The Journal of Trauma: Injury, Infection, and Critical Care The Journal of Trauma: Injury, Infection, and Critical Care RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Skilled maneuvering: Evaluation of a young driver advanced training program
CONCLUSION The program achieved its intended outcomes of improving safe driving knowledge and behaviors among its target population. LEVEL OF EVIDENCE Prognostic/Epidemiologic, Level V. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - May 1, 2022 Category: Orthopaedics Tags: 2021 EAST QUICK SHOT Source Type: research

Life threat during assaultive trauma: Critical posttraumatic stress disorder risk factors for injured patients
CONCLUSION Experiencing assaultive trauma and life threat led to greater symptoms of PTSD. Individuals with assaultive traumas who experienced life threat may represent a specific at-risk group following injury. Avoidance can protract functional impairment and impede access to care, negatively impacting recovery. This study highlights a need to assess for these peritrauma factors during hospitalization and supports early intervention targeting avoidance and intrusive symptoms in this group. LEVEL OF EVIDENCE Prognostic/Epidemiologic, Level IV. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - May 1, 2022 Category: Orthopaedics Tags: 2021 AAST QUICK SHOT Source Type: research

Prehospital low titer group O whole blood is feasible and safe: Results of a prospective randomized pilot trial
INTRODUCTION Low titer group O whole blood (LTOWB) resuscitation is increasingly common in both military and civilian settings. Data regarding the safety and efficacy of prehospital LTOWB remain limited. METHODS We performed a single-center, prospective, cluster randomized, prehospital through in-hospital whole blood pilot trial for injured air medical patients. We compared standard prehospital air medical care including red cell transfusion and crystalloids followed by in-hospital component transfusion to prehospital and in-hospital LTOWB resuscitation. Prehospital vital signs were used as inclusion criteria (s...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - May 1, 2022 Category: Orthopaedics Tags: 2021 AAST QUICK SHOT Source Type: research

Pediatric trauma in the California-Mexico border region: Injury disparities by Area Deprivation Index
BACKGROUND The California-Mexico border region is a high-volume trauma area with populations of widely disparate socioeconomic status. This work analyzed differences in demographics and mechanism of injury in children using the Area Deprivation Index (ADI), a composite measure of 17 markers of neighborhood socioeconomic disadvantage. METHODS A retrospective review was performed of pediatric patients evaluated at the regional Level I Pediatric Trauma Center between 2008 and 2018. Collected data included patient demographics and injury characteristics. Patient addresses were correlated to neighborhood disadvantage...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - May 1, 2022 Category: Orthopaedics Tags: 2021 AAST PODIUM PAPERS Source Type: research

Evaluating the complex association between Social Vulnerability Index and trauma mortality
INTRODUCTION Social determinants of health are known to impact patient-level outcomes, but they are often difficult to measure. The Social Vulnerability Index was created by the Centers for Disease Control to identify vulnerable communities using population-based measures. However, the relationship between SVI and trauma outcomes is poorly understood. METHODS In this retrospective study, we merged SVI data with a statewide trauma registry and used three analytic models to evaluate the association between SVI quartile and inpatient trauma mortality: (1) an unadjusted model, (2) a claims-based model using only cov...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - May 1, 2022 Category: Orthopaedics Tags: 2021 AAST PODIUM PAPERS Source Type: research

The effect of tranexamic acid dosing regimen on trauma/hemorrhagic shock-related glycocalyx degradation and endothelial barrier permeability: An in vitro model
CONCLUSION There was a concentration and temporal effect of TXA administration on endothelial glycocalyx degradation. This was associated with “vascular leakiness” as indexed by the relative ratio of Ang-2/1 and polymorphonuclear neutrophil transmigration. Tranexamic acid if administered in patients with T/HS should be administered “early”; this includes in the prehospital setting. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - May 1, 2022 Category: Orthopaedics Tags: 2021 AAST PODIUM PAPERS Source Type: research

Impact of time to surgery on mortality in hypotensive patients with noncompressible torso hemorrhage: An AAST multicenter, prospective study
BACKGROUND Death from noncompressible torso hemorrhage (NCTH) may be preventable with improved prehospital care and shorter in-hospital times to hemorrhage control. We hypothesized that shorter times to surgical intervention for hemorrhage control would decrease mortality in hypotensive patients with NCTH. METHODS This was an AAST-sponsored multicenter, prospective analysis of hypotensive patients aged 15+ years who presented with NCTH from May 2018 to December 2020. Hypotension was defined as an initial systolic blood pressure (SBP) ≤ 90 mm Hg. Primary outcomes of interest were time to surgical intervention a...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - May 1, 2022 Category: Orthopaedics Tags: 2021 AAST PODIUM PAPERS Source Type: research

Operating room resuscitation
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - May 1, 2022 Category: Orthopaedics Tags: COMMENTARY Source Type: research

Direct to OR resuscitation of abdominal trauma: An NTDB propensity matched outcomes study
BACKGROUND Direct to operating room resuscitation (DOR) is used by some trauma centers for severely injured trauma patients as an approach to minimize time to hemorrhage control. It is unknown whether this strategy results in favorable outcomes. We hypothesized that utilization of an emergency department operating room (EDOR) for resuscitation of patients with abdominal trauma at an urban Level I trauma center would be associated with decreased time to laparotomy and improved outcomes. METHODS We included patients 15 years or older with abdominal trauma who underwent emergent laparotomy within 120 minutes of arr...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - May 1, 2022 Category: Orthopaedics Tags: 2021 AAST PODIUM PAPERS Source Type: research

Beta blockade in TBI: Dose-dependent reductions in BBB leukocyte mobilization and permeability in vivo
BACKGROUND Traumatic brain injury (TBI) is accompanied by a hyperadrenergic catecholamine state that can cause penumbral neuroinflammation. Prospective human studies demonstrate improved TBI survival with beta blockade (bb), although mechanisms remain unclear. We hypothesized that deranged post-TBI penumbral blood brain barrier (BBB) leukocyte mobilization and permeability are improved by bb. METHODS CD1 male mice (n = 64) were randomly assigned to severe TBI—controlled cortical impact: 6 m/s velocity, 1 mm depth, 3 mm diameter—or sham craniotomy, and IP injection of either saline or propranolol (1, 2, or 4 ...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - May 1, 2022 Category: Orthopaedics Tags: 2021 AAST PODIUM PAPERS Source Type: research

It is time to look in the mirror: Individual surgeon outcomes after emergent trauma laparotomy
CONCLUSION Significant differences exist in outcomes by surgeon after ETL. Benchmarking surgeon level performance is a necessary natural progression of quality assurance programs for individual trauma centers. Additional data from multiple centers will be vital to allow for development of more granular quality metrics to foster introspective case review and quality improvement. LEVEL OF EVIDENCE Therapeutic/care management, level III. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - May 1, 2022 Category: Orthopaedics Tags: 2021 AAST PODIUM PAPERS Source Type: research

Meetings/Courses
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - February 1, 2022 Category: Orthopaedics Tags: DEPARTMENT Source Type: research

Featured articles for cme credit february 2022
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - February 1, 2022 Category: Orthopaedics Tags: CONTINUING MEDICAL EDUCATION PROGRAM Source Type: research

Endovascular management of axillosubclavian artery injuries
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - February 1, 2022 Category: Orthopaedics Tags: PROCEDURES & TECHNIQUES Source Type: research

States should use Medicaid to support violence intervention efforts
In recent years, calls to address gun violence through public health approaches have increased. However, securing funding for health-based community violence intervention models has remained a challenge. New actions suggest that this may be shifting. Upon taking office, the Biden administration announced a series of funding opportunities for these programs, which ranged from competitive grant programs to a proposed 8-year, $5 billion plan. Less publicized, but just as important, is the administration's announcement that Medicaid can be used to reimburse this work, specifically noting the eligibility of hospital-based viole...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - February 1, 2022 Category: Orthopaedics Tags: CURRENT OPINION Source Type: research