The current status of disaster preparedness in Canadian trauma centers
Mass casualty incidents (MCIs) put substantial stress on loco-regional resources, and trauma centers are critical to responding to these events. Our previous evaluation of Canadian centers helped to identify several weaknesses in disaster responsiveness. In this analysis, we determined the current state of MCI readiness across Canada and how this has changed over time. A multinational cross-sectional survey-based study on MCI preparedness was performed, including 24 Canadian trauma centers. Surveys were completed anonymously online by representatives of each facility. Responses from Canadian centers were examined and compa...
Source: Journal of Trauma and Acute Care Surgery - August 21, 2020 Category: Surgery Tags: CURRENT OPINION Source Type: research

Current opinion on emergency general surgery transfer and triage criteria
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - August 21, 2020 Category: Surgery Tags: CURRENT OPINION Source Type: research

Necessity of routine chest radiograph in blunt trauma resuscitation: Time to evaluate dogma with evidence
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - August 21, 2020 Category: Surgery Tags: CURRENT OPINION Source Type: research

Syncope, “mechanical falls”, and the trauma surgeon
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - August 21, 2020 Category: Surgery Tags: CURRENT OPINION Source Type: research

Maintaining a high inspired oxygen fraction with the Elisée 350 turbine transport ventilator connected to two portable oxygen concentrators in an austere environment
CONCLUSION The ability of two OCs to deliver high FiO2 when used with a turbine ventilator makes this method of oxygen delivery a viable alternative to cylinders to ventilate patients requiring an FiO2 of ≥80% in austere place or during disaster response. LEVEL OF EVIDENCE Feasibility study on test bench, level V. (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - August 21, 2020 Category: Surgery Tags: PROCEDURES AND TECHNIQUES Source Type: research

Hepatic autotransplant for hepatic vein avulsion after blunt abdominal trauma
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - August 21, 2020 Category: Surgery Tags: PROCEDURES AND TECHNIQUES Source Type: research

Endovascular adjuncts for hybrid liver surgery
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - August 21, 2020 Category: Surgery Tags: PROCEDURES AND TECHNIQUES Source Type: research

General surgery in patients with left ventricular assist devices: Do not cross the line!
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - August 21, 2020 Category: Surgery Tags: PROCEDURES AND TECHNIQUES Source Type: research

“A cold and drowsy humor”: Theories of traumatic shock from Bernard to Laborit
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - August 21, 2020 Category: Surgery Tags: REVIEW ARTICLES Source Type: research

Cone-beam computed tomography for trauma
Radiographic imaging is critical in helping guide treatment of critically injured patients. Cone-beam computed tomography is an axial imaging technique available from fixed imaging systems found in hybrid operating rooms. It can be used to provide focused studies of specific anatomical regions, where patients cannot undergo conventional multidetector computed tomography. This includes non–contrast-enhanced evaluation of the intracranial contents and vascular imaging throughout the body. There are a number of advantages and disadvantages to cone-beam computed tomography, but these are not widely discussed within the traum...
Source: Journal of Trauma and Acute Care Surgery - August 21, 2020 Category: Surgery Tags: REVIEW ARTICLES Source Type: research

The use of warm fresh whole blood transfusion in the austere setting: A civilian trauma experience
CONCLUSION Warm fresh whole blood use is safe and feasible in an austere civilian trauma setting. Prospective studies with larger cohorts are necessary to determine whether early WFWB use will affect patient outcomes, transfusion requirement, and treatment cost. LEVEL OF EVIDENCE Therapeutic, Level IV. (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - August 21, 2020 Category: Surgery Tags: BRIEF REPORT Source Type: research

The evolution of initial-hemostatic resuscitation and the void of posthemostatic resuscitation
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - August 21, 2020 Category: Surgery Tags: CURRENT OPINION Source Type: research

The New Zealand Trauma System Verification
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - August 21, 2020 Category: Surgery Tags: SPECIAL REPORT Source Type: research

Complications of appendectomy and cholecystectomy in acute care surgery: A systematic review and meta-analysis
CONCLUSION The implementation of ACS models in general surgery emergency care has significantly improved system and patient outcomes for appendicitis and biliary pathology. LEVEL OF EVIDENCE Systematic review and meta-analysis of a retrospective study, level III. (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - August 21, 2020 Category: Surgery Tags: SYSTEMATIC REVIEW Source Type: research

Into the wild and on to the table: A Western Trauma Association multicenter analysis and comparison of wilderness falls in rock climbers and nonclimbers
CONCLUSION Wilderness falls represent a unique population with distinct patterns of predominantly soft tissue, head, and lower extremity injury. Climbers are younger, usually male, more often discharged home, and require more surgery but less critical care. LEVEL OF EVIDENCE Epidemiological, Level IV. (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - August 21, 2020 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research