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https://www.readbyqxmd.com/read/30107855/undertriage-of-major-trauma-patients-at-a-university-hospital-a-retrospective-cohort-study
#1
Terje Nordgarden, Peter Odland, Anne Berit Guttormsen, Kristina Stølen Ugelvik
BACKGROUND: Studies show increased mortality among severely injured patients not met by trauma team. Proper triage is important to ensure that all severely injured patients receive vital trauma care. In 2017 a new national trauma plan was implemented in Norway, which recommended the use of a modified version of "Guidelines for Field Triage of Injured Patients" to identify severely injured patients. METHODS: A retrospective study of 30,444 patients admitted to Haukeland University Hospital in 2013, with ICD-10 injury codes upon discharge...
August 14, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30104908/patterns-of-injuries-and-predictors-of-inhospital-mortality-in-trauma-patients-in-saudi-arabia
#2
Mostafa A Abolfotouh, Mohamed A Hussein, Sameh M Abolfotouh, Alanoud Al-Marzoug, Suliman Al-Teriqi, Abeer Al-Suwailem, Ra'ed A Hijazi
Background: The aim of this study was to describe the pattern of traumatic injuries and determine the predictors of inhospital mortality in patients admitted to the emergency department. Patients and methods: This is a retrospective cohort study of 3,786 patients with traumat injuries admitted to the emergency department of King Abdulaziz Medical City, Riyadh, Saudi Arabia, between January 2012 and December 2014. Data on patient characteristics, trauma characteristics and outcomes were extracted from medical records...
2018: Open Access Emergency Medicine: OAEM
https://www.readbyqxmd.com/read/30104090/communication-and-bed-reservation-decreasing-the-length-of-stay-for-emergency-department-trauma-patients
#3
Derrick Huang, Aveh Bastani, William Anderson, Janice Crabtree, Scott Kleiman, Shanna Jones
BACKGROUND: Prolonged emergency department (ED) length of stay (LOS) is associated with poorer clinical outcomes and patient experience. At our community hospital, trauma patients were experiencing extended ED LOS incommensurate with their clinical status. Our objective was to determine if operational modifications to patient flow would reduce the LOS for trauma patients. METHOD: We conducted a retrospective chart review of admitted trauma patients from January 1, 2015 to June 30, 2016 to study two interventions...
August 7, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30097047/evaluating-the-ability-of-a-trauma-team-activation-tool-to-identify-severe-injury-a-multicentre-cohort-study
#4
Ole-Petter Vinjevoll, Oddvar Uleberg, Elaine Cole
BACKGROUND: Sensitive decision making tools should assist prehospital personnel in the triage of injured patients, identifying those who require immediate lifesaving interventions and safely reducing unnecessary under- and overtriage. In 2014 a new trauma team activation (TTA) tool was implemented in Central Norway. The overall objective of this study was to evaluate the ability of the new TTA tool to identify severe injury. METHODS: This was a multi-center observational cohort study with retrospective data analysis...
August 10, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30095805/the-syrian-refugees-need-for-trauma-based-services-a-survey-of-mental-health-professionals
#5
Walid Abdul-Hamid, Jamie Hacker Hughes, Sian Morgan
BACKGROUND: Trauma Aid UK (previously HAP UK &Ireland) conducted three EMDR trainings in Turkey: the first was in Istanbul on 28th November 2013. AIM: The purpose of this study is to assess the needs of the Syrian Refugees for trauma services training and provision as assesses by mental health professionals who work with them. SUBJECTS AND METHODS: Amongst the 62 participants of two Istanbul EMDR trainings organised by HAP, 53% were Syrian...
July 2018: Psychiatria Danubina
https://www.readbyqxmd.com/read/30066450/examining-the-relationship-between-obesity-and-mental-health-outcomes-among-individuals-admitted-to-a-level-i-trauma-centre
#6
M Reynolds, S Driver, M Bennett, S Patel, E Rainey, A M Warren
The increased incidence of obesity in the general population translates into clinicians caring for an increased number of trauma patients with obesity. Previous research has documented the unique anatomical and physiological challenges that clinicians face when caring for trauma patients with obesity; however, little is known about psychological challenges that trauma patients with obesity may also experience in the months following injury. The aim of this study is to determine the relationship between obesity and (i) mental health, (ii) demographic and injury-related variables and (iii) quality-of-life outcomes among trauma patients between hospitalization and 3-months post-injury...
July 31, 2018: Clinical Obesity
https://www.readbyqxmd.com/read/30064584/does-antithrombotic-drug-use-mandate-trauma-team-activation-in-awake-geriatric-patients-with-intracranial-hemorrhage
#7
Jeffrey A Moyer, Jharna Shah, Kevin Nowakowski, Anthony Martin, Amanda McNicholas, Alison Muller, Forrest B Fernandez, Adrian W Ong
Antithrombotic (anticoagulant [AC] and antiplatelet [AP]) drugs have been associated with mortality in geriatric patients with intracranial hemorrhage (ICH). It is unclear whether trauma team activation (TTA) in this cohort impacts outcome. Patients ≥65 years with a Glasgow Coma Scale of ≥13 and ICH over four years were included and were divided into three groups according to type of drug: group 1, AC with or without AP; group 2, AP only and; group 3, no AC or AP. The Rotterdam score was used to characterize the severity of CT findings...
July 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/30058820/implementing-trauma-focused-cbt-for-children-of-veterans-in-the-va-providing-comprehensive-services-to-veterans-and-their-families
#8
Leigh E Ridings, Angela D Moreland, Karen H Petty
Military families experience unique stressful circumstances such as frequent moves, service-related physical and mental health difficulties, and separation from support. Although many families exhibit high resilience in response to these stressors, military children are at an increased risk for emotional and behavioral difficulties, exposure to intimate partner violence, and child maltreatment. These potential problems not only affect child functioning, but often also negatively impact family and veteran outcomes...
July 30, 2018: Psychological Services
https://www.readbyqxmd.com/read/30054972/low-major-trauma-confidence-among-emergency-physicians-working-outside-major-trauma-services-inevitable-result-of-a-centralised-trauma-system-or-evidence-for-change
#9
Mark Putland, Michael Noonan, Alexander Olaussen, Peter Cameron, Mark Fitzgerald
OBJECTIVE: Regionalised civilian trauma systems improve patient outcomes, but may deskill clinicians outside major trauma services (MTSs). We aimed to characterise experience and confidence in trauma management among emergency physicians working in MTS to those working elsewhere. METHODS: Emergency physicians working within the Victorian State Trauma System were surveyed about their pre- and post-fellowship training experience, their estimated hours per fortnight in different centres, the frequency of performance/supervision of critical emergency skills and their confidence in a range of trauma skills...
July 28, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/30051077/effect-of-an-emergency-medicine-resident-as-team-leader-on-outcomes-of-trauma-team-activations
#10
Michael B Butler, Mete Erdogan, Robert S Green
Objectives: Traditionally, a surgeon has served as trauma team leader (TTL). However, this role is increasingly being performed by emergency medicine (EM) physicians. At the Halifax Infirmary, we utilize a resident TTL (rTTL) under supervision of a staff traumatologist, a duty shared between EM and surgical residents. Our objective was to compare outcomes between cases led by EM and surgical rTTLs. Methods: This was a retrospective case-control study of data collected from the Nova Scotia Trauma Registry...
April 2018: AEM education and training
https://www.readbyqxmd.com/read/30048433/counting-the-costs-of-major-trauma-in-a-provincial-trauma-centre
#11
Helena Lee, Rowan Croft, Olivia Monos, Christopher Harmston
AIMS: Trauma is an important cause of morbidity and mortality in New Zealand, and also represents a significant financial and resource burden on the healthcare system. Understanding local costs and factors that affect them is important for planning of trauma services and obtaining funding for quality improvement projects. The aim of this study was to assess actual costs and influencing factors in patients treated for major trauma in Northland, New Zealand. METHODS: Adult patients admitted to Whangarei Hospital suffering from major trauma for three years from 1 January 2015 to 31 December 2017 were identified from the hospital's prospectively maintained trauma database...
July 27, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/30041911/trauma-team-activation-criteria-and-outcomes-of-geriatric-trauma-10-year-single-centre-cohort-study
#12
Kevin Kei-Ching Hung, Janice H H Yeung, Catherine S K Cheung, Ling-Yan Leung, Raymond C H Cheng, N K Cheung, Colin A Graham
BACKGROUND: With the aging population, the number of older patients with multiple injuries is increasing. The aim of this study was to understand the patterns and outcomes of older patients admitted to a major trauma centre in Hong Kong from 2006 to 2015, and investigate the performance of the trauma team activation (TTA) criteria for these elderly patients. METHODS: This was a retrospective cohort study from a university hospital major trauma centre in Hong Kong from 2006 to 2015...
June 5, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30033165/factors-associated-with-outcomes-in-traumatic-cardiac-arrest-patients-without-prehospital-return-of-spontaneous-circulation
#13
Yi-Chuan Chen, Kai-Hsiang Wu, Kuang-Yu Hsiao, Ming-Szu Hung, Yi-Chen Lai, Yuan-Shun Chen, Chih-Yao Chang
BACKGROUND: Prognostic factors for the outcomes in traumatic cardiac arrest (TCA) patients transported to hospitals without prehospital return of spontaneous circulation (ROSC) remain uncertain. The aim of this study is to investigate factors associated with outcomes in TCA patients without prehospital ROSC. METHODS: We conducted a retrospective cohort study using a multi-institutional, 5-year database. Only TCA patients without prehospital ROSC were included. The primary outcome was ROSC in the emergency department (ED), and the secondary outcome was 30-day survival...
July 17, 2018: Injury
https://www.readbyqxmd.com/read/30030247/traumatic-abdominal-wall-hernia-secondary-to-seatbelt-injury-a-case-successfully-managed-by-delayed-surgical-mesh-repair-and-complicated-by-intervening-pregnancy
#14
Stanislau Makaranka, Pennylouise Hever, Naveen Cavale
Traumatic abdominal wall hernia (TAWH) is a rare type of hernia occurring secondary to blunt trauma. We report a case of seatbelt-associated TAWH in a 20-year-old woman who was presented to hospital via ambulance following a road traffic collision with a distended abdomen, peritonitis and free gas, with an associated TAWH identified on CT imaging. The patient underwent delayed surgical repair of her hernia using biological mesh, without recurrence, with a clinical course complicated by pregnancy. We use this report to demonstrate late repair as a safe and effective option for management of TAWH in pregnancy, with active surveillance and a multidisciplinary approach by the obstetric, plastic surgery and trauma teams...
July 19, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/30027817/short-2-h-in-situ-trauma-team-simulation-training-effectively-improves-non-technical-skills-of-hospital-trauma-teams
#15
E Rosqvist, S Lauritsalo, J Paloneva
BACKGROUND AND AIMS: As conducting the regular trauma team simulation training is expensive and time-consuming, its effects must be explored. The objective was to evaluate the efficacy of a structured 2-h in situ multiprofessional trauma team simulation training course on non-technical skills. MATERIALS AND METHODS: This prospective study comprised 90 trauma teams with 430 participants. The structured, 2-h course consisted of an introductory lecture and two different simulations with debriefings...
July 1, 2018: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/30023432/alternative-payment-models-can-should-trauma-care-be-bundled
#16
Andrew James Kerwin, Alexandra Mercel, David J Skarupa, Joseph J Tepas, Jin H Ra, David Ebler, Albert Hsu, Joseph Shiber, Marie L Crandall
Background: Recent legislation repealing the Sustainable Growth Rate mandates gradual replacement of fee for service with alternative payment models (APMs), which will include service bundling. We analyzed the 2 years' experience at our state-designated level I trauma center to determine the feasibility of such an approach for trauma care. Methods: De-identified data from all injured patients treated by the trauma service during 2014 and 2015 were reviewed to determine individual patient injury profiles...
2018: Trauma surgery & acute care open
https://www.readbyqxmd.com/read/29985905/distal-tibial-intramedullary-nailing-using-an-extraarticular-lateral-parapatellar-approach-in-the-semiextended-position
#17
Christopher M McAndrew, William M Ricci, Anna N Miller, Matthew C Avery
Semiextended positioning can improve the surgeon's ability to obtain, maintain, and fluoroscopically evaluate a fracture reduction when performing fixation with an intramedullary nail, especially in fractures at the proximal and distal ends. Furthermore, this position allows for evaluation of instrument placement, including the start point, without moving the fluoroscopic unit into extremes of angulation or compromising the quality of the beam orientation. The intraarticular suprapatellar approach has been described as a soft tissue approach to maintain the leg in a position that would not complicate management of these fractures, especially those in the proximal third of the tibia...
August 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29985856/scratching-below-the-surface-screening-for-posttraumatic-stress-symptoms-following-hospitalization-with-the-pediatric-trauma-service
#18
(no author information available yet)
No abstract text is available yet for this article.
July 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/29985855/scratching-below-the-surface-screening-for-posttraumatic-stress-symptoms-following-hospitalization-with-the-pediatric-trauma-service
#19
Virginia Depp Cline, Brian Whitaker, Petra A Duran, Kelly Ratcliff, Eric H Rosenfeld, Bindi Naik-Mathuria
Significant progress has occurred medically for children who have experienced traumatic injuries; however, attention to their psychological adjustment has only more recently been a focus in research and clinical practice. These needs do not cease at discharge but, instead, require monitoring to determine whether further assessment and/or intervention are required. Our team, inclusive of the Psychology Service and the Trauma Service, identified 2 established screening measures (based on age) that were completed by patients during their outpatient follow-up visits postdischarge...
July 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/29985854/geriatric-trauma-protocol
#20
Renee Cortez
Study design for a quality improvement project. Objective was to implement a geriatric trauma protocol (GTP) based on American College of Surgeons recommendations to improve patient outcomes. Geriatric trauma patients comprise a vulnerable and high-risk trauma population, and must be treated with specific protocols that take into account physiological, psychosocial, environmental, and pharmacological needs. A growing body of research and organizations such as the American College of Surgeons and the Eastern Association for the Surgery of Trauma recommend that a specific trauma protocol for geriatric adults must be utilized in hospitals and trauma centers...
July 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
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