Whole blood transfusion versus component therapy in adult trauma patients with acute major haemorrhage.

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In the era of damage control resuscitation of trauma patients with acute major haemorrhage, transfusion practice has evolved to blood component (component therapy) administered in a ratio that closely approximates […]

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LIQUID PLASMA REDUCES WASTE AND HEALTHCARE EXPENSES COMPARED TO THAWED PLASMA AT A LEVEL 1 TRAUMA CENTER.

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Balanced resuscitation strategies have led to increased utilization of plasma. Fresh frozen plasma that is thawed and never used is a large source of blood component wastage. Thawed plasma (TP) […]

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Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for Thoracic Trauma: A Translational Swine Study.

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Forty-eight (48) male Yorkshire swine (60-80kg) underwent 30% hemorrhage and were randomized to three thoracic injuries, with and without Zone 1 REBOA occlusion: pulmonary parenchymal injury (PI), thoracic venous injury […]

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Resuscitative Endovascular Balloon of the Aorta is feasible in penetrating chest trauma with major hemorrhage: Proposal of a new institutional deployment algorithm.

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Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is an emerging option for hemorrhage control, but its use is limited in scenarios such as penetrating chest trauma. The aim of […]

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The Center for Trauma Survivorship: Addressing the Great Unmet Need for Post-Trauma Center Care.

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Returning patients to pre-injury status is the goal of a trauma system. Trauma Centers (TC) provide inpatient care, but post-discharge treatment is fragmented with clinic follow up rates <30%. PTSD […]

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Emerging hemorrhage control and resuscitation strategies in trauma: endovascular to extracorporeal.

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This article reviews four emerging endovascular hemorrhage control and extracorporeal perfusion techniques for management of trauma patients with profound hemorrhagic shock including hemorrhage-induced traumatic cardiac arrest. These include resuscitative endovascular […]

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Incisional Hernia Incidence following Laparotomy for Combat Trauma: Investigating Fifteen Years of US War Surgery.

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While the incidence of incisional hernia (IH) following elective laparotomy has been well-described, incidence following emergent laparotomy for combat trauma has been much less studied. This retrospective cohort investigates the […]

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Repeat CT Head Scan is Not Indicated in Trauma Patients Taking Novel Anticoagulation: A Multi-Center Study.

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Five Level-1 trauma centers in Northern California participated in a retrospective review of anticoagulated trauma patients. Patients were included if their initial CTH was negative. Primary outcomes were incidence of […]

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Spectrum and frequency of critical procedures performed at a Level I adult and pediatric trauma center.

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The primary objective of this study was to provide physician-level data about the frequency of critical procedures at a combined adult and pediatric Level I trauma center, high-acuity, high-volume academic […]

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An analysis of overtriage and undertriage by advanced life support transport in a mature trauma system.

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While issues regarding triage of severely injured trauma patients are well publicized, little information exists concerning the difference between triage rates for patients transported by advanced life support (ALS) and […]

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Characteristics And Outcomes Of Extracorporeal Life Support In Pediatric Trauma Patients.

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Extracorporeal life support (ECLS) utilizing extracorporeal membrane oxygenation (ECMO) techniques has been used in the pediatric population for numerous indications, but its use in trauma has been understudied. We sought […]

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ARE ALL TRAUMA CENTERS CREATED EQUAL? LEVEL 1 TO LEVEL 1 TRAUMA CENTER PATIENT TRANSFERS IN THE SETTING OF RAPID TRAUMA CENTER PROLIFERATION.

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Level 1 trauma centers should provide definitive care for every aspect of injury. However, in environments that have experienced trauma center proliferation, not all level 1 centers may have the […]

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Pediatric Trauma Triage: A Pediatric Trauma Society Research Committee Systematic Review.

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Significant variability exists in the triage of injured children with most systems using mechanism of injury and/or physiologic criteria. It is not well-established if existing triage criteria predict the need […]

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Establishing an Enduring Military Trauma Mortality Review: Misconceptions and Lessons Learned.

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Under direction from the Defense Health Agency, subject matter experts from the Joint Trauma System, Armed Forces Medical Examiner System, and civilian sector established the Military Trauma Mortality Review process. […]

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Early brain computed tomographic angiography to screen for blunt cerebrovascular injuries in patients with polytrauma: Is it necessary?

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Early diagnosis of blunt cerebrovascular injury (BCVI) is among the most difficult challenges in trauma treatment. This study aimed to determine the optimal timing of computed tomographic angiography (CTA) screening […]

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Hospital resources do not predict accuracy of secondary trauma triage: A population-based analysis.

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The identification of patients who require transfer from non-trauma centers to trauma centers (secondary triage) is complicated by high rates of undertriage and overtriage. The objective of this study was […]

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Comparison of effectiveness coolant spray and placebo in patients with acute ankle trauma prospective randomized controlled trial.

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Coolant spray application in musculoskeletal injuries is an effective and harmless method to treat pain and reduce functional limitation. This study assessed the clinical value of coolant spray application on […]

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Pediatric Extremity Vascular Trauma: It Matters Where it is Treated.

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Extremity vascular injuries in children are rare events that present unique therapeutic challenges. The absence of a pediatric-specific protocol for definitive care of these injuries risks variability in treatment practices […]

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