keyword
https://read.qxmd.com/read/38523124/reducing-low-value-interhospital-transfers-for-mild-traumatic-brain-injury
#1
JOURNAL ARTICLE
Aricia Shen, Nathaniel Mizraki, Marcel Maya, Sam Torbati, Shouri Lahiri, Ray Chu, Daniel Margulies, Galinos Barmparas
BACKGROUND: The modified Brain Injury Guidelines (mBIG) were developed to stratify traumatic brain injuries (TBI) and improve healthcare utilization by selectively requiring repeat imaging, ICU admission, and neurosurgical (NSG) consultation. The goal of this study is to assess safety and potential resource savings associated with the application of mBIG on interhospital patient transfers for TBI. METHODS: Adult patients with TBI transferred to our Level I trauma center from 01/2017 to 12/2022 meeting mBIG inclusion criteria were retrospectively stratified into mBIG1, mBIG2, and mBIG3 based on initial clinicoradiological factors...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38505203/clinical-results-of-nonvascularized-metatarsal-articular-bone-grafting-for-osteochondral-defects-of-the-radiocarpal-and-distal-radioulnar-joint
#2
JOURNAL ARTICLE
Shirley D Stougie, Peter Hoogvliet, Lara Plugge, J Henk Coert
Background  Treatment of post-traumatic osteochondral defects in the radiocarpal and distal radioulnar joint with nonvascularized metatarsal articular bone grafting is an option to restore the joint (cartilage) surface and wrist function. Purpose  To evaluate the clinical midterm results of 10 consecutive patients who were treated with a nonvascularized metatarsal bone graft for cartilage bone defects of the lunate facet, scaphoid facet, sigmoid notch, or the radial part of the ulnar head. Patients and Methods  Patients with isolated osteochondral defects of the lunate facet, scaphoid facet, sigmoid notch, or radial part of the ulnar head, respectively, as a result of wrist trauma were retrospectively identified in a prospectively collected database...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38502126/serum-s100b-level-in-the-management-of-pediatric-minor-head-trauma-a-randomized-clinical-trial
#3
RANDOMIZED CONTROLLED TRIAL
Damien Bouvier, Aymeric Cantais, Alban Laspougeas, Fleur Lorton, Yannick Plenier, Maria Cottier, Philippe Fournier, Antoine Tran, Emilie Moreau, Julie Durif, Catherine Sarret, Charline Mourgues, Franck Sturtz, Jean-Baptiste Oudart, Juliette Raffort, Philippe Gonzalo, Jean-Paul Cristol, Damien Masson, Bruno Pereira, Vincent Sapin
IMPORTANCE: Minor head trauma (HT) is one of the most common causes of hospitalization in children. A diagnostic test could prevent unnecessary hospitalizations and cranial computed tomographic (CCT) scans. OBJECTIVE: To evaluate the effectiveness of serum S100B values in reducing exposure to CCT scans and in-hospital observation in children with minor HT. DESIGN, SETTING, AND PARTICIPANTS: This multicenter, unblinded, prospective, interventional randomized clinical trial used a stepped-wedge cluster design to compare S100B biomonitoring and control groups at 11 centers in France...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38472419/the-association-between-head-injury-and-facial-fracture-treatment-an-observational-study-of-hospitalized-bicyclists-from-a-level-1-trauma-centre
#4
JOURNAL ARTICLE
Pål Galteland, Mats Døving, Ingar Næss, Amer Sehic, Tor Paaske Utheim, Torsten Eken, Nils Oddvar Skaga, Eirik Helseth, Jon Ramm-Pettersen
PURPOSE: To compare the types of facial fractures and their treatment in bicyclists admitted to a level 1 trauma centre with major and minor-moderate head injury. METHODS: Retrospective analysis of data from bicycle-related injuries in the period 2005-2016 extracted from the Oslo University Hospital trauma registry. RESULTS: A total of 967 bicyclists with head injuries classified according to the Abbreviated Injury Scale (AIS) were included...
March 12, 2024: Acta Neurochirurgica
https://read.qxmd.com/read/38455823/falls-from-heights-a-retrospective-review-of-roof-fall-related-trauma
#5
JOURNAL ARTICLE
Kyle Nugent, Andrew McCague, Austin Henken-Siefken
Background Falls from roofs (FFRs), while constituting just a segment of all falls, pose a significant public health issue. They not only impact individuals in their daily lives but also pose an increased risk in the construction field. The consequences of these falls range broadly, from minor bruises to serious harm, potentially leading to chronic disability or fatality. For the general populace, such falls might happen during simple activities like maintenance, with outcomes varying from fractures to critical head or spinal injuries...
February 2024: Curēus
https://read.qxmd.com/read/38450016/utilizing-a-second-flap-to-address-the-effect-of-postradiotherapy-soft-tissue-fibrosis-in-head-and-neck-malignancy
#6
JOURNAL ARTICLE
Gautam Biswas, Jovin George Mathew, Amrita Kaur, Karnav Bharat Panchal
Background  Late effects of adjuvant radiation therapy (RT) on soft tissues can lead to hair loss, pigmentary changes, loss of tissue volume, and fibrosis, which appear months to years after the treatment. These changes are often progressive and are because of tissue hypoxia due to radiation-induced capillary endothelial damage. Tissue hypoxia may be compounded by subclinical infection following minor trauma, exposed hardware, or associated osteoradionecrosis. The combined effect of these factors causes significant deformities in soft tissue, affecting both function and appearance...
February 2024: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://read.qxmd.com/read/38440631/outcome-analysis-of-two-stage-paramedian-forehead-flap-for-nasal-defects-reconstruction-in-local-population-experience-of-3-years-at-our-center
#7
JOURNAL ARTICLE
Asha Khushalani, Sangeeta Thakurani, Paheli Garg
The nose is a key aesthetic element of face. Nasal defect reconstruction by forehead flap has been done since ancient times. The aim of this study is to review our experience of the outcomes of two- stage paramedian forehead flap in nasal defects of various aetiologies in the local population. This prospective study was done from January 2020 to December 2022 in the Department of Plastic and Reconstructive Surgery at SMS Medical College and Hospital. A total of 29 patients were included in this study who were candidates for a forehead flap for nose reconstruction due to any aetiology...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38440552/a-case-report-of-an-atypical-situation-arising-during-typical-ryle-s-tube-removal-procedure
#8
JOURNAL ARTICLE
Priyanshi Gupta, Pratibha Vyas, Nikhil Kumar Soni
Placement of Ryle's tube is a rather blind outpatient procedure which has documented minor and major complications during insertion like nasal irritation, epistasis, pharyngeal trauma, tracheal trauma, intravascular penetration, intracranial penetration etc. However, removal of Ryle's tube is a rather straightforward procedure with rarely any complication. In this case report, we encountered an unusual situation of Ryle's tube being kinked and stuck at Left Fossa of Rosenmuller, near the skull base with subsequent erosion, emphasising the fact that forceful removal should not be attempted...
February 2024: Indian Journal of Otolaryngology and Head and Neck Surgery
https://read.qxmd.com/read/38374530/the-role-of-emergency-department-thoracotomy-in-patients-with-cranial-gunshot-wounds
#9
JOURNAL ARTICLE
Justin S Hatchimonji, Nicole A Meredyth, Sriharsha Gummadi, Elinore J Kaufman, Jay A Yelon, Jeremy W Cannon, Niels D Martin, Mark J Seamon
BACKGROUND: Although several society guidelines exist regarding emergency department thoracotomy (EDT), there is a lack of data upon which to base guidance for multiple gunshot wound (GSW) patients whose injuries include a cranial GSW. We hypothesized that survival in these patients would be exceedingly low. METHODS: We used Pennsylvania Trauma Outcomes Study (PTOS) data, 2002-2021, and included EDTs for GSWs. We defined EDT by ICD codes for thoracotomy or procedures requiring one, with a location flagged as ED...
February 20, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38369390/assessing-the-prediction-of-arterial-co-2-from-end-tidal-co-2-in-adult-blunt-trauma-patients
#10
JOURNAL ARTICLE
Nicholas M Petrakis, Daniel Harris, Daniel Y Ellis, Daniel Haustead
BACKGROUND: The control of PaCO2 in ventilated patients is known to be of particular importance in the management and prognosis of trauma patients. Although EtCO2 is often used as a continuous, non-invasive, surrogate marker for PaCO2 in ventilated trauma patients in the emergency department (ED), previous studies suggest a poor correlation in this cohort. However, previous data has predominantly been collected retrospectively, raising the possibility that the elapsed time between PaCO2 sampling and EtCO2 recording may contribute to the poor correlation...
February 14, 2024: Injury
https://read.qxmd.com/read/38368655/machine-learning-prediction-of-footwear-slip-resistance-on-glycerol-contaminated-surfaces-a-pilot-study
#11
JOURNAL ARTICLE
Kaylie Lau, Takeshi Yamaguchi, Kei Shibata, Toshiaki Nishi, Geoff Fernie, Atena Roshan Fekr
Slippery surfaces due to oil spills pose a significant risk in various environments, including industrial workplaces, kitchens, garages, and outdoor areas. These situations can lead to accidents and falls, resulting in injuries that range from minor bruises to severe fractures or head trauma. To mitigate such risks, the use of slip resistant footwear plays a crucial role. In this study, we aimed to develop an Artificial Intelligence model capable of classifying footwear as having either high or low slip resistance based on the geometric characteristics and material parameters of their outsoles...
February 17, 2024: Applied Ergonomics
https://read.qxmd.com/read/38358528/risk-of-hematologic-malignant-neoplasms-from-head-ct-radiation-in-children-and-adolescents-presenting-with-minor-head-trauma-a-nationwide-population-based-cohort-study
#12
JOURNAL ARTICLE
Seungjae Lee, Hae Young Kim, Kyung Hee Lee, Jungheum Cho, Choonsik Lee, Kwang Pyo Kim, Jinhee Hwang, Ji Hoon Park
OBJECTIVES: The carcinogenic risks of CT radiation in children and adolescents remain debated. We aimed to assess the carcinogenic risk of CTs performed in children and adolescents with minor head trauma. METHODS: In this nationwide population-based cohort study, we included 2,411,715 patients of age 0-19 with minor head trauma from 2009 to 2017. We excluded patients with elevated cancer risks or substantial past medical radiation exposure. Patients were categorized into CT-exposed or CT-unexposed group according to claim codes for head CT...
February 15, 2024: European Radiology
https://read.qxmd.com/read/38344402/spontaneous-triple-vessel-cervicocephalic-artery-dissection-in-a-young-gentleman-a-case-report
#13
Liaquat Ali, Khawaja Haroon, Naveed Akhtar, Khalid Zammar, Ahmad Meer, Majd Abualrob, Isra Eltazi, Zeba Noorain, Yahya Baniamer, Randa Yasin
INTRODUCTION: Cervicocephalic arterial dissections (CADs) occur in 3 cases per 100,000 individuals across all ages. Multiple simultaneous CADs are found in 13 to 22% of cases, and three or more dissections occur in approximately 2%. CADs might result from multifactorial intrinsic deficiencies of vessel wall integrity and extrinsic factors, e.g., minor trauma. CASE PRESENTATION: A young gentleman presented to the emergency department with a sudden onset of a spinning sensation of surrounding, left side arm weakness, blurring of vision, and an NIHSS score of 4...
2024: Qatar Medical Journal
https://read.qxmd.com/read/38298907/post-traumatic-pilomatricoma-presenting-as-rapidly-enlarging-pediatric-scalp-mass
#14
Taylor M Wallworth, Christopher Husson, Dustin Roberie, Veronica Rooks
Pilomatricomas (PM) are benign neoplasms that arise from hair follicle matrix cells. They are one of the most frequently excised pediatric skin masses. A typical clinical presentation is a slow growing, painless, firm, superficial mass in the head and neck of a child. We present a rare presentation of PM. A preschool aged girl presented with an enlarging scalp mass following a history of minor blunt trauma to the area. Two months prior, the child sustained a ground level fall and subsequently developed a painless "bump" at the site of injury on the scalp...
April 2024: Radiology Case Reports
https://read.qxmd.com/read/38265443/epidemiology-of-horse-trauma-a-literature-review
#15
REVIEW
Emily K Neville, Henry Hicks, Christine C Neville
PURPOSE: Horses are used for many recreational and occupational activities. They are large, strong, temperamental, and unpredictable animals and people involved with them are at risk for injuries, from minor abrasions to severe injuries that may lead to death. This review reports on horse trauma in relation to the characteristics of injured equestrians, characteristics of horse trauma, and clinical outcomes. METHODS: A literature search was conducted from health-related electronic databases to identify studies from 2018 to 2023...
January 24, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38204190/association-between-social-determinants-of-health-and-traumatic-brain-injury-a-scoping-review
#16
JOURNAL ARTICLE
Shameeke Taylor, Kira Brayan, Bess Storch, Young Suh, Samantha Walsh, Nita Avrith, Benjamin Wyler, Catrina Cropano, Kristen Dams-O'Connor
Traumatic brain injury (TBI) is a leading cause of death and disability worldwide. Disparities exist in the populations that acquire TBIs, however, with a greater burden and poorer outcomes associated with communities of color and lower socioeconomic status. To combat health inequities such as these, institutions have begun to target social determinants of health (SDoH), which are environmental factors that affect health outcomes and risks. The SDoH may play a role in sustaining a TBI and provide modifiable targets for action to reduce the risk of TBI, especially in high-risk communities...
February 5, 2024: Journal of Neurotrauma
https://read.qxmd.com/read/38204178/examining-the-new-consensus-criteria-for-traumatic-encephalopathy-syndrome-in-community-dwelling-older-adults
#17
JOURNAL ARTICLE
Douglas P Terry, Jacob Jo, Kristen Williams, Philip Davis, Grant L Iverson, Scott L Zuckerman
In 2021, an expert panel of clinician-scientists published the first consensus research diagnostic criteria for traumatic encephalopathy syndrome (TES), a clinical condition thought to be associated with chronic traumatic encephalopathy neuropathological change. This study evaluated the TES criteria in older adults and assessed associations between TES criteria and a history of repetitive head impacts. This cross-sectional, survey-based study examined the symptoms of TES, previous repetitive head impacts, and a variety of current health difficulties...
January 24, 2024: Journal of Neurotrauma
https://read.qxmd.com/read/38195187/vertebral-artery-dissection
#18
JOURNAL ARTICLE
Ivan Ivanov, Michael Cataldo, Alyssa Cocchiara, Rosalee Nguyen
Vertebral artery dissections are a rare pathology that carries a high risk of stroke in a younger population. They may be caused by minor mechanisms and the index of suspicion should be high. Treatment with anticoagulation or antiplatelets should follow if no surgical management is indicated.We describe a case of a female in her 30s who fell backward off a swing and rolled over her head and complained of continued posterior neck pain. The patient was found to have a vertebral artery dissection on MRI. The patient was then anticoagulated with high-dose apixaban and low-dose aspirin...
January 9, 2024: BMJ Case Reports
https://read.qxmd.com/read/38142360/a-10-year-retrospective-review-of-playground-associated-craniofacial-injuries-in-the-pediatric-patient-population
#19
JOURNAL ARTICLE
Madison Kolbow, Joseph D Quick, Lauren E Powell, Qi Wang, Minh-Doan T Nguyen, Ruth J Barta
This retrospective study utilized the National Electronic Injury Surveillance System (NEISS) database to identify pediatric emergency department (ED) patients with playground-associated craniofacial injuries between January 2012 and December 2021. A total of 25 414 patients were identified. The majority of injuries occurred in preschool and elementary school-age children (90.3%) and patients were more commonly boys (59.3%). Injuries most often involved the head/scalp (52.4%), face (30.4%), and mouth (11...
December 24, 2023: Clinical Pediatrics
https://read.qxmd.com/read/38140830/is-reversal-of-anticoagulants-necessary-in-neurologically-intact-traumatic-intracranial-hemorrhage
#20
JOURNAL ARTICLE
Kelly Powell, William Curtiss, Erin Sadek, Jason Hecht
INTRODUCTION: Falls are the leading cause of injury in older individuals, with intracranial hemorrhage (ICH) being a common complication. Anticoagulants, such as vitamin K antagonist and direct oral anticoagulants, are increasingly utilized, and clinicians may question the necessity of reversal in patients with minor ICH, especially in the setting of increased risk of adverse events. This study aimed to identify a population of patients with minor traumatic ICH at low risk for poor-neurologic status where anticoagulant reversal may not improve outcomes...
December 23, 2023: Pharmacotherapy
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