-GCAT2743 It is a great honor to write an invited Guest Editorial for the inaugural issue of the Sri Lankan

Editorial Gayan Ekanayake DOI: https://doi.org/10.62474/SLJT-KBIX1314 WHO has given us a valuable tool to evaluate trauma systems in a country with several defined domains. One of the most important domains is the prehospital trauma care(1). Sri Lanka is constantly upgrading itself in this area over several decades(2). Significant gains were made during the last decade in this

Resilience in terror and disaster medicine through consolidation of institutional memory – National Hospital Sri Lanka Easter Sunday 2019 experience DOI; https://doi.org/10.62474/UUFV1217 Introduction Terrorism inflicts society in many forms, including armed assaults, hijackings, hostage-taking, drone attacks and varying types of bombings including suicide bombings; prominent weapon in the armamentarium of violent nonstate actors, suicide bombing generates

Key words Vascular injury, incidence, Sri Lanka, National Hospi­tal Sri Lanka (NHSL), Vascular repair, Causes of vascular injuries, Time duration, Admission times,Delay from admission   Abstract: Introduction Vascular injuries can lead to life-threatening haemorrhage and limb-threatening ischemia if not addressed promptly.  In Sri Lanka the number of limb vascular injuries are increasing due to the increase in

Fasciotomy done for vascular trauma at a tertiary care centre in Sri Lanka Author ; JOEL ARUDCHELVAM DOI https://doi.org/10.62474/UHXT2336 ORCID https://orcid.org/0000-0002-4371-4527 ABSTRACT Introduction Compartment syndrome is a major factor contributing to limb loss and poor outcome following lower limb vascular injuries. Method This is a retrospective study done on patients with vascular injuries and undergone fasciotomy at

Salvaging mangled upper limbs with early soft tissue cover with flaps- A case series.  Authors; Oshan Basnayake1,2, Dishan Samarathunga2, Pathum Abeysekara2, Paheerathan Nadesan2, Sameera Wijayawardhana2,3, Gayan Ekanayake2, Thushan Beneragama2, Dammika dissanayake2 1 Department of Anatomy, Genetics and Biomedical informatics, University of Colombo, Sri Lanka 2 Plastic and Reconstructive Surgical Unit, National Hospital of Sri Lanka,

Joel Arudchelvam 1 Asela Jayathilaka 2 1,2 National Hospital of Sri Lanka, Sri Lanka  DOI; https://doi.org/10.62474/SLJT-XYOF6534 Introduction   Severe hepatic injuries are associated with high morbidity and mortality (30%) and are challenging to manage (1). Liver injuries occur frequently following abdominal trauma. For example in a series of 48 patients who underwent laparotomy following trauma at the National

Current opinion Forging alliances: examining civil-military partnerships and their impact on war-time casualty care in Sri Lanka Authors; Amila Ratnayake1, Maj. Gen. Sanjeewa H Munasinghe 2, Gamini Goonetilleke3 Institutes Army Hospital Colombo 08, Sri Lanka Former Director General Army Health Services, Sri Lanka Army Former consultant surgeon, Sri Jayawardenapura General Hospital, Nugegoda, Sri Lanka, presently, visiting

Case presentation A teenage  boy presented to a major trauma centre (MTC)  after a fall from a tree of ten feet height. He was from a close by suburb and fallen directly on to a steel rod fixed to a concrete wall and it had penetrated the left side lower chest wall. He had removed

Photo Essay Life-threatening airway injury following blunt thoracic trauma.  I.H.D Saman Pradeep1, Dhammika Rasnayake1. National Hospital for Respiratory Diseases, Welisara. DOI: https://doi.org/10.62474/SLJT-TXAK2497 Keywords Tracheobronchial Injury, Bronchial trauma, Blunt Thoracic Trauma. Case. A 20-year-old male presented following a fall from a motorcycle and presented to the local hospital with shortness of breath. He was found to Have

Traumatic elbow dislocations Authors; Melanie Amarasooriya1,2, Supun Gamage3, Udesh Somarathne3, Salinda Pathirana3 Consultant Orthopaedic Surgeon, National Hospital Sri Lanka. Lecturer/Academic Consultant, University of Moratuwa, Sri Lanka Registrar, Orthopaedic Surgery, National Hospital Sri Lanka. ORCID https://orcid.org/0000-0002-5629-543X DOI; https://doi.org/10.62474/FGDB3996 Introduction The elbow is the second most common joint to dislocate in adults after the shoulder joint (1). The reported

Metaverse: Some of its applications to trauma care in Sri Lanka Indika Jagoda, Melanie Amarasooriya DOI: https://doi.org/10.62474/SLJT-EJLX5117 Introduction Metaverse is a concept introduced three decades ago which simply means a shared real and virtual world or a universe. It refers to a virtual reality existing beyond the true reality. The science-fiction author Neal Stephenson coined the