keyword
Keywords "Trauma" AND "Thoracotomy" AND...

"Trauma" AND "Thoracotomy" AND "Emergency"

https://read.qxmd.com/read/38523131/thoracic-cavity-irrigation-prevents-retained-hemothorax-and-decreases-surgical-intervention-in-trauma-patients
#1
JOURNAL ARTICLE
Abdul Hafiz Al Tannir, Elise A Biesboer, Simin Golestani, Morgan Tentis, Morgan Maring, Jaclyn Gellings, Jacob R Peschman, Patrick B Murphy, Rachel S Morris, Anuoluwapo Elegbede, Marc A de Moya, Thomas W Carver
INTRODUCTION: Retained hemothorax (HTX) is a common complication following thoracic trauma. Small studies demonstrate the benefit of thoracic cavity irrigation at the time of tube thoracostomy for the prevention of retained HTX. We sought to assess the effectiveness of chest irrigation in preventing retained HTX leading to a secondary surgical intervention. METHODS: We performed a single-center retrospective study from 2017-2021 at a Level I trauma center comparing bedside thoracic cavity irrigation via tube thoracostomy (TT) versus no irrigation...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38420605/immediate-chest-wall-stabilization-following-thoracotomy-for-hemorrhage-in-severe-blunt-thoracic-trauma
#2
Arthur Dinkins Grimes, Gregory R Stettler, Andrew M Nunn
No abstract text is available yet for this article.
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38374530/the-role-of-emergency-department-thoracotomy-in-patients-with-cranial-gunshot-wounds
#3
JOURNAL ARTICLE
Justin S Hatchimonji, Nicole A Meredyth, Sriharsha Gummadi, Elinore J Kaufman, Jay A Yelon, Jeremy W Cannon, Niels D Martin, Mark J Seamon
BACKGROUND: Although several society guidelines exist regarding emergency department thoracotomy (EDT), there is a lack of data upon which to base guidance for multiple gunshot wound (GSW) patients whose injuries include a cranial GSW. We hypothesized that survival in these patients would be exceedingly low. METHODS: We used Pennsylvania Trauma Outcomes Study (PTOS) data, 2002-2021, and included EDTs for GSWs. We defined EDT by ICD codes for thoracotomy or procedures requiring one, with a location flagged as ED...
February 20, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38332119/immediate-angiography-and-decreased-in-hospital-mortality-of-adult-trauma-patients-a-nationwide-study
#4
JOURNAL ARTICLE
Ryo Yamamoto, Katsuya Maeshima, Tomohiro Funabiki, Brian J Eastridge, Ramon F Cestero, Junichi Sasaki
PURPOSE: This study aimed to elucidate whether immediate angiography within 30 min is associated with lower in-hospital mortality compared with non-immediate angiography. MATERIALS AND METHODS: We conducted a retrospective cohort study using a nationwide trauma databank (2019-2020). Adult trauma patients who underwent emergency angiography within 12 h after hospital arrival were included. Patients who underwent surgery before angiography were excluded...
February 8, 2024: Cardiovascular and Interventional Radiology
https://read.qxmd.com/read/38293705/treatment-strategy-for-severe-trauma-patients-requiring-aortic-occlusion-for-impending-cardiopulmonary-arrest-in-the-hybrid-emergency-room
#5
JOURNAL ARTICLE
Shuhei Maruyama, Daiki Wada, Tomoyuki Yoshihara, Fukuki Saito, Kazuhisa Yoshiya, Yasushi Nakamori, Yasuyuki Kuwagata
AIM: Computed tomography (CT) is useful in trauma care. Severely ill trauma patients may not tolerate whole-body CT even without patient transfer. This study examined clinical flow of severe trauma patients requiring aortic occlusion (AO) such as resuscitative thoracotomy or REBOA in the hybrid emergency room (ER) and investigated patient clinical courses prioritizing CT first versus resuscitation including AO first. METHODS: This retrospective, single-center observational study included consecutive trauma patients visiting our ER between May 2016 and February 2023...
2024: Acute Medicine & Surgery
https://read.qxmd.com/read/38287924/trauma-surgical-skill-sustainment-at-the-university-of-chicago-amedd-military-civilian-trauma-team-training-site-an-observation-report
#6
JOURNAL ARTICLE
Timothy P Plackett, Nicholas Jaszczak, David A Hampton, Priya Prakash, Jennifer Cone, Andrew Benjamin, Selwyn O Rogers, Kenneth Wilson
BACKGROUND: The Army Medical Department (AMEDD) Military-Civilian Trauma Team Training (AMCT3) Program was developed to enhance the trauma competency and capability of the medical force by embedding providers at busy civilian trauma centers. Few reports have been published on the outcomes of this program since its implementation. METHODS: The medical and billing records for the two AMCT3 embedded trauma surgeons at the single medical center were retrospectively reviewed for care provided during August 2021 through July 2022...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38285188/-complications-after-conservative-vs-operative-treatment-of-severe-thoracic-trauma
#7
REVIEW
Lars Becker, Marcel Dudda, Christof Schreyer
BACKGROUND: Thoracic trauma is a frequent injury in the routine treatment of injured patients. Due to the increasing demographic changes a further increase is to be expected, especially after low-energy trauma. OBJECTIVE: Expected complications after conservative vs. operative treatment of various injury patterns of thoracic trauma. MATERIAL AND METHODS: Evaluation of a selective literature search regarding possible complications after thoracic trauma and formulation of instructions for action as expert recommendations...
January 29, 2024: Unfallchirurgie (Heidelb)
https://read.qxmd.com/read/38282289/deploying-whole-blood-to-the-battlefield-the-israel-defense-forces-medical-corps-initial-experience-during-the-2023-war
#8
JOURNAL ARTICLE
Ofer Almog, Avi Benov, Zivan Beer, Tsvi Sirotkin, Omri Shental, Elon Glassberg
BACKGROUND: Military and prehospital medical organizations invest significant resources to advance the treatment of trauma patients aiming to reduce preventable deaths. Focus is on hemorrhage control and volume resuscitation with blood products, with adoption of Remote Damage Control Resuscitation (RDCR) guidelines. The Israel Defense Forces Medical Corps (IDF-MC) has been using tranexamic acid and freeze-dried plasma (FDP) as part of its RDCR protocol for more than a decade. In recent years, low-titer group O whole blood (LTOWB) has been integrated, on IDF evacuation helicopters and expanded to mobile ambulances, complementing FDP use in treating trauma patients in state of profound shock...
January 28, 2024: Transfusion
https://read.qxmd.com/read/38273448/letter-re-resuscitative-endovascular-balloon-occlusion-of-the-aorta-and-resuscitative-thoracotomy-are-associated-with-similar-outcomes-in-traumatic-cardiac-arrest
#9
JOURNAL ARTICLE
Brian Chin, Nikita Bundschu, Hazem Nasef, Adel Elkbuli
No abstract text is available yet for this article.
January 26, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38242618/-in-situ-simulation-training-of-medical-surgical-teams-in-the-management-of-severe-trauma-patients
#10
JOURNAL ARTICLE
Raphaël Paris, Henri de Lesquen, Éric Bernaudon, Julien Chouvier, Édouard Martin
In the management of severe trauma, the aim is to assess the patient's clinical stability as quickly as possible, enabling referral to imaging (whole-body CT scan, embolization if necessary) or the operating room, or even the decision to perform in situ surgery (resuscitation thoracotomy). To cope with these critical situations, team training is essential, with the aim of ensuring the reproducibility of the difficulties encountered. High-fidelity in situ simulation is the ideal tool for meeting this training challenge...
January 2024: Revue de L'infirmière
https://read.qxmd.com/read/38188559/approach-to-traumatic-cardiac-arrest-in-the-emergency-department-a-narrative-literature-review-for-emergency-providers
#11
REVIEW
Rashed Alremeithi, Quincy K Tran, Megan T Quintana, Soroush Shahamatdar, Ali Pourmand
BACKGROUND: Traumatic cardiac arrest (TCA) is a major contributor to mortality and morbidity in all age groups and poses a significant burden on the healthcare system. Although there have been advances in treatment modalities, survival rates for TCA patients remain low. This narrative literature review critically examines the indications and effectiveness of current therapeutic approaches in treating TCA. METHODS: We performed a literature search in the PubMed and Scopus databases for studies published before December 31, 2022...
2024: World Journal of Emergency Medicine
https://read.qxmd.com/read/38143623/an-emergency-adaptation-of-anterolateral-and-clamshell-thoracotomy-for-blunt-traumatic-right-atrial-rupture-a-case-report
#12
Doaa Alfraidy, Fayez G Aldarsouni, Hatoon Dagestani, Ghassan Z Al Ramahi
The high mortality rate of blunt cardiac injuries is primarily due to the condition's severity and the challenges associated with pre-hospital survival. The absence of definitive diagnostic modalities necessitates prompt and adaptable surgical intervention. We present an 18-year-old male who sustained a right atrial blunt traumatic cardiac rupture following a motor vehicle collision. Despite initial stabilization with blood products and vasopressors and the necessitated emergent surgical exploration, the case required various surgical techniques, including anterolateral followed by an extension to a clamshell thoracotomy and laparotomy to manage the complex cardiac rupture and associated injuries...
November 2023: Curēus
https://read.qxmd.com/read/38142055/massive-haemothorax-and-haemorrhagic-shock-due-to-cervical-vascular-injury-caused-by-a-seat-belt
#13
JOURNAL ARTICLE
Tomoya Nishino, Asuka Tsuchiya, Seiji Morita, Yoshihide Nakagawa
A woman in her 50s was transported to our hospital after experiencing a road traffic crash that led to a massive haemothorax and haemorrhagic shock due to a cervical vascular injury caused by the seat belt. Contrast-enhanced CT of the chest showed extravascular leakage of the contrast medium from the vicinity of the right subclavicular area and fluid accumulation in the thoracic cavity. The patient was intubated, and a thoracic drainage catheter was placed. She underwent angiography and embolisation of the right costocervical trunk, right thyrocervical trunk and right suprascapular artery using a gelatine sponge and 25% N -butylcyanoacrylate-Lipiodol...
December 23, 2023: BMJ Case Reports
https://read.qxmd.com/read/38128347/resuscitative-thoracotomy-for-traumatic-cardiac-arrest-potential-impact-of-resource-constraint-on-outcomes-and-blood-product-utilization
#14
JOURNAL ARTICLE
Brandon Nakashima, Morgan Schellenberg, Alaina I Gold, Kazuhide Matsushima, Matthew J Martin, Kenji Inaba
INTRODUCTION: Resuscitative thoracotomy (RT) in the setting of traumatic arrest serves as a vital but resource-intensive intervention. The COVID-19 pandemic has created critical shortages, sharpening the focus on efficient resource utilization. This study aims to compare RT performance and blood product utilization before and after the onset of the COVID-19 pandemic for patients in traumatic cardiac arrest. METHODS: All patients undergoing RT for traumatic cardiac arrest in the emergency department at our American College of Surgeons-verified Level 1 trauma center (August 01, 2017-July 31, 2022) were included in this retrospective observational study...
March 2024: Journal of Surgical Research
https://read.qxmd.com/read/38015060/the-impact-of-out-of-hospital-time-and-prehospital-intubation-on-return-of-spontaneous-circulation-following-resuscitative-thoracotomy-in-traumatic-cardiac-arrest
#15
JOURNAL ARTICLE
Nada Radulovic, Morgan Hillier, Rosane Nisenbaum, Linda Turner, Brodie Nolan
Introduction: Resuscitative thoracotomy (RT) is a critical procedure performed in certain trauma patients in extremis, with extremely low survival rates. Currently, there is a paucity of data pertaining to prehospital variables and their predictive role in survival outcomes in traumatic cardiac arrest (TCA) patients requiring RT. The aim of the study was to determine the impact of prehospital intubation and out-of-hospital time (OOHT) on return of spontaneous circulation (ROSC) and survival in TCA requiring RT...
November 28, 2023: Prehospital Emergency Care
https://read.qxmd.com/read/37984259/a-non-lethal-left-sided-thoracic-impalement-injury-a-case-report
#16
Halid Melkamu, Sisay Bekele, Berhanu Hailemariam, Wubete Yerdaw, Enku Shiferaw, Yishak Shiferaw
INTRODUCTION AND IMPORTANCE: Impalement injuries are those injuries that result from the injuring object or weapon being stuck on to the victim's body parts. Such cases occur rarely and when they do they pose a great challenge starting from transportation to anesthesia induction and surgical decision. The extremities are the commonest parts of the body where this occurs. Only a few reports of thoracic impalement injuries have been documented in the literature. CASE PRESENTATION: Here we present a case of a 25 years old male patient who presented 36 hours after sustaining an impalement injury to his left chest by a metallic spear...
November 18, 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/37964982/a-rare-case-of-perforating-chest-wall-including-pericardial-sac-with-penetrating-trivial-injury-a-case-report-and-literature-review
#17
Venkata Sai Harshabhargav Chenna, Lokeshwar Raaju Addi Palle, Sanni Emmanuel, Ayushman Gupta, Deepa Treesa Francis, Akbar Hussain, Rojaj Dahal, Carlo Kristian Chu Carredo, Sandra Mary Francis, Tulika Garg, Ogbonnaya Akuma, Aadil M Khan
UNLABELLED: Perforating chest wall injuries involving the pericardial sac in pediatric patients are exceedingly rare and pose a unique clinical challenge. Thoracic trauma in the pediatric population remains a significant cause of morbidity and mortality. We present a case of an 8-year-old boy with an acute history of a sharp injection needle embedded in his chest wall presented with severe chest pain and diaphoresis. Diagnostic evaluations included computed tomography revealed a hyperdense focus with a metallic artefact seen impacted in the interventricular septa and perforating the heart...
December 2023: Trauma Case Reports
https://read.qxmd.com/read/37962139/time-out-time-specific-machine-learning-evaluation-to-optimize-ultra-massive-transfusion
#18
JOURNAL ARTICLE
Courtney H Meyer, Jonathan Nguyen, Andrew ElHabr, Nethra Venkatayogi, Tyler Steed, Judy Gichoya, Jason D Sciarretta, James Sikora, Christopher Dente, John Lyons, Craig M Coopersmith, Crystal Nguyen, Randi N Smith
BACKGROUND: Ultra-massive transfusion (UMT) is a resource-demanding intervention for trauma patients in hemorrhagic shock and associated mortality rates remains high. Current research has been unable to identify a transfusion ceiling, or point where UMT transitions from life-saving to futility. Furthermore, little consideration has been given to how time-specific patient data points impact decisions with ongoing high-volume resuscitation. Therefore, this study sought to utilize time-specific machine learning (ML) modeling to predict mortality and identify parameters associated with survivability in trauma patients undergoing UMT...
November 13, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37936902/penetrating-chest-injury-secondary-to-an-improvised-home-made-marble-airgun-a-case-report
#19
JOURNAL ARTICLE
John Kristoffer Manicani Japzon, Halima O Mokamad-Romancap
BACKGROUND: An improvised air gun with marble bullets, locally known as "Jolen Gun", is a type of home-made gun using Polyvinyl chloride (PVC) pipes and compressed air. It is mainly being used as a hunting tool in Central Mindanao. This "non-lethal" weapon has the potential in causing serious harm. There has been several incidents of minor injuries from this type of weapon in our institution but this is the first documented case of an improvised marble air-gun causing significant injury to the patient...
2023: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/37926660/use-of-low-cost-task-trainer-for-emergency-department-thoracotomy-training-in-general-surgery-residency-program
#20
RANDOMIZED CONTROLLED TRIAL
Asit Misra, Alexander Chapman, William D Watson, John A Bach, Marco J Bonta, John O Elliott, Edward P Dominguez
OBJECTIVE: Emergency department thoracotomy (EDT) is an uncommon but potentially lifesaving procedure that warrants familiarity with anatomy, instruments, and indications necessary for completion. To address this need, we developed a low-cost EDT trainer. The primary objective of this study was to compare the effectiveness of a low-cost EDT trainer to teach emergency department thoracotomy with a discussion-based teaching session. Secondary objective was to study the face validity of the low-cost EDT trainer...
January 2024: Journal of Surgical Education
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