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Keywords journal of trauma and acute ca...

journal of trauma and acute care surgery

https://read.qxmd.com/read/38497940/in-memory-of-dr-david-feliciano
#1
JOURNAL ARTICLE
Thomas M Scalea, Steven Shackford, C William Schwab
No abstract text is available yet for this article.
March 18, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38497936/prevalence-and-outcomes-of-high-versus-low-ratio-plasma-to-red-blood-cell-resuscitation-in-a-multi-institutional-cohort-of-severely-injured-children
#2
JOURNAL ARTICLE
Steven C Mehl, Adam M Vogel, Amy E Glasgow, Suzanne Moody, Meera Kotagal, Regan F Williams, Mark L Kayton, Emily C Alberto, Randall S Burd, Thomas J Schroeppel, Joanne E Baerg, Amanda Munoz, William B Rothstein, Laura A Boomer, Eric M Campion, Caitlin Robinson, Rachel M Nygaard, Chad J Richardson, Denise I Garcia, Christian J Streck, Michaela Gaffley, John K Petty, Cynthia Greenwell, Samir Pandya, Alicia M Waters, Robert T Russell, Brian K Yorkgitis, Jennifer Mull, Jeffrey Pence, Matthew T Santore, Taleen A MacArthur, Denise B Klinkner, Shawn D Safford, Tanya Trevilian, Megan Cunningham, Christa Black, Jessica Rea, Ryan G Spurrier, Aaron R Jensen, Bethany J Farr, David P Mooney, Bavana Ketha, Melvin S Dassinger, Anna Goldenberg-Sandau, Janika San Roman, Todd M Jenkins, Richard A Falcone, Stephanie F Polites
BACKGROUND: The benefit of targeting high ratio fresh frozen plasma (FFP):red blood cell (RBC) transfusion in pediatric trauma resuscitation is unclear as existing studies are limited to patients who retrospectively met criteria for massive transfusion. The purpose of this study is to evaluate the use of high ratio FFP:RBC transfusion and the association with outcomes in children presenting in shock. METHODS: A post-hoc analysis of a 24-institution prospective observational study (4/2018-9/2019) of injured children <18 years with elevated age-adjusted shock index was performed...
March 18, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38497933/bullet-holes-a-novel-model-to-identify-the-most-impactful-gaps-in-the-firearm-homicide-prevention-laws-of-each-state
#3
JOURNAL ARTICLE
Aksel D Laudon, Elizabeth S Davis, Xuewei Zhao, Kelly Kenzik, Crisanto Torres, Sabrina E Sanchez, Tejal S Brahmbhatt, Dane R Scantling
BACKGROUND: Firearm homicides (FH) are a major cause of mortality in the United States (US). Firearm law implementation is variable across states, and legislative gaps may represent opportunities for FH prevention. For each state, we sought to identify which firearm law category would have been most effective if implemented and how effective it would have been. METHODS: We conducted a retrospective cohort study examining the effects of firearm laws on FH rates in the 48 contiguous US states 2010-2019...
March 18, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38497907/a-pilot-project-of-a-post-discharge-care-team-for-firearm-injury-survivors-decreases-emergency-department-utilization-hospital-readmission-days-and-cost
#4
JOURNAL ARTICLE
Elise A Biesboer, Amber Brandolino, Ashley Servi, Rebecca Laskiewicz, Liza Herbst, Susan Cronn, Jennifer Cadman, Colleen Trevino, Terri deRoon-Cassini, Mary E Schroeder
BACKGROUND: Persons of low socioeconomic status are overrepresented in the firearm injury patient population and may experience challenges in accessing complex outpatient health systems. Consequently, outpatient care for these patients is plagued by poor follow-up and increased emergency department (ED) utilization. We developed a Post Discharge Care Team (PDCT) consisting of a dedicated trauma nurse navigator and medical social worker to bridge the gap between hospital discharge and outpatient care to improve recovery...
March 18, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38480497/using-chest-x-ray-to-predict-tube-thoracostomy-in-traumatic-pneumothorax-a-single-institution-retrospective-review
#5
JOURNAL ARTICLE
Shruthi Srinivas, Katelyn Henderson, Katherine C Bergus, Ayanna Jacobs, Holly Baselice, Edwin Donnelly, Carrie Valdez, Brett M Tracy, Julia R Coleman
INTRODUCTION: Traumatic pneumothorax (PTX) is a common occurrence in thoracic trauma patients, with a majority requiring tube thoracostomy (TT) for management. Recently, the "35-mm" rule has advocated for observation of patients with PTX less than 35 mm on chest computed tomography (CT) scan. This rule has not been examined in chest x-ray (CXR). We hypothesize that a similar size cutoff can be determined in CXR predictive of need for tube thoracostomy. METHODS: We performed a single-institution retrospective review of patients with traumatic PTX from 2018 - 2022, excluding those who underwent TT prior to CXR...
March 14, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38480496/obesity-is-associated-with-improved-early-survival-but-increased-late-mortality-in-surgical-patients-with-sepsis-a-propensity-matched-analysis
#6
JOURNAL ARTICLE
Anahita Jalilvand, Megan Ireland, Courtney Collins, Whitney Kellett, Scott Strassel, Robert Tamer, Wendy Wahl, Jon Wisler
INTRODUCTION: While obesity is a risk factor for post-operative complications, its impact following sepsis is unclear. The primary objective of this study was to evaluate the association between obesity and mortality following admission to the surgical ICU (SICU) with sepsis. METHODS: We conducted a single center retrospective review of SICU patients grouped into obese (n = 766, BMI ≥30 kg/m2) and non-obese (n = 574, BMI 18-29.9 kg/m2) cohorts. Applying 1:1 propensity matching for age, sex, comorbidities, SOFA, and transfer status, demographic data, comorbidities, and sepsis presentation were compared between groups...
March 14, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38480491/impact-of-resuscitation-adjuncts-on-post-intubation-hypotension-in-patients-with-isolated-tbi
#7
JOURNAL ARTICLE
Tanya Anand, Omar Hejazi, Madolyn Conant, Dylan Joule, Megan Lundy, Christina Colosimo, Audrey Spencer, Adam C Nelson, Lou Magnotti, Bellal Joseph
INTRODUCTION: Post-intubation hypotension (PIH) is a risk factor of endotracheal intubation (ETI) after injury. For those with traumatic brain injury (TBI), one episode of hypotension can potentiate that injury. This study aims to identify the resuscitation adjuncts which may decrease the incidence of PIH in this patient population. METHODS: This is a 4-year (2019-2022) prospective observational study at a level I trauma center. Adult (≥18) patients with isolated TBI requiring ETI in the trauma bay were included...
March 14, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38480489/a-multi-dimensional-approach-to-identifying-high-performing-trauma-centers-across-the-united-states
#8
JOURNAL ARTICLE
Doulia M Hamad, Haris Subacius, Arielle Thomas, Matthew P Guttman, Bourke W Tillmann, Angela Jerath, Barbara Haas, Avery B Nathens
INTRODUCTION: The differentiators of centers performing at the highest level of quality and patient safety are likely both structural and cultural. We aimed to combine five indicators representing established domains of trauma quality, and to identify and describe the structural characteristics of consistently performing centers. METHODS: Using ACS-TQIP data from 2017-2020, we evaluated five quality measures across several care domains for adult patients in level I and II trauma centers; 1) time to operating room (OR) for patients with abdominal gunshot wounds (GSW) and shock, 2) proportion of patients receiving timely venous thromboembolism (VTE) prophylaxis, 3) failure to rescue (death following a complication), 4) major hospital complications, and 5) mortality...
March 14, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38480488/acute-emergence-of-the-intestinal-pathobiome-after-postinjury-pneumonia
#9
JOURNAL ARTICLE
Jennifer A Munley, Lauren S Kelly, Gwoncheol Park, Stacey K Drury, Gwendolyn S Gillies, Preston S Coldwell, Kolenkode B Kannan, Letitia E Bible, Philip A Efron, Ravinder Nagpal, Alicia M Mohr
BACKGROUND: Previous preclinical studies have demonstrated sex-specific alterations in the gut microbiome following traumatic injury or sepsis alone; however, the impact of host sex on dysbiosis in the setting of postinjury sepsis acutely is unknown. We hypothesized that multicompartmental injury with subsequent pneumonia would result in host sex-specific dysbiosis. METHODS: Male and proestrus female Sprague-Dawley rats (n = 8/group) were subjected to either polytrauma (PT) (lung contusion, hemorrhagic shock, cecectomy, bifemoral pseudofracture), PT plus 2-hours daily restraint stress (PT/RS), PT with postinjury day 1 pseudomonas aeruginosa pneumonia (PT + PNA), PT/RS with pneumonia (PT/RS + PNA), or naive controls...
March 14, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38480487/integration-of-medical-legal-services-into-a-hospital-based-violence-intervention-program-a-survey-and-interview-based-provider-needs-assessment
#10
JOURNAL ARTICLE
Jake Sonnenberg, Ariana Metchick, Caitlin Schille, Prashati Bhatnagar, Lisa Kessler, Deborah Perry, Vicki Girard, Belinda Taylor, Erin Hall
BACKGROUND: Violent injury among trauma surgery patients is strongly associated with exposure to harmful social determinants of health and negative long-term health outcomes. Medical-legal partnerships in other settings successfully provide patients with legal services to address similar health-harming legal needs and may offer a promising model for the care of violently-injured patients. STUDY DESIGN: An electronic survey tool was distributed to clinicians and staff affiliated with the hospital-based violence intervention program at a single urban level one trauma center...
March 14, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38459488/the-rise-of-acs-and-its-importance
#11
EDITORIAL
Brian Wca Tian
No abstract text is available yet for this article.
March 8, 2024: World Journal of Emergency Surgery: WJES
https://read.qxmd.com/read/38454308/role-of-vena-cava-filter-in-the-prophylaxis-and-treatment-of-venous-thromboembolism-in-injured-adult-patients-a-systematic-review-meta-analysis-and-practice-management-guideline-from-the-eastern-association-for-the-surgery-of-trauma
#12
JOURNAL ARTICLE
Bishwajit Bhattacharya, Lisa Kodadek, Igor Nichiporenko, Shawna Morrissey, Jordan Kirsch, Jeff Choi, Husayn Ladhani, George Kasotakis, Kaushik Mukherjee, Chaitan Narsule, Rahul Sharma, Lucy Ruangvoravat, Jeremy Grushka, Rishi Rattan, Nikolay Bugaev
BACKGROUND: Injured patients are at an increased risk of developing deep vein thrombosis (DVT) and pulmonary embolism (PE). Inferior vena cava (IVC) filters have been used in injured patients to prevent venous thromboembolism (VTE), but current evidence-based guidelines are lacking. METHODS: Questions regarding IVC filter use in injured patients with clearly defined Population(s), Intervention(s), Comparison(s), and appropriately selected Outcomes (PICO) were formulated...
March 8, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38454307/identifying-community-safety-and-policy-based-injury-prevention-opportunities-to-reduce-golf-cart-injuries
#13
JOURNAL ARTICLE
Jana DeJesus, Carlos Chavez, Jazzalyn Zou, Kush Brahmbhatt, Elizabeth O'Daniel, August Schaeffer, Nikhil R Shah, Hoang Nguyen, Julie Matson, Ravi Radhakrishnan, Bindi Naik-Mathuria
BACKGROUND: In small US communities, golf cart utilization has become increasingly more common. In the past 3 years, the incidence and severity of pediatric golf cart-related trauma evaluated at our trauma center has noticeably increased. Thus, the aim of this study was to analyze trends, identify risk and protective factors, and provide community-level recommendations to improve golf cart safety for children in a coastal community. METHODS: A retrospective cross-sectional study of our institutional trauma registry was performed...
March 8, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38444065/dimethyl-sulfoxide-as-a-novel-therapy-in-a-murine-model-of-acute-lung-injury
#14
JOURNAL ARTICLE
Sharven Taghavi, David Engelhardt, Alexandra Campbell, Inna Goldvarg-Abud, Juan Duchesne, Farhana Shaheen, Derek Pociask, Jay Kolls, Olan Jackson-Weaver
INTRODUCTION: The endothelial glycocalyx (EGX) on the luminal surface of endothelial cells contributes to the permeability barrier of the pulmonary vasculature. Dimethyl sulfoxide (DMSO) has a disordering effect on plasma membranes, which prevents the formation of ordered membrane domains important in the shedding of the EGX. We hypothesized that DMSO would protect against protein leak by preserving the EGX in a murine model of acute respiratory distress syndrome (ARDS). METHODS: C57BL/6 mice were given ARDS via intra-tracheally administered lipopolysaccharide (LPS)...
March 6, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38441071/social-determinants-of-health-the-microbiome-and-surgical-injury
#15
JOURNAL ARTICLE
John C Alverdy, Ann Polcari, Andrew Benjamin
Post-injury infection continues to plague trauma and emergency surgery patients fortunate enough to survive the initial injury. Rapid response systems, massive transfusion protocols, the development of level 1 trauma centers, etc., have improved the outcome for millions of patients worldwide. Yet despite this excellent initial care, patients still remain vulnerable to post-injury infections that can result in organ failure, prolonged critical illness and even death. While risk factors have been identified (degree of injury, blood loss, time to definitive care, immunocompromise, etc...
March 4, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38439156/recovery-after-moderate-to-severe-tbi-and-factors-influencing-functional-outcome-what-you-need-to-know
#16
JOURNAL ARTICLE
Katherine Golden, Lydia Borsi, Ally Sterling, Joseph T Giacino
Regular Review, Level V.
March 5, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38439151/eastern-association-for-the-surgery-of-trauma-east-system-wellness-white-paper-an-evaluation-of-wellness-from-a-systems-perspective
#17
JOURNAL ARTICLE
Rachel D Appelbaum, Dale Butler, Joseph J Stirparo, Jamie Coleman, Jennifer L Hartwell, Kyle Cunningham
Providers are charged with responsibility to maintain their own health and wellness [1,2]. Wellness or wellbeing is multifactorial and complex, but the construct lacks clarity [3]. Wellness can impact patient safety and it has significant financial implications. Both financial and healthcare industries have recognized this multifactorial issue, and have applied research and resources to the issue of employee wellness and wellbeing [4]. Thus, solutions to sustainable change must be multi-tiered and intentional [1,5]...
March 5, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38439149/financial-toxicity-part-ii-a-practical-guide-to-measuring-and-tracking-long-term-financial-outcomes-among-acute-care-surgery
#18
JOURNAL ARTICLE
Lisa M Knowlton, John W Scott, Phillip Dowzicky, Patrick Murphy, Kimberly A Davis, Kristan Staudenmayer, R Shayn Martin
Acute care surgery (ACS) patients are frequently faced with significant long-term recovery and financial implications that extend far beyond their hospitalization. While major injury and emergency general surgery (EGS) emergencies are often viewed solely as acute moments of crisis, the impact on patients can be lifelong. Financial outcomes after major injury or emergency surgery have only begun to be understood. The Healthcare Economics Committee from the American Association for the Surgery of Trauma (AAST) previously published a conceptual overview of financial toxicity in acute care surgery, highlighting the association between financial outcomes and long-term physical recovery...
March 5, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38437527/a-collaborative-multidisciplinary-trauma-program-improvement-team-improves-vte-chemoprophylaxis-guideline-compliance-in-non-operative-stable-tbi
#19
JOURNAL ARTICLE
Abdul Hafiz Al Tannir, Simin Golestani, Morgan Tentis, Morgan Maring, Elise A Biesboer, Christopher Dodgion, Patrick B Murphy, Daniel N Holena, Colleen M Trevino, Jacob R Peschman, Thomas W Carver, David J Milia, Morgan Schellenberg, Marc A de Moya, Rachel S Morris
BACKGROUND: Delays in initiating venous thromboembolism (VTE) prophylaxis in patients suffering from traumatic brain injury (TBI) persist despite guidelines recommending early initiation. We hypothesized that the expansion of a Trauma Program Performance Improvement (PI) team will improve compliance of early (24-48 hour) initiation of VTE prophylaxis and will decrease VTE events in TBI patients. METHODS: We performed a single-center retrospective review of all TBI patients admitted to a Level I trauma center before (2015-2016,) and after (2019-2020,) the expansion of the Trauma Performance Improvement and Patient Safety (PIPS) team and the creation of trauma process and outcome dashboards...
March 4, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38409684/nutritional-support-for-the-trauma-and-emergency-general-surgery-patient-what-you-need-to-know
#20
JOURNAL ARTICLE
Jennifer L Hartwell, David C Evans, Matthew J Martin
Level V, literature synthesis and expert opinion.
February 27, 2024: Journal of Trauma and Acute Care Surgery
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