The Journal of Trauma: Injury, Infection, and Critical Care This 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.

Practice patterns after implementation of a selective spinal immobilization protocol in a regional trauma system
CONCLUSION Implementation of a selective spinal immobilization protocol did not reduce prehospital immobilization rates in a regional trauma system. Given the entrenched nature of immobilization practices, more intensive education and training strategies are needed. Efforts should prioritize eliminating immobilization for isolated penetrating trauma given its association with increased mortality. LEVEL OF EVIDENCE Therapeutic/Care Management; Level IV. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 23, 2022 Category: Orthopaedics Tags: AAST POSTER 2021 Source Type: research

Tactics for hemorrhagic shock: A virtual course and visual aid for improved resuscitation
BACKGROUND Our trauma performance improvement initiative recognized missed treatment opportunities for patients undergoing massive transfusion. To improve patient care, we developed a novel cognitive aid in the form of a poster entitled “TACTICS for Hemorrhagic Shock.” We hypothesized that this reference and corresponding course would improve the performance of trauma leaders caring for simulated patients requiring massive transfusion. METHODS First, residents and physician assistants participated in a one-on-one, socially distanced, screen-based virtual patient simulation. Next, they watched a short present...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 23, 2022 Category: Orthopaedics Tags: AAST POSTER 2021 Source Type: research

Hospital readmission after blunt traumatic rib fractures
CONCLUSION In patients with traumatic rib fractures, those with anticoagulant use, those who actively smoke, those with a psychiatric diagnosis, or those with associated abdominal injuries are at the highest risk of rehospitalization following discharge. Quality improvement should focus on strategies and protocols directed toward these groups to reduce nonelective readmissions. LEVEL OF EVIDENCE Prognostic and Epidemiological; Level IV. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 23, 2022 Category: Orthopaedics Tags: AAST POSTER 2021 Source Type: research

Operative trauma volume is not related to risk-adjusted mortality rates among Pennsylvania trauma centers
CONCLUSION In a mature trauma system, we found no association between center-level operative volume and mortality for patients who required early operative intervention for trauma. Efforts to standardize the care of seriously injured patients in Pennsylvania may ensure that even lower-volume centers are prepared to generate satisfactory outcomes. 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 23, 2022 Category: Orthopaedics Tags: AAST POSTER 2021 Source Type: research

The evolution of a chest wall injury and reconstruction clinic during a pandemic
CONCLUSION The initiation of a CWIRC increased wRVU production despite a decrease in clinical encounters. These clinics may produce more wRVUs per encounter than ACS/GS clinics. An underserved population has been identified of chest wall pathology patients presenting for initial evaluation as outpatients. Further investigation into this concept is warranted to serve this population. LEVEL OF EVIDENCE Therapeutic/Care Management; Level IV. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 23, 2022 Category: Orthopaedics Tags: CWIS 2022 Source Type: research

Lucky number 13: Association between center-specific chest wall stabilization volumes and patient outcomes
CONCLUSION Center-specific CWS volume is associated with superior in-hospital patient outcomes. These findings support efforts to establish CWI centers of excellence. Further investigation should explore the impact of center-specific volume on patient-reported outcomes including pain and postdischarge quality of life. LEVEL OF EVIDENCE Prognostic and Epidemiologic; Level III. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 23, 2022 Category: Orthopaedics Tags: CWIS 2022 Source Type: research

Finite element analysis for better evaluation of rib fractures: A pilot study
CONCLUSION Finite element analysis is a promising technology for analyzing CWS. Future studies need to focus on clinical relevance and application of this technology. LEVEL OF EVIDENCE Diagnostic Tests or Criteria; Level IV. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 23, 2022 Category: Orthopaedics Tags: CWIS 2022 Source Type: research

Redefining the costal margin: A pilot study
CONCLUSION The ninth rib is commonly attached to the eighth rib, but the tenth rib is often not attached to the ninth rib. Most commonly, the tenth rib is a “floating” rib. Internal subluxation of the tenth rib as well as the presence of a hooked tip may predispose individuals to the development of “slipped rib syndrome.” LEVEL OF EVIDENCE Diagnostic Tests or Criteria; Level III. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 23, 2022 Category: Orthopaedics Tags: CWIS 2022 Source Type: research

DeepBackRib: Deep learning to understand factors associated with readmissions after rib fractures
CONCLUSION We developed and internally validated a high-performing deep learning algorithm that elucidates factors associated with readmissions after rib fractures. Despite promising predictive performance, standalone deep learning algorithms are insufficient for clinical prediction tasks: a concerted effort is needed to ensure that clinical prediction algorithms remain explainable. 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 23, 2022 Category: Orthopaedics Tags: CWIS 2022 Source Type: research

Three-dimensional mapping of sternum fractures from high-energy trauma
CONCLUSION This study presents the fractures from sternum injuries in 3D, and provides insight into reproducible sternum injury patterns that have not previously been analyzed in this format. This fracture mapping technique presents numerous injury patterns simultaneously, such that more frequent morphologies can be appreciated for different patient groups. LEVEL OF EVIDENCE Diagnostic Tests or Criteria; Level V. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 23, 2022 Category: Orthopaedics Tags: CWIS 2022 Source Type: research

A method for identifying the learning curve for the surgical stabilization of rib fractures
CONCLUSION The institutional and individual surgeon learning curves for SSRF appears to steadily improve after 15 to 20 operations using operative time as a surrogate for performance. The implementation of SSRF programs by trauma/acute care surgeons is feasible with an attainable learning curve. LEVEL OF EVIDENCE Therapeutic/Care Management; Level IV. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 23, 2022 Category: Orthopaedics Tags: CWIS 2022 Source Type: research

Interobserver agreement for the Chest Wall Injury Society taxonomy of rib fractures using computed tomography images
CONCLUSION Agreement on rib fracture location was strong and moderate for fracture type. Agreement on displacement was lower than expected. Evaluating strategies such as comprehensive education, additional imaging techniques, or further specification of the definitions will be needed to increase agreement on the classification of rib fracture type and displacement as defined by the Chest Wall Injury Society taxonomy. LEVEL OF EVIDENCE Diagnostic Test or Criteria; Level IV. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 23, 2022 Category: Orthopaedics Tags: CWIS 2022 Source Type: research

Surgical stabilization of rib fractures versus nonoperative treatment in patients with multiple rib fractures following cardiopulmonary resuscitation: An international, retrospective matched case-control study
CONCLUSION Despite matching, those who underwent SSRF over nonoperative management for multiple rib fractures following CPR had more severe consequential chest wall injury and a longer ICU LOS. A benefit of SSRF on in-hospital outcomes could not be demonstrated. A low consultation rate for rib fixation in the nonoperative group indicates that the consideration to perform SSRF in this population might be associated with other nonradiographic or injury-related variables. 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 - November 23, 2022 Category: Orthopaedics Tags: CWIS 2022 Source Type: research

Rib fixation in patients with severe rib fractures and pulmonary contusions: Is it safe?
CONCLUSION In patients with severe rib fracture patterns, higher BPC18 score is associated with worse respiratory outcomes and longer ICU and hospital admission duration. The presence of pulmonary contusions is not associated with worse SSRF outcomes, and SSRF is associated with better outcomes for patients with mild to moderate pulmonary contusions. LEVEL OF EVIDENCE Therapeutic/Care Management; Level IV. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - November 23, 2022 Category: Orthopaedics Tags: CWIS 2022 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, 2022 Category: Orthopaedics Tags: DEPARTMENT Source Type: research