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"Trauma Resuscitation Unit"

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https://www.readbyqxmd.com/read/27484828/-promoting-young-talents-in-trauma-surgery-through-students-on-call
#1
C Spering, M Tezval, K Dresing, H Burchhardt, M Wachowski, F August, S Frosch, T A Walde, K M Stürmer, W Lehmann, S Sehmisch
BACKGROUND: Due to restrictions on admission to medical school, changing claims to an optimized work-life balance and occupational perspectives, surgical professions in particular are struggling with strategies to motivate young academics. Surgical disziplines aim towards a profound transfer of knowledge and pique student's interest by ensuring a sustainable education at university. OBJECTIVES: The goal of this study was to evaluate a Students-On-Call System (SOCS) and to identify a financial benefit...
December 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27439226/fresh-approach-for-critically-ill-patients-with-time-sensitive-needs
#2
(no author information available yet)
To meet the needs of critically ill patients with time-sensitive needs, the University of Maryland Medical Center (UMMC) created the Critical Care Resuscitation Unit (CCRU), a six-bed, short-stay ICU designed to accelerate care to resource-heavy patients who require immediate evaluation and treatment. The CCRU is modeled after UMMC's trauma resuscitation unit, but with resources and staff geared toward non-trauma, critically ill patients, many of whom require life-saving care. The unit is largely staffed by emergency providers who have undergone additional training in critical care...
July 2016: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/26814750/gunshot-injury-without-direct-injury-to-the-cord-may-lead-to-complete-paraplegia
#3
F Klack, C Tassin, F Cotton, J Luaute, J Gauthier, J-S David
Paraplegia following gunshot injury without direct injury to the cord is extremely rare. We describe the case of a 31-year-old woman who was admitted to our trauma resuscitation unit for a penetrating gunshot wound to the abdomen with hemorrhagic shock and paraplegia. Computed tomography (CT) scan of the abdomen showed severe hepatic and pulmonary injuries, with the trajectory of the missile away from the spinal canal. Magnetic resonance imaging (MRI) confirmed a spine contusion from T8 to T10. After 24 months, no significant neurologic improvement occurred...
February 2011: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/25596627/acute-respiratory-distress-syndrome-and-outcomes-after-near-hanging
#4
Sahar Mansoor, Majid Afshar, Matthew Barrett, Gordon S Smith, Erik A Barr, Matthew E Lissauer, Michael T McCurdy, Sarah B Murthi, Giora Netzer
PURPOSE: The purpose of this study is to assess the case rate of acute respiratory distress syndrome (ARDS) after near hanging and the secondary outcomes of traumatic and/or anoxic brain injury and death. Risk factors for the outcomes were assessed. METHOD: The method is a single-center, statewide retrospective cohort study of consecutive patients admitted between August 2002 and September 2011, with a primary diagnosis of nonjudicial "hanging injury." RESULTS: Of 56 patients, 73% were male...
March 2015: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/24527211/prehospital-intubation-in-patients-with-isolated-severe-traumatic-brain-injury-a-4-year-observational-study
#5
Mazin Tuma, Ayman El-Menyar, Husham Abdelrahman, Hassan Al-Thani, Ahmad Zarour, Ashok Parchani, Sherwan Khoshnaw, Ruben Peralta, Rifat Latifi
Objectives. To study the effect of prehospital intubation (PHI) on survival of patients with isolated severe traumatic brain injury (ISTBI). Method. Retrospective analyses of all intubated patients with ISTBI between 2008 and 2011 were studied. Comparison was made between those who were intubated in the PHI versus in the trauma resuscitation unit (TRU). Results. Among 1665 TBI patients, 160 met the inclusion criteria (105 underwent PHI, and 55 patients were intubated in TRU). PHI group was younger in age and had lower median scene motor GCS (P = 0...
2014: Critical Care Research and Practice
https://www.readbyqxmd.com/read/24305079/full-of-sound-and-fury-signifying-nothing-burden-of-transient-noncritical-monitor-alarms-in-a-trauma-resuscitation-unit
#6
Katharine Colton, Theresa Dinardo, Peter F Hu, Wei Xiong, Eric Z Hu, George Reed, Joseph J DuBose, Lynn G Stansbury, Colin F Mackenzie, William C Chiu, Catriona Miller, Raymond Fang, Deborah M Stein, Thomas M Scalea
We examined the types of patient monitor alarms encountered in the trauma resuscitation unit of a major level 1 trauma center. Over a 1-year period, 316688 alarms were recorded for 6701 trauma patients (47 alarms/patient). Alarms were more frequent among patients with a Glasgow Coma Scale of 8 or less. Only 2.4% of all alarms were classified as "patient crisis," with the rest in the presumably less critical categories "patient advisory," "patient warning," and "system warning." Nearly half of alarms were ≤5 seconds in duration...
October 2013: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/22115698/implementation-of-24-7-radiology-services-in-an-academic-medical-centre-level-1-trauma-centre-impact-on-trauma-resuscitation-unit-length-of-stay-and-economic-benefit-analysis
#7
Uttam K Bodanapally, Kathirkamanathan Shanmuganathan, Kavitha Nutakki, Stuart E Mirvis, Clint W Sliker, Narendra Shet
STUDY OBJECTIVE: To evaluate the impact of 24/7 radiology services on trauma resuscitation unit (TRU) length of stay (LOS) for patients with minor trauma and to analyse the economic benefits of such an impact from trauma centre perspective. METHODS: The study was HIPAA compliant and had IRB approval. Data were extracted from hospital and radiology information systems. Inclusion criteria specified patients: (a) with minor trauma (i.e., Injury Severity Score<16 and Maximum Abbreviated Injury Scale<4); (b) cross-sectional imaging performed between 12 and 7AM; and (c) admission during 2006 (before 24/7 coverage; comparison group 1) or 2007 (24/7 coverage)...
January 2013: Injury
https://www.readbyqxmd.com/read/20558028/-management-of-tracheobronchial-ruptures
#8
M Berend, V Jahandiez, F Wallet, H Hacquard, F Tronc, J-S David
We report the case of a 25-year-old man who suffered a severe trauma with a complete rupture and separation of the right main bronchus. The patient presented on the scene with respiratory distress and severe hypoxemia. At the admission in the trauma resuscitation unit, the CT scan and fiberoptic examination confirmed the diagnosis of right main bronchus rupture. Selective fiberoptic intubation of the left main bronchus was done and the patient was sent to the operating theater for urgent thoracotomy. During thoracotomy, profound arterial oxygen desaturation requested the right main bronchus being intubated by the surgeon under the control of view and separate lung ventilation, until the end of the bronchus suture...
June 2010: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/20038855/automated-measurement-of-pressure-times-time-dose-of-intracranial-hypertension-best-predicts-outcome-after-severe-traumatic-brain-injury
#9
Sibel Kahraman, Richard P Dutton, Peter Hu, Yan Xiao, Bizhan Aarabi, Deborah M Stein, Thomas M Scalea
BACKGROUND: Earlier, more accurate assessment of secondary brain injury is essential in management of patients with traumatic brain injury (TBI). We assessed the accuracy and utility of high-resolution automated intracranial pressure (ICP) and cerebral perfusion pressure (CPP) recording and their analysis in patients with severe TBI. METHODS: ICP and CPP data for 30 severe TBI patients were collected automatically at 6-second intervals. The degree and duration of ICP and CPP above and below treatment thresholds were calculated as "pressure times time dose" (PTD; mm Hg ...
July 2010: Journal of Trauma
https://www.readbyqxmd.com/read/19418674/complications-of-tube-thoracostomy-for-chest-trauma
#10
David Maritz, Lee Wallis, Timothy Hardcastle
OBJECTIVE: To determine the insertional and positional complications encountered by the placement of intercostal chest drains (ICDs) for trauma and whether further training is warranted in operators inserting intercostal chest drains outside level 1 trauma unit settings. METHODS: Over a period of 3 months, all patients with or without an ICD in situ in the front room trauma bay of Tygerberg Hospital were included in the study. Patients admitted directly via the trauma resuscitation unit were excluded...
February 2009: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/19001981/dissecting-delays-in-trauma-care-using-corporate-lean-six-sigma-methodology
#11
Jennifer K Parks, Jorie Klein, Heidi L Frankel, Randall S Friese, Shahid Shafi
OBJECTIVE: The Institute of Medicine has identified trauma center overcrowding as a crisis. We applied corporate Lean Six Sigma methodology to reduce overcrowding by quantifying patient dwell times in trauma resuscitation units (TRU) and to identify opportunities for reducing them. METHODS: TRU dwell time of all patients treated at a Level I trauma center were measured prospectively during a 3-month period (n = 1,184). Delays were defined as TRU dwell time >6 hours...
November 2008: Journal of Trauma
https://www.readbyqxmd.com/read/18399376/perceptions-of-nurses-caring-behaviors-by-trauma-patients
#12
Janice S Hayes, Suzette Tyler-Ball
A descriptive study of moderately to severely injured patients' perceptions of nurses' caring behaviors was conducted at a level I trauma center. Seventy patients older than 18 years admitted through the trauma resuscitation unit were included. The participants were interviewed in their rooms/cubicles by the research team to complete the Caring Behaviors Inventory. The average rating for the sample was 4.8. Patients receiving care through trauma services expressed an overall positive perception of caring from the nursing staff while there was room for improvement in some areas...
October 2007: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/16509781/mentors-decrease-compliance-with-best-sterile-practices-during-central-venous-catheter-placement-in-the-trauma-resuscitation-unit
#13
James L Guzzo, F Jacob Seagull, Grant V Bochicchio, Amy Sisley, Colin F Mackenzie, Richard P Dutton, Thomas Scalea, Yan Xiao
BACKGROUND: In the academic trauma unit during initial evaluation and resuscitation of trauma victims, central venous catheters are often placed by multiple operators. There are few data on compliance with accepted, standard sterile practices during such procedures. METHODS: Prospective data were tabulated from video capture of 144 consecutive central venous catheterizations in a trauma resuscitation unit, during peak hours, by a team of trained video technicians...
February 2006: Surgical Infections
https://www.readbyqxmd.com/read/8346269/improved-coordination-makes-for-faster-work-ergonomic-analysis-of-a-trauma-resuscitation-room
#14
H Smith, P McIntosh, A Sverisdottir, C Robertson
It is essential that health professionals feel comfortable in a working environment which enables them to work effectively and efficiently. This study used an ergonomic approach to analyse whether the layout of equipment and materials in a trauma resuscitation unit met its users' needs.
August 1993: Professional Nurse
https://www.readbyqxmd.com/read/3327333/resuscitation-and-evaluation-of-victims-of-blunt-multisystem-trauma
#15
REVIEW
C H Shatney
The initial management of hemodynamically unstable polytrauma patients can be challenging. Although there are other possible causes of hypotension, such as tension pneumothorax, CNS injury and hemopericardium, in the vast majority of blunt trauma victims shock is due to blood loss. Whereas the diagnosis of circulatory collapse is clearcut, the rapid identification and control of the bleeding source may not be a straightforward matter. Such patients often have injuries to several body systems and thus have numerous potential sites of hemorrhage...
1987: Acta Anaesthesiologica Belgica
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