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By Suzanne Atkinson ER doc and triathlon coach
Christine M Baugh, Emily Kroshus, Daniel H Daneshvar, Naji A Filali, Michael J Hiscox, Leonard H Glantz
BACKGROUND: In 2010, the National Collegiate Athletic Association (NCAA) adopted its Concussion Policy and Legislation, which applies to more than 450,000 collegiate athletes annually. To date, there has been no examination of school-level compliance with the NCAA Concussion Policy. PURPOSE: To examine whether stakeholders at NCAA schools report that their school has a concussion management plan and whether existing plans are consistent with the NCAA policy. Also examined were stakeholders' perceptions regarding concussion management at their institution and possible areas for improvement...
January 2015: American Journal of Sports Medicine
Stefano Di Bartolomeo, Massimiliano Marino, Chiara Ventura, Susanna Trombetti, Rossana De Palma
BACKGROUND: The so-called off hour effect-that is, increased mortality for patients admitted outside normal working hours-has never been demonstrated in trauma care. However, most of the studies excluded transferred cases. Because these patients are a special challenge for trauma systems, we hypothesised that their processes of care could be more sensitive to the off hour effect. METHODS: The study design was retrospective, cohort and population based. We compared the mortality of all patients by daytime and night-time admittance to hospitals in an Italian region, with 4...
October 2014: Emergency Medicine Journal: EMJ
Jeremy M Jacobs, Kenneth L Cameron, John A Bojescul
Stress fractures of the lower extremities are common among the military population and, more specifically, military recruits who partake in basic training. Both intrinsic and extrinsic factors play a role in the development of these injuries, and it is important to identify those individuals at risk early in their military careers. Some of these factors are modifiable, so they may become preventable injuries. It is important to reiterate that one stress fracture places the soldier at risk for future stress fractures; but the first injury should not be reason enough for separation from the military, as literature would support no long-term deficits from properly treated stress fractures...
October 2014: Clinics in Sports Medicine
Jennifer R Marin, Matthew D Weaver, Amber E Barnato, Jonathan G Yabes, Donald M Yealy, Mark S Roberts
OBJECTIVES: The objectives were to evaluate general emergency department (ED) variation in head computed tomography (CT) use for pediatric head trauma, hospital factors associated with CT use, and recent secular trends in CT utilization for pediatric head trauma. METHODS: This was a cross-sectional study of a sample of general EDs in the Nationwide Emergency Department Sample (NEDS; 2006-2010). The authors included visits by patients <19 years of age with International Classification of Diseases, 9th Revision, Clinical Modification, diagnosis codes for head trauma and determined head CT use via Current Procedural Terminology (CPT), Fourth Edition, codes...
September 2014: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Mackenzie R Cook, Scott G Louis, Sean P McCully, Ryland S Stucke, Sonya P Fabricant, Martin A Schreiber
INTRODUCTION: Trauma patients exhibit a complex coagulopathy which is not fully understood and deep venous thrombosis (DVT) rates remain high. The effects of alcohol (EtOH) consumption on coagulopathy in trauma patients have not been studied. We hypothesized that acute EtOH intoxication would produce a relative hypocoagulable state as measured by thrombelastography (TEG) and would be associated with reduced DVT rates. METHODS: Data were prospectively collected on 213 trauma patients at a level 1 trauma centre and analyzed in a retrospective secondary analysis...
January 2015: Injury
C M Bleakley, P Glasgow, D C MacAuley
No abstract text is available yet for this article.
March 2012: British Journal of Sports Medicine
Natalie Kreitzer, Michael S Lyons, Kim Hart, Cristopher J Lindsell, Sora Chung, Andrew Yick, Jordan Bonomo
OBJECTIVES: Emergency department (ED) management of mild traumatic brain injury (TBI) patients with any form of traumatic intracranial hemorrhage (ICH) is variable. Since 2000, our center's standard practice has been to obtain a repeat head computed tomography (CT) at least 6 hours after initial imaging. Patients are eligible for discharge if clinical and CT findings are stable. Whether this practice is safe is unknown. This study characterized clinical outcomes in mild TBI patients with acute traumatic ICH seen on initial ED neuroimaging...
October 2014: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Anwar Rashid, Eleanor Beswick, Svetlana Galitzine, Laurence Fitton
INTRODUCTION: While the benefits of regional analgesia (RA) for preoperative pain relief in hip fracture (HF) in elderly patients are well recognised, this service is yet to be established in many UK emergency departments (EDs). We set out to discover how widely RA is adopted in the UK EDs. METHODS: In April-July 2010, we conducted a postal survey of 218 UK EDs, followed up with fax reminders for non-respondents. RESULTS: A total of 147/218 (67%) EDs completed the survey...
November 2014: Emergency Medicine Journal: EMJ
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