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https://www.readbyqxmd.com/read/27856009/redefining-ladd-s-path
#1
REVIEW
Mary E Fallat
Inspiration and innovation go hand in hand. Throughout history tragedies, including those personal and life altering, have inspired susceptible minds to find innovative ways to educate and tackle difficult problems. This address is first about origins. It weaves the story of how incredible individuals and events have shaped similar circumstances into not only our profession of pediatric surgery beginning with William E. Ladd, but also the emergency and trauma care system in this country. The address circles back to look at the past and future of our profession of pediatric surgery...
October 26, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27555352/intraneural-lipoma-of-the-tibial-nerve-a-case-report
#2
Tarin B Krzywosinski, Adam L Bingham, Lawrence M Fallat
Intraneural lipomas, neurofibrolipomas, lipofibromatous hamartomas, and perineural lipomas are subsets of hamartomas that typically present as fibroadipose, soft tissue masses within the epineurium of a nerve. Several cases involving intraneural lipomas of the median nerve in the upper extremity have been reported; however, owing to the lesion's rare incidence in the foot and ankle, only a select few cases involving the superficial peroneal nerve have been reported. We present the first case of a tibial nerve intraneural lipoma in a 42-year-old female with a follow-up period of 2 years...
August 20, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27426912/using-shared-decision-making-tools-to-improve-care-for-patients-with-disorders-of-sex-development
#3
REVIEW
Kathleen Graziano, Mary E Fallat
No abstract text is available yet for this article.
August 2016: Advances in Pediatrics
https://www.readbyqxmd.com/read/27191190/family-centered-practice-during-pediatric-death-in-an-out-of-hospital-setting
#4
Mary E Fallat, Anita P Barbee, Richard Forest, Mary E McClure, Katy Henry, Michael R Cunningham
OBJECTIVE: To understand effective ways for EMS providers to interact with distressed family members during a field intervention involving a recent or impending out-of-hospital (OOH) pediatric death. METHODS: Eight focus groups with 98 EMS providers were conducted in urban and rural settings between November 2013 and March 2014. Sixty-eight providers also completed a short questionnaire about a specific event including demographics. Seventy-eight percent of providers were males, 13% were either African American or Hispanic, and the average number of years in EMS was 16 years...
May 18, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27097620/an-approach-to-the-management-of-pleural-empyema-with-early-video-assisted-thoracoscopic-surgery-and-early-transition-to-oral-antibiotic-therapy
#5
Claudia M Espinosa, Mary E Fallat, Charles R Woods, Kathryn E Weakley, Gary S Marshall
Practice variation exists in the management of children with bacterial pneumonia complicated by empyema. The success of video-assisted thoracoscopic surgery (VATS) versus chest tube insertion for drainage and fibrinolysis may be dependent on the stage of disease. There is little published experience with early transition to oral (PO) antibiotics, and many children are treated with intravenous (IV) antibiotics at home. To describe a cohort of children with pneumonia and empyema in a primarily rural state managed with early VATS and transition to PO antibiotics...
April 2016: American Surgeon
https://www.readbyqxmd.com/read/27027471/understanding-the-operative-experience-of-the-practicing-pediatric-surgeon-implications-for-training-and-maintaining-competency
#6
Fizan Abdullah, Jose H Salazar, Colin D Gause, Samir Gadepalli, Thomas W Biester, Kenneth S Azarow, Mary L Brandt, Dai H Chung, Dennis P Lund, Frederick J Rescorla, John H T Waldhausen, Thomas F Tracy, Mary E Fallat, Michael D Klein, Frank R Lewis, Ronald B Hirschl
IMPORTANCE: The number of practicing pediatric surgeons has increased rapidly in the past 4 decades, without a significant increase in the incidence of rare diseases specific to the field. Maintenance of competency in the index procedures for these rare diseases is essential to the future of the profession. OBJECTIVE: To describe the demographic characteristics and operative experiences of practicing pediatric surgeons using Pediatric Surgery Board recertification case log data...
August 1, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/26985786/guidance-document-for-the-prehospital-use-of-tranexamic-acid-in-injured-patients
#7
Peter E Fischer, Eileen M Bulger, Debra G Perina, Theodore R Delbridge, Mark L Gestring, Mary E Fallat, David V Shatz, Jay Doucet, Michael Levy, Lance Stuke, Scott P Zietlow, Jeffrey M Goodloe, Wayne E VanderKolk, Adam D Fox, Nels D Sanddal
Tranexamic acid (TXA) is being administered already in many prehospital air and ground systems. Insufficient evidence exists to support or refute the prehospital administration of TXA, and results are pending from several prehospital studies currently in progress. We have created this document to aid agencies and systems in best practices for TXA administration based on currently available best evidence. This document has been endorsed by the American College of Surgeons-Committee on Trauma, the American College of Emergency Physicians, and the National Association of EMS Physicians...
September 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/26872522/surgical-outcomes-for-resection-of-the-dorsal-exostosis-of-the-metatarsocuneiform-joints
#8
Vaishnavi Bawa, Lawrence M Fallat, John P Kish
A retrospective case series testing the efficacy of surgical resection of the dorsal exostosis deformity of the metatarsocuneiform joints was performed. Surgery was performed in 26 consecutive patients (28 feet), in whom previous conservative therapy had failed. All 26 patients had bursitis at the level of the dorsal exostosis deformity. The patients were separated into 2 groups: group 1, those with bursitis and neuritis before surgery (n = 13; 46.4%), and group 2, those with bursitis without neuritis (n = 15; 53...
May 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26452704/variability-in-the-structure-and-care-processes-for-critically-injured-children-a-multicenter-survey-of-trauma-bay-and-intensive-care-units
#9
MULTICENTER STUDY
Katherine T Flynn-O'Brien, Leah L Thompson, Christine M Gall, Mary E Fallat, Tom B Rice, Frederick P Rivara
PURPOSE: Evaluate national variation in structure and care processes for critically injured children. METHODS: Institutions with pediatric intensive care units (PICUs) that treat trauma patients were identified through the Virtual Pediatric Systems (n=72). Prospective survey data were obtained from PICU and Trauma Directors (n=69, 96% response). Inquiries related to structure and care processes in the PICU and emergency department included infrastructure, physician staffing, team composition, decision making, and protocol/checklist use...
March 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/26277242/empty-toe-phenomenon-a-rare-presentation-of-closed-degloving-injury-of-the-foot
#10
Adam L Bingham, Lawrence M Fallat
Traumatic degloving injuries of the lower extremity are commonly diagnosed by soft tissue deficits and separation of soft tissue planes. The management of open degloving injuries is well documented with established treatment protocols. Because closed degloving injuries of the lower extremity are so rare, the protocol management is not well established. Unlike open degloving injuries, evidence of soft tissue injury and detachment of the tissue planes can be subtle. Owing to the rarity of these injuries, little has been described regarding the long-term outcomes...
July 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26277241/screw-versus-plate-fixation-for-chevron-osteotomy-a-retrospective-study
#11
Boyd J Andrews, Lawrence M Fallat, John P Kish
The chevron osteotomy is a popular procedure used for the correction of moderate hallux abducto valgus deformity. Fixation is typically accomplished with Kirschner wires or bone screws; however, in cystic or osteoporotic bone, these could be inadequate, resulting in displacement of the capital fragment. We propose using a locking plate and interfragmental screw for fixation of the chevron osteotomy that could reduce the healing time and decrease the incidence of displacement. We performed a retrospective cohort study for chevron osteotomies on 75 feet (73 patients)...
January 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26146969/an-overlooked-deformity-in-patients-with-hallux-valgus-tailor-s-bunion
#12
Alper Deveci, Serdar Yilmaz, Ahmet Firat, Ahmet Ozgur Yildirim, Ozdamar Fuat Oken, Murat Gulcek, Ahmet Ucaner
BACKGROUND: Tailor's bunion is a deformity of the fifth toe, and its concomitance with hallux valgus (HV) is defined as splayfoot deformity. Treatment is focused on the HV deformity in splayfoot, and the tailor's bunion deformity can be overlooked. The frequency of HV concomitant with tailor's bunion in splayfoot has not been reported in the literature. METHODS: A retrospective evaluation was performed to detect the existence of tailor's bunion deformity in 203 patients (376 feet) treated for HV...
May 2015: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/25770370/transition-from-pediatric-to-adult-surgery-care-for-patients-with-disorders-of-sexual-development
#13
REVIEW
Kate A McCracken, Mary E Fallat
Disorders of sexual development (DSDs) are relatively rare congenital conditions in which the development of the chromosomal, gonadal, or anatomic sex is atypical. Some conditions may not manifest until puberty or adulthood. The examination and workup of either an infant or an older patient with suspected DSD should be directed and performed systematically by a multidisciplinary team. Ideally, the team will include those with not only an interest in DSD but also experience with this group of patients. This article will briefly orient the reader to the conditions and decisions that may have been made during infancy, childhood, and adolescence and then focus on the challenges that may accompany transitioning the care of DSD patients from pediatric to adult surgeons and specialists to enable appropriate decisions and care...
April 2015: Seminars in Pediatric Surgery
https://www.readbyqxmd.com/read/25760196/rural-pediatric-surgery
#14
REVIEW
Don K Nakayama
Published outcome studies support regionalization of pediatric surgery, in which all children suspected of having surgical disease are transferred to a specialty center. Transfer to specialty centers, however, is an expensive approach to quality, both in direct costs of hospitalization and the expense incurred by families. A related question is the role of well-trained rural surgeons in an adequately resourced facility in the surgical care of infants and children. Local community facilities provide measurably equivalent results for straightforward emergencies in older children such as appendicitis...
March 2015: American Surgeon
https://www.readbyqxmd.com/read/24685948/withholding-or-termination-of-resuscitation-in-pediatric-out-of-hospital-traumatic-cardiopulmonary-arrest
#15
REVIEW
Mary E Fallat
This multiorganizational literature review was undertaken to provide an evidence base for determining whether recommendations for out-of-hospital termination of resuscitation could be made for children who are victims of traumatic cardiopulmonary arrest. Although there is increasing acceptance of out-of-hospital termination of resuscitation for adult traumatic cardiopulmonary arrest when there is no expectation of a good outcome, children are routinely excluded from state termination-of-resuscitation protocols...
April 2014: Pediatrics
https://www.readbyqxmd.com/read/24655460/withholding-or-termination-of-resuscitation-in-pediatric-out-of-hospital-traumatic-cardiopulmonary-arrest
#16
REVIEW
Mary E Fallat
This multiorganizational literature review was undertaken to provide an evidence base for determining whether or not recommendations for out-of-hospital termination of resuscitation could be made for children who are victims of traumatic cardiopulmonary arrest. Although there is increasing acceptance of out-of-hospital termination of resuscitation for adult traumatic cardiopulmonary arrest when there is no expectation of a good outcome, children are routinely excluded from state termination-of-resuscitation protocols...
April 2014: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/24641269/an-evidence-based-prehospital-guideline-for-external-hemorrhage-control-american-college-of-surgeons-committee-on-trauma
#17
REVIEW
Eileen M Bulger, David Snyder, Karen Schoelles, Cathy Gotschall, Drew Dawson, Eddy Lang, Nels D Sanddal, Frank K Butler, Mary Fallat, Peter Taillac, Lynn White, Jeffrey P Salomone, William Seifarth, Michael J Betzner, Jay Johannigman, Norman McSwain
This report describes the development of an evidence-based guideline for external hemorrhage control in the prehospital setting. This project included a systematic review of the literature regarding the use of tourniquets and hemostatic agents for management of life-threatening extremity and junctional hemorrhage. Using the GRADE methodology to define the key clinical questions, an expert panel then reviewed the results of the literature review, established the quality of the evidence and made recommendations for EMS care...
April 2014: Prehospital Emergency Care
https://www.readbyqxmd.com/read/24298939/an-evidence-based-guideline-for-pediatric-prehospital-seizure-management-using-grade-methodology
#18
Manish I Shah, Charles G Macias, Peter S Dayan, Tasmeen S Weik, Kathleen M Brown, Susan M Fuchs, Mary E Fallat, Joseph L Wright, Eddy S Lang
OBJECTIVE: The objective of this guideline is to recommend evidence-based practices for timely prehospital pediatric seizure cessation while avoiding respiratory depression and seizure recurrence. METHODS: A multidisciplinary panel was chosen based on expertise in pediatric emergency medicine, prehospital medicine, and/or evidence-based guideline development. The panel followed the National Prehospital EBG Model using the GRADE methodology to formulate questions, retrieve evidence, appraise the evidence, and formulate recommendations...
2014: Prehospital Emergency Care
https://www.readbyqxmd.com/read/24064891/appropriate-use-of-helicopter-emergency-medical-services-for-transport-of-trauma-patients-guidelines-from-the-emergency-medical-system-subcommittee-committee-on-trauma-american-college-of-surgeons
#19
Jay Doucet, Eileen Bulger, Nels Sanddal, Mary Fallat, William Bromberg, Mark Gestring
No abstract text is available yet for this article.
October 2013: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/24054411/surgical-care-and-career-opportunities-in-a-changing-practice-paradigm
#20
Joseph J Tepas, Tyler G Hughes, David S Aaronson, James L Kesler, Richard J Buckley, Anthony J Dippolito, Matthew J Wall, Nipun B Merchant, Walter C Dandridge, Mika N Sinanan, Dale Buchbinder, Howard L Sussman, Andrea Hayes-Jordan, John C Chen, Lewis Wetstein, David R Arbutina, James C Dennehy, Adnan Alseidi, Robert V Rege, Aaron S Fink, Linda M Barney, David W Cloyd, Mary E Fallat, Deborah S Loeff, Kevin E Behrns, Selwyn M Vickers
No abstract text is available yet for this article.
October 2013: Journal of the American College of Surgeons
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