keyword
https://read.qxmd.com/read/38216357/evaluation-of-pre-hospital-cannabis-exposure-and-hospital-opioid-utilization-in-a-trauma-population-a-retrospective-cohort
#1
JOURNAL ARTICLE
Alexander J Chang, Ali F Mallat, Marc J Edwards, Joseph N Gabra, Michaelia D Cucci
PURPOSE: Cannabis utilization has increased over time for recreational and medical purposes due to its legalization or decriminalization. The effects of cannabis use on opioid utilization are not well understood. The primary objective was to evaluate the total opioid utilization, measured in morphine milligram equivalents (MME), in hospitalized trauma patients that tested positive for tetrahydrocannabinol (THC) on a urine drug screen (UDS). METHODS: This was a retrospective, cohort study in a level 1 trauma center between 10/17/17 and 12/31/19...
December 30, 2023: Injury
https://read.qxmd.com/read/38030451/injury-patterns-and-outcomes-in-motorcycle-driver-crashes-in-the-united-states-the-effect-of-helmet-use
#2
JOURNAL ARTICLE
Lara A Brockhus, Panagiotis Liasidis, Meghan Lewis, Dominik A Jakob, Demetrios Demetriades
BACKGROUND: Motorcycle crashes pose a persistent public health problem with disproportionate rates of severe injuries and mortality. This study aims to analyze injury patterns and outcomes with regard to helmet use. We hypothesized that helmet use is associated with fewer head injuries and does not increase the risk of cervical spine injuries. METHODS: The National Trauma Data Bank was queried for all motorcycle driver crashes between 2007-2017. Univariable analysis was used to compare demographics, clinical data, injury patterns using abbreviated injury scale, and outcomes between helmeted motorcycle drivers and non-helmeted motorcycle drivers who were injured in traffic crashes...
November 21, 2023: Injury
https://read.qxmd.com/read/37937878/a-fast-track-respiratory-protocol-for-high-cervical-spine-injury-a-case-report
#3
JOURNAL ARTICLE
Caixue Pan, Yao Chen, Yongfang Zhou
BACKGROUND: Cervical spinal cord injury can greatly affect pulmonary function, resulting in complications, including respiratory failure with prolonged mechanical ventilation, ultimately leading to increased mortality and high health care costs. Weaning from mechanical ventilation is particularly challenging in patients with complete high spinal cord injury. CASE PRESENTATION: We present the case of a 42-year-old man who suffered a complete cervical 5-6 spinal cord injury following a rollover motor vehicle crash and subsequently developed postoperative pneumonia and severe hypoxemic respiratory failure...
November 2023: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://read.qxmd.com/read/37620036/point-of-care-ultrasound-for-airway-management-in-the-emergency-and-critical-care-setting
#4
JOURNAL ARTICLE
Michael Gottlieb, James R O'Brien, Nicholas Ferrigno, Tina Sundaram
Airway management is a common procedure within Emergency and Critical Care Medicine. Traditional techniques for predicting and managing a difficult airway each have important limitations. As the field has evolved, point-of-care ultrasound has been increasingly utilized for this application. Several measures can be used to sonographically predict a difficult airway, including skin to epiglottis, hyomental distance, and tongue thickness. Ultrasound can also be used to confirm endotracheal tube intubation and assess endotracheal tube depth...
August 25, 2023: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/37367970/injury-patterns-and-outcomes-in-motorcycle-passengers
#5
JOURNAL ARTICLE
Panagiotis Liasidis, Elizabeth Benjamin, Dominik Jakob, Meghan Lewis, Demetrios Demetriades
INTRODUCTION: Contemporary trauma literature on injuries to motorcycle passengers is scarce. The aim of this study was to examine the injury patterns and outcomes of motorcycle passengers with regard to helmet use. We hypothesized that helmet utilization affects both injury type and outcomes. METHODS: The National Trauma Data Bank was queried for all motorcycle passengers who were injured in traffic accidents. Participants were stratified according to helmet utilization into helmeted (HM) and nonhelmeted (NHM) groups...
June 27, 2023: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/37316557/tracheal-bifurcation-repair-for-blunt-thoracic-trauma-in-a-patient-with-covid-19
#6
JOURNAL ARTICLE
Shoji Kuriyama, Kazuhiro Imai, Kasumi Tozawa, Shinogu Takashima, Ryo Demura, Haruka Suzuki, Yuzu Harata, Tatsuki Fujibayashi, Sumire Shibano, Yoshihiro Minamiya
BACKGROUND: Tracheobronchial injury (TBI) is a rare but potentially life-threatening trauma that requires prompt diagnosis and treatment. We present a case in which a patient with COVID-19 infection was successfully treated for a TBI through surgical repair and intensive care with extracorporeal membrane oxygenation (ECMO) support. CASE PRESENTATION: This is the case of a 31-year-old man transported to a peripheral hospital following a car crash. Tracheal intubation was performed for severe hypoxia and subcutaneous emphysema...
June 15, 2023: Surgical Case Reports
https://read.qxmd.com/read/37041627/stabilization-of-after-traumatic-flail-chest-by-minimally-invasive-modified-nuss-procedure-in-patient-with-starting-respiratory-insufficiency
#7
JOURNAL ARTICLE
Robert Chudzik, Krzysztof Buczyński, Paweł Rybojad, Marek Sawicki
A flail chest is one of the possible medical conditions suffered by individuals who were injured in traffic accidents, caused by multiple fractures of the ribs and sternum. Which often results in paradoxical chest movements. The consequence may be respiratory failure and need for long-term mechanical ventilation. Such treatment require Intensive Care Unit and may be associated with the possibility of numerous complications.Modified Nuss procedure was performed in 79-year-old man, a victim of a car crash to obtain stabilization of the flail chest...
April 11, 2023: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/37002114/taming-the-tiger-ultra-high-dose-nitroglycerin-in-managing-sympathetic-crashing-acute-pulmonary-edema-patient
#8
Naazia Siddiqua, Jyothiswaroop Bhaskararayuni, Ankit Kumar Sahu, Akshay Kumar, Jamshed Nayer
INTRODUCTION: Sympathetic Crashing Acute Pulmonary Edema (SCAPE) lies on the end of the acute heart failure syndrome spectrum with pulmonary edema in all lung zones. NTG at lower doses (10-20 μg/min) cause preload reduction, and at higher doses (> 100 μg/min) causes after-load reduction by arterial dilatation. The main aim is to decrease the afterload at the earliest to cut the vicious cycle caused by sudden sympathetic upsurge. To our knowledge, this is the highest nitroglycerin dose usage in the literature...
May 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36509361/outcome-of-extracorporeal-membrane-oxygenation-use-in-severe-accidental-hypothermia-with-cardiac-arrest-and-circulatory-instability-a-multicentre-prospective-observational-study-in-japan-ice-crash-study
#9
MULTICENTER STUDY
Shuhei Takauji, Mineji Hayakawa, Daisuke Yamada, Tian Tian, Keita Minowa, Akihiko Inoue, Yoshihiro Fujimoto, Shutaro Isokawa, Naoya Miura, Tomoyuki Endo, Jin Irie, Gen Otomo, Hiroki Sato, Keisuke Bando, Tsuyoshi Suzuki, Takashi Toyohara, Akiko Tomita, Motoko Iwahara, Satoru Murata, Junya Shimazaki, Takeo Matsuyoshi, Jo Yoshizawa, Kenichi Nitta, Yuta Sato
AIM: To elucidate the effectiveness of extracorporeal membrane oxygenation (ECMO) in accidental hypothermia (AH) patients with and without cardiac arrest (CA), including details of complications. METHODS: This study was a multicentre, prospective, observational study of AH in Japan. All adult (aged ≥18 years) AH patients with body temperature ≤32 °C who presented to the emergency department between December 2019 and March 2022 were included...
January 2023: Resuscitation
https://read.qxmd.com/read/36386429/critical-asthma-syndrome-in-trauma-patients-a-case-report-and-literature-review
#10
Claire Chen, Rahul Sharma, Aditi Singh, Douglas R Fraser, Jeremy Kilburn
Critical asthma syndrome (CAS) is an umbrella term for many acute, life-threatening, and treatment resistant variants of asthma exacerbation, including refractory asthma, near fatal asthma, and status asthmaticus. The asthma mortality rate has steadily increased through the last decade and disproportionately affects women, African-Americans, patients of low socioeconomic status, and adults over the age of 55. Increased awareness of the diagnosis and therapies for CAS can help establish a therapeutic strategy for asthma beyond corticosteroids, bronchodilators, and other conventional treatments...
December 2022: Trauma Case Reports
https://read.qxmd.com/read/36327753/high-dose-nitroglycerin-infusion-description-of-safety-and-efficacy-in-sympathetic-crashing-acute-pulmonary-edema-the-hi-dose-scape-study
#11
JOURNAL ARTICLE
Brandon S Houseman, Ashley N Martinelli, Wesley D Oliver, Sandeep Devabhakthuni, Amal Mattu
BACKGROUND: Sympathetic crashing acute pulmonary edema (SCAPE) is a medical emergency in which severe, acute elevation in blood pressure results in acute heart failure and fluid accumulation in the lungs. Without prompt recognition and treatment, the condition often progresses rapidly to respiratory failure necessitating intubation and intensive care unit (ICU) admission. In addition to non-invasive positive pressure ventilation (NIPPV), high-dose nitroglycerin (HDN) has become a mainstay of treatment; however, an optimal dosing strategy has not been established...
January 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/36060178/analysis-of-trimodal-pattern-of-mortality-among-hospitalized-covid-19-patients-lessons-from-tertiary-care-hospital
#12
JOURNAL ARTICLE
Gunchan Paul, Parshotam Lal Gautam, Shruti Sharma, Jeevan Kumar, Apoorva Gupta, Mukul Sharma, Akashdeep Singh Khehra, Birinder S Paul, Bishav Mohan
Background and Aims: Many patients with COVID-19 become critically ill and requireICU admission. Risk factors associated with mortality have been studied, but this study provides insight regarding disease progression and hence help to plan rescue strategies to improve patient outcome. Material and Methods: This retrospective, observational study included all patients with diagnosis of COVID-19 from March1 to June30,2021 who died in hospital. Results: During the study period, 1600 patients were admitted, with 1138 (71%) needing ICU care...
July 2022: Journal of Anaesthesiology, Clinical Pharmacology
https://read.qxmd.com/read/35734545/a-descriptive-study-of-trauma-patients-transported-by-helicopter-emergency-medical-services-to-a-level-one-trauma-centre
#13
JOURNAL ARTICLE
Marwala Simon Pule, Peter Hodkinson, Timothy Hardcastle
Background: KwaZulu-Natal, the largest land mass province that is densely populated in SA has vast distances to referral centres and time to definitive treatment is key in trauma care. Helicopter Emergency Medical Service (HEMS) is still an invaluable prehospital asset for the transport of time sensitive trauma. This study reviews the impact of HEMS in the management of trauma at Inkosi Albert Luthuli hospital (IALCH) which is the only public accredited level one trauma centre in the province...
September 2022: African Journal of Emergency Medicine Revue
https://read.qxmd.com/read/34764843/anesthesia-for-robotic-thoracic-surgery
#14
REVIEW
Kimberly Gonsette, Turgay Tuna, Laszlo L Szegedi
The management of the robotic thoracic surgical patient requires the knowledge of minimally invasive surgery techniques involving the chest. Over the past decade, robotic-assisted thoracic surgery has grown, and, in the future, it will take an important place in the treatment of complex thoracic pathologies. The enhanced dexterity and three-dimensional visualization make it possible to do this in the small space of the thoracic cavity. Familiarity with the robotic surgical system by the anesthesiologists is mandatory...
2021: Saudi Journal of Anaesthesia
https://read.qxmd.com/read/34515422/surgical-rib-fixation-as-an-alternative-method-of-treatment-for-multiple-rib-fractures-an-audit-of-results-compared-with-traditional-medical-management
#15
JOURNAL ARTICLE
B I Monzou, L M Fingleson, M S Moeng
BACKGROUND: Rib fractures are a common cause of morbidity and chronic pain, delaying return to normal activities. Reports suggest that surgical fixation improves acute and long-term outcomes. METHODS: A single centre retrospective review of multiple rib fractures, comparing the outcomes of cases managed using surgical fixation with cases managed only with best medical therapy (BMT) over 2 years. RESULTS: Thirty-five patients with rib fractures were admitted over the study period...
September 2021: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://read.qxmd.com/read/34348741/epidemiological-and-clinical-characteristics-of-road-traffic-crashes-related-thoracic-traumas-analysis-of-5095-hospitalized-chest-injury-patients
#16
JOURNAL ARTICLE
Shengcao Zhang, Xiangzhi Xiao, Jian Wang, Chengkai Hu, Qiancheng Du, Zheng Fu, Wei Cai, Zhilong Zhang, Hao Chen
BACKGROUND: Road traffic crashes related (RTCR) chest traumas remain important global public health challenge. The impact of boosting market of automobile vehicles in China during last decade on thoracic injury needs to be defined. This study aimed to review and analyze the demographic and clinical characteristics of RTCR thoracic injuries in China. METHODS: Clinical records of patients with thoracic trauma admitted to thoracic surgery department between January 2003 and June 2020 were retrospectively retrieved and reviewed...
August 4, 2021: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/34215472/high-dose-nitroglycerin-bolus-for-sympathetic-crashing-acute-pulmonary-edema-a-prospective-observational-pilot-study
#17
JOURNAL ARTICLE
Roshan Mathew, Akshay Kumar, Ankit Sahu, Sachin Wali, Praveen Aggarwal
BACKGROUND: Sympathetic crashing acute pulmonary edema (SCAPE) is a severe form of hypertensive acute heart failure with a dramatic presentation. Rapid identification and management in the emergency department (ED) is key to saving these patients and preventing morbidity associated with endotracheal intubation and intensive care treatment. Use of high-dose nitroglycerin (NTG) and noninvasive ventilation (NIV) has been advocated in management of such patients. OBJECTIVE: To study the feasibility and safety of high-dose NTG combined with NIV in SCAPE...
September 2021: Journal of Emergency Medicine
https://read.qxmd.com/read/34092311/severity-and-patterns-of-injury-in-helmeted-vs-non-helmeted-motorcyclists-in-a-rural-state
#18
JOURNAL ARTICLE
Sivana Barron, Carolyne Falank, Julianne Ontengco, Bruce Chung, Damien W Carter
INTRODUCTION: Under current law in our rural state, there is no universal requirement for motorcyclists to wear helmets. Roughly 500 motorcycle crashes are reported by the state each year and only a fraction of those riders wear helmets. We sought to determine the difference in injury patterns and severity in helmeted versus non-helmeted riders. METHODS: Retrospective review (2014-2018) of a single level 1 trauma center's registry was done for subjects admitted after a motorcycle collision...
June 2021: Journal of Safety Research
https://read.qxmd.com/read/33703854/how-to-keep-the-cath-lab-of-a-covid-free-hub-center-during-the-pandemic-in-a-hub-and-spoke-cardiology-network-a-single-center-s-experience
#19
JOURNAL ARTICLE
Marco Borghesi, Filippo Zilio, Giuseppe Braito, Michele Dallago, Simone Muraglia, Daniel Todaro, Roberto Bonmassari
BACKGROUND: Northern Italy has been one of the most affected area in the world by the novel severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2). The healthcare system has been overwhelmed by the huge number of patients in need of mechanical ventilation or intensive care, resulting in a delay of treatment of patients with acute coronary syndrome (ACS), due to a crash in STEMI networks and closure of a certain number of hub centers, and to a delay in patients' seeking for medical evaluation for chest pain or angina-equivalent symptoms...
August 2022: Minerva cardiology and angiology
https://read.qxmd.com/read/33643521/demographics-and-incident-location-of-traumatic-injuries-at-a-single-level-i-trauma-center
#20
JOURNAL ARTICLE
David Watson, Blair Benton, Elizabeth Ablah, Kelly Lightwine, Ronda Lusk, Hayrettin Okut, Thuy Bui, James M Haan
INTRODUCTION: Traumatic injuries are preventable and understanding determinants of injury, such as socio-economic and environmental factors, is vital. This study evaluated traumatic injuries and identified areas of high trauma incidence. METHODS: A retrospective review was conducted of all patients 14 years or older who were admitted with a traumatic injury to a Level I trauma center between 2016 and 2017. Descriptive analyses were presented and maps of high injury areas were generated...
2021: Kansas Journal of Medicine
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