Trauma surgery & acute care open
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Trauma Surg Acute Care Open · Jan 2018
Point-of-care biliary ultrasound in the emergency department (BUSED): implications for surgical referral and emergency department wait times.
Patients with uncomplicated biliary disease frequently present to the emergency department for assessment. To improve bedside clinical decision making, biliary point-of-care ultrasound (POCUS) in the emergency department has emerged as a diagnostic tool. The purpose of this study is to analyze the usefulness of POCUS in predicting the need for surgical intervention in biliary disease. ⋯ Retrospective cohort study, level III.
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Trauma Surg Acute Care Open · Jan 2018
Evaluation of the Georgia trauma system using the American College of Surgeons Needs Based Assessment of Trauma Systems tool.
The American College of Surgeons Needs Based Assessment of Trauma Systems (NBATS) tool was developed to help determine the optimal regional distribution of designated trauma centers (DTC). The objectives of our current study were to compare the current distribution of DTCs in Georgia with the recommended allocation as calculated by the NBATS tool and to see if the NBATS tool identified similar areas of need as defined by our previous analysis using the International Classification of Diseases, Ninth Revision, Clinical Modification Injury Severity Score (ICISS). ⋯ Economic, level IV.
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Trauma Surg Acute Care Open · Jan 2018
Incidence of acute respiratory distress syndrome and associated mortality in a polytrauma population.
The incidence of acute respiratory distress syndrome (ARDS) has decreased in the last decade by improvement in trauma and critical care. However, it still remains a major cause of morbidity and mortality. This study investigated the current incidence and mortality of ARDS in polytrauma patients. ⋯ Level III.