What is Trauma?
Trauma is a serious injury or shock
to the body. It is caused by a physical force such as violence or an accident. The injury may be complicated by psychiatric, behavioral, and social factors.
It is critical to have an entire team immediately available to provide care to an injured patient 24-hours a day. This teamwork starts at the scene of the injury where a coordinated, statewide pre-hospital medical system rapidly transports the injured patient from the scene to the hospital providing the appropriate level of care according to criteria established in the statewide trauma regulations. Once at the hospital, a complete team of surgeons, emergency physicians and nurses continue the life-saving treatment.
This team approach to care of the injured patient has had a dramatic impact on saving lives.
Minimally Invasive Procedures for Massive Bleeding
Injuries take many forms. The most advanced hospitals can treat injuries with a variety of approaches that involve well-known ones, like surgery, and newer ones where minimally invasive procedures can replace some surgeries.
As a Level 1 Trauma Center, Hartford Hospital has Interventional Radiologists as part of the Trauma Team. They perform procedures such as "embolization" which is a recognized interventional radiology technique that is used to treat trauma patients with massive bleeding.
Click here to see some of the advanced interventional techniques available at Hartford Hospital.
Learn more about trauma
, or search below to learn about other health conditions.
| Risk Factors
The thyroid gland is a butterfly-shaped gland in the front of the neck. It produces hormones that control metabolism. Hypothyroidism happens when the thyroid gland does not produce enough thyroid hormone. The most common form of hypothyroidism is Hashimoto's thyroiditis.
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Hashimoto's thyroiditis occurs when the
immune system produces antibodies that attack cells of the thyroid gland. This causes thyroid swelling and loss of function.
Other causes include:
- Idiopathic thyroid atrophy—destruction of thyroid tissue for unknown reasons
- Iodine deficiency—when a thyroid gland needs iodine to produce thyroid hormone (rare in the United States)
- Subacute thyroiditis—following a viral upper respiratory tract infection
to the head and neck or surgical removal of the thyroid gland (called subtotal
Medicines (such as
Certain diseases (such as
- Pituitary adenoma
—benign tumor of the pituitary gland
Risk factors that can increase your chance of developing hypothyroidism include:
- Age: over 65 years old
- Sex: more common in females
- Ethnicity: Caucasian, Hispanic
- History of family members with hypothyroidism
History of other autoimmune diseases:
Years may pass before you notice symptoms.
Symptoms of severe or long-term cases include:
The doctor will ask about your symptoms and medical and family history. A physical exam will be done. To confirm the diagnosis,
will be done, which include:
- Thyroid stimulating hormone
- Free T4 and total T3
- Antibodies that attack the thyroid gland
There is no specific treatment in the early stages of Hashimoto's thyroiditis. But, in most cases, you will end up developing hypothyroidism. Treatment involves taking
medicine to replace the thyroid hormones (such as
There are no known ways of preventing hypothyroidism.
American Association of Clinical Endocrinologists. AACE medical guidelines for clinical practice for the evaluation and treatment of hyperthyroidism and hypothyroidism.
Endocrine Practice. 2002;8:457-469.
Escobar-Morreale HF, Botella-Carretero JI, Escobar del Rey F, et al. Treatment of hypothyroidism with combinations of levothyroxine plus liothyronine.
J Clin Endocrinol Metab. 2005;90:4946-4954.
Hypothyroidism. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated November 19, 2012. Accessed November 20, 2012.
Roberts CG, Ladenson PW. Hypothyroidism.
Surks MI, Ortiz E, Daniels GH, et al. Subclinical thyroid disease: scientific review and guidelines for diagnosis and management
Last reviewed March 2013 by Brian Randall, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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