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.

Developing a National Trauma Research Action Plan: Results from the Pediatric Research Gap Delphi Survey
CONCLUSION This diverse panel of experts determined that most significant pediatric trauma research gaps were in traumatic brain injury, hemorrhagic shock, and the prehospital phase of care. These research domains should be top priorities for funding agencies. 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 - September 1, 2022 Category: Orthopaedics Tags: INDEPENDENT SUBMISSION Source Type: research

Trauma bay virtual reality—A game changer for ATLS instruction and assessment
Conclusions In this pilot study using a sample of convenience, TVRSim was able to discern decision-making abilities among trainees with increasing experience. All trainees felt that the platform enhanced their performance and facilitated skill acquisition and learning. TVRSim could be a useful adjunct to teach and assess ATLS skills. 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 - September 1, 2022 Category: Orthopaedics Tags: AAST PODIUM 2020 Source Type: research

Do new trauma centers provide needed or redundant access? A nationwide analysis
BACKGROUND Our prior research has demonstrated that increasing the number of trauma centers (TCs) in a state does not reliably improve state-level injury-related mortality. We hypothesized that many new TCs would serve populations already served by existing TCs, rather than in areas without ready TC access. We also hypothesized that new TCs would also be less likely to serve economically disadvantaged populations. METHODS All state-designated adult TCs registered with the American Trauma Society in 2014 and 2019 were mapped using ArcGIS Pro (ESRI Inc., Redlands, CA). Trauma centers were grouped as Level 1 or 2 (...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - September 1, 2022 Category: Orthopaedics Tags: EAST PODIUM 2022 Source Type: research

Growing the next generation of trauma surgeon-scientists: Reflections on 20 years of research investment
This study investigates the impact of these programs on academic productivity. METHODS Pubmed records, National Institutes of Health (NIH) Reporter data, and SCOPUS h-index were acquired for all scholarship (SCH) awardees from 2002 to 2021 (n = 20) and all INVEST-C (INV) participants (2017–2020, n = 19). Current type of practice, total number of funding awards, and timing of first award were ascertained. INVEST-C participants were also surveyed on an annual basis to track their progress. Medians (interquartile range [IQR]) are reported and compared (analysis of variance). RESULTS Median publications (PUBs) ...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - September 1, 2022 Category: Orthopaedics Tags: EAST PODIUM 2022 Source Type: research

Beyond pain and disability: The lasting effects of trauma on life after injury
BACKGROUND The impact of traumatic injury likely extends beyond direct physical consequences and lasts well beyond the acute injury phase. Data collection is sparse after hospital discharge, however. In this observational study, we hypothesized that sequelae of injury would last at least 6 months and sought to prospectively determine patient-reported physical, emotional, and social outcomes during this postinjury period. METHODS We surveyed patients admitted to our Level I trauma center (July 2019 to October 2020) regarding baseline functioning and quality of life after injury, using the Patient-Reported Outcome...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - September 1, 2022 Category: Orthopaedics Tags: EAST PODIUM 2022 Source Type: research

Falls from ladders: Injury patterns and outcomes
BACKGROUND Our contemporary understanding of the impact of falls from ladders remains limited. The purpose of this study was to examine the injury patterns and outcomes of falls from ladders. Our hypothesis was that age affects both injury type and outcomes. METHODS The National Trauma Data Bank was queried for all patients who fell from a ladder (January 2007 to December 2017). Participants were stratified into four groups according to age: 15 years or younger, 16 years to 50 years, 51 years to 65 years, and older than 65 years. Univariate and multivariate analyses were performed to compare the injury patterns ...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - September 1, 2022 Category: Orthopaedics Tags: AAST POSTER 2021 Source Type: research

Hyperglycemia in nondiabetic adult trauma patients is associated with worse outcomes than diabetic patients: An analysis of 95,764 patients
BACKGROUND The adverse impact of acute hyperglycemia is well documented but its specific effects on nondiabetic trauma patients are unclear. The purpose of this study was to analyze the differential impact of hyperglycemia on outcomes between diabetic and nondiabetic trauma inpatients. METHODS Adults admitted 2018 to 2019 to 46 Level I/II trauma centers with two or more blood glucose tests were analyzed. Diabetes status was determined from International Classification of Diseases—10th Rev.—Clinical Modification, trauma registry, and/or hemoglobin A1c greater than 6.5. Patients with and without one or more hy...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - September 1, 2022 Category: Orthopaedics Tags: AAST POSTER 2021 Source Type: research

After 9,000 laparotomies for blunt trauma, resuscitation is becoming more balanced and time to intervention shorter: Evidence in action
BACKGROUND Several advancements in hemorrhage control have been advocated for in the past decade, including balanced transfusions and earlier times to intervention. The aim of this study was to examine the effect of these advancements on outcomes of blunt trauma patients undergoing emergency laparotomy. METHODS This is a 5-year (2013–2017) analysis of the Trauma Quality Improvement Program. Adult (18 years or older) blunt trauma patients with early (≤4 hours) packed red blood cell (PRBC) and fresh frozen plasma (FFP) transfusions and an emergency (≤4 hours) laparotomy for hemorrhage control were identified...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - September 1, 2022 Category: Orthopaedics Tags: AAST PODIUM 2021 Source Type: research

Characterizing physical trauma in children and youth with special health care needs
This study describes CYSHCN within the pediatric trauma system and examines patterns of injury risk (i.e., intent, place of injury, trauma type, and mechanism of injury) based on special health care need (SHCN) status. METHODS For this cross-sectional study, we used data from the 2018 National Trauma Data Bank to identify pediatric encounters (1–18 years, N = 115,578) and compare demographics (sex, race/ethnicity, insurance status, and age) by CYSHCN status using χ2 and t tests. Children and youth with special health care needs encounters were compared with non-SHCN encounters using multinomial logistic regressio...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - September 1, 2022 Category: Orthopaedics Tags: PTS PODIUM 2021 Source Type: research

Prehospital factors predict outcomes in pediatric trauma: A principal component analysis
BACKGROUND Trauma team activation leveling decisions are complex and based on many variables. Accurate triage decisions improve patient safety and resource utilization. Our purpose was to establish proof-of-concept for using principal component analysis (PCA) to identify multivariate predictors of injury severity and to assess their ability to predict outcomes in pediatric trauma patients. We hypothesized that we could identify significant principal components (PCs) among variables used for decisions regarding trauma team activation and that PC scores would be predictive of outcomes in pediatric trauma. METHODS ...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - September 1, 2022 Category: Orthopaedics Tags: PTS PODIUM 2021 Source Type: research

Relationships between socioeconomic deprivation and pediatric firearm-related injury at the neighborhood level
BACKGROUND Disparities in pediatric injury are widely documented and partly driven by differential exposures to social determinants of health (SDH). Here, we examine associations between neighborhood-level SDH and pediatric firearm-related injury admissions as a step to defining specific targets for interventions to prevent injury. METHODS We conducted a retrospective review of patients 16 years or younger admitted to our Level I pediatric trauma center (2010–2019) after a firearm-related injury. We extracted patients’ demographic characteristics and intent of injury. We geocoded home addresses to enable qua...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - September 1, 2022 Category: Orthopaedics Tags: PTS PODIUM 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 - July 1, 2022 Category: Orthopaedics Tags: DEPARTMENT Source Type: research

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

Response to letter to the editor
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - July 1, 2022 Category: Orthopaedics Tags: AUTHOR'S REPLY Source Type: research

Ultrasound is superior to supine chest x-ray for the diagnosis of clinically relevant traumatic pneumothorax
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - July 1, 2022 Category: Orthopaedics Tags: LETTER TO THE EDITOR Source Type: research