keyword
https://read.qxmd.com/read/38616786/managing-career-transitions-in-the-profession-of-acute-care-surgery
#1
EDITORIAL
Caitlin Anne Fitzgerald, Ryan Peter Dumas, Michael W Cripps, Jennifer M Gurney, Kimberly A Davis, Lisa Marie Knowlton
Career shifts are a naturally occurring part of the trauma and acute care surgeon's profession. These transitions may occur at various timepoints throughout a surgeon's career and each has their own specific challenges. Finding a good fit for your first job is critical for ensuring success as an early career surgeon. Equally, understanding how to navigate promotions or a change in job location mid-career can be fraught with uncertainty. As one progresses in their career, knowing when to take on a leadership position is oftentimes difficult as it may mean a change in priorities...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38576666/pectoralis-major-tendon-rupture-in-an-occupational-medicine-setting-a-case-report
#2
Rasha Saeed, Scott E Hardy, Alya Khan
Pectoralis major (PM) rupture is a rare injury, commonly misdiagnosed, that affects mostly young male athletes aged 20-40 years. This type of injury is typically associated with weight lifting, especially bench pressing. In an occupational medicine setting, it is extremely rare and not much reported in the literature. We present the case of a 30-year-old trauma technician male who presented with right shoulder and chest pain following a popping sensation while pushing in full momentum a patient on a gurney accidentally set on break mode...
March 2024: Curēus
https://read.qxmd.com/read/38499843/accelerated-ivim-corrected-dti-in-acute-hamstring-injury-towards-a-clinically-feasible-acquisition-time
#3
JOURNAL ARTICLE
Susanne S Rauh, Jozef J M Suskens, Jithsa R Monte, Frank Smithuis, Oliver J Gurney-Champion, Johannes L Tol, Mario Maas, Aart J Nederveen, Gustav J Strijkers, Melissa T Hooijmans
BACKGROUND: Intravoxel incoherent motion (IVIM)-corrected diffusion tensor imaging (DTI) potentially enhances return-to-play (RTP) prediction after hamstring injuries. However, the long scan times hamper clinical implementation. We assessed accelerated IVIM-corrected DTI approaches in acute hamstring injuries and explore the sensitivity of the perfusion fraction (f) to acute muscle damage. METHODS: Athletes with acute hamstring injury received DTI scans of both thighs < 7 days after injury and at RTP...
March 19, 2024: European Radiology Experimental
https://read.qxmd.com/read/38395745/how-a-broken-vertebra-can-lead-to-a-fatal-hemorrhage-a-case-report
#4
JOURNAL ARTICLE
Roxanne A W Ploumen, Martin R van Wezenbeek, Paul C P H Willems, Suzanne C Gerretsen, Jan A Ten Bosch
BACKGROUND: Unintentional falls are common among the elderly and given the expected increase of the aging population, these falls contribute to a high number of admissions to the emergency department. Relatively low-energy trauma mechanisms can lead to serious injuries in the elderly, with contributing factors being comorbidities, medication use and degenerative abnormalities. CASE PRESENTATION: A 94-year-old female suffered an unintentional fall at home. Upon arrival of the ambulance at her house she was hemodynamically stable and mobilized to the gurney with assistance...
February 23, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38390471/developing-the-ready-military-medical-force-military-specific-training-in-graduate-medical-education
#5
REVIEW
Emily W Baird, Daniel T Lammers, Richard D Betzold, Shaun R Brown, Matthew D Tadlock, Matthew J Eckert, Daniel B Cox, Jeffrey D Kerby, Jennifer M Gurney, Eric A Elster, John B Holcomb, Jan O Jansen
INTRODUCTION: Graduate Medical Education plays a critical role in training the next generation of military physicians, ensuring they are ready to uphold the dual professional requirements inherent to being both a military officer and a military physician. This involves executing the operational duties as a commissioned leader while also providing exceptional medical care in austere environments and in harm's way. The purpose of this study is to review prior efforts at developing and implementing military unique curricula (MUC) in residency training programs...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38196935/commentary-on-gaps-in-prehospital-trauma-care-education-and-bioengineering-innovations-to-improve-outcomes-in-hemorrhage-and-traumatic-brain-injury
#6
REVIEW
Joshua B Brown, Martin Schreiber, Ernest E Moore, Donald H Jenkins, Eric A Bank, Jennifer M Gurney
Hemorrhage remains the leading cause of preventable death on the battlefield and the civilian arena. Many of these deaths occur in the prehospital setting. Traumatic brain injury also represents a major source of early mortality and morbidity in military and civilian settings. The inaugural HERETIC (HEmostatic REsuscitation and Trauma Induced Coagulopathy) Symposium convened a multidisciplinary panel of experts in prehospital trauma care to discuss what education and bioengineering advancements in the prehospital space are necessary to improve outcomes in hemorrhagic shock and traumatic brain injury...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38016268/effectiveness-of-mobile-applications-for-trauma-care-in-combat-casualty-simulations-throughout-the-continuum
#7
JOURNAL ARTICLE
Connor L Kenney, Tesserae A Komarek, Lindsey N July, Steven G Schauer, Gregory M Burnett, Christopher A VanFosson, Jennifer M Gurney, Julie A Rizzo, Valerie G Sams
INTRODUCTION: The U.S. Military uses handwritten documentation throughout the continuum of combat casualty care to document from point-of-injury, during transport and at facilities that provide damage control resuscitation and surgery. Proven impractical due to lack of durability and legibility in arduous tactical environments, we hypothesized that mobile applications would increase accuracy and completeness of documentation in combat casualty simulations. METHODS: We conducted simulations across this continuum utilizing 10 two-person teams consisting of a Medic and an Emergency or Critical Care Nurse...
November 27, 2023: Journal of Surgical Research
https://read.qxmd.com/read/37958032/a-narrative-review-of-health-status-and-healthcare-delivery-in-the-oil-and-gas-industry-impacts-on-employees-employers-and-local-communities
#8
REVIEW
Jordan L Fox, Tiana Gurney, Srinivas Kondalsamy-Chennakesavan, Thomas A H Pols, Haitham Tuffaha, Anton Pak, Matthew McGrail
Workers in the oil and gas industry are exposed to numerous health risks, ranging from poor health behaviours to the possibility of life-threatening injuries. Determining the most appropriate models of healthcare for the oil and gas industry is difficult, as strategies must be acceptable to multiple stakeholders, including employees, employers, and local communities. The purpose of this review was to broadly explore the health status and needs of workers in the oil and gas industry and healthcare delivery models relating to primary care and emergency responses...
November 2, 2023: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/37678162/rethinking-limb-tourniquet-conversion-in-the-prehospital-environment
#9
JOURNAL ARTICLE
John B Holcomb, Warren C Dorlac, Brendon G Drew, Frank K Butler, Jennifer M Gurney, Harold R Montgomery, Stacy A Shackelford, Eric A Bank, Jeff D Kerby, John F Kragh, Michael A Person, Jessica L Patterson, Olha Levchuk, Mykola Andriievskyi, Glib Bitiukov, Oleksandr Danyljuk, Oleksandr Linchevskyy
We have highlighted the issue of overuse of tourniquets and described why tourniquet conversion and replacement should be taught and done in the prehospital setting.
December 1, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37647608/a-review-of%C3%A2-75th-ranger-regiment-battle-injured-fatalities-incurred-during-combat-operations-from-2001-to-2021
#10
JOURNAL ARTICLE
Charles H Moore, Russ S Kotwal, Jeffrey T Howard, Montane B Silverman, Jennifer M Gurney, Andrew J Rohrer, Ryan M Knight
INTRODUCTION: The 75th Ranger Regiment is an elite U.S. military special operations unit that conducted over 20 years of sustained combat operations. The Regiment has a history of providing novel and cutting-edge prehospital trauma care, advancing and translating medical initiatives, and documenting and reporting casualty care performance improvement efforts. MATERIALS AND METHODS: A retrospective case fatality rate (CFR) review, mortality review, and descriptive analysis of fatalities were conducted for battle-injured personnel assigned or attached to the 75th Ranger Regiment from 2001 to 2021 during combat operations primarily in Afghanistan and Iraq...
August 30, 2023: Military Medicine
https://read.qxmd.com/read/37420334/casualty-care-implications-of-large-scale-combat-operations
#11
JOURNAL ARTICLE
Mason H Remondelli, Kyle N Remick, Stacy A Shackelford, Jennifer M Gurney, Jeremy C Pamplin, Travis M Polk, Benjamin K Potter, Danielle B Holt
Analysis and review of combat casualty care challenges in future large-scale and medical multi-domain operations from the perspective of past, present, and potential future conflicts.
August 1, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37399037/finding-the-bleeding-edge-24-hour-mortality-by-unit-of-blood-product-transfused-in-combat-casualties-from-2002-2020
#12
JOURNAL ARTICLE
Jennifer M Gurney, Amanda M Staudt, John Holcomb, Matthew Martin, Phil Spinella, Jason B Corley, Andrew Rohrer, Jennifer D Trevino, Deborah J Del Junco, Andrew Cap, Martin Schreiber
INTRODUCTION: Transfusion studies in civilian trauma patients have tried to identify a general futility threshold. We hypothesized that in combat settings there is no general threshold where blood product transfusion becomes unbeneficial to survival in hemorrhaging patients. We sought to assess the relationship between the number of units of blood products transfused and 24-hour mortality in combat casualties. METHODS: A retrospective analysis of the Department of Defense Trauma Registry supplemented with data from the Armed Forces Medical Examiner...
July 3, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37277904/dried-plasma-an-urgent-priority-for-trauma-readiness
#13
EDITORIAL
Travis M Polk, Jennifer M Gurney, Leslie E Riggs, Jeremy W Cannon, Andrew P Cap, Paul A Friedrichs
No abstract text is available yet for this article.
August 1, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37257063/committee-on-surgical-combat-casualty-care-position-statement-neurosurgical-capability-for-the-optimal-management-of-traumatic-brain-injury-during-deployed-operations-including-invited-commentaries
#14
JOURNAL ARTICLE
Jennifer M Gurney, Matthew D Tadlock, Bradley A Dengler, Brian J Gavitt, Michael S Dirks, John B Holcomb, Russ S Kotwal, Linda C Benavides, Jeremy W Cannon, Theodore Edson, John C Graybill, Brian J Sonka, Donald W Marion, Matthew J Eckert, Martin A Schreiber, Travis M Polk, Shane D Jensen, Matthew J Martin, Bellal A Joseph, Alex Valadka, Jeffrey D Kerby
BACKGROUND: Experiences over the last 3 decades of war have demonstrated a high incidence of Traumatic Brain Injury (TBI) resulting in a persistent need for a neurosurgical capability within the deployed theatre of operations. Despite this, no doctrinal requirement for a deployed neurosurgical capability exists. Through an iterative process, the Joint Trauma System Committee on Surgical Combat Casualty Care (CoSCCC) developed a Position Statement to inform medical and non-medical military leaders about the risks of the lack of a specialized neurosurgical capability...
June 1, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37246291/the-last-days-united-states-and-allied-military-medical-response-during-the-afghanistan-exodus
#15
JOURNAL ARTICLE
Joe Bozzay, Timothy P Murphy, Michael D Baird, Marvin E Dingle, Omar A Rokayak, Chris Renninger, Shawn E Boomsma, Brian P Milam, Tim Horrell, Bradley A Rittenhouse, Patrick J McGlone, Harris W Kashtan, Mark Buzzelli, Remealle A How, Bruce A Lynch, Lauren Heyda, Ashley E Humphries, Elliot M Jessie, Jigarkumar A Patel, Ronald Hardin, Kenneth J Nelson, Jean-Claude G D'Alleyrand, Matthew J Bradley, Benjamin K Potter, Jennifer M Gurney
OBJECTIVES: To describe the United States (U.S.) and Allied military medical response during the withdrawal from Afghanistan. BACKGROUND: The military withdrawal from Afghanistan concluded with severe hostilities resulting in numerous civilian and military casualties. The clinical care provided by coalition forces capitalized on decades of lessons learned and enabled unprecedented accomplishments. METHODS: In this retrospective, observational analysis, casualty numbers and operative information was collected and reported from military medical assets in Kabul, Afghanistan...
May 29, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37036785/risk-of-harm-in-needle-decompression-for-tension-pneumothorax
#16
JOURNAL ARTICLE
Patrick Thompson, Angelo Ciaraglia, Erin Handspiker, Christopher Bjerkvig, James A Bynum, Elon Glassberg, Jennifer M Gurney, Anthony J Hudson, Donald H Jenkins, Susannah E Nicholson, Geir Strandenes, Maxwell A Braverman
INTRODUCTION: Tension pneumothorax (TPX) is the third most common cause of preventable death in trauma. Needle decompression at the fifth intercostal space at anterior axillary line (5th ICS AAL) is recommended by Tactical Combat Casualty Care (TCCC) with an 83-mm needle catheter unit (NCU). We sought to determine the risk of cardiac injury at this site. METHODS: Institutional data sets from two trauma centers were queried for 200 patients with CT chest. Inclusion criteria include body mass index of =30 and age 18-40 years...
June 23, 2023: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://read.qxmd.com/read/37024937/correction-early-management-of-isolated-severe-traumatic-brain-injury-patients-in-a-hospital-without-neurosurgical-capabilities-a-consensus-and-clinical-recommendations-of-the-world-society-of-emergency-surgery-wses
#17
Edoardo Picetti, Fausto Catena, Fikri Abu-Zidan, Luca Ansaloni, Rocco A Armonda, Miklosh Bala, Zsolt J Balogh, Alessandro Bertuccio, Walt L Biffl, Pierre Bouzat, Andras Buki, Davide Cerasti, Randall M Chesnut, Giuseppe Citerio, Federico Coccolini, Raul Coimbra, Carlo Coniglio, Enrico Fainardi, Deepak Gupta, Jennifer M Gurney, Gregory W J Hawryluk, Raimund Helbok, Peter J A Hutchinson, Corrado Iaccarino, Angelos Kolias, Ronald W Maier, Matthew J Martin, Geert Meyfroidt, David O Okonkwo, Frank Rasulo, Sandro Rizoli, Andres Rubiano, Juan Sahuquillo, Valerie G Sams, Franco Servadei, Deepak Sharma, Lori Shutter, Philip F Stahel, Fabio S Taccone, Andrew Udy, Tommaso Zoerle, Vanni Agnoletti, Francesca Bravi, Belinda De Simone, Yoram Kluger, Costanza Martino, Ernest E Moore, Massimo Sartelli, Dieter Weber, Chiara Robba
No abstract text is available yet for this article.
April 6, 2023: World Journal of Emergency Surgery: WJES
https://read.qxmd.com/read/36941236/advances-in-trauma-care-to-save-lives-from-traumatic-injury-a-narrative-review
#18
REVIEW
Johan Schmitt, Jennifer Gurney, Philippe Aries, Marc Danguy Des Deserts
Recent advances on trauma management from the prehospital setting to in hospital care led to a better surviving severe trauma rate. Mortality from exsanguination remains the first preventable mortality. Damage-control resuscitation and surgery are evolving and thus some promising concepts are developing. Transfusion toolkit is brought on the prehospital scene while temporary bridge to hemostasis may be helpful. Panel transfusion products allow an individualized ratio assumed by fresh frozen or lyophilized plasma, fresh or cold-stored whole blood, fibrinogen, four-factor prothrombin complex concentrates...
August 1, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/36870787/trends-in-traumatic-brain-injury-among-u-s-service-members-deployed-in-iraq-and-afghanistan-2002-2016
#19
JOURNAL ARTICLE
Tuan D Le, Jennifer M Gurney, Karan P Singh, Shawn C Nessen, Andrea L C Schneider, Yll Agimi, Vikhyat S Bebarta, Paco S Herson, Katharine C Stout, Sylvain Cardin, Alicia T Crowder, Geoffrey S F Ling, Mark E Stackle, Anthony E Pusateri
INTRODUCTION: Traumatic brain injury (TBI) is a major health issue for service members deployed and is more common in recent conflicts; however, a thorough understanding of risk factors and trends is not well described. This study aims to characterize the epidemiology of TBI in U.S. service members and the potential impacts of changes in policy, care, equipment, and tactics over the 15 years studied. METHODS: Retrospective analysis of U.S. Department of Defense Trauma Registry data (2002-2016) was performed on service members treated for TBI at Role 3 medical treatment facilities in Iraq and Afghanistan...
March 2, 2023: American Journal of Preventive Medicine
https://read.qxmd.com/read/36866105/power-of-mentorship-for-civilian-and-military-acute-care-surgeons-identifying-and-leveraging-opportunities-for-longitudinal-professional-development
#20
EDITORIAL
Lisa Marie Knowlton, William Jason Butler, Ryan Peter Dumas, Brittany K Bankhead, Jonathan P Meizoso, Brandon Bruns, Jan-Michael Van Gent, Haytham M A Kaafarani, Matthew J Martin, Nicholas Namias, Deborah M Stein, Matthew D Tadlock, R Shayn Martin, Kristan L Staudenmayer, Jennifer M Gurney
Across disciplines, mentorship has been recognized as a key to success. Acute care surgeons, focused on the care of trauma surgery, emergency general surgery and surgical critical care, practice in a wide variety of settings and have unique mentorship needs across all phases of their career. Recognizing the need for robust mentorship and professional development, the American Association for the Surgery of Trauma (AAST) convened an expert panel entitled 'The Power of Mentorship' at the 81st annual meeting in September 2022 (Chicago, Illinois)...
2023: Trauma Surgery & Acute Care Open
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