Trauma in obstetrical patients
Conclusion: There was no increase in mortality for trauma patients who are pregnant when controlling for covariates. Factors such as head injuries, the need for blood, and comorbid diseases appear to have a more significant contribution to mortality. We also report the prevalence of head, cervical spine, and extremity injuries in pregnant trauma patients. Multidisciplinary simulation, jointly crafted protocols, and expanding training in regional anesthesia may be the next steps to improving care for pregnant trauma patients. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Ryan J Keneally Kyle L Cyr Marian Sherman Anita Vincent Everett Chu Jeffrey S Berger Jonathan H Chow Source Type: research

Inferior vena cava/abdominal aorta ratio as a guide for fluid resuscitation
Conclusion: The measurement of IVC/Ao is an accurate, sensitive, and specific parameter to predict fluid responsiveness. The best cut-off for the IVC/Ao ratio is 0.675. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Neurinda Permata Kusumastuti Abdul Latief Antonius Hocky Pudjiadi Source Type: research

How many ultrasound examinations are necessary to gain proficiency in accurately identifying the nerves of the brachial plexus at the level of the interscalene space ?
Conclusion: Emergency medicine residents are easily adept in the identification of the nerves of the brachial plexus at the level of the interscalene space following two supervised examinations. Residents made steady gains in confidence and proficiency throughout the study; statistical analysis found a significant association between the two. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Alan Shteyman Saundra A Jackson Tabitha Anne Campbell Charlotte Derr Source Type: research

Stroke incidence and outcome disparity in Rural regions of Southern West Virginia
Conclusions: Stroke incidence and mortality were found to be higher than expected in many areas of rural West Virginia. The higher stroke risk populations correlate with area that may be impacted by socioeconomic factors and limited access to primary care. These high-risk areas may therefore benefit from investments in infrastructure, patient education, and unrestricted primary care. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Frank Harrison Annie Mark C Bates Muhammad Khan Salman Zahid Syed Imran Shah Aravinda Nanjundappa Joshua R Wyner Elise Anderson Ali Farooq Megan Wood Abhiram Challa Source Type: research

Treatment outcomes of epinephrine for traumatic out-of-hospital cardiac arrest: A systematic review and meta-analysis
Conclusion: The use of epinephrine for traumatic OHCA may not improve either inhospital survival or prehospital ROSC and short-term survival. Epinephrine administration as indicated in standard advanced life support algorithms might not be routinely used in traumatic OHCA. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Wachira Wongtanasarasin Thatchapon Thepchinda Chayada Kasirawat Suchada Saetiao Jirayupat Leungvorawat Nichanan Kittivorakanchai Source Type: research

What & #39;s new in emergencies, trauma, and shock & #8211; Prehospital cardiac arrest in trauma victims
Vivek ChauhanJournal of Emergencies, Trauma, and Shock 2021 14(4):193-194 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - December 24, 2021 Category: Emergency Medicine Authors: Vivek Chauhan Source Type: research

Concurrence of intracranial hemorrhaging and stanford type a acute aortic dissection
Hiromichi Ohsaka, Kei Jitsuiki, Daigo Takahashi, Youichi YanagawaJournal of Emergencies, Trauma, and Shock 2021 14(3):191-192 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 30, 2021 Category: Emergency Medicine Authors: Hiromichi Ohsaka Kei Jitsuiki Daigo Takahashi Youichi Yanagawa Source Type: research

Mechanisms and patterns of animal-related injuries in patients admitted to a major trauma center in central India
Abdul Haque M Quraishi, Ashvin Damdoo, Shruti Srinivasan, Girish Umare, Pankaj TongseJournal of Emergencies, Trauma, and Shock 2021 14(3):190-191 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 30, 2021 Category: Emergency Medicine Authors: Abdul Haque M Quraishi Ashvin Damdoo Shruti Srinivasan Girish Umare Pankaj Tongse Source Type: research

Stanford - A aortic dissection presenting as a triple mimic and role of point of care ultrasound in deciphering it
Sasikumar Mahalingam, Gunaseelan Rajendran, Nithya Balaraman, Kiran Kumar, Ajithkumar Rajendran, Balamurugan Nathan, Manu Ayyan, Vishwanath Balassoundaram, Mounika Gara, Praveen KumarJournal of Emergencies, Trauma, and Shock 2021 14(3):187-189 Aortic dissection (AD) is a great imitator, and its diagnosis is quite challenging due to its varied presentations and unreliable clinical findings. Based on the literature search we found, this is the first case report of Stanford-A/DeBakey Type 1 AD reported as a triple mimic, namely stroke, acute limb ischemia, and pericarditis. Here, we describe the case of a 46-year-old male wh...
Source: Journal of Emergencies, Trauma and Shock - September 30, 2021 Category: Emergency Medicine Authors: Sasikumar Mahalingam Gunaseelan Rajendran Nithya Balaraman Kiran Kumar Ajithkumar Rajendran Balamurugan Nathan Manu Ayyan Vishwanath Balassoundaram Mounika Gara Praveen Kumar Source Type: research

Anesthetic management of thoracic trauma by an arrow
We report a case of penetrating thorax injury with an arrow lodged close to pericardium in an Oriya woman, referred 15 h after the injury. After a successful surgical intervention with meticulous coordination between the anesthesiologist and surgeon, the patient was discharged after 7 days without complication. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 30, 2021 Category: Emergency Medicine Authors: Satyasish Kabi Arun Kumar Sahu Bishnu Prasad Mohapatra Kalyani Bala Nayak Source Type: research

Abstracts for the 39th emergencies in medicine conference
Sukaina Ali Alali, Tinh Le, M DeVogelaere, Richard Nowak, S Scott Sutton, Kerri Coakley, Zubaid Rafique, Frank PeacockJournal of Emergencies, Trauma, and Shock 2021 14(3):180-183 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 30, 2021 Category: Emergency Medicine Authors: Sukaina Ali Alali Tinh Le M DeVogelaere Richard Nowak S Scott Sutton Kerri Coakley Zubaid Rafique Frank Peacock Source Type: research

The world health organization collaborating center for emergency and trauma (WHO-CCET) in South East Asia, the world academic council of emergency medicine (WACEM), and The American college of academic international medicine (ACAIM) 2021 framework for using telemedicine technology at healthcare institutions
Veronica Sikka, Salvatore Di Somma, Sagar C Galw.ar, Sagar Sinha, Nidhi Garg, Neilesh Talwalkar, Sona Garg, Prashant Mahajan, Vivek Chauhan, Lisa Moreno-Walton, Siddharth Dubhashi, Vibha Dutta, Venkataramanaiah Saddikuti, Prabath W B. Nanayakkara, Joydeep Grover, Ketan Paranjape, Sarman Singh, Pushpa Sharma1, Sanjeev Bhoi, Tejprakash Sinha, Stanislaw P Stawicki, Manish Garg, Indrani SardesaiJournal of Emergencies, Trauma, and Shock 2021 14(3):173-179 The coronavirus disease 2019 crisis has forced the world to integrate telemedicine into health delivery systems in an unprecedented way. To deliver essential care, lawmakers,...
Source: Journal of Emergencies, Trauma and Shock - September 30, 2021 Category: Emergency Medicine Authors: Veronica Sikka Salvatore Di Somma Sagar C Galwankar Sagar Sinha Nidhi Garg Neilesh Talwalkar Sona Garg Prashant Mahajan Vivek Chauhan Lisa Moreno-Walton Siddharth Dubhashi Vibha Dutta Venkataramanaiah Saddikuti Prabath W B. Nanayakkara Joydeep Grover Keta Source Type: research

The 2021 toolkit for emergency preparedness and mitigation to combat surge of pediatric COVID-19 patients in India: The world health organization collaborating center for emergency and trauma in South East Asia recommendations
Sagar Galw.ar, Dheeraj Shah, Ramon E Gist, Ami P Shah, S Vimal Krishnan, Bonnie Arquilla, Prerna Batra, Abhijeet Saha, Sanjeev Bhoi, Tej Prakash Sinha, Amit AgrawalJournal of Emergencies, Trauma, and Shock 2021 14(3):153-172 The authors of this toolkit focus on children under the age of 18 comprising approximately 41% of the total population in India. This toolkit has been created with an objective to prepare, mitigate the effects of any surge of COVID-19 in our communities, and help to optimally utilize the scarce resources. The toolkit design suggests the manpower, equipment, laboratory support, training, con...
Source: Journal of Emergencies, Trauma and Shock - September 30, 2021 Category: Emergency Medicine Authors: Sagar Galwankar Dheeraj Shah Ramon E Gist Ami P Shah S Vimal Krishnan Bonnie Arquilla Prerna Batra Abhijeet Saha Sanjeev Bhoi Tej Prakash Sinha Amit Agrawal Source Type: research

Evaluation of splenic artery embolization technique for blunt trauma
Conclusion: Proximal SAE is associated with a significantly lower fluoroscopy time (P = 0.004). Complication rates are similar after proximal and distal SAE. No significant difference was found in major complication rates comparing coil versus gel foam embolization. Minor complications more commonly occurred after proximal embolization with gel-foam. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 30, 2021 Category: Emergency Medicine Authors: Akshaar N Brahmbhatt Bishoy Ghobryal Patrick Wang Shahzaib Chughtai Nana Ohene Baah Source Type: research

Beyond mortality: Does trauma-related injury severity score predict complications or lengths of stay using a large administrative dataset
Conclusions: Despite previous criticisms, we found that TRISS is superior to ISS for mortality and morbidity prediction. TRISS correlated significantly with a hospital, step down, and ICU lengths of stay using a large administrative dataset. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 30, 2021 Category: Emergency Medicine Authors: Nakosi Stewart James G MacConchie Roberto Castillo Peter G Thomas James Cipolla Stanislaw P Stawicki Source Type: research