The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · May 2021
Isolated traumatic brain injury: Routine intubation for Glasgow Coma Scale 7 or 8 may be harmful!
Despite strong recommendations, there is no direct evidence supporting routine intubation of trauma patients with Glasgow Coma Scale (GCS) score of 7 or 8. We hypothesized that routine intubation may not be beneficial in isolated blunt head injury. ⋯ Therapeutic, level III.
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J Trauma Acute Care Surg · May 2021
A clinical practice guideline using percentage of predicted forced vital capacity improves resource allocation for rib fracture patients.
Predicting rib fracture patients that will require higher-level care is a challenge during patient triage. Percentage of predicted forced vital capacity (FVC%) incorporates patient-specific factors to customize the measurements to each patient. A single institution transitioned from a clinical practice guideline (CPG) using absolute forced vital capacity (FVC) to one using FVC% to improve triage of rib fracture patients. This study compares the outcomes of patients before and after the CPG change. ⋯ Therapeutic/Care Management. Trauma, Rib, Triage, level IV.
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J Trauma Acute Care Surg · May 2021
Observational StudyMultisystem outcomes and predictors of mortality in critically ill patients with COVID-19: Demographics and disease acuity matter more than comorbidities or treatment modalities.
We sought to describe characteristics, multisystem outcomes, and predictors of mortality of the critically ill COVID-19 patients in the largest hospital in Massachusetts. ⋯ Prognostic, level III.