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Trauma informed care

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https://www.readbyqxmd.com/read/29042090/the-natural-history-of-flail-chest-injuries
#1
Kamil Naidoo, Layth Hanbali, Peter Bates
PURPOSE: Flail chest (FC) injuries represent a significant burden on trauma services because of its high morbidity and mortality. Current gold standard conservative management strategies for FC, are now being challenged by renewed interest in surgical rib fixation. This retrospective epidemiological study sets out to evaluate FC patients, and quantify the natural history of this injury by studying the injury patterns, epidemiology and mortality of patients sustaining FC injuries admitted to a major trauma centre (MTC)...
September 19, 2017: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/29040247/use-of-ondansetron-for-vomiting-after-head-trauma-does-it-mask-clinically-significant-traumatic-brain-injury
#2
Israel Green-Hopkins, Michael C Monuteaux, Lois Lee, Lise Nigrovic, Rebekah Mannix, Sara Schutzman
OBJECTIVES: We describe ondansetron use in children with head injury evaluated in pediatric emergency departments and its association with return visits and late diagnoses of intracranial injuries requiring intervention. METHODS: Children ages 6 months to 18 years discharged without neuroimaging from 35 pediatric emergency departments with a diagnosis of head injury from 2009 to 2013 were identified retrospectively from the Pediatric Health Information System. We evaluated the rates of ondansetron use during the study period and of the association of ondansetron treatment with the diagnosis of intracranial injury, skull fracture, and return visits within 72 hours requiring admission or operative intervention...
October 16, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29031826/the-top-100-cited-of-injury-international-journal-of-the-care-of-the-injured-a-bibliometric-analysis
#3
REVIEW
Peng Luo, Ding Xu, Jia Wu, Yi-Heng Chen, Roman Pfeifer, Hans-Christoph Pape
BACKGROUND: With nearly 50 years' of development, Injury has become one of the leading journals in its specialty. The aim of this article is to identify, analyze the characteristics of the 100 most cited articles published by the journal to date. METHOD: We searched the Thomson Reuters Web of Science Core Collection for citations of all articles published in Injury since its launch. For the Top 100 most frequently cited articles, title, author name, number of authors, publishing date, citation number, country of origin, institution, pages, number of reference, type of article, study topic, study design, funding source, and level of evidence of each clinical article were recorded and analyzed...
October 9, 2017: Injury
https://www.readbyqxmd.com/read/29029604/trauma-burden-in-tanzania-a-one-day-survey-of-all-district-and-regional-public-hospitals
#4
Hendry R Sawe, Juma A Mfinanga, Khalid R Mbaya, Phillip M Koka, Said S Kilindimo, Michael S Runyon, Victor G Mwafongo, Lee A Wallis, Teri A Reynolds
BACKGROUND: Trauma contributes significantly to the burden of disease and mortality throughout the world, but particularly in developing countries. In Tanzania, there is an enormous research gap on trauma; the limited data available reflects realities in cities and areas with moderately- to highly-resourced treatment centers. Our aim was to provide a description of the injury epidemiology across all of Tanzania. Our data will serve as a basis for future larger studies. METHODS: This is a subgroup analysis of a cross-sectional, prospective study of the clinical epidemiology of patients presenting at all public district and regional hospitals in Tanzania...
October 13, 2017: BMC Emergency Medicine
https://www.readbyqxmd.com/read/29027507/development-of-an-mhealth-trauma-registry-in-the-middle-east-using-an-implementation-science-framework
#5
Amber Mehmood, Edward Chan, Katharine Allen, Ammar Al-Kashmiri, Ali Al-Busaidi, Jehan Al-Abri, Mohamed Al-Yazidi, Abdullah Al-Maniri, Adnan A Hyder
BACKGROUND: Trauma registries (TRs) play a vital role in the assessment of trauma care, but are often underutilized in countries with a high burden of injuries. OBJECTIVES: We investigated whether information and communications technology (ICT) such as mobile health (mHealth) could enable the design of a tablet-based application for healthcare professionals. This would be used to inform trauma care and acquire surveillance data for injury control and prevention in Oman...
2017: Global Health Action
https://www.readbyqxmd.com/read/29026520/work-related-musculoskeletal-injuries-sustained-by-australian-osteopaths-qualitative-analysis-of-effects-on-practitioner-health-clinical-practice-and-patient-care
#6
Gopi Anne McLeod, Katerina Annels, Jessica Cohen, Samuel Edwards, Daniel Hodgins, Brett Vaughan
BACKGROUND: There is limited literature that explores the experiences of osteopaths injured while engaging in clinical practice. Evidence from other similar health professions has described the numerous effects of work-related musculoskeletal injuries (WRMI). Work-related musculoskeletal injury refers to trauma to joints, ligaments, muscles and tendons resulting from injury sustained while undertaking work duties. This research aimed to gain a contextualised understanding of the experiences of osteopaths who have sustained a work-related musculoskeletal injury while performing clinical practice...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29023582/presence-of-children-in-the-home-and-intimate-partner-violence-among-women-seeking-elective-pregnancy-termination
#7
Corinne Peek-Asa, Audrey F Saftlas, Anne B Wallis, Karisa Harland, Penny Dickey
INTRODUCTION: Growing evidence identifies adverse health effects for children who witness intimate partner violence at home. Research has also identified that women seeking elective pregnancy termination are at high risk for partner violence. However, little is known about the risk for violence exposure among the children of women seeking elective pregnancy termination. METHODS: We conducted a cross-sectional study of 957 women seeking elective pregnancy termination at a large family planning clinic...
2017: PloS One
https://www.readbyqxmd.com/read/29021110/collaborative-care-from-the-emergency-department-for-injured-patients-with-prescription-drug-misuse-an-open-feasibility-study
#8
Lauren K Whiteside, Doyanne Darnell, Karlee Jackson, Jin Wang, Joan Russo, Dennis M Donovan, Douglas F Zatzick
Collaborative Care is a comprehensive longitudinal care management strategy. The purpose of this pilot effectiveness-implementation hybrid study was to determine the feasibility of a Collaborative Care intervention initiated from the Emergency Department and proceeding longitudinally for six months for injured patients with prescription drug misuse (PDM). Adult patients presenting to an urban ED with an injury were screened for eligibility from 2/2015-8/2015. Eligible participants with a positive screen for PDM were enrolled in the 'ED-LINC' intervention which included the following elements: 1) active care coordination and linkage, 2) medication safety and utilization of opioid guidelines 3) longitudinal care management and 4) utilization of Electronic Medical Record (EMR) innovations such as the statewide Emergency Department Information Exchange (EDIE) and statewide prescription monitoring program information for assessment and follow-up...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29019632/racial-and-ethnic-health-disparities-and-trauma-informed-care-for-children-exposed-to-community-violence
#9
Bradley C Stolbach, Seeba Anam
Racial and ethnic disparities in health outcomes and access have been consistently documented for a wide variety of physical and behavioral health conditions. Health inequities are most pronounced in areas with high levels of racial and ethnic segregation, where children and adolescents are also more likely to face economic inequality, which places them at high risk for exposure to neighborhood violence and traumatic loss. Community violence exposure (CVE) has been increasingly recognized as a prominent contributor to negative physical and mental health outcomes...
October 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/29019383/the-dentist-and-the-athletic-trainer-a-winning-team-for-oral-health-care
#10
Anthony Breitbach, Paul Nativi
Oral health is a key concern for student athletes. The dentist is the primary oral health care provider. Athletic trainers (ATs) are health professionals who have a primary care role for the student athlete. They are often the first to respond when dental trauma occurs in athletics. This paper informs dentists and ATs about each other and includes best practice in the care of athletes, which can be improved through interprofessional collaboration between dentists and ATs.
June 22, 2017: Journal of the California Dental Association
https://www.readbyqxmd.com/read/29016153/the-implementation-and-effect-of-trauma-informed-care-within-residential-youth-services-in-rural-canada-a-mixed-methods-case-study
#11
Courtney N Baker, Steven M Brown, Patricia Wilcox, Jorge M Verlenden, Corey L Black, Billie-Jo E Grant
OBJECTIVE: The prevalence and associated risks of trauma have led youth-serving institutions to adopt trauma-informed care (TIC). A limited research base has linked TIC with improved outcomes. Associations between TIC and vicarious traumatization (VT) are even less commonly studied. The purpose of this case study is to evaluate the implementation and effect of TIC within 1 residential youth services division in rural Canada using the curriculum-based Risking Connection (RC; Saakvitne et al...
October 9, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28993038/capnography-in-the-emergency-department-a-review-of-uses-waveforms-and-limitations
#12
Brit Long, Alex Koyfman, Michael A Vivirito
BACKGROUND: Capnography has many uses in the emergency department (ED) and critical care setting, most commonly cardiac arrest and procedural sedation. OBJECTIVE OF THE REVIEW: This review evaluates several indications concerning capnography beyond cardiac arrest and procedural sedation in the ED, as well as limitations and specific waveforms. DISCUSSION: Capnography includes the noninvasive measurement of CO2, providing information on ventilation, perfusion, and metabolism in intubated and spontaneously breathing patients...
October 6, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28988066/trauma-patient-discharge-and-care-transition-experiences-identifying-opportunities-for-quality-improvement-in-trauma-centres
#13
Lesley Gotlib Conn, Ashley Zwaiman, Tracey DasGupta, Brigette Hales, Aaron Watamaniuk, Avery B Nathens
BACKGROUND: Challenges delivering quality care are especially salient during hospital discharge and care transitions. Severely injured patients discharged from a trauma centre will go either home, to rehabilitation or another acute care hospital with complex management needs. This purpose of this study was to explore the experiences of trauma patients and families treated in a regional academic trauma centre to better understand and improve their discharge and care transition experiences...
September 28, 2017: Injury
https://www.readbyqxmd.com/read/28985861/differences-in-rural-and-urban-outcomes-a-national-inspection-of-emergency-general-surgery-patients
#14
Muhammad Ali Chaudhary, Adil A Shah, Cheryl K Zogg, Navin Changoor, Grace Chao, Stephanie Nitzschke, Joaquim M Havens, Adil H Haider
BACKGROUND: About 19% of the United States population lives in rural areas and is served by only 10% of the physician workforce. If this misdistribution represents a shortage of available surgeons, it is possible that outcomes for rural patients may suffer. The objective of this study was to explore differences in outcomes for emergency general surgery (EGS) conditions between rural and urban hospitals using a nationally representative sample. METHODS: Data from the 2007-2011 National Inpatient Sample were queried for adult patients (≥18 years) with a primary diagnosis consistent with an EGS condition, as defined by the American Association for the Surgery of Trauma...
October 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28984538/lessons-learned-from-administration-of-high-dose-methylprednisolone-sodium-succinate-for-acute-pediatric-spinal-cord-injuries
#15
Michelle C Caruso, Margot C Daugherty, Suzanne M Moody, Richard A Falcone, Karin S Bierbrauer, Gary L Geis
OBJECTIVE Methylprednisolone sodium succinate (MPSS) has been studied as a pharmacological adjunct that may be given to patients with acute spinal cord injury (ASCI) to improve neurological recovery. MPSS treatment became the standard of care in adults despite a lack of evidence supporting clinical benefit. More recently, new guidelines from neurological surgeon groups recommended no longer using MPSS for ASCI, due to questionable clinical benefit and known complications. However, little information exists in the pediatric population regarding MPSS use in the setting of ASCI...
October 6, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28981491/the-new-zealand-major-trauma-registry-the-foundation-for-a-data-driven-approach-in-a-contemporary-trauma-system
#16
Siobhan Isles, Grant Christey, Ian Civil, Peter Hicks
AIM: To describe the development of the New Zealand Major Trauma Registry (NZ-MTR) and the initial experiences of its use. METHOD: The background to the development of the NZ-MTR was reviewed and the processes undertaken to implement a single-instance of a web-based national registry described. A national minimum dataset was defined and utilised. Key structures to support the Registry such as a data governance group were established. RESULTS: The NZ-MTR was successfully implemented and is the foundation for a new, data-driven model of quality improvement...
October 6, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28975244/end-of-life-care-in-older-patients-after-serious-or-severe-traumatic-brain-injury-in-low-mortality-hospitals-compared-with-all-other-hospitals
#17
Elizabeth J Lilley, John W Scott, Joel S Weissman, Anna Krasnova, Ali Salim, Adil H Haider, Zara Cooper
Importance: More than 80% of older patients die or are seriously impaired within 1 year after severe traumatic brain injury (TBI). Given their poor survival, information about end-of-life care is a relevant marker of high-value trauma care for these patients. In-hospital mortality is commonly used to measure quality of trauma care; however, it is not known what type of end-of-life care hospitals with the best survival outcomes provide to those who die. Objective: To determine whether end-of-life care for older patients with TBI is correlated with in-hospital mortality...
September 20, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28972706/trauma-informed-care-survey-of-psychiatrists-and-primary-care-physicians-in-the-middle-east
#18
Ossama T Osman, Laeth Nasir, Richard F Mollica, Taoufik Zoubeidi, James Lavelle, Noor Amawi
Objective: To explore in Arab communities the prevalence, dynamics, and resources available to address the physical and psychological consequences that may arise from psychiatric disorders. Methods: An online survey of psychiatrists and primary care physicians from 17 Arab countries was conducted between September 2011 and June 2012. The survey serves as a needs assessment in a scientifically valid and culturally sensitive manner. Additionally, it focuses attention on the clinical strengths and weaknesses of Middle Eastern primary health care and mental health centers in identifying and treating trauma-related health and mental health issues...
September 28, 2017: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/28961650/the-prevalence-and-mental-and-physical-health-correlates-of-posttraumatic-stress-disorder-symptoms-in-vulnerable-and-underresourced-primary-care-patients-referred-to-a-behavioral-health-provider
#19
Jennifer Langhinrichsen-Rohling, Candice N Selwyn, Selena Jackson, Keri Johns, Cory Wornell, Heather Finnegan, Mary B Smith-West
CONTEXT: The prevalence of trauma exposure among vulnerable, impoverished patients seeking primary care services is considerable. However, assessment of trauma-related symptoms is rare, even among behavioral health patients receiving primary care services within integrated health care centers. OBJECTIVE: To determine the prevalence of clinically noteworthy trauma-related symptoms and their associations with other co-occurring mental and physical symptoms as well as self-reported resiliency...
November 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28961649/the-louisiana-mental-and-behavioral-health-capacity-project-trauma-informed-integrated-care-model-and-improved-posttraumatic-stress-outcomes
#20
Howard J Osofsky, Joy D Osofsky, Tonya Cross Hansel, Trevor Flynn
OBJECTIVE: The Mental and Behavioral Health Capacity Project in Louisiana has been addressing health disparities by increasing accessibility and availability through integrating services into primary care clinics. Integrated health is becoming the standard of care, providing an opportunity to address the trauma-specific needs of communities, and allowing for informed and less stigmatized services. The purpose of this study is to test the efficacy of the Mental and Behavioral Health Capacity Project in Louisiana model in the primary care settings to reduce posttraumatic stress symptoms and physical health complaints...
November 2017: Journal of Public Health Management and Practice: JPHMP
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