Examining emergency medical services’ prehospital transport times for trauma patients during COVID-19.

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Longer prehospital times were associated with increased odds for survival in trauma patients. The purpose of this study was to determine how the COVID-19 pandemic affected emergency medical services (EMS) […]

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An assessment of treatment, transport, and refusal incidence in a National EMS’s routine work during COVID-19.

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COVID-19 created lifestyle changes, and induced a fear of contagion affecting people’s decisions regarding seeking medical assistance. Concern surrounding contagion and the pandemic has been found to affect the number […]

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Current management of moderate to severe traumatic pneumothoraces: a survey of emergency clinicians.

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Traumatic pneumothoraces are present in one-fifth of multiple trauma victims. Traditional teaching mandates the insertion of a chest drain in the majority of cases. However, recent observational evidence suggests a […]

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The diamond of death: Hypocalcemia in trauma and resuscitation.

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Early recognition and management of hemorrhage, damage control resuscitation, and blood product administration have optimized management of severe trauma. Recent data suggest hypocalcemia exacerbates the ensuing effects of coagulopathy in […]

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CHARACTERISTICS OF SURVIVORS OF CIVILIAN PUBLIC MASS SHOOTINGS: AN EAST MULTICENTER STUDY.

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Firearm injury remains a public health crisis. Whereas there have been studies evaluating causes of death in victims of civilian public mass shootings (CPMS), there are no large studies evaluating […]

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Tourniquet application by schoolchildren- a randomized crossover study of three commercially available models.

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Life threatening hemorrhage is a major cause of preventable mortality in trauma. Studies have demonstrated the effectiveness and safety of commercial tourniquets when used by adult civilians. However, there is […]

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Outcomes of Same Admission Cholecystectomy and ERCP for Common Bile Duct Stones: A Post-Hoc Analysis of an EAST Multicenter Study.

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The optimal timing for cholecystectomy after ERCP for common bile duct (CBD) stones is unknown. We hypothesized that a delay between procedures would correlate with more biliary complications and longer […]

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Patterns and Outcomes of Zone 3 REBOA use in the Management of Severe Pelvic Fractures: Results from the AAST Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery Database.

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Knowledge on practice patterns for aortic occlusion in the setting of severe pelvic fractures is limited. This study aimed to describe clinical outcomes based on number and types of interventions […]

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Real-Time Bedside Management and Titration of Partial REBOA without an Arterial Line: Good for Pressure, Not for Flow!

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Partial resuscitative endovascular balloon occlusion of the aorta (pREBOA) attempts to minimize ischemia/reperfusion injury while controlling hemorrhage. There is little data on optimal methods to evaluate and titrate partial flow […]

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THE PREHOSPITAL USE OF YOUNGER AGE WHOLE BLOOD IS ASSOCIATED WITH AN IMPROVED ARRIVAL COAGULATION PROFILE.

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Recent in vitro data have shown that the hemostatic profile of whole blood (WB) degrades significantly after 14-days, yet the optimal storage remains debated. We hypothesized that arrival coagulation studies […]

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Caught in the Crossfire: 37 Years of Firearm Violence Afflicting America’s Youth.

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Publicly available firearm data is difficult to access. Trauma registry data is excellent at documenting patterns of firearm-related injury. Law enforcement data excels at capturing national violence trends to include […]

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Assessing the impact of resuscitation residents on the treatment of cardiopulmonary resuscitation patients.

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The management of cardiac arrest patients receiving cardiopulmonary resuscitation (CPR) is an essential aspect of emergency medicine (EM) training. At our institution, we have a 1-month Resuscitation Rotation designed to […]

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Factors associated with Interhospital transfers of emergency general surgery patients from emergency departments.

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Emergency general surgery (EGS) conditions account for over 3 million or 7.1% of hospitalizations per year in the US. Patients are increasingly transferred from community emergency departments (EDs) to larger […]

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S100B protein level for the detection of clinically significant intracranial haemorrhage in patients with mild traumatic brain injury: a subanalysis of a prospective cohort study.

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Clinical assessment of patients with mild traumatic brain injury (mTBI) is challenging and overuse of head CT in the ED is a major problem. Several studies have attempted to reduce […]

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Traumatic brain injury induced temperature dysregulation: What is the role of β blockers?

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Traumatic brain injury (TBI) is associated with sympathetic discharge that leads to posttraumatic hyperthermia (PTH). Beta blockers (ββ) are known to counteract overactive sympathetic discharge. The aim of our study […]

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Multicenter validation of the American Association for the Surgery of Trauma grading scale for acute cholecystitis.

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The American Association for the Surgery of Trauma (AAST) patient assessment committee has created grading systems for emergency general surgery diseases to assist with clinical decision making and risk adjustment […]

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Ocular trauma secondary to exercise resistance bands during the COVID-19 pandemic.

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To characterize injuries caused by exercise resistance bands.Single-site retrospective case series of patients presenting to the Bascom Palmer Eye Institute emergency room with ocular injuries secondary to exercise resistance bands […]

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The association between scene time interval and neurologic outcome following adult bystander witnessed out-of-hospital cardiac arrest.

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To analyze the association between Emergency Medical Services (EMS) scene time interval (STI) and survival with functional neurologic recovery following adult out-of-hospital cardiac arrest (OHCA).A retrospective analysis of prospectively collected […]

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Evidence base for point-of-care ultrasound (POCUS) for diagnosis of skull fractures in children: a systematic review and meta-analysis.

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Blunt head trauma is a common presentation to emergency departments (EDs). Identifying skull fractures in children is important as they are known factor of risk for traumatic brain injury (TBI). […]

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Effect of tranexamic acid on intracranial haemorrhage and infarction in patients with traumatic brain injury: a pre-planned substudy in a sample of CRASH-3 trial patients.

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Early tranexamic acid (TXA) treatment reduces head injury deaths after traumatic brain injury (TBI). We used brain scans that were acquired as part of the routine clinical practice during the […]

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Trauma results in immune cell-induced intestinal epithelial damage with subsequently increased sepsis rate.

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The detrimental effect of trauma on the immune system has been a subject of interest for decades. The gut associated lymphoid tissue (GALT) of the bowel that encompasses different lymphocyte […]

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The expression of repulsive guidance molecule a (RGMa) after traumatic brain injury: Time-course changes in gene expression in a murine model of controlled cortical impact.

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Repulsive guidance molecule a (RGMa) is a key protein that negatively regulates neuronal regeneration as its inhibition enhances axonal growth and promotes functional recovery in animal models of spinal cord […]

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