collection
MENU ▼
Read by QxMD icon Read
search

Trauma

shared collection
51 papers 1000+ followers
By Richard Gough Paramedic tutor, Post Qualification Manager
https://www.readbyqxmd.com/read/27747560/the-epidemiology-of-pre-hospital-potential-spinal-cord-injuries-in-victoria-australia-a-six-year-retrospective-cohort-study
#1
Ala'a O Oteir, Karen Smith, Johannes U Stoelwinder, Shelley Cox, James W Middleton, Paul A Jennings
BACKGROUND: Traumatic Spinal Cord Injury (TSCI) is relatively uncommon, yet a devastating and costly condition. Despite the human and social impacts, studies describing patients with potential TSCI in the pre-hospital setting are scarce. This paper aims to describe the epidemiology of patients potentially at risk of or suspected to have a TSCI by paramedics, with a view to providing a better understanding of factors associated with potential TSCI. METHODS: This is a retrospective cohort study of all adult patients managed and transported by Ambulance Victoria (AV) between 01 January 2007 and 31 December 2012 who, based on meeting pre-hospital triage protocols and criteria for spinal clearance, paramedic suspicion or spinal immobilisation, were classified to be at risk of or suspected to have a TSCI...
December 2016: Injury Epidemiology
https://www.readbyqxmd.com/read/27654000/guidelines-for-the-management-of-severe-traumatic-brain-injury-fourth-edition
#2
Nancy Carney, Annette M Totten, Cindy OʼReilly, Jamie S Ullman, Gregory W J Hawryluk, Michael J Bell, Susan L Bratton, Randall Chesnut, Odette A Harris, Niranjan Kissoon, Andres M Rubiano, Lori Shutter, Robert C Tasker, Monica S Vavilala, Jack Wilberger, David W Wright, Jamshid Ghajar
: The scope and purpose of this work is 2-fold: to synthesize the available evidence and to translate it into recommendations. This document provides recommendations only when there is evidence to support them. As such, they do not constitute a complete protocol for clinical use. Our intention is that these recommendations be used by others to develop treatment protocols, which necessarily need to incorporate consensus and clinical judgment in areas where current evidence is lacking or insufficient...
September 20, 2016: Neurosurgery
https://www.readbyqxmd.com/read/27211834/impact-brain-apnoea-a-forgotten-cause-of-cardiovascular-collapse-in-trauma
#3
REVIEW
Mark H Wilson, John Hinds, Gareth Grier, Brian Burns, Simon Carley, Gareth Davies
OBJECTIVE: Early death following cranial trauma is often considered unsurvivable traumatic brain injury (TBI). However, Impact Brain Apnoea (IBA), the phenomenon of apnoea following TBI, may be a significant and preventable contributor to death attributed to primary injury. This paper reviews the history of IBA, cites case examples and reports a survey of emergency responder experience. METHODS: Literature and narrative review and focused survey of pre-hospital physicians...
August 2016: Resuscitation
https://www.readbyqxmd.com/read/26643236/prehospital-care-for-multiple-trauma-patients-in-germany
#4
EDITORIAL
Marc Maegele
For the German speaking countries, Tscherne's definition of "polytrauma" which represents an injury of at least two body regions with one or a combination being life-threatening is still valid. The timely and adequate management including quick referral of the trauma patient into a designated trauma center may limit secondary injury and may thus improve outcomes already during the prehospital phase of care. The professional treatment of multiple injured trauma patients begins at the scene in the context of a well structured prehospital emergency medical system...
2015: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/26334607/guidelines-for-the-management-of-a-pregnant-trauma-patient
#5
Venu Jain, Radha Chari, Sharon Maslovitz, Dan Farine, Emmanuel Bujold, Robert Gagnon, Melanie Basso, Hayley Bos, Richard Brown, Stephanie Cooper, Katy Gouin, N Lynne McLeod, Savas Menticoglou, William Mundle, Christy Pylypjuk, Anne Roggensack, Frank Sanderson
OBJECTIVE: Physical trauma affects 1 in 12 pregnant women and has a major impact on maternal mortality and morbidity and on pregnancy outcome. A multidisciplinary approach is warranted to optimize outcome for both the mother and her fetus. The aim of this document is to provide the obstetric care provider with an evidence-based systematic approach to the pregnant trauma patient. OUTCOMES: Significant health and economic outcomes considered in comparing alternative practices...
June 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/26598629/the-changing-face-of-major-trauma-in-the-uk
#6
A Kehoe, J E Smith, A Edwards, D Yates, F Lecky
AIM: Major trauma (MT) has traditionally been viewed as a disease of young men caused by high-energy transfer mechanisms of injury, which has been reflected in the configuration of MT services. With ageing populations in Western societies, it is anticipated that the elderly will comprise an increasing proportion of the MT workload. The aim of this study was to describe changes in the demographics of MT in a developed Western health system over the last 20 years. METHODS: The Trauma Audit Research Network (TARN) database was interrogated to identify all cases of MT (injury severity score >15) between 1990 and the end of 2013...
December 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/26377296/crush-injury-by-an-elephant-life-saving-prehospital-care-resulting-in-a-good-recovery
#7
Alice M Young, Anthony P Joseph, Alicia Jackson
No abstract text is available yet for this article.
September 21, 2015: Medical Journal of Australia
https://www.readbyqxmd.com/read/26362582/confirmation-of-suboptimal-protocols-in-spinal-immobilisation
#8
Mark Dixon, Joseph O'Halloran, Ailish Hannigan, Scott Keenan, Niamh M Cummins
BACKGROUND: Spinal immobilisation during extrication of patients in road traffic collisions is routinely used despite the lack of evidence for this practice. In a previous proof of concept study (n=1), we recorded up to four times more cervical spine movement during extrication using conventional techniques than self-controlled extrication. OBJECTIVE: The objective of this study was to establish, using biomechanical analysis which technique provides the minimal deviation of the cervical spine from the neutral in-line position during extrication from a vehicle in a larger sample of variable age, height and mass...
December 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/25760358/images-in-clinical-medicine-penile-fracture
#9
Robert J Hartman
A healthy 42-year-old man presented to the emergency department after the acute onset of penile pain during sexual intercourse. The erect penis had inadvertently collided with his partner's perineum. He heard a snap, noticed a rush of blood from the meatus, had immediate detumescence, and had..
March 12, 2015: New England Journal of Medicine
https://www.readbyqxmd.com/read/24439608/infant-car-safety-seats-and-risk-of-head-injury
#10
Camille L Stewart, Megan A Moscariello, Kristine W Hansen, Steven L Moulton
BACKGROUND/PURPOSE: We observed a high incidence of traumatic brain injuries (TBI) in properly restrained infants involved in higher speed motor vehicle crashes (MVCs). We hypothesized that car safety seats are inadequately protecting infants from TBI. METHODS: We retrospectively queried scene crash data from our State Department of Transportation (2007-2011) and State Department of Public Health data (2000-2011) regarding infants who presented to a trauma center after MVC...
January 2014: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/25542727/prehospital-use-of-blood-and-plasma-in-pediatric-trauma-patients
#11
D Dean Potter, Kathleen S Berns, Terri A Elsbernd, Scott P Zietlow
OBJECTIVE: Our rural trauma center uses packed red blood cells (PRBCs) and plasma onboard our helicopter to offset the delay of transport. We summarize our initial experience with prehospital blood use in pediatric trauma patients. METHODS: Our air ambulance service began carrying PRBCs in 1987 and plasma in 2009. We performed a 9-year retrospective review including patients (< 18 years) who received blood during helicopter transports. Only patients transported to our level 1 trauma center were included to ensure complete follow-up...
January 2015: Air Medical Journal
https://www.readbyqxmd.com/read/25542726/rural-trauma-patients-cannot-wait-tranexamic-acid-administration-by-helicopter-emergency-medical-services
#12
May Mrochuk, Domhnall ÓDochartaigh, Eddie Chang
OBJECTIVE: Tranexamic acid (TXA) administration has been shown to reduce mortality in bleeding trauma patients if given in the hospital within 3 hours of injury. Its use has been theorized to be of benefit in the prehospital environment. This study evaluates the timing of TXA administration in a critical care helicopter emergency medical service (HEMS) versus that of the destination trauma hospital. METHODS: We performed a retrospective chart review of consecutive trauma patients who were given TXA during HEMS transfer...
January 2015: Air Medical Journal
https://www.readbyqxmd.com/read/25487830/pain-management-in-trauma-patients-in-pre-hospital-based-emergency-care-current-practice-versus-new-guideline
#13
A C Scholten, S A A Berben, A H Westmaas, P M van Grunsven, E T de Vaal, P P M Rood, N Hoogerwerf, C J M Doggen, L Schoonhoven
INTRODUCTION: Acute pain in trauma patients in emergency care is still undertreated. Early pain treatment is assumed to effectively reduce pain in patients and improve long-term outcomes. In order to improve pain management in the chain of emergency care, a national evidence-based guideline was developed. The aim of this study was to assess whether current practice is in compliance with the guideline 'Pain management for trauma patients in the chain of emergency care' from the Netherlands Association for Emergency Nurses (in Dutch NVSHV), and to evaluate early and initial pain management for adult trauma patients in emergency care...
May 2015: Injury
https://www.readbyqxmd.com/read/17958899/tourniquets-for-the-control-of-traumatic-hemorrhage-a-review-of-the-literature
#14
Stephen L Richey
No abstract text is available yet for this article.
2007: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/25425230/prehospital-identification-of-trauma-patients-with-early-acute-coagulopathy-and-massive-bleeding-results-of-a-prospective-non-interventional-clinical-trial-evaluating-the-trauma-induced-coagulopathy-clinical-score-ticcs
#15
Martin L Tonglet, Jean Marc Minon, Laurence Seidel, Jean Louis Poplavsky, Michel Vergnion
INTRODUCTION: Identifying patients who need damage control resuscitation (DCR) early after trauma is pivotal for adequate management of their critical condition. Several trauma-scoring systems have been developed to identify such patients, but most of them are not simple enough to be used in prehospital settings in the early post-traumatic phase. The Trauma Induced Coagulopathy Clinical Score (TICCS) is an easy-to-measure and strictly clinical trauma score developed to meet this medical need...
November 26, 2014: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/24641269/an-evidence-based-prehospital-guideline-for-external-hemorrhage-control-american-college-of-surgeons-committee-on-trauma
#16
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/25400690/patient-delay-is-the-main-cause-of-treatment-delay-in-acute-limb-ischemia-an-investigation-of-pre-and-in-hospital-time-delay
#17
Louise S Londero, Birgitte Nørgaard, Kim Houlind
BACKGROUND: The prognosis of acute limb ischemia is severe, with amputation rates of up to 25% and in-hospital mortality of 9-15%. Delay in treatment increases the risk of major amputation and may be present at different stages, including patient delay, doctors´ delay and waiting time in the emergency department. It is important to identify existing problems in order to reduce time delay. The aim of this study was to collect data for patients with acute limb ischemia and to evaluate the time delay between the different events from onset of symptoms to specialist evaluation and further treatment with focus on pre-hospital and in-hospital time delays...
2014: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/25371408/the-mersey-burns-app-evolving-a-model-of-validation
#18
COMPARATIVE STUDY
Jamie Barnes, Annie Duffy, Nathan Hamnett, Jane McPhail, Chris Seaton, Kayvan Shokrollahi, M Ian James, Paul McArthur, Rowan Pritchard Jones
INTRODUCTION: 'Mersey Burns App' is a smartphone/tablet application that aids in the assessment of total burn surface area (TBSA) and calculation of fluid resuscitation protocols in burns. This paper presents two studies assessing the speed and accuracy of calculations using Mersey Burns (App) in comparison with a Lund and Browder chart (paper) when a burn is assessed by medical students and clinicians. METHODS: The first study compared the speed and accuracy of TBSA and resuscitation calculation for a photograph of a burn with App and paper using burns and plastics and emergency medicine trainees and consultants...
August 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/25261057/annals-of-emergency-medicine-journal-club-speed-does-matter-police-scoop-and-run-transport-of-critical-trauma-victims-answers-to-the-may-2014-journal-club-questions
#19
COMMENT
Samuel J Stratton, Atilla Uner
No abstract text is available yet for this article.
October 2014: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/25228286/towards-evidence-based-emergency-medicine-best-bets-from-the-manchester-royal-infirmary-bet-1-does-restrictive-fluid-resuscitation-in-penetrating-chest-injury-affect-outcome
#20
REVIEW
Elizabeth Bateman, Stuart Maitland-Knibb
A short cut review was carried out to establish whether restrictive fluid administration in penetrating thoracic trauma impacted on patients' mortality. 143 papers were found using the reported searches, of which three presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these are tabulated. It is concluded that there is paucity of relevant research and there is limited scientific evidence to inform fluid administration in these patients...
October 2014: Emergency Medicine Journal: EMJ
label_collection
label_collection
2248
1
2
2014-09-20 16:47:36
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"