The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Nov 2018
Comparative StudyNo wire? No problem: Resuscitative endovascular balloon occlusion of the aorta can be performed effectively and more rapidly with a wire-free device.
A wire-free device is available for resuscitative endovascular balloon occlusion of the aorta (REBOA) providing aortic occlusion (AO) without lengthy platform guide-wires and large sheaths. ⋯ Therapeutic, level V.
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J Trauma Acute Care Surg · Nov 2018
Quetiapine protects the blood-brain barrier in traumatic brain injury.
The integrity of the blood-brain barrier (BBB) is paramount in limiting vasogenic edema following traumatic brain injury (TBI). The purpose of this study was to ascertain if quetiapine, an atypical antipsychotic commonly used in trauma/critical care for delirium, protects the BBB and attenuates hyperpermeability in TBI. ⋯ level IV.
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J Trauma Acute Care Surg · Nov 2018
Crisis under the radar: Illicit amphetamine use is reaching epidemic proportions and contributing to resource overutilization at a Level I trauma center.
Trauma centers reported illicit amphetamine use in approximately 10% of trauma admissions in the previous decade. From experience at a trauma center located in a southwestern metropolis, our perception is that illicit amphetamine use is on the rise and that these patients utilize in-hospital resources beyond what would be expected for their injuries. The purposes of this study were to document the incidence of illicit amphetamine use among our trauma patients and to evaluate its impact on resource utilization. ⋯ Prognostic/Epidemiological, level II; Therapeutic, level III.
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J Trauma Acute Care Surg · Nov 2018
Severely injured trauma patients with admission hyperfibrinolysis: Is there a role of tranexamic acid? Findings from the PROPPR trial.
Administration of tranexamic acid (TXA) in coagulopathy of trauma gained popularity after the CRASH-2 trial. The aim of our analysis was to analyze the role of TXA in severely injured trauma patients with admission hyperfibrinolysis. ⋯ Therapeutic study, level III.
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J Trauma Acute Care Surg · Nov 2018
The impact of inpatient palliative care on end-of-life care among older trauma patients who die after hospital discharge.
Palliative care (PC) is associated with lower-intensity treatment and better outcomes at the end of life. Trauma surgeons play a critical role in end-of-life (EOL) care; however, the impact of PC on health care utilization at the end of life has yet to be characterized in older trauma patients. ⋯ Therapeutic/Care management, level III.