Extracorporeal support for trauma: A trauma quality improvement project (TQIP) analysis in patients with acute respiratory distress syndrome.

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The use of extracorporeal membrane oxygenation (ECMO) in trauma patients with severe acute respiratory distress syndrome (ARDS) continues to evolve. The objective of this study was to perform a comparative […]

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A randomized clinical trial of single dose liposomal bupivacaine versus indwelling analgesic catheter in patients undergoing surgical stabilization of rib fractures.

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Loco-regional analgesia (LRA) remains underutilized in patients with chest wall injuries. Surgical stabilization of rib fractures (SSRF) offers an opportunity to deliver surgeon-directed LRA under direct visualization at the site […]

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Increased mortality with REBOA only mitigated by strong unmeasured confounding: an expanded analysis using the National Trauma Data Bank.

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REBOA is being increasingly adopted to manage non-compressible torso hemorrhage, but a recent analysis of the 2015-2016 Trauma Quality Improvement Project (TQIP) dataset showed that placement of REBOA was associated […]

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Increasing Hemoglobin Concentration With An Artificial Oxygen Carrier Improves Severe Anemia-Induced Degraded Cognitive Function.

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Prior to death patients commonly experience impaired consciousness for a significant period of time, frequently preventing family and others from final interactions with the patient. Some of these episodes of […]

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Optimizing Surgical Stabilization of Rib Fractures Using Intra-Operative Ultrasound Localization.

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Surgical stabilization of rib fractures (SSRF) significantly improve the outcomes of patients with rib fractures. Ultrasound is a specific modality for localizing rib fractures. We hypothesized that use of perioperative […]

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Optimizing Surgical Stabilization of Rib Fractures Using Intra-Operative Ultrasound Localization.

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Surgical stabilization of rib fractures (SSRF) significantly improve the outcomes of patients with rib fractures. Ultrasound is a specific modality for localizing rib fractures. We hypothesized that use of perioperative […]

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Post-injury treatments to make early tactical aeromedical evacuation practical for the brain after TBI.

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Traumatic brain injury (TBI) is common in civilians and military personnel. No potential therapeutics have been evaluated to prevent secondary injury induced by the hypobaric hypoxia (HH) environment integral to […]

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USE OF REGIONAL ANALGESIA AND RISK OF DELIRIUM IN OLDER ADULTS WITH MULTIPLE RIB FRACTURES: AN EAST MULTICENTER STUDY.

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Single center data demonstrates that regional analgesia (RA) techniques are associated with reduced risk of delirium in older patients with multiple rib fractures. We hypothesized that a similar effect between […]

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Prehospital coagulation measurement by a portable blood analyzer in a helicopter emergency medical service (HEMS).

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In helicopter emergency medical services, HEMS, coagulopathy presents both in trauma (e.g. consumption of coagulation factors) and non-trauma cases (e.g. anticoagulant use). Therefore, in HEMS coagulation measurements appear promising and […]

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A Tale of Two Centers: Is Low-Molecular-Weight Heparin Really Superior for Prevention of Post-Traumatic Venous Thromboembolism?

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Low-molecular-weight heparin (LMWH) is widely used for venous thromboembolism (VTE) chemoprophylaxis following injury. However, unfractionated heparin (UFH) is a less expensive option. We compared LMWH and UFH for prevention of […]

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Implications of the National Stop the Bleed Campaign: The Swinging Pendulum of Prehospital Tourniquet Application in Civilian Limb Trauma.

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Prehospital tourniquet (PHT) utilization has increased in response to mass casualty events. We aimed to describe the incidence, therapeutic effectiveness and morbidity associated with tourniquet placement in all patients treated […]

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Staying on Target: Maintaining a Balanced Resuscitation During Damage Control Resuscitation Improves Survival.

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Damage control resuscitation (DCR) improves survival in severely bleeding patients. However, deviating from balanced transfusion ratios during a resuscitation may limit this benefit. We hypothesize that maintaining a balanced resuscitation […]

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A clinical practice guideline using percentage of predicted forced vital capacity improves resource allocation for rib fracture patients.

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Predicting rib fracture patients that will require higher-level care is a challenge during patient triage. Percentage of predicted forced vital capacity (FVC%) incorporates patient-specific factors to customize the measurements to […]

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Multisystem outcomes and predictors of mortality in critically ill patients with COVID-19: Demographics and disease acuity matter more than comorbidities or treatment modalities.

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We sought to describe characteristics, multisystem outcomes, and predictors of mortality of the critically ill COVID-19 patients in the largest hospital in Massachusetts.This is a prospective cohort study. All patients […]

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Healthcare system impacts of the 2017 Manchester Arena bombing: evidence from a national trauma registry patient case series and hospital performance data.

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In response to detonation of an improvised explosive device at the Manchester Arena on 22 May 2017, we aimed to use detailed information about injured patients flowing through hospital healthcare […]

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Clinical performance of early warning scoring systems for identifying sepsis among anti-hypertensive agent users.

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Little is known about the accuracy of the quick Sequential Organ Failure Assessment (qSOFA) and the National Early Warning Score (NEWS) in identifying sepsis patients with a history of hypertension […]

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Novel Trauma Composite Score Is A More Reliable Predictor Of Mortality Than Injury Severity Score In Pediatric Trauma.

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The equivalent injury severity score (ISS) cutoffs for severe trauma vary between adult (ISS>16) and pediatric (ISS>25) trauma patients. We hypothesized that a novel injury severity prediction model, which incorporates […]

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Trauma outcomes for blunt and penetrating injuries by mode of transportation and day/night shift.

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Effective management of trauma patients is dependent on pre-hospital triage systems and proper in-hospital treatment regardless of time of admission. We aim to investigate any differences in adjusted all-cause mortality […]

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Income-related differences in out-of-hours primary care telephone triage: using national registration data.

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Telephone triage is used to facilitate efficient and adequate acute care allocation, for instance in out-of-hours primary care services (OPCSs). Remote assessment of health problems is challenging and could be […]

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Sex-related differences in opioid administration in the emergency department: a population-based study.

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Sex differences in pain experience and expression may influence ED pain management. Our objective was to evaluate the effect of sex on ED opioid administration.We conducted a multicentre population-based observational […]

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Optimizing a decision support system for damage control resuscitation using mixed methods human factors analysis.

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Damage control resuscitation (DCR) improves trauma survival; however, consistent adherence to DCR principles through multiple phases of care has proven challenging. Clinical decision support may improve adherence to DCR principles. […]

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Physician-Staffed Ambulance and Increased In-Hospital Mortality of Hypotensive Trauma Patients Following Prolonged Prehospital Stay: A Nationwide Study.

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The benefits of physician-staffed emergency medical services (EMS) for trauma patients remain unclear due to conflicting results on survival. Some studies suggested potential delays in definitive hemostasis due to prolonged […]

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Readmission Following Surgical Stabilization of Rib Fractures: Analysis of Incidence, Cost, and Risk Factors Utilizing the Nationwide Readmissions Database.

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Surgical stabilization of rib fractures (SSRF) has become increasingly common for the treatment of traumatic rib fractures; however, little is known about related postoperative readmissions. The aims of this study […]

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Can Social Vulnerability Indices Predict County Trauma Fatality Rates?

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Social vulnerability indices were created to measure resiliency to environmental disasters based on socioeconomic and population characteristics of discrete geographic regions. They are comprised of multiple validated constructs that can […]

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