The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Sep 2018
Selective nonoperative management of pharyngoesophageal injuries secondary to penetrating neck trauma: A single-center review of 86 cases.
This article describes our experience with penetrating pharyngoesophageal injuries (PEI) in the light of a selective conservative approach, and has the objective to define criteria for nonoperative management (NOM). ⋯ Clinical Management Study, Level V evidence.
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J Trauma Acute Care Surg · Sep 2018
Comparative StudyFacing the facts on prophylactic antibiotics for facial fractures: 1 day or less.
To evaluate the role of initial prophylactic antibiotics on facial fractures, outcomes were compared between a short course (≤24 hours) of antibiotics to those who received an extended course (>24 hours). ⋯ Therapeutic/care management, level IV.
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J Trauma Acute Care Surg · Sep 2018
Early arterial access for resuscitative endovascular balloon occlusion of the aorta is related to survival outcome in trauma.
Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been used in refractory hemorrhagic shock patients. Since the optimal timing of arterial access remains unclear, we evaluated the preocclusion status of patients, and elapsed time from the arrival to the hospital is associated with the survival outcomes in the REBOA patients. ⋯ Therapeutic/care management, level V.