The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Oct 2020
Multicenter StudyNationwide analysis of resuscitative thoracotomy in pediatric trauma: Time to differentiate from adult guidelines?
Emergency department thoracotomy (EDT) for pediatric patients is uncommon, and practice patterns have not been evaluated. We examined the indications and outcomes for EDT by trauma center designation using a nationwide database. ⋯ Therapeutic, level IV.
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J Trauma Acute Care Surg · Oct 2020
Multicenter StudyStop flailing: The impact of bicortically displaced rib fractures on pulmonary outcomes in patients with chest trauma - an American Association for the Surgery of Trauma multi-institutional study.
Current evaluation of rib fractures focuses almost exclusively on flail chest with little attention on bicortically displaced fractures. Chest trauma that is severe enough to cause fractures leads to worse outcomes. An association between bicortically displaced rib fractures and pulmonary outcomes would potentially change patient care in the setting of trauma. We tested the hypothesis that bicortically displaced fractures were an important clinical marker for pulmonary outcomes in patients with nonflail rib fractures. ⋯ Prognostic and epidemiological study, level III.