journal
https://read.qxmd.com/read/38646620/development-and-evaluation-of-a-deep-learning-based-model-for-simultaneous-detection-and-localization-of-rib-and-clavicle-fractures-in-trauma-patients-chest-radiographs
#1
JOURNAL ARTICLE
Chi-Tung Cheng, Ling-Wei Kuo, Chun-Hsiang Ouyang, Chi-Po Hsu, Wei-Cheng Lin, Chih-Yuan Fu, Shih-Ching Kang, Chien-Hung Liao
PURPOSE: To develop a rib and clavicle fracture detection model for chest radiographs in trauma patients using a deep learning (DL) algorithm. MATERIALS AND METHODS: We retrospectively collected 56 145 chest X-rays (CXRs) from trauma patients in a trauma center between August 2008 and December 2016. A rib/clavicle fracture detection DL algorithm was trained using this data set with 991 (1.8%) images labeled by experts with fracture site locations. The algorithm was tested on independently collected 300 CXRs in 2017...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646619/one-year-outcomes-of-traumatic-injuries-among-survivors-in-ethiopia-a-cross-sectional-study-on-the-employment-outcomes-and-functioning-state
#2
JOURNAL ARTICLE
Ansha Nega Ahmed, Rosemary Lysaght, Adamu Addissie, Ayalew Zewdie, Marcia Finlayson
BACKGROUND: Traumatic injury is one of the top public health challenges globally. Injury survivors often experience poor health and functioning and restricted participation in employment. In Ethiopia, there is a paucity of evidence about the long-term consequences of injuries, particularly about their employment outcomes and disability status. This study characterizes injury survivors by their preinjury status, injury characteristics, postinjury employment outcomes and disability status 1 year post injury...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646618/hospice-and-palliative-care-utilization-in-16-004-232-medicare-claims-comparing-trauma-to-surgical-and-medical-inpatients
#3
JOURNAL ARTICLE
Samir M Fakhry, Matthew M Carrick, Melissa Red Hoffman, Yan Shen, Jeneva M Garland, Ransom J Wyse, Dorraine D Watts
BACKGROUND: Hospice and palliative care (PC) utilization is increasing in geriatric inpatients, but limited research exists comparing rates among trauma, surgical and medical specialties. The goal of this study was to determine whether there are differences among these three groups in rates of hospice and PC utilization. METHODS: Patients from Centers for Medicare & Medicaid Services (CMS) Inpatient Standard Analytical Files for 2016-2020 aged ≥65 years were analyzed...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646617/splenic-angioembolization-still-an-important-tool-in-the-toolbox
#4
JOURNAL ARTICLE
Lucy Ruangvoravat, Adrian A Maung
No abstract text is available yet for this article.
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646616/eyes-on-the-prize-harnessing-computer-vision-for-automated-detection-of-traumatic-rib-and-clavicle-fractures-in-chest-radiographs
#5
JOURNAL ARTICLE
Joshua Aaron Villarreal, Joseph D Forrester
No abstract text is available yet for this article.
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646615/angioembolization-for-splenic-injuries-does-it-help-retrospective-evaluation-of-grade-iii-v-splenic-injuries-at-two-level-i-trauma-centers
#6
JOURNAL ARTICLE
M Usman Ahmad, David Lee, Lakshika Tennakoon, Tiffany Erin Chao, David Spain, Kristan Staudenmayer
BACKGROUND: Splenic angioembolization (SAE) has increased in utilization for blunt splenic injuries. We hypothesized lower SAE usage would not correlate with higher rates of additional intervention or mortality when choosing initial non-operative management (NOM) or surgery. STUDY DESIGN: Trauma registries from two level I trauma centers from 2010 to 2020 were used to identify patients aged >18 years with grade III-V blunt splenic injuries. Results were compared with the National Trauma Data Bank (NTDB) for 2018 for level I and II centers...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646037/updates-in-traumatic-brain-injury-management-brain-oxygenation-middle-meningeal-artery-embolization-and-new-protocols
#7
REVIEW
Tanya Egodage, Purvi Pravinchandra Patel
Traumatic brain injury (TBI) confers significant morbidity and mortality, and is a pathology often encountered by trauma surgeons. Several recent trials have evaluated management protocols of patients with severe TBI. The Brain Oxygen Optimization in Severe Traumatic Brain Injury Phase-II trial (BOOST-II) evaluated efficacy and feasibility of brain oxygen measurement in severe TBI. BOOST phase 3 trial (BOOST-3) and two ongoing trials look to measure functional outcomes in this population. Furthermore, middle meningeal artery embolization has now become standard therapy for adult patients with chronic subdural hematoma (SDH) and has increasing popularity in those with recurrent SDH as an alternative to surgical intervention...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646036/you-ve-been-served-now-what-malpractice-tips-and-prevention-for-the-acute-care-surgeon
#8
REVIEW
Sydney Vail, Matthew J Martin
Trauma and acute care surgeons commonly perform high acuity and emergent interventions on critically ill or injured patients. This often entails making life or death decisions rapidly and with incomplete and imperfect information, and in patients who may have a variety of comorbidities that contribute to the risk of adverse outcomes. In cases where there are real or perceived breaches of care, a medical malpractice claim may result. In the USA, approximately one-third to one-half of all physicians will be named in medical litigation at least once in their career...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646035/resuscitative-adjuncts-and-alternative-products-when-blood-supplies-are-limited
#9
JOURNAL ARTICLE
Lindsey Loss, Luis Tinoco-Garcia, Martin Schreiber
No abstract text is available yet for this article.
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646034/introductory-note-trauma-critical-care-and-acute-care-surgery-tccacs-medical-disaster-response-mdr-2024
#10
EDITORIAL
Kenneth L Mattox
No abstract text is available yet for this article.
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646033/intraosseous-access-in-the-resuscitation-of-patients-with-trauma-the-good-the-bad-the-future
#11
REVIEW
Zaffer A Qasim, Bellal Joseph
The timely restoration of lost blood in hemorrhaging patients with trauma, especially those who are hemodynamically unstable, is of utmost importance. While intravenous access has traditionally been considered the primary method for vascular access, intraosseous (IO) access is gaining popularity as an alternative for patients with unsuccessful attempts. Previous studies have highlighted the higher success rate and easier training process associated with IO access compared with peripheral intravenous (PIV) and central intravenous access...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646032/minimally-invasive-management-of-thoracic-trauma-current-evidence-and-guidelines
#12
REVIEW
Meghan R Lewis, Patrick Georgoff
Minimally invasive procedures are being increasingly proposed for trauma. Injuries to the chest wall and/or lung have historically been managed by drainage with a large bore thoracostomy tube, while cardiac injuries have mandated sternotomy. These treatments are associated with significant patient discomfort. Percutaneous placement of small 'pigtail' catheters was initially designed for drainage of simple pericardial fluid. Their use subsequently expanded to drainage of the pleural cavity. The role of pigtail catheters for primary treatment of traumatic pneumothorax and hemopneumothorax has increased, while their use for pericardial fluid after trauma remains controversial...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646031/formula-one-a-crash-course-in-motorsports-medicine
#13
REVIEW
James Michael Kempema
No abstract text is available yet for this article.
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646030/meshing-around-high-risk-hernias-and-infected-mesh
#14
REVIEW
Natasha Keric, Andre Campbell
Open laparotomy carries a risk up to 20% for an incisional hernia, making repair one of the most common operations performed by general surgeons in the USA. Despite a multitude of mesh appliances and techniques, no size fits all, and there is continued debate on what is the best mesh type, especially in high-risk patients with contaminated hernias. Infected mesh carries a significant burden to the patient, the surgeon and overall healthcare costs with medical legal implications. A stepwise approach that involves optimization of patient comorbidities, patient selective choice of mesh and technique is imperative in mitigating outcomes and recurrence rates...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646029/ethics-in-disaster-mass-casualty-care-and-critical-care
#15
REVIEW
Tanya Egodage, Jay Doucet, Purvi Pravinchandra Patel, Matthew J Martin
The primary ethical principle guiding general medical practice is autonomy. However, in mass casualty (MASCAL) or disaster scenarios, the principles of beneficence and justice become of foremost concern. Despite multiple reviews, publications, and training courses available to prepare for a MASCAL incident, a minority of physicians and healthcare providers are abreast of these. In this review, we describe several MASCAL scenarios and their associated ethical, moral, and medicolegal quandaries in attempts to curb potential future misadventures...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646028/victory-out-of-tragedy-organ-donation
#16
REVIEW
Ali Salim, Bryan A Cotton
Major improvements in trauma care during the last decade have improved survival rates in the severely injured. The unintended consequence is the presentation of patients with non-survivable injuries in a time frame in which intervention is considered and often employed due to prognostic uncertainty. In light of this, discerning survivability in these patients remains increasingly problematic. Evidence-based cut-points of futility can guide early decisions for discontinuing aggressive treatment and use of precious resources in severely injured patients arriving in extremis...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646027/facing-futility-in-hemorrhagic-shock-when-to-say-when-in-children-and-adults
#17
JOURNAL ARTICLE
Bryan A Cotton
No abstract text is available yet for this article.
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646026/failing-kidneys-renal-replacement-therapies-in-the-icu
#18
REVIEW
Purvi Pravinchandra Patel, Tanya Egodage
Acute kidney injury (AKI) is one of the most common organ dysfunctions impacting ICU (intensive care unit) patients. Early diagnosis using the various classification systems and interventions that can be aided by use of biomarkers are key in improving outcomes. Once the patient meets criteria of AKI, many patient specific factors determine the optimal timing for and mode of renal replacement therapy. There are several special considerations in surgical ICU patients with AKI including management of intracranial hypertension in those with cerebral edema, anticoagulation in high-risk bleeding patients, and use of contrast imaging...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38646025/backed-into-a-corner-damage-control-surgery-in-the-rural-or-austere-setting
#19
REVIEW
Jason Turner, Alison Wilson
Damage control surgery has evolved during the past 40 years. The initial cases and studies were performed at level 1 trauma centers but has now shifted to damage control at smaller hospitals. This buys time for definitive care at higher-level centers. There is a role for damage control surgery in both general surgery and trauma patients at community trauma centers. The successful implementation and completion of damage control surgery require thorough planning and a full understanding of resource limitation...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38616791/crystalloid-resuscitation-is-associated-with-decreased-treatment-delays-and-improved-systolic-blood-pressures-in-a-blood-constrained-setting
#20
JOURNAL ARTICLE
Mark T Yost, Matt Driban, Fanny Nadia Dissak Delon, Mbiarikai A Mbianyor, Thompson Kinge, Richard Njock, Daniel Nkusu, Jean-Gustave Tsiagadigui, Melissa Carvalho, Rasheedat Oke, Alain Chichom-Mefire, Catherine Juillard, S Ariane Christie
OBJECTIVES: We analyzed resuscitation practices in Cameroonian patients with trauma as a first step toward developing a context-appropriate resuscitation protocol. We hypothesized that more patients would receive crystalloid-based (CB) resuscitation with a faster time to administration than blood product (BL) resuscitation. METHODS: We included patients enrolled between 2017 and 2019 in the Cameroon Trauma Registry (CTR). Patients presenting with hemorrhagic shock (systolic blood pressure (SBP) <100 mm Hg and active bleeding) were categorized as receiving CB, BL, or no resuscitation (NR)...
2024: Trauma Surgery & Acute Care Open
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