J Trauma
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Randomized Controlled Trial Multicenter Study Comparative Study
Postinjury resuscitation with human polymerized hemoglobin prolongs early survival: a post hoc analysis.
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Comparative Study
The relationship between INR and development of hemorrhage with placement of ventriculostomy.
This study seeks to evaluate the relationship between the risk of symptomatic hemorrhage from ventriculostomy placement and International Normalized Ratio (INR) in patients who received a ventriculostomy after traumatic brain injury. ⋯ In this retrospective study, INRs between 1.2 and 1.6 appeared to be acceptable for a neurosurgeon to place an emergent ventriculostomy in a patient with traumatic brain injury.
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Comparative Study
Combat versus civilian open tibia fractures: the effect of blast mechanism on limb salvage.
This study compares open tibia fractures in US Navy and US Marine Corps casualties from the current conflicts with those from a civilian Level I trauma center to analyze the effect of blast mechanism on limb-salvage rates. ⋯ Despite current therapy, limb salvage for G-A IIIB and IIIC grades are significantly worse for open tibia fractures as a result of blast injury when compared with typical civilian mechanisms. MESS scores do not adequately predict likelihood of limb salvage in combat or civilian open tibia fractures.
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Comparative Study
Hepatic arterial embolization in the management of blunt hepatic trauma: indications and complications.
The objective was to clarify the role of hepatic arterial embolization (AE) in the management of blunt hepatic trauma. ⋯ AE is a key element in modern management of high-grade liver injuries. Two principal indications exist in the acute postinjury phase: primary hemostatic control in hemodynamically stable or stabilized patients with radiologic computed tomography evidence of active arterial bleeding and adjunctive hemostatic control in patients with uncontrolled suspected arterial bleeding despite emergency laparotomy. Successful management of injuries of grade III upward often entails a combined angiographic and surgical approach. Awareness of the ischemic complications due to angioembolization is important.
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Case Reports
Clinical application of the flap based on the distal cutaneous branch of the ulnar artery.
To introduce our experiences of using the flap based on the distal cutaneous branch of the ulnar artery. ⋯ Because the flap does not compromise the dominant hand arteries and provides a reliable blood supply, it is a good choice for soft tissue reconstruction of defects in the dorsal and palmar aspects of the hand.