Click here to read the full article @ The American journal of emergency medicine Subscribe to our email list for regular updates on your chosen specialty» Read more
Early brain computed tomographic angiography to screen for blunt cerebrovascular injuries in patients with polytrauma: Is it necessary?
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 […]» Read more
To understand more about the individual variation in the time course of fibrinolysis following major injury and to assess the potential for stratification of trauma patients for tranexamic acid (TXA) […]» Read more
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 […]» Read more
Western Trauma Association critical decisions in trauma: Management of intracranial hypertension in patients with severe traumatic brain injuries.
Click here to read the full article @ JAMA» Read more
Comparison of effectiveness coolant spray and placebo in patients with acute ankle trauma prospective randomized controlled trial.
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 […]» Read more
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 […]» Read more
The American Association for the Surgery of Trauma (AAST) emergency surgery guidelines for acute pancreatitis: Are we missing significant opportunities for reflection?
Defining Inclusion Criteria for the Prehospital Administration of Lyophilized Plasma in Urban Civilian Pediatric Trauma.
Natural Language Processing of Prehospital Emergency Medical Services Trauma Records Allows for Automated Characterization of Treatment Appropriateness.
Incomplete prehospital trauma care is a significant contributor to preventable deaths. Current databases lack timelines easily constructible of clinical events. Temporal associations and procedural indications are critical to characterize treatment […]» Read more
Facial trauma afflicts significant morbidity and mortality with potential to compromise critical adjacent structures. Facial trauma management is often entrusted to the hands of the craniofacial surgeon; evidence-based practice may […]» Read more
Impact of an early mobilization protocol on outcomes in trauma patients admitted to the intensive care unit: a retrospective pre-post study.
Prolonged immobility has detrimental consequences for critically ill patients admitted to the intensive care unit (ICU). Previous work has shown that early mobilization of ICU patients is a safe, feasible […]» Read more
High crystalloid volumes negate benefit of hemostatic resuscitation in pediatric wartime trauma casualties.
Recent data for adult trauma patients suggests improved survival when using hemostatic resuscitation, which includes limiting crystalloids and using closer to 1:1 ratios for both fresh frozen plasma (FFP) and […]» Read more
Prevalence of Intracranial Injury in Adult Patients With Blunt Head Trauma With and Without Anticoagulant or Antiplatelet Use.
We determine the prevalence of significant intracranial injury among adults with blunt head trauma who are receiving preinjury anticoagulant or antiplatelet medications.This was a multicenter, prospective, observational study conducted from […]» Read more
Prehospital critical care is associated with increased survival in adult trauma patients in Scotland.
Scotland has three prehospital critical care teams (PHCCTs) providing enhanced care support to a usually paramedic-delivered ambulance service. The effect of the PHCCTs on patient survival following trauma in Scotland […]» Read more
Drowning is a leading cause of preventable mortality and morbidity in children. Its high fatality rate and frequent severe sequelae (e.g. brain damage and permanent loss of functioning) place a […]» Read more
Click here to read the full article @ JAMA» Read more
The validated Predicting Abusive Head Trauma (PredAHT) clinical prediction tool calculates the probability of abusive head trauma (AHT) in children <3 years of age who have sustained intracranial injuries (ICIs) […]» Read more
Traumatic brain injury (TBI) continues to be a deadly injury. Universally accepted guidelines regarding the use of venous thromboembolism (VTE) chemoprophylaxis in trauma patients presenting with TBI have not been […]» Read more
Elderly trauma patients are at high risk for mortality, even when presenting with minor injuries. Previous prognostic models are poorly utilized due to their reliance on elements unavailable during the […]» Read more
Pediatric firearm injury is a leading cause of death for U.S. children. We sought to further characterize children who die from these injuries using a validated national database.The National Trauma […]» Read more
S100B is a serum protein known to elevate in patients with brain injury, but it is unknown whether it can predict intracranial pathology in intoxicated patients following mild traumatic brain […]» Read more
Early involvement of geriatrics is recommended for older trauma patients.This systematic review aimed to determine the impact of a geriatric assessment on mortality, hospital length of stay, discharge destination and […]» Read more
The American Association for the Surgery of Trauma (AAST) Renal Injury Grading Scale: Implications of the 2018 Revisions for Injury Reclassification and Predicting Bleeding Interventions.
In 2018, the AAST published revisions to the renal injury grading system to reflect the increased reliance on CT scans and non-operative management of high-grade renal trauma (HGRT). We aimed […]» Read more
A review of transfusion- and trauma-induced hypocalcemia. Is it time to change the lethal triad to the lethal diamond?
The understanding of trauma management and damage control resuscitation is constantly changing as new research becomes available. While poor outcomes in hemorrhagic shock have traditionally been attributed to the “lethal […]» Read more
The emergent evaluation of children with suspected traumatic cervical spine injuries (CSI) remains a challenge. Pediatric clinical pathways have been developed to stratify the risk of CSI and guide computed […]» Read more
Ultrasonographic Diagnosis of Traumatic Eye and Orbital Injuries: Critical Evaluation of Patient Selection Criteria.
Click here to read the full article @ Annals of Emergency Medicine» Read more
Trauma is a leading cause of morbidity and mortality worldwide, with a disproportionate burden of illness in low- and middle- income countries. This study sought to provide a proof-of-concept pilot […]» Read more
As cities nation-wide combat gun violence, with less than 20% of shots fired reported to police, use of acoustic gunshot sensor (AGS) technology is increasingly common. However, there are no […]» Read more