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.

Combatting ischemia reperfusion injury from resuscitative endovascular balloon occlusion of the aorta using adenosine, lidocaine and magnesium: A pilot study
CONCLUSION Adenosine, lidocaine, and magnesium may prove beneficial in mitigating the inflammatory response seen from REBOA-associated IRI as evidenced by physiologic improvements early during resuscitation. Despite this, further refinement should be sought to optimize treatment strategies. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 30, 2021 Category: Orthopaedics Tags: 2021 EAST PODIUM Source Type: research

Plasma metagenomic sequencing to detect and quantify bacterial DNA in ICU patients suspected of sepsis: A proof-of-principle study
BACKGROUND Timely recognition of sepsis and identification of pathogens can improve outcomes in critical care patients but microbial cultures have low accuracy and long turnaround times. In this proof-of-principle study, we describe metagenomic sequencing and analysis of nonhuman DNA in plasma. We hypothesized that quantitative analysis of bacterial DNA (bDNA) levels in plasma can enable detection and monitoring of pathogens. METHODS We enrolled 30 patients suspected of sepsis in the surgical trauma intensive care unit and collected plasma samples at the time of diagnostic workup for sepsis (baseline), and 7 day...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 30, 2021 Category: Orthopaedics Tags: 2019 AAST PODIUM Source Type: research

Readmission for pleural space complications after chest wall injury: Who is at risk?
CONCLUSION We describe the subset of chest wall injury patients who require hospital readmission for PDPSC. Characteristics from index hospitalization associated with PDPSC include older age, female sex, heavier weight, presence of rib fractures, pleural space abnormality, scapular fracture, and chest tube placement. Further studies are needed to characterize this at-risk chest wall injury population, and to determine what interventions can facilitate outpatient management of postdischarge pleural space complications and mitigate readmission risk. LEVEL OF EVIDENCE Prognostic and epidemiologic, Level IV; Care ma...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 30, 2021 Category: Orthopaedics Tags: CWIS 2021 Source Type: research

Intercostal nerve cryoablation during surgical stabilization of rib fractures
CONCLUSION This pilot study performing 135 intercostal nerve cryoablations on 20 patients suggests that IC is safe and feasible for patients undergoing SSRF. Evaluating IC's analgesic efficacy for rib fractures requires further study. LEVEL OF EVIDENCE Therapeutic, Level V. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 30, 2021 Category: Orthopaedics Tags: CWIS 2021 Source Type: research

Chest wall injuries due to cardiopulmonary resuscitation and the effect on in-hospital outcomes in survivors of out-of-hospital cardiac arrest
This study aimed to assess the prevalence of chest wall injuries due to cardiopulmonary resuscitation for out-of-hospital cardiac arrest (OHCA) and to compare in-hospital outcomes in patients with versus without chest wall injuries. METHODS A retrospective cohort study of all intensive care unit (ICU)–admitted patients who underwent cardiopulmonary resuscitation for OHCA between January 1, 2007, and December 2019 was performed. The primary outcome was the occurrence of chest wall injuries, as diagnosed on chest computed tomography. Chest wall injury characteristics such as rib fracture location, type, and dislocat...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 30, 2021 Category: Orthopaedics Tags: CWIS 2021 Source Type: research

Three-dimensional volume-rendered computed tomography application for follow-up fracture healing and volume measurements pre–surgical rib fixation and post–surgical rib fixation
CONCLUSION Three-dimensional volume-rendered CT at 12 months post-SRF showed good alignment (no hardware failure) and fracture healing of fixed ribs in both flail and nonflail groups. Lung volumes also improved pre-SRF and post-SRF for both flail and nonflail patients. More studies are needed to define how the pattern of rib fracture healing of fixed and nonfixed ribs affects lung volumes. LEVEL OF EVIDENCE Therapeutic, Level V. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 30, 2021 Category: Orthopaedics Tags: CWIS 2021 Source Type: research

Discrepancies in rib fracture severity between radiologist and surgeon: A retrospective review
BACKGROUND Chest computed tomography (CT) scans are important for the management of rib fracture patients, especially when determining indications for surgical stabilization of rib fractures (SSRFs). Chest CTs describe the number, patterns, and severity of rib fracture displacement, driving patient management and SSRF indications. Literature is scarce comparing radiologist versus surgeon rib fracture description. We hypothesize there is significant discrepancy between how radiologists and surgeons describe rib fractures. METHODS This was an institutional review board–approved, retrospective study conducted at ...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 30, 2021 Category: Orthopaedics Tags: CWIS 2021 Source Type: research

Emulating an RCT in observational research in chest trauma: The target trial approach
CONCLUSION Failure to emulate a “target trial” framework may lead to serious methodologic issues in observational research. Expansion of the awareness of this approach in trauma literature will improve the quality of our observational research and potentially translate into significant benefits for our patients. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 30, 2021 Category: Orthopaedics Tags: CWIS 2021 Source Type: research

Pediatric surgical rib fixation: A collected case series of a rare entity
CONCLUSION Surgical stabilization of rib fractures in children is safe and feasible, and should be considered as an alternative to nonoperative therapy in select pediatric thoracic trauma cases. Potential indications for SSRF in pediatric patients include poor pain control, chest wall deformity, or ventilator dependence. Further studies are needed to establish the role and possible benefits of SSRF in pediatric thoracic trauma. LEVEL OF EVIDENCE Collected case series, level V. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 30, 2021 Category: Orthopaedics Tags: CWIS 2021 Source Type: research

Mapping of common rib fracture patterns and the subscapular flail chest associated with operative scapula fractures
CONCLUSION Patients indicated for operative treatment of scapula fractures have a substantial number of rib fractures that tend to most commonly occur posteriorly on the rib cage. There is a pattern of subscapular rib fractures and flail chest adjacent to the thick bony borders of the scapula. This study enables clinicians to better evaluate and diagnose scapular fracture patients with concomitant rib fractures. LEVEL OF EVIDENCE Diagnostic test, level IV. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 30, 2021 Category: Orthopaedics Tags: CWIS 2021 Source Type: research

Rib Fracture Frailty Index: A risk stratification tool for geriatric patients with multiple rib fractures
CONCLUSION The RFF Index is a practical frailty risk stratification tool for geriatric patients with multiple rib fractures. The mobile app we developed may facilitate rapid implementation and further validation of RFF Index at the bedside. LEVEL OF EVIDENCE Prognostic study, level III. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 30, 2021 Category: Orthopaedics Tags: CWIS 2021 Source Type: research

Long-term pulmonary function, thoracic pain, and quality of life in patients with one or more rib fractures
CONCLUSION While long-term pulmonary function and quality of life recover to values considered normal, subjective thoracic complaints, such as pain and dyspnea, remain frequently present following rib fractures. No effect of chest wall injury severity or treatment modality on long-term outcomes was demonstrated. LEVEL OF EVIDENCE Therapeutic, level III (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 30, 2021 Category: Orthopaedics Tags: CWIS 2021 Source Type: research

Are rib fractures stable? An analysis of progressive rib fracture offset in the acute trauma setting
CONCLUSION Rib fractures are not stable, particularly for those patients with multiple fractures in the mid-to-upper ribs localized to the posterolateral region. These findings may identify both trauma patients with worse outcomes and help develop better management strategies for rib fractures. LEVEL OF EVIDENCE Prognostic and epidemiological, level III. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 30, 2021 Category: Orthopaedics Tags: CWIS 2021 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 - November 1, 2021 Category: Orthopaedics Tags: DEPARTMENT Source Type: research

Featured articles for cme credit november 2021
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 1, 2021 Category: Orthopaedics Tags: CONTINUING MEDICAL EDUCATION PROGRAM Source Type: research