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The impact of prehospital time intervals on mortality in moderately and severely injured patients
CONCLUSION A prolonged on-scene time is associated with mortality in moderately and severely injured patients, which suggests that a reduced on-scene time may be favorable for these patients. In addition, transport time was found not to be associated with mortality. LEVEL OF EVIDENCE Prognostic and Epidemiologic; level III. (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - February 24, 2022 Category: Surgery Tags: INDEPENDENT SUBMISSIONS Source Type: research

Mechanism of penetrating injury mediates the risk of long-term adverse outcomes for survivors of violent trauma
CONCLUSION Patients surviving a stab wound have a significantly higher risk of violent reinjury by stabbing or assault, and risk of death by drug/alcohol overdose. Hospital-based violence intervention programs with similar patient populations should explore options to expand partnerships with drug treatment programs. These results illustrate two distinct populations of victims of violence―gunshot victims and stabbing/assault victims―with separate risk factors and outcomes, mediated by substance use disorder. LEVEL OF EVIDENCE Prognostic and Epidemiologic; level III. (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - February 24, 2022 Category: Surgery Tags: INDEPENDENT SUBMISSIONS Source Type: research

Variations in clot phenotype following injury: The MA-R ratio and fragile clots
CONCLUSIONS MA-R identifies a trauma-induced coagulopathy phenotype characterized in blunt injury by impaired thrombin generation that is associated with early and late mortality. The endotheliopathy and tissue factor release likely plays a role in the cascade of impaired thrombin burst, possible early fibrinogen consumption and the weaker clot identified by MA-R. LEVEL OF EVIDENCE Therapeutic/care management, level II. (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - February 24, 2022 Category: Surgery Tags: 2021 WTA ORAL Source Type: research

Emergency medical services shock index is the most accurate predictor of patient outcomes after blunt torso trauma
This study aimed to evaluate the predictive ability of SI and ∆SI in a rural environment with prolonged transport times and transfers from critical access hospitals or level IV trauma centers. METHODS We completed a retrospective database review at an American College of Surgeons verified level 1 trauma center for 2 years. Adult subjects analyzed sustained torso trauma. Subjects with missing data or severe head trauma were excluded. For analysis, poisson regression and binomial logistic regression were used to study the effect of time in transport and SI/∆SI on resource utilization and outcomes. p (Source: Journ...
Source: Journal of Trauma and Acute Care Surgery - February 24, 2022 Category: Surgery Tags: 2021 AAST POSTER Source Type: research

Mesenchymal stem cell extracellular vesicles mitigate vascular permeability and injury in the small intestine and lung in a mouse model of hemorrhagic shock and trauma
CONCLUSION Mesenchymal stem cell EVs recapitulate the effects of MSCs in reducing vascular permeability and injury in the small intestine and lungs in vivo, suggesting MSC EVs may be a potential cell-free therapy targeting multi-organ dysfunction in HS/T. This is the first study to demonstrate that MSC EVs improve both gut and lung injury in an animal model of HS/T. (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - February 24, 2022 Category: Surgery Tags: 2021 AAST PODIUM PAPERS Source Type: research

Comparison of National Surgical Quality Improvement Program Surgical Risk Calculator, Trauma and Injury Severity Score, and American Society of Anesthesiologists Physical Status to predict operative trauma mortality in elderly patients
CONCLUSION The NSQIP-SRC, which includes comorbidities and functional status, had superior ability to predict mortality, LOS, and complications compared with TRISS alone in elderly trauma patients undergoing surgery. LEVEL OF EVIDENCE Prognostic and Epidemiologic; Level III (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - February 24, 2022 Category: Surgery Tags: 2021 AAST PODIUM PAPERS Source Type: research

Error reduction in trauma care: Lessons from an anonymized, national, multicenter mortality reporting system
CONCLUSION Most strategies to reduce errors in trauma centers focus on changing the performance of providers rather than system-level interventions such as automation, standardization, and fail-safe approaches. Centers require additional support to develop more effective mitigations that will prevent recurrent errors and patient harm. LEVEL OF EVIDENCE Therapeutic/Care Management, level V. (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - February 24, 2022 Category: Surgery Tags: 2021 AAST PODIUM PAPERS Source Type: research

Meetings/Courses
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - September 1, 2021 Category: Surgery Tags: DEPARTMENT Source Type: research

Featured articles for cme credit september 2021
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - September 1, 2021 Category: Surgery Tags: CONTINUING MEDICAL EDUCATION PROGRAM Source Type: research

Reply to Swinging the pendulum in prehospital trauma mortality needs a more holistic approach
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - September 1, 2021 Category: Surgery Tags: LETTERS TO THE EDITOR Source Type: research

Letter to the Editor: Swinging the pendulum in prehospital trauma mortality needs a more holistic approach
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - September 1, 2021 Category: Surgery Tags: LETTERS TO THE EDITOR Source Type: research

Response to letter to the editor: Hemodynamic effects of trauma rapid sequence intubation induction agents are not only related to the medication used
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - September 1, 2021 Category: Surgery Tags: LETTERS TO THE EDITOR Source Type: research

Letter to the editor: Hemodynamic effects of trauma rapid sequence intubation induction agents are not only related to the medication used
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - September 1, 2021 Category: Surgery Tags: LETTERS TO THE EDITOR Source Type: research

In Response to: Outcomes of open abdomen versus primary closure following emergent laparotomy for suspected secondary peritonitis: A propensity-matched analysis
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - September 1, 2021 Category: Surgery Tags: LETTERS TO THE EDITOR Source Type: research

Organ Injury Scaling 2020 update: Bowel and mesentery
No abstract available (Source: Journal of Trauma and Acute Care Surgery)
Source: Journal of Trauma and Acute Care Surgery - September 1, 2021 Category: Surgery Tags: CURRENT OPINION Source Type: research