Featured articles for cme credit april 2022
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: CONTINUING MEDICAL EDUCATION PROGRAM Source Type: research

Author's reply
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: LETTERS TO THE EDITOR Source Type: research

The timing of amputation of mangled lower extremities does not predict post-injury outcomes and mortality: A retrospective analysis from ACS TQIP database
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: LETTERS TO THE EDITOR Source Type: research

Integrated military and civilian partnerships are necessary for effective trauma-related training and skills sustainment during the inter-war period
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: REVIEW ARTICLE Source Type: research

Unplanned readmission after traumatic injury: A long-term nationwide analysis: Erratum
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: ERRATA Source Type: research

A Tribute to J.D. Richardson, MD, FACS: Erratum
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: ERRATA Source Type: research

A contemporary assessment of resuscitative endovascular balloon occlusion of the aorta
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: INVITED REVIEW Source Type: research

Caring for vascular injuries: Training more vascular specialists may not be the answer
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: COMMENTARY Source Type: research

Trauma surgeon–performed peripheral arterial repairs are associated with equivalent outcomes when compared with vascular surgeons
CONCLUSION Traumas surgeons arrived quicker to the operating and had no difference in short-term clinical outcomes of brachial and femoral artery repairs compared with patients treated by vascular surgeons. Over the last decade, there has been a significant decline in the number of open vascular repairs done by trauma surgeons. LEVEL OF EVIDENCE Therapeutic/Care Management, Level IV. (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: INDEPENDENT SUBMISSION Source Type: research

A Western Trauma Association critical decisions algorithm: Resuscitative endovascular balloon occlusion of the aorta
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: 2021 WTA ORAL Source Type: research

Balloons for kids: Anatomic candidacy and optimal catheter size for pediatric resuscitative endovascular balloon occlusion of the aorta
CONCLUSION This study represents the largest compilation of REBOA-related pediatric vessel diameter measurements and the first to provide data on distance between access site and balloon deployment zones. Based on our findings, the 7-Fr REBOA catheter would be appropriate for the Black, Green, and Orange Broselow categories, and a 4-Fr REBOA catheter would be warranted for Yellow, White, and Blue Broselow categories. LEVEL OF EVIDENCE Prognostic and epidemiological, level III. (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: 2021 AAST QUICK SHOT Source Type: research

Advanced partial occlusion controller allows for increased precision during targeted regional optimization in a porcine model of hemorrhagic shock
The objective of this study was to assess the technical feasibility of the novel advanced partial occlusion controller (APOC) in achieving TRO at multiple distal pressures. METHODS Female swine (n = 48, 68.1 ± 0.7 kg) were randomized to a target distal mean arterial pressure (MAP) of 25 mm Hg, 35 mm Hg, or 45 mm Hg by either manual (MAN) or APOC regulation (n = 8 per group). Uncontrolled hemorrhage was generated by liver laceration. Targeted regional optimization was performed for 85 minutes, followed by surgical control and a 6-hour critical care phase. Proximal and distal MAP and flow rates were measured continuo...
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: 2021 AAST QUICK SHOT Source Type: research

Resuscitative endovascular balloon occlusion of the aorta management guided by a novel handheld pressure transducer
BACKGROUND Management of noncompressible truncal hemorrhage using resuscitative endovascular balloon occlusion of the aorta (REBOA) requires arterial pressure monitoring that can be logistically challenging in austere or emergency settings. Novel pressure transducer devices such as the Centurion Compass device (CD) (Medline, Northfield, IL) offer an alternative to traditional monitoring systems. We sought to assess the feasibility of maintaining permissive hypotension during intermittent REBOA in a porcine model guided by CD monitoring. METHODS Eight Yorkshire swine underwent 20% hemorrhage with an uncontrolled ...
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: 2021 AAST QUICK SHOT Source Type: research

Life over limb: Arterial access-related limb ischemic complications in 48-hour REBOA survivors
CONCLUSION Femoral artery REBOA access carries a risk of ARLIC, which is associated with unstable pelvis fractures, severe shock, and strongly with the administration of TXA. Use of lower-profile devices and close surveillance for these complications is warranted in these settings and caution should be exercised when using TXA in conjunction with REBOA. LEVEL OF EVIDENCE Prognostic and Epidemiologic, Level III (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: 2021 AAST QUICK SHOT Source Type: research

Risk factors for stroke in penetrating carotid trauma—An analysis from the PROOVIT Registry
This study evaluated patients in the American Association for Surgery of Trauma PROspective Observational Vascular Injury Trial, with the aim of determining factors associated with stroke and stroke or death. METHODS Penetrating extracranial carotid injuries in the American Association for Surgery of Trauma PROspective Observational Vascular Injury Trial registry from 2012 to 2020 were queried. Isolated external carotid injuries were excluded. Patients with documented postinjury in-hospital stroke were compared with those without. Significant predictors (p (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - March 31, 2022 Category: Surgery Tags: 2021 AAST QUICK SHOT Source Type: research