keyword
https://read.qxmd.com/read/38523128/prehospital-tranexamic-acid-is-associated-with-a-survival-benefit-without-an-increase-in-complications-results-of-two-harmonized-randomized-clinical-trials
#21
JOURNAL ARTICLE
Michael Mazzei, Jack K Donohue, Martin Schreiber, Susan Rowell, Francis X Guyette, Bryan Cotton, Brian J Eastridge, Raminder Nirula, Gary A Vercruysse, Terence O'Keeffe, Bellal Joseph, Joshua B Brown, Matthew D Neal, Jason L Sperry
INTRODUCTION: Recent randomized clinical trials have demonstrated that prehospital tranexamic acid (TXA) administration following injury is safe and improves survival. However, the effect of prehospital TXA on adverse events, transfusion requirements and any dose response relationships require further elucidation. METHODS: A secondary analysis was performed using harmonized data from two large, double-blinded, randomized prehospital TXA trials. Outcomes, including 28-day mortality, pertinent adverse events and 24-hour red cell transfusion requirements were compared between TXA and placebo groups...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38523124/reducing-low-value-interhospital-transfers-for-mild-traumatic-brain-injury
#22
JOURNAL ARTICLE
Aricia Shen, Nathaniel Mizraki, Marcel Maya, Sam Torbati, Shouri Lahiri, Ray Chu, Daniel Margulies, Galinos Barmparas
BACKGROUND: The modified Brain Injury Guidelines (mBIG) were developed to stratify traumatic brain injuries (TBI) and improve healthcare utilization by selectively requiring repeat imaging, ICU admission, and neurosurgical (NSG) consultation. The goal of this study is to assess safety and potential resource savings associated with the application of mBIG on interhospital patient transfers for TBI. METHODS: Adult patients with TBI transferred to our Level I trauma center from 01/2017 to 12/2022 meeting mBIG inclusion criteria were retrospectively stratified into mBIG1, mBIG2, and mBIG3 based on initial clinicoradiological factors...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38523120/the-sensitivity-of-limited-sequence-mri-in-identifying-pediatric-cervical-spine-injury-a-western-pediatric-surgery-research-consortium-multicenter-retrospective-cohort-study
#23
JOURNAL ARTICLE
Caroline Melhado, Rachelle Durand, Katie W Russell, Natalya E Polukoff, John Rampton, Rajiv R Iyer, Shannon N Acker, Richele Koehler, Connor Prendergast, Nicholas Stence, Brent O'Neill, Benjamin E Padilla, Ramin Jamshidi, Jennifer A Vaughn, Jennifer S Ronecker, Leigh Selesner, Katrine Lofberg, Michael Regner, Jaclyn Thiessen, Christine Sayama, Ryan G Spurrier, Erin E Ross, Chia-Shang Jason Liu, Jason Chu, Kathryn McNevin, Catherine Beni, Bryce R H Robinson, Ken Linnau, Robert T Buckley, Stephanie D Chao, Akanksha Sabapaty, Elizabeth Tong, Laura M Prolo, Romeo Ignacio, Gretchen Floan Sachs, Peter Kruk, David Gonda, Mark Ryan, Samir Pandya, Korgun Koral, Bruno P Braga, Kurtis Auguste, Aaron R Jensen
INTRODUCTION: Clinical clearance of a child's cervical spine after trauma is often challenging due to impaired mental status or an unreliable neurologic examination. Magnetic resonance imaging (MRI) is the gold standard for excluding ligamentous injury in children but is constrained by long image acquisition times and frequent need for anesthesia. Limited-sequence MRI (LSMRI) is used in evaluating the evolution of traumatic brain injury and may also be useful for cervical spine clearance while potentially avoiding the need for anesthesia...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38523119/a-novel-preoperative-score-to-predict-severe-acute-cholecystitis
#24
JOURNAL ARTICLE
Kali Kuhlenschmidt, Luis R Taveras, Kevin M Schuster, Haytham M Kaafarani, Majed El Hechi, Ruchir Puri, Marie Crandall, Thomas J Schroeppel, Michael W Cripps
BACKGROUND: In a large multicenter trial, The Parkland Grading Scale(PGS) for acute cholecystitis outperformed other grading scales and has a positive correlation with complications but is limited in its inability to preoperatively predict high-grade cholecystitis. We sought to identify preoperative variables predictive of high-grade cholecystitis(PGS 4 or 5). METHODS: In a six-month period, patients undergoing cholecystectomy at a single institution with prospectively graded PGS were analyzed...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38523118/an-executive-summary-of-the-national-trauma-research-action-plan-ntrap
#25
JOURNAL ARTICLE
Eileen M Bulger, Pamela J Bixby, Michelle A Price, Cynthia Lizette Villarreal, Ashley N Moreno, Juan Pablo Herrera-Escobar, Jeffrey A Bailey, Karen J Brasel, Zara R Cooper, Todd W Costantini, Nicole S Gibran, Jonathan I Groner, Bellal A Joseph, Craig D Newgard, Deborah M Stein
The National Trauma Research Action Plan (NTRAP) project successfully engaged multidisciplinary experts to define opportunities to advance trauma research and has fulfilled the recommendations related to trauma research from the National Academies of Sciences, Engineering and Medicine (NASEM) report. These panels identified more than 4,800 gaps in our knowledge regarding injury prevention and the optimal care of injured patients and laid out a priority framework and tools to support researchers to advance this field...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38523116/diagnostic-approach-to-penetrating-neck-trauma-what-you-need-to-know
#26
JOURNAL ARTICLE
Anaar Siletz, Kenji Inaba
Diagnostic evaluation of penetrating neck trauma has evolved considerably over the last several decades. The contemporary approach to these injuries is based primarily on clinical signs of injury and multidetector computed tomographic angiography (MDCTA). The neck is evaluated as a unit, rather than relying on the surface anatomy zones in which external injuries are seen to guide the workup of internal injuries. This "no-zone" approach safely spares many patients from negative explorations and unnecessary invasive tests...
March 25, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38520316/ch-vad-left-ventricular-assist-implantation-combined-with-the-bentall-procedure-and-coronary-artery-bypass-grafting
#27
Shuanglei Zhao, Chongyang Liu, Jun Wang, Hong Wang, Tiange Luo, Xiaoyan Hao, Xian Yang, Mingxiu Wen, Jie Han, Hongjia Zhang, Ming Gong
Left ventricular assist device (LVAD) implantation is an effective alternative treatment to heart transplantation, especially for end-stage heart failure patients who are ineligible for or unable to await a heart transplant. This report describes a complex and innovative surgery where LVAD implantation was performed alongside multiple concomitant cardiac and aortic procedures. A 62-year-old male patient with complicated comorbidities developed acute myocardial infarction and subsequent refractory advanced heart failure...
March 23, 2024: ESC Heart Failure
https://read.qxmd.com/read/38520292/delayed-vs-early-admission-to-intensive-care-a-retrospective-review-of-outcomes-and-clinical-indicators-of-deterioration-following-trauma
#28
JOURNAL ARTICLE
Emily Rhoton, A J Bethurum, Sarah King, Lou M Smith
Unplanned admission to an intensive care unit (ICU) is a trauma quality improvement indicator associated with increased morbidity, mortality, and hospital resource usage. We identified demographics, injuries, and other clinical factors between early ICU admission, <72 hrs after admission (EAd), and delayed admission, >72 hrs (DelAd) from a medical/surgical floor. 146 trauma patients admitted to ICU at a level 1 trauma center from January 2020 to March 2023 met inclusion criteria and were divided into EAd and DelAd...
March 23, 2024: American Surgeon
https://read.qxmd.com/read/38516714/assessing-futile-trauma-transfers-in-rural-appalachia-following-a-regional-health-care-system-consolidation
#29
JOURNAL ARTICLE
Michelle A Everly, Allen Archer, Matt Heard, Keelin Roche, J Bracken Burns
This study sought to define and analyze rates of futile trauma transfers (FTTs) after the consolidation of two rural level 1 trauma centers into one. Data was extracted from the regional trauma registry for a period of 5 years (2017-2022) for all trauma patients transferred into our level 1 trauma center (n = 3369). An FTT was defined as a transfer that (1) received no major interventions and (2) died or was discharged to a hospice facility within 72 hours. Out of the 3369 transfer patients analyzed during the 33-month pre-consolidation and 33-month post-consolidation periods, 34 patients met the criteria of an FTT within the transfer-to-discharge window...
March 22, 2024: American Surgeon
https://read.qxmd.com/read/38510763/postoperative-hyperbilirubinemia-and-acute-liver-dysfunction-after-cytoreductive-surgery-and-hipec
#30
JOURNAL ARTICLE
Arya Kannancheeri, Sohan Lal Solanki, Mufaddal Kazi, Avanish Saklani
How to cite this article: Kannancheeri A, Solanki SL, Kazi M, Saklani A. Postoperative Hyperbilirubinemia and Acute Liver Dysfunction after Cytoreductive Surgery and HIPEC. Indian J Crit Care Med 2024;28(1):80-81.
January 2024: Indian Journal of Critical Care Medicine
https://read.qxmd.com/read/38510757/incidence-and-risk-factors-of-acute-kidney-injury-in-pediatric-liver-transplant-patients-a-retrospective-study
#31
Duygu Demiroz, Yusuf Ziya Colak, Oya Olcay Ozdes, Muharrem Ucar, Mehmet Ali Erdogan, Hüseyin Ilksen Toprak, Serdar Karakas, Sevgi Demiroz Tasolar, Cemalettin Aydın, Ilknur Varol
BACKGROUND: Acute kidney injury (AKI) significantly contributes to the mortality and morbidity rates among pediatric liver transplant (LT) recipients. OBJECTIVE: Our study aimed to assess the potential factors contributing to AKI in pediatric LT patients and to analyze the impact of AKI on postoperative mortality and hospitalization duration. MATERIALS AND METHODS: About 235 pediatric LT patients under the age of 18 between the years 2015 and 2021 were evaluated retrospectively...
January 2024: Indian Journal of Critical Care Medicine
https://read.qxmd.com/read/38510533/electric-scooters-a-crisis-and-opportunity
#32
JOURNAL ARTICLE
Johnathon P Ehsani, Ava Clara Eshragi, Andrew Hellinger
No abstract text is available yet for this article.
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38510532/electric-scooter-related-orthopedic-injuries-the-experience-of-an-italian-orthopedic-center-and-literature-review
#33
JOURNAL ARTICLE
Francesco Luceri, Valerio Monteleone, Pietro Simone Randelli
BACKGROUND: With the increasing prevalence of electric scooters, a concomitant increase in the number of specific injuries, emergency department (ED) admissions and hospital admissions have been reported. OBJECTIVES: Analyze patient flow changes in the ED with a focus on e-scooter-related injuries through a case series and a comparison with the contemporary literature. DATA SOURCES: A systematic literature review was performed on Medline/PubMed and Embase using terms related to the topic...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38509056/current-diagnosis-and-management-of-acute-colonic-diverticulitis-what-you-need-to-know
#34
JOURNAL ARTICLE
Lisa M Kodadek, Kimberly A Davis
Acute colonic diverticulitis is a common disease treated by acute care surgeons. Acute uncomplicated colonic diverticulitis involves thickening of the colon wall and inflammatory changes and less commonly requires the expertise of a surgeon; many cases may be treated as an outpatient with or without antibiotics. Complicated diverticulitis involves phlegmon, abscess, peritonitis, obstruction, stricture, and/or fistula and usually requires inpatient hospital admission, treatment with antibiotics, and consideration for intervention including operative management...
March 21, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38509046/prolonged-hourly-neurologic-examinations-are-associated-with-increased-delirium-and-no-discernible-benefit-in-mild-moderate-geriatric-traumatic-brain-injury
#35
JOURNAL ARTICLE
Ricardo Alejandro Fonseca Ruiz, Melissa Canas, Leonardo Diaz, Jose Alejandro Aldana, Hussain Afzal, Alejandro De Filippis Falcon, Drew Del Toro, Aaron Day, Jennifer McCarthy, Kristin Stansfield, Grant V Bochicchio, Grace Niziolek, Lindsay M Kranker, Matthew R Rosengart, Mark Hoofnagle, Jennifer Leonard
BACKGROUND: Serial neurologic examinations (NE) are routinely recommended in the ICU within the first 24 hours following a TBI. There are currently no widely accepted guidelines for the frequency of NE. Disruptions to the sleep-wake cycles increase the delirium rate. We aimed to evaluate whether there is a correlation between prolonged Q1-NE and development of delirium and to determine if this practice reduces the likelihood of missing the detection of a process requiring emergent intervention...
March 21, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38509040/co-developing-theories-of-change-for-improved-community-based-violence-intervention-evaluation
#36
JOURNAL ARTICLE
Julia P Schleimer, Vivian Lyons, Dominique Smith, Fatima Ali, Latasha Averett, Marcel Baugh, Lina Benson, Jacques Colon, Jaclyn Cook, Dominique Davis, Marie Diandy, Aaron Fox, Elaine Gonzalez, Aaron Johnson, Alvin Boomer Lowe, Marvin Marshall, Bridgette Maryman, Vicky McLaurin, Deepika Nehra, Alfredo Orozco, Katoya Palmer, Rafael Serrano, Zoe Shrader, Carolyn Thurston, Erin Watlington, Laura Waskewitz, Emily Westlake, Kristian Jones, Ali Rowhani-Rahbar
BACKGROUND: Community-based violence intervention (CVI) programs are considered important strategies for preventing community violence and promoting health and safety. Mixed and inconclusive results from some prior CVI evaluations-and our general lack of understanding about the reasons for such varied findings-may be explained in part by misalignment of program theories of change and evaluation measures. Further, most prior evaluations have focused solely on deficit-based outcomes; this narrow focus is inconsistent with the premise of CVI and may fail to capture improvements in health and wellbeing that are on the hypothesized pathway from intervention to violence reduction...
March 21, 2024: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/38505075/cerebral-protection-in-acute-type-a-aortic-dissection-surgery-a-systematic-review-and-meta-analysis
#37
JOURNAL ARTICLE
Mehran Rahimi, Hadi Sahrai, Ali Norouzi, Mohammadreza Taban-Sadeghi, Ahmadali Khalili, Sina Hamzehzadeh, Reza Ali Akbari Khoei, Hossein Hosseinifard, Ralf Martz Sulague, Jacques Kpodonu
BACKGROUND: Acute type A aortic dissection (ATAAD) still challenges physicians and warrants emergent surgical management. Two main methods to reduce cerebrovascular events in ATAAD surgeries are antegrade cerebral perfusion (ACP) and retrograde cerebral perfusion (RCP). We conducted a systematic review and meta-analysis to compare the outcomes of ACP and RCP methods during the ATAAD surgery. METHODS: In this study, we searched the databases until March 29th , 2023...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38501133/geographic-information-systems-and-spatial-analysis-a-statistical-commentary
#38
COMMENT
Molly P Jarman, James Byrne
No abstract text is available yet for this article.
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38500639/elective-surgery-for-liver-injury-and-misinserted-tube-into-the-inferior-vena-cava-associated-with-chest-tube-replacement-a-case-report
#39
Hiroshi Homma, Kenichiro Uchibori, Fumimasa Kobori, Kentaro Kawai, Kazunari Azuma, Shoji Suzuki, Kotaro Uchida, Jun Oda
BACKGROUND: Several reports on organ injury and death due to incorrect chest tube insertion exist; however, reports on the chest tube penetrating the liver and reaching the inferior vena cava are limited. CASE PRESENTATION: A 79-year-old man presented with a clamped tube because of massive bleeding from the tube following right chest tube replacement in the hospital of origin. The tube entered the inferior vena cava from the hepatic parenchyma via the right hepatic vein and was removed 15 h later because his hemodynamics stabilized...
2024: Acute Medicine & Surgery
https://read.qxmd.com/read/38500638/risk-factors-for-the-need-for-advanced-care-among-prescription-and-over-the-counter-drug-overdose-patients
#40
JOURNAL ARTICLE
Chie Tanaka, Takashi Tagami, Makihiko Nagano, Fumihiko Nakayama, Junya Kaneko, Masamune Kuno
AIM: Prescription drug and over-the-counter (OTC) drug overdose is a major problem in emergency departments in Japan, and some need advanced care which is more than observation. We aimed to identify the prehospital risk factors for the need of advanced care among overdose patients. METHODS: This was a single-center retrospective cohort study. We included overdoses patients of prescription drugs or OTC drugs, who admitted to our hospital between 2016 and 2021. We grouped them into advanced care and non-advanced care...
2024: Acute Medicine & Surgery
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