Trauma surgery & acute care open
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Trauma Surg Acute Care Open · Jan 2019
Effect of prehospital tourniquets on resuscitation in extremity arterial trauma.
Timely tourniquet placement may limit ongoing hemorrhage and reduce the need for blood products. This study evaluates if prehospital tourniquet application altered the initial transfusion needs in arterial injuries when compared with a non-tourniquet control group. ⋯ Therapeutic study, level IV.
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Trauma Surg Acute Care Open · Jan 2019
Patient, hospital and regional characteristics associated with undertriage of injured children in California (2005-2015): a retrospective cohort study.
Trauma centers save lives, but they are scarce and concentrated in urban settings. The population of severely injured children in California who do not receive trauma center care (undertriage) is not well understood. ⋯ Level III (non-experimental retrospective observational study).
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Since their release in 2017, standing electric motorized scooters (eScooters) have risen in popularity as an alternative mode of transportation. We sought to examine the incidence of injury, injury patterns, prevalence of helmet and drug and alcohol use in eScooter trauma. ⋯ Level IV.
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Trauma Surg Acute Care Open · Jan 2019
Clinical use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in civilian trauma systems in the USA, 2019: a joint statement from the American College of Surgeons Committee on Trauma, the American College of Emergency Physicians, the National Association of Emergency Medical Services Physicians and the National Association of Emergency Medical Technicians.
This is a joint statement from the American College of Surgeons Committee on Trauma, the American College of Emergency Physicians, the National Association of Emergency Medical Services Physicians and the National Association of Emergency Medical Technicians regarding the clinical use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in civilian trauma systems in the USA. This statement addresses the system of care needed to manage trauma patients requiring the use of REBOA, in light of the current evidence available in this patient population. ⋯ This is an update to the previous statement published in 2018. It has been formally endorsed by the four sponsoring organizations.
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Trauma Surg Acute Care Open · Jan 2019
Can trauma surgeons keep up? A prospective cohort study comparing outcomes between patients with traumatic brain injury cared for in a trauma versus neuroscience intensive care unit.
Although many patients with traumatic brain injury (TBI) are admitted to trauma intensive care units (ICUs), some question whether outcomes would improve if their care was provided in neurocritical care units. We sought to compare characteristics and outcomes of patients with TBI admitted to and cared for in a trauma versus neuroscience ICU. ⋯ Prospective comparative study, level II.