The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition

Severe traumatic injury continues to present challenges to healthcare systems around the world, and post-traumatic bleeding remains a leading cause of potentially preventable death among injured patients. Now ...
Source: Critical Care - Category: Intensive Care Authors: Tags: Research Source Type: research

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ConclusionPatients with reactive pupils and/or mild to moderate GCS may have benefited from TXA in the CRASH-3 trial because they had less intracranial bleeding at baseline. However, because bleeding occurs soon after injury, treatment delay reduces the benefit of TXA.
Source: European Journal of Trauma and Emergency Surgery - Category: Emergency Medicine Source Type: research
Publication date: Available online 24 January 2020Source: Journal of Clinical NeuroscienceAuthor(s): Ezequiel Goldschmidt, Hansen Deng, Ava M. Puccio, David O. OkonkwoAbstractBackgroundIn severe traumatic brain injury (TBI) patients undergoing decompressive hemicraniectomy (DHC), the rate of post-traumatic hydrocephalus (PTH) is high at 12–36%. Early diagnosis and shunt placement can improve outcomes. Herein, we examined the incidence of and predictors of PTH after craniectomy.MethodsA retrospective analysis of prospectively collected database of severe TBI patients at a single U.S. Level 1 trauma center from May 200...
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
Post-trauma bleeding induces an acute deficiency in clotting factors, which promotes bleeding and hemorrhagic shock. However, early plasma administration may reduce the severity of trauma-induced coagulopathy ...
Source: Trials - Category: General Medicine Authors: Tags: Study protocol Source Type: research
ConclusionsCEUS is valuable and safe to follow patients with post-traumatic abdominal injuries, even if further data are needed for renal injuries. We propose a tailored approach based on injury grade and clinical course: in the first 3  days only in case of delayed bleeding or rupture suspect; between 5 and 10 days post trauma to ensure a safe active mobilization and/or pose indication to discharge, and over 20–30 days post trauma to pose indication to discharge in most severe injuries or document complete healing and permit return to sport activities.
Source: Journal of Ultrasound - Category: Radiology Source Type: research
 Trauma eventually comes for all of us.  It isn’t just stereotypical things like war or assault that are traumatic, there is also the everyday realities of things like illness or job loss. As painful as it is, trauma can be an invitation to a process of growth and change. Join us as today’s guest, Dr. James Gordon, explains some of the techniques of trauma healing, including some surprising ones, like laughter and spending time with animals. Dr. Gordon also shares with us how he personally handles his own trauma and the programs most often used by the Center for Mind-Body Medicine. SUBSCRIBE &REVIE...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General Interview Mental Health and Wellness The Psych Central Show Trauma Source Type: blogs
ABO blood group has a profound influence on hemostasis as it is a major determinant of plasma levels of von Willebrand Factor. In vitro studies suggest that blood group O is a risk factor for increased severe bleeding while blood group non-O is a risk fact...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
A 59-year-old female was brought to our emergency department with hypovolemic shock caused by massive bleeding from neck stab wounds inflicted by herself in a committed suicide. The patient complained of comparatively strong pain on her lower back and ther...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
We report a case of a 17-year-old multiple trauma patient who was drunken and had confused mentality. Diagnoses: She was suffered from critical respiratory failure (life-threatening hypoxemia and severe hypercapnia/acidosis lasting for 70 minutes) accompanied by cardiac arrest and trauma-induced coagulopathy during general anesthesia. Interventions: We decided to start heparin-free VV-ECMO after cardiac arrest considering risk of hemorrhage. Outcomes: She survived with no neurologic sequelae after immediate treatment with heparin-free VV-ECMO. Lessons: Heparin-free VV-ECMO can be used as a resuscitative thera...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Discussion Basilar skulls fractures are relatively common occurring in 4-20% of all skull fractures. Motor vehicle accidents, significant falls from heights and blunt trauma are the most common causes of basilar skull fractures. Basilar skulls fractures are even less common in children than adults. Complications can include meningitis, cerebrospinal fluid (CSF) leaks, cranial nerve injuries or even potentially death. With more significant trauma to the head and body, it is not surprising that complications are more likely. Nasoethmoid facial fractures have similar common mechanisms of injury including motor vehicle accid...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
BOSTON (CBS) – The Red Sox say David Ortiz’s condition is stable enough that the club is flying him back to Boston for treatment of his gunshot wound. According to UpToDate, the mortality rate for a single gunshot wound to the abdomen in about 7-percent, though getting shot in the back and having the bullet pass through the abdomen can be more complicated. The organs most likely injured with a gunshot wound to the abdomen are the small intestine followed by the colon and then the liver. Doctors removed Ortiz’s gallbladder and part of his intestine after he was ambushed by a gunman in the Dominican Repub...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Boston News Health Syndicated Local Watch Listen David Ortiz Dr. Mallika Marshall Source Type: news
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