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.

Author reply: Not so FAST—chest ultrasound underdiagnoses 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: AUTHOR'S REPLY Source Type: research

Technique and timing may influence sensitivity of lung ultrasound for pneumothorax in trauma patients
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

Response to Letter to the Editor: Not so FAST—chest ultrasound underdiagnoses 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: AUTHOR'S REPLY Source Type: research

Not so FAST replacing the “e” in e-FAST with supine chest-x-ray
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

Value in acute care surgery, part 2: Defining and measuring quality outcomes
The prior article in this series delved into measuring cost in acute care surgery, and this subsequent work explains in detail how quality is measured. Specifically, objective quality is based on outcome measures, both from administrative and clinical registry databases from a multitude of sources. Risk stratification is key in comparing similar populations across diseases and procedures. Importantly, a move toward focusing on subjective outcomes like patient-reported outcomes measures and financial well-being are vital to evolving surgical quality measures for the 21st century. (Source: The Journal of Trauma: Injury, Infe...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - July 1, 2022 Category: Orthopaedics Tags: INDEPENDENT SUBMISSIONS Source Type: research

Data resources for evaluating the economic and financial consequences of surgical care in the United States
Evaluating the relationship between health care costs and quality is paramount in the current health care economic climate, as an understanding of value is needed to drive policy decisions. While many policy analyses are focused on the larger health care system, there is a pressing need for surgically focused economic analyses. Surgical care is costly, and innovative technology is constantly introduced into the operating room, and surgical care impacts patients' short- and long-term physical and economic well-being. Unfortunately, significant knowledge gaps exist regarding the relationship between cost, value, and economic...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - July 1, 2022 Category: Orthopaedics Tags: INDEPENDENT SUBMISSIONS Source Type: research

The surgical management of complicated peptic ulcer disease: An EAST video presentation
CONCLUSION Surgical management of PUD is reserved today for life-threatening complications for which the acute care surgeon must be prepared. This presentation provides demonstration of key surgical principles in management of bleeding and free perforation, as well as gastric resection, vagotomy and reconstruction. LEVEL OF EVIDENCE Video procedure and technique, not applicable. (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: 2022 EAST SURGICAL VIDEO Source Type: research

A reproducible strategy to solve problems
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: 2022 EAST ORIENS KEYNOTE ADDRESS Source Type: research

Burnout, shiftwork and suicide: 2022 Scott B. Frame Memorial Lecture
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: 2022 EAST – SCOTT B. FRAME LECTURE Source Type: research

Higher risk of auto versus pedestrian crashes in school-age children on school days
This study examines the rates of pediatric auto versus pedestrian collision (APCs) and determined ages and periods of greatest risk. We hypothesized that the rate of APC in children would be higher on school days and in the timeframes correlating with travel to and from school. METHODS Retrospective case-control study of APC on school and nonschool days for patients younger than 18 years at an urban Level II pediatric trauma center from January 2011 to November 2019. Frequency of APC by hour of the day was plotted overall, for school versus nonschool days and for age groups: 0 year to 4 years, 5 years to 9 years, 10...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - July 1, 2022 Category: Orthopaedics Tags: 2021 EAST PODIUM PAPER Source Type: research

FFP maintains normal coagulation while Kcentra induces a hypercoagulable state in a porcine model of pulmonary contusion and hemorrhagic shock
BACKGROUND Moderate injury can lead to a coagulopathy. Fresh frozen plasma (FFP) corrects coagulopathy by means of a balanced array of clotting factors. We sought to compare the late effects of FFP and a prothrombin complex concentrate (PCC) on the coagulopathy of trauma using a porcine model of pulmonary contusion (PC) and hemorrhagic shock (HS) designed to evaluate the organ protective effects of these treatments. METHODS Female Yorkshire swine (40–50 kg) were randomized to receive PC + HS or control (instrumented and uninjured). A blunt PC was created using a captive bolt gun. To induce HS, a liver crush in...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - July 1, 2022 Category: Orthopaedics Tags: 2021 EAST PODIUM PAPER Source Type: research

Center for Trauma Survivorship improves postdischarge follow-up and retention
BACKGROUND Although the need for high-level care persists postdischarge, severely injured trauma survivors have historically poor adherence to follow-up. We hypothesized that a dedicated Center for Trauma Survivorship (CTS) improves follow-up and facilitates postdischarge specialty care. METHODS A retrospective study of “CTS eligible” trauma patients before (January to December 2017) and after (January to December 2019) creation of the CTS was performed. Patients with an intensive care unit stay ≥2 days or a New Injury Severity Score of ≥16 are CTS eligible. The before (PRE) cohort was followed through D...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - July 1, 2022 Category: Orthopaedics Tags: 2022 EAST QUICK SHOT Source Type: research

Delayed splenic pseudoaneurysm identification with surveillance imaging
CONCLUSION Routine follow-up CT imaging after high-grade splenic injury identifies splenic artery pseudoaneurysm in a significant proportion of patients. Standardized surveillance imaging for high-grade splenic trauma promotes prospective identification of pseudoaneurysms, allowing for interventions to minimize delayed splenic injury complications. 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 - July 1, 2022 Category: Orthopaedics Tags: 2022 EAST QUICK SHOT Source Type: research

A multicenter validation of the modified brain injury guidelines: Are they safe and effective?
BACKGROUND The modified Brain Injury Guidelines (mBIG) are an algorithm for treating patients with traumatic brain injury and intracranial hemorrhage by which selected patients do not require a repeat head computed tomography, a neurosurgery consult, or even an admission. The mBIG refined the original Brain Injury Guidelines (BIG) to improve safety and reproducibility. The purpose of this study is to assess safety and resource utilization with mBIG implementation. METHODS The mBIG were implemented at three Level I trauma centers in August 2017. A multicenter retrospective review of prospectively collected data w...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - July 1, 2022 Category: Orthopaedics Tags: 2022 EAST QUICK SHOT Source Type: research

Tranexamic acid is not inferior to placebo with respect to adverse events in suspected traumatic brain injury patients not in shock with a normal head computed tomography scan: A retrospective study of a randomized trial
CONCLUSION Administration of either a 2-g TXA bolus or a 1-g TXA bolus plus 1-g TXA 8-hour infusion in suspected TBIs without ICH is not associated with increased adverse events or unfavorable outcomes. Because the out-of-hospital 2-g bolus is associated with a mortality benefit, it should be administered in suspected TBI. LEVEL OF EVIDENCE Therapeutic/Care Management; Level II. (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: 2022 EAST QUICK SHOT Source Type: research