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Pediatric Trauma

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159 papers 100 to 500 followers
https://www.readbyqxmd.com/read/26953754/trauma-team-discord-and-the-role-of-briefing
#1
Susan Steinemann, Ajay Bhatt, Gregory Suares, Alexander Wei, Nina Ho, Gene Kurosawa, Eunjung Lim, Benjamin Berg
BACKGROUND: Briefing of the trauma team before patient arrival is unstructured in many centers. We surveyed trauma teams regarding agreement on patient care priorities and evaluated the impact of a structured, physician-led briefing on concordance during simulated resuscitations. METHODS: Trauma nurses at our Level II center were surveyed, and they participated in four resuscitation scenarios, randomized to "briefed" or "nonbriefed." For nonbriefed scenarios, nurses independently reviewed triage sheets with written information...
July 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27625718/leadership-and-teamwork-in-trauma-and-resuscitation
#2
REVIEW
Kelsey Ford, Michael Menchine, Elizabeth Burner, Sanjay Arora, Kenji Inaba, Demetrios Demetriades, Bertrand Yersin
INTRODUCTION: Leadership skills are described by the American College of Surgeons' Advanced Trauma Life Support (ATLS) course as necessary to provide care for patients during resuscitations. However, leadership is a complex concept, and the tools used to assess the quality of leadership are poorly described, inadequately validated, and infrequently used. Despite its importance, dedicated leadership education is rarely part of physician training programs. The goals of this investigation were the following: 1...
September 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/22365872/trauma-leadership-does-perception-drive-reality
#3
COMPARATIVE STUDY
Joseph V Sakran, Bo Finneman, Chris Maxwell, Seema S Sonnad, Babak Sarani, Jose Pascual, Patrick Kim, C William Schwab, Carrie Sims
INTRODUCTION: Leadership plays a key role in trauma team management and might affect the efficiency of patient care. Our hypothesis was that a positive relationship exists between the trauma team members' perception of leadership and the efficiency of the injured patient's initial evaluation. METHODS: We conducted a prospective observational study evaluating trauma attending leadership (TAL) over 5 months at a level 1 trauma center. After the completion of patient care, trauma team members evaluated the TAL's ability using a modified Campbell Leadership Descriptor Survey tool...
March 2012: Journal of Surgical Education
https://www.readbyqxmd.com/read/26801092/role-confusion-and-self-assessment-in-interprofessional-trauma-teams
#4
Susan Steinemann, Gene Kurosawa, Alexander Wei, Nina Ho, Eunjung Lim, Gregory Suares, Ajay Bhatt, Benjamin Berg
BACKGROUND: Trauma care requires coordinating an interprofessional team, with formative feedback on teamwork skills. We hypothesized nurses and surgeons have different perceptions regarding roles during resuscitation; that nurses' teamwork self-assessment differs from experts', and that video debriefing might improve accuracy of self-assessment. METHODS: Trauma nurses and surgeons were surveyed regarding resuscitation responsibilities. Subsequently, nurses joined interprofessional teams in simulated trauma resuscitations...
February 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/16316282/contingent-leadership-and-effectiveness-of-trauma-resuscitation-teams
#5
COMPARATIVE STUDY
Seokhwa Yun, Samer Faraj, Henry P Sims
This research investigated leadership and effectiveness of teams operating in a high-velocity environment, specifically trauma resuscitation teams. On the basis of the literature and their own ethnographic work, the authors proposed and tested a contingency model in which the influence of leadership on team effectiveness during trauma resuscitation differs according to the situation. Results indicated that empowering leadership was more effective when trauma severity was low and when team experience was high...
November 2005: Journal of Applied Psychology
https://www.readbyqxmd.com/read/27842918/qualitative-assessment-of-simulation-based-training-for-pediatric-trauma-resuscitation
#6
Rita V Burke, Natalie E Demeter, Catherine J Goodhue, Heather Roesly, Alyssa Rake, L Caulette Young, Todd P Chang, Elizabeth Cleek, Inge Morton, Jeffrey S Upperman, Aaron R Jensen
BACKGROUND: Effective teamwork is critical in the trauma bay, although there is a lack of consensus related to optimal training for these skills. We implemented in situ trauma simulations with debriefing as a possible training methodology to improve team-oriented skills. METHODS: Focus groups were conducted with multidisciplinary clinicians who respond to trauma activations. The focus group questions were intended to elicit discussion on the clinicians' experiences during trauma activations and simulations with an emphasis on confidence, leadership, cooperation, communication, and opportunities for improvement...
May 2017: Surgery
https://www.readbyqxmd.com/read/27839721/missed-injuries-and-unplanned-readmissions-in-pediatric-trauma-patients
#7
Pamela M Choi, Jennifer Yu, Martin S Keller
BACKGROUND: We sought to determine the incidence and characteristics of missed injuries and unplanned readmissions at a Level-1 pediatric trauma center. METHODS: We conducted a retrospective review of all trauma patients who presented to our ACS-verified Level-1 pediatric trauma center from 2009 to 2014. RESULTS: Overall, there were 27 readmissions and 27 missed injuries (0.38%). Patients who were unplanned readmissions had a greater Injury Severity Score (ISS) (8...
March 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27482060/trampoline-park-and-home-trampoline-injuries
#8
Kathryn E Kasmire, Steven C Rogers, Jesse J Sturm
BACKGROUND AND OBJECTIVE: Trampoline parks, indoor recreational facilities with wall-to-wall trampolines, are increasing in number and popularity. The objective was to identify trends in emergency department visits for trampoline park injuries (TPIs) and compare TPI characteristics with home trampoline injuries (HTIs). METHODS: Data on trampoline injuries from the National Electronic Injury Surveillance System from 2010 to 2014 were analyzed. Sample weights were applied to estimate yearly national injury trends; unweighted cases were used for comparison of injury patterns...
September 2016: Pediatrics
https://www.readbyqxmd.com/read/27862642/external-validation-of-the-pecarn-head-trauma-prediction-rules-in-japan
#9
Kentaro Ide, Satoko Uematsu, Kenichi Tetsuhara, Satoshi Yoshimura, Takahiro Kato, Tohru Kobayashi
OBJECTIVES: The Pediatric Emergency Care Applied Research Network (PECARN) head trauma prediction rules are used to assist computed tomography (CT) decision-making for children with minor head trauma. Although the PECARN rules have been validated in North America and Europe, they have not yet been validated in Asia. In Japan, there are no clinical decision rules for children with minor head trauma. The rate of head CT for children with minor head trauma in Japan is high since CT is widely accessible across the country...
March 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27852453/current-use-and-outcomes-of-helicopter-transport-in-pediatric-trauma-a-review-of-18-291-transports
#10
Brian R Englum, Kristy L Rialon, Jina Kim, Mark L Shapiro, John E Scarborough, Henry E Rice, Obinna O Adibe, Elisabeth T Tracy
PURPOSE: The role of helicopter emergency medical services (HEMS) in pediatric trauma remains controversial. We examined its use in pediatric trauma and its effectiveness in children with moderate/severe injuries. METHODS: All blunt/penetrating trauma patients ≤18years old in the National Trauma Data Bank were evaluated for use of HEMS and in-hospital mortality. In a comparative effectiveness study, only patients treated at level I/II pediatric centers with injury severity score (ISS)≥9 were included...
January 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27717564/prospective-validation-of-the-shock-index-pediatric-adjusted-sipa-in-blunt-liver-and-spleen-trauma-an-atomac-study
#11
MULTICENTER STUDY
Maria E Linnaus, David M Notrica, Crystal S Langlais, Shawn D St Peter, Charles M Leys, Daniel J Ostlie, R Todd Maxson, Todd Ponsky, David W Tuggle, James W Eubanks, Amina Bhatia, Adam C Alder, Cynthia Greenwell, Nilda M Garcia, Karla A Lawson, Prasenjeet Motghare, Robert W Letton
BACKGROUND: Age-adjusted pediatric shock index (SIPA) does not require knowledge of age-adjusted blood pressure norms, yet correlates with mortality, serious injury, and need for transfusion in trauma. No prospective studies support its validity. METHODS: A multicenter prospective observational study of patients 4-16years presenting April 2013-January 2016 with blunt liver and/or spleen injury (BLSI). SIPA (maximum heart rate/minimum systolic blood pressure) thresholds of >1...
February 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27367538/pelvic-angiography-for-trauma-in-children-a-rare-but-useful-adjunct
#12
Katherine W Gonzalez, Brian G Dalton, Michael C Kerisey, Pablo Aguayo, David Juang
Introduction Pelvic angiography with embolization can successfully control hemorrhage in adults with pelvic fractures. However, evidence to support similar application in children is sparse. We describe our experience using angiography for pediatric pelvic fractures to further highlight the safety and efficacy of this treatment approach. Methods A retrospective review at a pediatric tertiary care center was performed from 2004 to 2014. Inpatients treated for a pelvic fracture were considered. Results A total of 216 patients were analyzed...
April 2017: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27497495/outcomes-of-arterial-vascular-extremity-trauma-in-pediatric-patients
#13
Mary Kirkilas, David M Notrica, Crystal S Langlais, Jared T Muenzer, Jozef Zoldos, Kathleen Graziano
BACKGROUND: Vascular trauma in children, although rare, carries significant risk for repair. Here we report outcomes from a single trauma center for children with extremity vascular trauma, proximal to the digits. METHODS: Retrospective chart review of patients less than age 18years with an acute, non-iatrogenic traumatic arterial vascular injury of the upper and/or lower extremity between January 2008 and December 2013. Abstracted patient demographics, injury characteristics, surgical management, and disposition were summarized and compared with nonparametric methods...
November 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/26233923/the-prevalence-of-bruising-among-infants-in-pediatric-emergency-departments
#14
MULTICENTER STUDY
Mary C Pierce, Julia N Magana, Kim Kaczor, Douglas J Lorenz, Gabriel Meyers, Berkeley L Bennett, John T Kanegaye
STUDY OBJECTIVE: Bruising can indicate abuse for infants. Bruise prevalence among infants in the pediatric emergency department (ED) setting is unknown. Our objective is to determine prevalence of bruising, associated chief complaints, and frequency of abuse evaluations in previously healthy infants presenting to pediatric EDs. METHODS: We conducted a prospective, observational, multicenter study of infants aged 12 months or younger presenting to pediatric EDs. Structured sampling was used...
January 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/23753087/time-interval-between-concussions-and-symptom-duration
#15
Matthew A Eisenberg, John Andrea, William Meehan, Rebekah Mannix
OBJECTIVE: To test the hypothesis that children with a previous history of concussion have a longer duration of symptoms after a repeat concussion than those without such a history. METHODS: Prospective cohort study of consecutive patients 11 to 22 years old presenting to the emergency department of a children's hospital with an acute concussion. The main outcome measure was time to symptom resolution, assessed by the Rivermead Post-Concussion Symptoms Questionnaire (RPSQ)...
July 2013: Pediatrics
https://www.readbyqxmd.com/read/24819569/duration-and-course-of-post-concussive-symptoms
#16
Matthew A Eisenberg, William P Meehan, Rebekah Mannix
OBJECTIVES: To examine the incidence, duration, and clinical course of individual post-concussive symptoms in patients presenting to a pediatric emergency department (ED) with a concussion. METHODS: We conducted secondary analysis of a prospective cohort study of patients 11 to 22 years old presenting to the ED of a children's hospital with an acute concussion. The main outcome measure was duration of symptoms, assessed by the Rivermead Post-Concussion Symptoms Questionnaire (RPSQ)...
June 2014: Pediatrics
https://www.readbyqxmd.com/read/26496108/outcomes-of-pediatric-patients-with-persistent-midline-cervical-spine-tenderness-and-negative-imaging-result-after-trauma
#17
Kate Dorney, Amir Kimia, Megan Hannon, Kara Hennelly, William P Meehan, Mark Proctor, David P Mooney, Michael Glotzbecker, Rebekah Mannix
BACKGROUND: There is little evidence to guide management of pediatric patients with persistent cervical spine tenderness after trauma but with negative initial imaging study findings. Our objective was to determine the prevalence of clinically significant cervical spine injury among pediatric blunt trauma patients discharged from the emergency department with negative imaging study findings but persistent midline cervical spine tenderness. METHODS: We performed a single-center, retrospective study of subjects 1 year to 15 years of age discharged in a rigid cervical spine collar after blunt trauma over a 5-year period...
November 2015: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/18541266/pediatric-peripheral-vascular-injuries-a-review-of-our-experience
#18
Sohail R Shah, Peter D Wearden, Barbara A Gaines
BACKGROUND: This study evaluated peripheral vascular injuries in a pediatric trauma population to identify injury patterns, to identify diagnostic and therapeutic modalities used, and to understand the role of pediatric surgical subspecialists. METHODS: A retrospective review of children treated for trauma between 2000 and 2006 at a Level I Pediatric Trauma Center was performed. Patients with vascular injury were identified through an institutional trauma registry...
May 1, 2009: Journal of Surgical Research
https://www.readbyqxmd.com/read/17208561/pediatric-vascular-injuries-patterns-of-injury-morbidity-and-mortality
#19
Denise B Klinkner, Marjorie J Arca, Brian D Lewis, Keith T Oldham, Thomas T Sato
PURPOSE: The purpose of this study was to identify the patterns of injury and associated morbidity/mortality related to pediatric vascular trauma. METHODS: A retrospective review of children and adolescents treated between 1993 and 2005 was performed. Patients were identified by International Classification of Diseases, Ninth Revision codes within an institutional pediatric trauma registry. RESULTS: One hundred seventy-six patients with vascular injury were identified...
January 2007: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/21610390/pediatric-vascular-injuries-acute-management-and-early-outcomes
#20
COMPARATIVE STUDY
Michael G Corneille, Theresa M Gallup, Celina Villa, Jacqueline M Richa, Steven E Wolf, John G Myers, Daniel L Dent, Ronald M Stewart
BACKGROUND: Although uncommon in children, traumatic vascular injuries have the potential for lifelong disability. We reviewed these injuries, their acute management, and early outcomes at a Level I trauma center. METHODS: Retrospective review of patients identified through trauma registry was query of all noniatrogenic vascular injuries in a pediatric population during a 13-year period. Demographics, injury type and management, concomitant injuries, and inpatient outcomes were analyzed...
April 2011: Journal of Trauma
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