The journal of trauma and acute care surgery
-
J Trauma Acute Care Surg · May 2012
Comparative StudyPrehospital nausea and vomiting after trauma: Prevalence, risk factors, and development of a predictive scoring system.
Nausea and vomiting are common problems in trauma patients and potentially dangerous during trauma resuscitation. These symptoms are present in up to 10% of ambulance patients, but their prevalence in trauma patients is largely unknown. The aim of this study was to determine the prevalence of prehospital nausea and vomiting in trauma patients and evaluate antiemetic usage. ⋯ V, epidemiological study.
-
J Trauma Acute Care Surg · May 2012
Comparative StudyLong-term survival after major trauma in geriatric trauma patients: the glass is half full.
The objective is to examine the long-term survival status of geriatric trauma patients (GTPs) after major trauma. ⋯ III, prognostic/epidemiological study.
-
J Trauma Acute Care Surg · May 2012
Case ReportsProlonged heparin-free extracorporeal membrane oxygenation in multiple injured acute respiratory distress syndrome patients with traumatic brain injury.
Extracorporeal membrane oxygenation (ECMO) can be used as an "ultima ratio" strategy in multiple injured patients with severe thoracic trauma. However, systemic anticoagulation during ECMO is recommended and thus traumatic brain injury (TBI) and intracranial bleeding are well-accepted contraindications for ECMO therapy. ⋯ IV, therapeutic study.
-
J Trauma Acute Care Surg · May 2012
Comparative StudyThe first 72 hours of brain tissue oxygenation predicts patient survival with traumatic brain injury.
Utilization of brain tissue oxygenation (pBtO(2)) is an important but controversial variable in the treatment of traumatic brain injury. We hypothesize that pBtO(2) values over the first 72 hours of monitoring are predictive of mortality. ⋯ III, prognostic study.
-
J Trauma Acute Care Surg · May 2012
Comparative StudyPrimary open reduction and internal fixation with headless compression screws in the treatment of Chinese patients with acute Lisfranc joint injuries.
Although primary open anatomic reduction and stable internal fixation has become a standard treatment principle of Lisfranc joint injuries, there are still some debates existed among surgeons as to the most appropriate treatment of this injury. The aim of this cohort study was to analyze the early (mean, 3.2 years) clinical and radiographic outcomes of one surgeon's experience associated with a standardized protocol of open reduction and internal fixation using headless compression screws (HCS) in a consecutive series of Chinese patients with Lisfranc joint injuries. ⋯ Our results have shown that fixation of an unstable tarsometatarsal joint with AO 3.0 mm HCS can provide the firm stability, the precise reduction of the joint, and satisfactory short-term clinical and radiographic outcomes without any screw breakage, although posttraumatic osteoarthritis in the midfoot is still a significant challenge for orthopedic surgeons.