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

Reply to letter to the editor: Conservative management of occult pneumothorax in mechanically ventilated patients—A systematic review and meta-analysis
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2022 Category: Orthopaedics Tags: LETTERS TO THE EDITOR Source Type: research

Letter to the editor: Conservative management of occult pneumothorax in mechanically ventilated patients—A systematic review and meta-analysis
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2022 Category: Orthopaedics Tags: LETTERS TO THE EDITOR Source Type: research

Letter in reply regarding “Clinical utilization of deployed military surgeons”
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2022 Category: Orthopaedics Tags: LETTERS TO THE EDITOR Source Type: research

Letter regarding “Clinical utilization of deployed military surgeons”
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2022 Category: Orthopaedics Tags: LETTERS TO THE EDITOR Source Type: research

The Kampala Trauma Score: A 20-year track record
Quantifying the severity of traumatic injury has been foundational for the standardization of outcomes, quality improvement research, and health policy throughout the evolution of trauma care systems. Many injury severity scores are difficult to calculate and implement, especially in low- and middle-income countries (LMICs) where human resources are limited. The Kampala Trauma Score (KTS)—a simplification of the Trauma Injury Severity Score—was developed in 2000 to accommodate these settings. Since its development, numerous instances of KTS use have been documented, but extent of adoption is unknown. More importantly, ...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2022 Category: Orthopaedics Tags: REVIEW ARTICLE Source Type: research

Correlation of prehospital point-of-care international normalized ratio to laboratory-based international normalized ratio in acute traumatic coagulopathy
No abstract available (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2022 Category: Orthopaedics Tags: SPECIAL REPORT Source Type: research

Screening tools for predicting posttraumatic stress disorder in acutely injured adult trauma patients: A systematic review
CONCLUSION Although sensitivity and specificity of PTSD predictive tools varied widely, several emerged with favorable predictive accuracy. Further research is needed to define the ability of screening and intervention to prevent PTSD in injured trauma survivors. The results of this review can inform screening tool options for screening programs and future intervention studies. LEVEL OF EVIDENCE Systematic review, level III. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2022 Category: Orthopaedics Tags: SYSTEMATIC REVIEW Source Type: research

Accuracy of risk tools to predict critical bleeding in major trauma: A systematic review with meta-analysis
CONCLUSION Clinicians should consider risk tools to predict critical bleeding in a time-sensitive setting like major life-threatening trauma. The Shock Index and Shock Index Pediatric Age adjusted are easy and handy tools to predict critical bleeding in the prehospital setting. In the emergency department, however, many other tools can be used, which include laboratory and ultrasound assessments, depending on staff experience and resources. LEVEL OF EVIDENCE Systematic Review and Meta-Analysis; Level III. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2022 Category: Orthopaedics Tags: SYSTEMATIC REVIEW AND META-ANALYSIS Source Type: research

Damage-control surgery in patients with nontraumatic abdominal emergencies: A systematic review and meta-analysis
CONCLUSION This meta-analysis revealed no significantly different mortality in patients undergoing nontrauma DCS versus CS. However, observed mortality was significantly lower than the expected mortality rate in the DCS group, suggesting a benefit of the DCS approach. Based on these two findings, the effect of DCS on mortality in patients with nontraumatic abdominal emergencies remains unclear. Further prospective investigation into this topic is warranted. LEVEL OF EVIDENCE Systematic review and meta-analysis, level III. (Source: The Journal of Trauma: Injury, Infection, and Critical Care)
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2022 Category: Orthopaedics Tags: SYSTEMATIC REVIEW AND META-ANALYSIS Source Type: research

Are burns a chronic condition? Examining patient reported outcomes up to 20 years after burn injury—A Burn Model System National Database investigation
CONCLUSION Burn survivors' physical and mental health and satisfaction with life worsened over time up to 20 years after injury. Results strongly suggest that future studies should focus on long-term follow-up where clinical interventions may be necessary. 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 - June 1, 2022 Category: Orthopaedics Tags: INDEPENDENT SUBMISSIONS Source Type: research

Resource utilization and secondary overtriage for patients with traumatic renal injuries in a regional trauma system
BACKGROUND While renal trauma management has shifted to conservative nonoperative management, insufficient data exist to guide interhospital renal trauma transfer protocols. Secondary overtriage is defined as the potentially avoidable transfer of patients from a lower to a higher-level trauma center despite the lack of need for higher-level care. The goal of this study was to determine the prevalence and predictors of secondary overtriage in renal trauma patients to a level 1 trauma center. METHODS A retrospective cohort study was performed of all renal trauma patients transferred to a level 1 institution betwee...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2022 Category: Orthopaedics Tags: INDEPENDENT SUBMISSIONS Source Type: research

Balancing enrollment and mortality in hemorrhage control trials: A secondary analysis of the PROPPR trial
BACKGROUND Designing clinical trials on hemorrhage control requires carefully balancing the need for high enrollment numbers with the need of focusing on the sickest patients. The Pragmatic Randomized Optimal Platelet and Plasma Ratios (PROPPR) trial enrolled patients within 2 hours of arrival to the emergency department for a trial of injured patients at risk for massive transfusion. We conducted a secondary analysis to determine how time-to-randomization affected patient outcomes and the balance between enrollment and mortality. METHODS Patients from the Pragmatic Randomized Optimal Platelet and Plasma Ratios ...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2022 Category: Orthopaedics Tags: INDEPENDENT SUBMISSIONS Source Type: research

Rib fixation in non–ventilator-dependent chest wall injuries: A prospective randomized trial
CONCLUSION In this study, no improvements in pain or QoL at 3 and 6 months in patients undergoing rib fixation for nonflail, non–ventilator-dependent rib fractures have been demonstrated. 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 - June 1, 2022 Category: Orthopaedics Tags: INDEPENDENT SUBMISSIONS Source Type: research

Destructive colon injuries requiring resection: Is colostomy ever indicated?
CONCLUSION Liberal primary anastomosis should be considered in almost all patients with destructive colon injuries requiring resection, irrespective of risk factors. 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 - June 1, 2022 Category: Orthopaedics Tags: INDEPENDENT SUBMISSIONS Source Type: research