The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Jun 2016
Using social media for community consultation and public disclosure in exception from informed consent trials.
The US Food and Drug Administration and the Department of Health and Human Services outline regulations allowing an exception from informed consent (EFIC) for research conducted in an emergency setting. Acute care clinical trials using EFIC must include community consultation and public disclosure (CC/PD) activities. We describe our experience using social media to facilitate the CC/PD process in two trauma resuscitation clinical trials. ⋯ In clinical trauma trials using EFIC, social media may provide a viable option for facilitating the CC/PD process.
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J Trauma Acute Care Surg · Jun 2016
Pattern of law enforcement-related injuries in the United States.
The pattern of law enforcement-related injuries of police and civilians in the United States is unknown. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Jun 2016
Morphometric roadmaps to improve accurate device delivery for fluoroscopy-free resuscitative endovascular balloon occlusion of the aorta.
Uncontrolled hemorrhage from vessel injuries within the torso remains a significant source of prehospital trauma mortality. Resuscitative endovascular balloon occlusion of the aorta can effectively control noncompressible hemorrhage, but this minimally invasive technique relies heavily on imaging not available in the field. Our goal was to develop morphometric roadmaps to enhance the safety and accuracy of fluoroscopy-free endovascular navigation of hemorrhage control devices. ⋯ Therapeutic study, level IV; diagnostic study, level III.
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J Trauma Acute Care Surg · Jun 2016
Cervical spine injuries in civilian victims of explosions: Should cervical collars be used?
Semirigid cervical collars (SRCCs) are routinely applied to victims of explosions as part of the prehospital trauma protocols. Previous studies have shown that the use of SRCC in penetrating injuries is not justified because of the scarcity of unstable cervical spine injuries and the risk of obscuring other neck injuries. Explosion can inflict injuries by fragments penetration, blast injury, blunt force, and burns. The purpose of the study was to determine the occurrence of cervical spine instability without irreversible neurologic deficit and other potentially life-threatening nonskeletal neck injuries among victims of explosions. The potential benefits and risks of SRCC application in explosion-related injuries were evaluated. ⋯ Prognostic/epidemiologic study, level III.