Variability in current trauma systems and outcomes
Conclusion: Both ACS and state Level 2 TCs had significantly lower complication rates than ACS and state Level 1 TCs. Further investigations should look for the source and impact of this difference. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Adel Elkbuli Brianna Dowd Rudy Flores Dessy Boneva Mark McKenney Source Type: research

Local tranexamic acid for local hemostasis in an animal liver injury model
Conclusion: Local TXA application on the injured liver surface might offer better hemostatic control than packing alone. Further studies are mandated before the clinical application of our findings. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Shahram Paydar Mohammad Yasin Karami Golnoush Sadat Mahmoudi Nezhad Rouhollah Rezaei Alireza Makarem Ali Noorafshan Shahin Mohseni Source Type: research

Evaluation of bedside sonographic measurement of optic nerve sheath diameter for assessment of raised intracranial pressure in adult head trauma patients
Conclusion: The study has shown a bedside measurement of ONSD through sonography as an efficient tool to assess elevations in intracranial pressure in head injury patients. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Alvin Mathews Srihari Cattamanchi Tamilanbu Panneerselvam Ramakrishnan V Trichur Source Type: research

Relationship of optic nerve sheath diameter and intracranial hypertension in patients with traumatic brain injury
Conclusions: ONSD is a simple noninvasive measurement on initial CT in patients with TBI that could be a surrogate for ICP monitoring. However, further studies are warranted. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Ammar Al-Hassani Gustav Strandvik Sheraz Abayazeed Khalid Ahmed Ayman El-Menyar Ismail Mahmood Suresh Kumar Arumugam Mohammad Asim Syed Nabir Nadeem Ahmed Zahoor Ahmed Hassan Al-Thani Source Type: research

The need for a physiological classification of hemorrhagic shock
Fabrizio Giuseppe BonannoJournal of Emergencies, Trauma, and Shock 2020 13(3):177-182 Classifications mean to conceptualize in a cluster and rapidly summarize the assessment and management of a clinical scenario. In the specific case of a hemorrhagic shock (HS), a classification should serve the purpose of allowing a rapid clinical assessment of the shock level and the earliest or right timing of source control, possibly also on whether to apply damage control surgery (DCS) strategy or not. ATLS® classification of HS is not sensitive and specific enough to help decision-making in reference to the timing of man...
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Fabrizio Giuseppe Bonanno Source Type: research

What & #39;s new in emergencies trauma and shock & #8211; Diagnosing intracranial hypertension
Vivek Chauhan, Sagar Galw.arJournal of Emergencies, Trauma, and Shock 2020 13(3):175-176 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Vivek Chauhan Sagar Galwankar Source Type: research

Inadequate management of patients with acute aortic symptoms before transfer from emergency departments
Quincy K Tran, Anne M Walker, Emilie Berman, Roumen Vesselinov, Mark Rose, Laura Tiffany, Vera Bzhilyanskaya, Sean Naimi, Zain Alam, Norhan Abdalla, Saman Tanveer, Ji Sun Yi, Tucker Lurie, Jon Mark HirshonJournal of Emergencies, Trauma, and Shock 2020 13(3):234-235 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Quincy K Tran Anne M Walker Emilie Berman Roumen Vesselinov Mark Rose Laura Tiffany Vera Bzhilyanskaya Sean Naimi Zain Alam Norhan Abdalla Saman Tanveer Ji Sun Yi Tucker Lurie Jon Mark Hirshon Source Type: research

Blast injury of the scrotum
Siddharth Pramod Dubhashi, Atri Kumar, Rahul KadamJournal of Emergencies, Trauma, and Shock 2020 13(3):233-233 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Siddharth Pramod Dubhashi Atri Kumar Rahul Kadam Source Type: research

The impact of the & #8220;Weekend Effect & #8221; on emergency exploratory laparotomy surgeries outcomes at an urban level 1 trauma center
Adel Elkbuli, Sarah Zajd, Brianna Dowd, Shaikh Hai, Dessy Boneva, Mark McKenneyJournal of Emergencies, Trauma, and Shock 2020 13(3):232-232 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Adel Elkbuli Sarah Zajd Brianna Dowd Shaikh Hai Dessy Boneva Mark McKenney Source Type: research

Outcomes associated with femoral vein segmental oversew/ligation in penetrating trauma
Michael James Ramdass, Richard Spence, Patrick HarnarayanJournal of Emergencies, Trauma, and Shock 2020 13(3):231-231 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Michael James Ramdass Richard Spence Patrick Harnarayan Source Type: research

Difficulties in the management of impalement injuries sustained in rural India
We report two unusual cases of impalement from rural India: one, chest impalement by a hunting spear and the other, an extremity impalement by a rotatory tiller blade. Thoracic impalement injuries are very rare, and there is only one other published report of chest impalement by a spear (trident) in the modern era. There are only two published reports of extremity impalement by a rotatory tiller blade. We also describe the difficulties encountered in their management. Patient-1 sustained accidental impalement to the right hemithorax by a spear used for hunting wild boars, leaving a meter long shaft protruding from his body...
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Radhikaraj Coimbatore Govindaraju Jayateerth Munavalli Source Type: research

Electric shock for a patient with ventricular fibrillation during air evacuation using a helicopter
Ikuto Takeuchi, Youichi Yanagawa, Mitsuhiro Takeuchi, Satoru SuwaJournal of Emergencies, Trauma, and Shock 2020 13(3):224-226 A 73-year-old male suddenly felt chest pain and nausea in his home. The fire department requested the dispatch of a physician-staffed helicopter. When the medical staff of the helicopter checked him, his 12-lead electrocardiogram showed ST elevation at the II, III, and aVF leads. After being fitted with pads for monitoring and defibrillation, he was transferred to the helicopter. Before landing at the base hospital a few minutes later, his electrocardiogram suddenly demonstrated ventricular fibrill...
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Ikuto Takeuchi Youichi Yanagawa Mitsuhiro Takeuchi Satoru Suwa Source Type: research

The use of evaluation tool for ultrasound skills development and education to assess the extent of point-of-care ultrasound adoption in lebanese emergency departments
Conclusion: This study is the first to tackle the extent of use and the hurdles to PoCUS adoption in Lebanese emergency medicine practice, using ETUDE. The findings from this study can be used in Lebanon to strengthen PoCUS use in the future. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Imad A El Majzoub Hani N Hamade Rola A Cheaito Basem F Khishfe Source Type: research

Characterization of acidosis in trauma patient
Conclusions: A pH ≤ 7.2 is associated with increased mortality. For patients in this range, only the presence of coagulopathy is associated with increased mortality. A pH > 7.2 may be an appropriate treatment goal for acidosis. Further work is needed to identify and target potentially modifiable factors in patients with acidosis such as coagulopathy. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Gregory S Corwin Kevin W Sexton William C Beck John R Taylor Avi Bhavaraju Benjamin Davis Mary K Kimbrough Joseph C Jensen Anna Privratsky Rotnald D Robertson Source Type: research

Ultrasound-guided serratus anterior plane block for rib fracture-associated pain management in emergency department
Conclusions: Ultrasound-guided SAPB can be used safely by trained EP in the emergency department to relieve acute severe analgesic-resistant pain in MFR patients. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - September 17, 2020 Category: Emergency Medicine Authors: Subhankar Paul Sanjeev Kumar Bhoi Tej Prakash Sinha Gaurav Kumar Source Type: research