Latest & greatest articles for trauma

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Top results for trauma

1. Acute Trauma to the Foot

Acute Trauma to the Foot Date of origin: 2010 Last review date: 2014 ACR Appropriateness Criteria ® 1 Acute Trauma to the Foot American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Acute Trauma to the Foot Variant 1: Adult or child >5 years old. Acute injury to the foot; positive Ottawa Rules, suspicious for fracture. First study. Radiologic Procedure Rating Comments RRL* X-ray foot 9 ? CT foot without IV contrast 1 The RRL for the adult procedure is ? . ?? CT foot (...) is ? . ?? CT foot without and with IV contrast 1 The RRL for the adult procedure is ? . ?? MRI foot without IV contrast 1 O MRI foot without and with IV contrast 1 O US foot 1 O Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Acute Trauma to the Foot Clinical Condition: Acute Trauma to the Foot Variant 4: Adult or child >5 years old. Acute injury to the foot; does not meet the Ottawa Rules; patient

2019 American College of Radiology

2. Penetrating Trauma-Lower Abdomen and Pelvis.

Penetrating Trauma-Lower Abdomen and Pelvis. American College of Radiology End User License Agreement ACR Appropriateness Criteria is a registered trademark of the American College of Radiology. By accessing the ACR Appropriateness Criteria®, you expressly agree and consent to the terms and conditions as described at: http://www.acr.org/~/media/ACR/Documents/AppCriteria/TermsandConditions.pdf Personal use of material is permitted for research, scientific and/or information purposes only. You (...) may not modify or create derivative works based on American College of Radiology material. No part of any material posted on the American College of Radiology Web site may be copied, downloaded, stored in a retrieval system, or redistributed for any other purpose without the expressed written permission of American College of Radiology. Date of origin: 1996 Last review date: 2013 ACR Appropriateness Criteria ® 1 Suspected Lower Urinary Tract Trauma American College of Radiology ACR Appropriateness

2019 American College of Radiology

3. Head Trauma- Child

Head Trauma- Child Date of origin: 2014 ACR Appropriateness Criteria ® 1 Head Trauma — Child American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Head Trauma — Child Variant 1: Minor head injury (GCS >13) =2 years of age without neurologic signs or high risk factors (eg, altered mental status, clinical evidence of basilar skull fracture). Excluding nonaccidental trauma. Radiologic Procedure Rating Comments RRL* CT head without IV contrast 3 This is a known low-yield (...) ACR Appropriateness Criteria ® 2 Head Trauma — Child Clinical Condition: Head Trauma — Child Variant 2: Minor head injury (GCS >13), 13 [5]. Approximately 3%–5% of children with minor head trauma have identifiable abnormalities by imaging, and typically less than 1% require neurosurgical intervention [6-9]. Noncontrast CT has a central role in screening for intracranial traumatic injury due to its wide availability, speed, and ability to detect significant hemorrhage, herniation, hydrocephalus

2019 American College of Radiology

4. Medical Follow-up and Discharge of Individuals Receiving Electric Shock or Blunt Trauma from Non-Lethal Weapons: Guidelines

Medical Follow-up and Discharge of Individuals Receiving Electric Shock or Blunt Trauma from Non-Lethal Weapons: Guidelines Medical Follow-up and Discharge of Individuals Receiving Electric Shock or Blunt Trauma from Non-Lethal Weapons: Guidelines | CADTH.ca Find the information you need Medical Follow-up and Discharge of Individuals Receiving Electric Shock or Blunt Trauma from Non-Lethal Weapons: Guidelines Medical Follow-up and Discharge of Individuals Receiving Electric Shock or Blunt (...) Trauma from Non-Lethal Weapons: Guidelines Last updated: August 16, 2019 Project Number: RB1378-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What are the evidence-based guidelines regarding medical follow-up and discharge of people who have received an electric shock from a conducted electrical weapon or blunt trauma from a projectile-based weapon? Key Message Two evidence-based guidelines were identified regarding medical follow

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

5. Point of Care Ultrasound for Assessment of Patients with Physical Trauma in Emergency Departments: Clinical Utility and Cost-Effectiveness

Point of Care Ultrasound for Assessment of Patients with Physical Trauma in Emergency Departments: Clinical Utility and Cost-Effectiveness Point of Care Ultrasound for Assessment of Patients with Physical Trauma in Emergency Departments: Clinical Utility and Cost-Effectiveness | CADTH.ca Find the information you need Point of Care Ultrasound for Assessment of Patients with Physical Trauma in Emergency Departments: Clinical Utility and Cost-Effectiveness Point of Care Ultrasound for Assessment (...) of Patients with Physical Trauma in Emergency Departments: Clinical Utility and Cost-Effectiveness Last updated: September 16, 2019 Project Number: RB1383-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical utility of point of care ultrasound for the assessment of patients with physical trauma in the emergency department? What is the cost-effectiveness of point of care ultrasound for the assessment of patients

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

6. Major Blunt Trauma

Major Blunt Trauma New 2019 ACR Appropriateness Criteria ® 1 Major Blunt Trauma American College of Radiology ACR Appropriateness Criteria ® Major Blunt Trauma Variant 1: Major blunt trauma. Hemodynamically unstable. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography trauma series Usually Appropriate ??? US FAST scan chest abdomen pelvis Usually Appropriate O CT whole body with IV contrast May Be Appropriate ???? CT whole body without IV contrast May (...) Be Appropriate ???? MRI abdomen and pelvis without and with IV contrast Usually Not Appropriate O MRI abdomen and pelvis without IV contrast Usually Not Appropriate O Variant 2: Major blunt trauma. Hemodynamically stable. Not otherwise specified. Initial imaging. Procedure Appropriateness Category Relative Radiation Level CT whole body with IV contrast Usually Appropriate ???? Radiography trauma series Usually Appropriate ??? US FAST scan chest abdomen pelvis Usually Appropriate O CT whole body without IV

2019 American College of Radiology

7. Effect of Low-Dose Supplementation of Arginine Vasopressin on Need for Blood Product Transfusions in Patients With Trauma and Hemorrhagic Shock: A Randomized Clinical Trial

Effect of Low-Dose Supplementation of Arginine Vasopressin on Need for Blood Product Transfusions in Patients With Trauma and Hemorrhagic Shock: A Randomized Clinical Trial Current therapies for traumatic blood loss focus on hemorrhage control and blood volume replacement. Severe hemorrhagic shock, however, is associated with a state of arginine vasopressin (AVP) deficiency, and supplementation of this hormone may decrease the need for blood products in resuscitation.To determine whether low (...) -dose supplementation of AVP in patients with trauma (hereinafter referred to as trauma patients) and with hemorrhagic shock decreases their need for transfused blood products during resuscitation.This randomized, double-blind placebo-controlled clinical trial included adult trauma patients (aged 18-65 years) who received at least 6 U of any blood product within 12 hours of injury at a single urban level 1 trauma center from May 1, 2013, through May 31, 2017. Exclusion criteria consisted

2019 EvidenceUpdates

8. Using a Motor GCS Score or Patient Does Not Follow Commands to Replace the Glasgow Coma Scale for Predicting Severe Injury in Trauma Patients

Using a Motor GCS Score or Patient Does Not Follow Commands to Replace the Glasgow Coma Scale for Predicting Severe Injury in Trauma Patients "Using a Motor GCS Score or “Patient Does Not Follow Commands” to Repla" by Jennifer Steinhaus < > > > > > Title Author Date of Graduation Summer 8-10-2019 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies Rights . Abstract Background : To assess an injured patient’s condition and to triage the patient (...) to the appropriate facility, out-of-hospital providers use the Glasgow Coma Scale (GCS) even though the GCS has known inconsistent results. A GSC motor (GCS-m) less than 6 or “patient does not follow commands” would be an acceptable substitution to the full GCS to simplify trauma triage. Method : An exhaustive literature search using MEDLINE-Ovid, Web Science, and CINAHL was conducted. The following search terms were used: “patient does not follow commands” and “Glasgow Coma Scale” which yielded 2 studies

2019 Pacific University EBM Capstone Project

9. What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients With Suspected Blunt Thoracoabdominal Trauma?

What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients With Suspected Blunt Thoracoabdominal Trauma? What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients With Suspected Blunt Thoracoabdominal Trauma? - Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page Access provided by Volume 74, Issue 3, Pages 400–402 What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients (...) With Suspected Blunt Thoracoabdominal Trauma? x Brit Long , MD (EBEM Commentator) , x Michael D. April , MD, DPhil (EBEM Commentator) Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX DOI: | Publication History Published online: February 14, 2019 Expand all Collapse all Article Outline Take-Home Message In patients with blunt trauma, a positive point-of-care ultrasonography result can identify thoracoabdominal injury with high specificity

2019 Annals of Emergency Medicine Systematic Review Snapshots

10. What Is the Incidence of Intracranial Hemorrhage Among Anticoagulated Patients With Minor Head Trauma?

What Is the Incidence of Intracranial Hemorrhage Among Anticoagulated Patients With Minor Head Trauma? What Is the Incidence of Intracranial Hemorrhage Among Anticoagulated Patients With Minor Head Trauma? - Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page Access provided by Volume 74, Issue 1, Pages 98–100 What Is the Incidence of Intracranial Hemorrhage Among Anticoagulated Patients With Minor Head Trauma? x Michael Gottlieb (...) , MD (EBEM Commentator) , x Somy M. Thottathil , MD (EBEM Commentator) , x Jacob P. Holton , MD (EBEM Commentator) Department of Emergency Medicine, Rush University Medical Center, Chicago, IL DOI: | Publication History Published online: December 20, 2018 Expand all Collapse all Article Outline Take-Home Message Among anticoagulated patients presenting with minor head trauma, 9% may have an intracranial hemorrhage. Methods Data Sources PubMed, EMBASE, the Cochrane databases, and the Database

2019 Annals of Emergency Medicine Systematic Review Snapshots

11. Effects of trauma-informed approaches in schools: A systematic review

Effects of trauma-informed approaches in schools: A systematic review Effects of trauma‐informed approaches in schools: A systematic review - Maynard - 2019 - Campbell Systematic Reviews - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term SYSTEMATIC REVIEW Open Access Effects of trauma‐informed approaches in schools: A systematic review Corresponding Author E-mail address: School of Social Work (...) of article. I have read and accept the Wiley Online Library Terms and Conditions of Use. Shareable Link Use the link below to share a full-text version of this article with your friends and colleagues. Copy URL Share a link Share on ). While the intent of creating trauma‐informed approaches in schools is a noble one, relatively little is known about the benefits, costs, and how trauma‐informed approaches are being defined and evaluated (Berliner & Kolko, ). Adopting a trauma‐informed approach

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2019 Campbell Collaboration

12. Intranasal sufentanil versus intravenous morphine for acute severe trauma pain: A double-blind randomized non-inferiority study

Intranasal sufentanil versus intravenous morphine for acute severe trauma pain: A double-blind randomized non-inferiority study Intravenous morphine (IVM) is the most common strong analgesic used in trauma, but is associated with a clear time limitation related to the need to obtain an access route. The intranasal (IN) route provides easy administration with a fast peak action time due to high vascularization and the absence of first-pass metabolism. We aimed to determine whether IN sufentanil

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2019 EvidenceUpdates

13. External validation of a clinical prediction rule for very low risk pediatric blunt abdominal trauma

External validation of a clinical prediction rule for very low risk pediatric blunt abdominal trauma Computed tomography (CT) is frequently used to identify intra-abdominal injuries in children with blunt abdominal trauma (BAT). The Pediatric Emergency Care Applied Research Network (PECARN) proposed a prediction rule to identify children with BAT who are at very low risk for clinically-important intra-abdominal injuries (CIIAI) in whom CT can be avoided.To determine the sensitivity (...) of this prediction rule in identifying patients at very low risk for CIIAI in our pediatric trauma registry.Retrospective review of our institutional trauma registry to identify patients with CIIAI. CIIAI included cases resulting in death, therapeutic intervention at laparotomy, angiographic embolization of intra-abdominal arterial bleeding, blood transfusion for intra-abdominal hemorrhage, and administration of intravenous fluids for two or more nights for pancreatic or gastrointestinal injuries. Patients were

2019 EvidenceUpdates

14. A new clinical score for cranial computed tomography in emergency department non-trauma patients: Definition and first validation

A new clinical score for cranial computed tomography in emergency department non-trauma patients: Definition and first validation Well recognized guidelines are available for the use of cranial computed tomography (CCT) in traumatic patients, while no definitely accepted standards exists to for CCT in patients without history of head injury. The aim of this study is to propose an easy clinical score to stratify the need of CCT in emergency department (ED) patients with suspect non-traumatic

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2019 EvidenceUpdates

15. Evaluation of the Thoracic and Lumbar Spine in Blunt Trauma

Evaluation of the Thoracic and Lumbar Spine in Blunt Trauma Evaluation of the Thoracic and Lumbar Spine in Blunt Trauma | Emergency Medicine | Washington University in St. Louis Open Menu Back Close Menu Search for: Loading... Welcome Sections Education Fellowships Research Journal Club Events Open Search Vignette You’re working a shift at a level II trauma center in the community one rainy afternoon when EMS brings in Mr. Q a 62-year old man with hypertension and hyperlipidemia who (...) imaging choices, and a quick look online directs you to a Wondering what other literature there is, you begin to conduct a more thorough search…. PICO Question Population: Adult patients suffering blunt trauma Intervention: Aspects of history (e.g. mechanism of injury) and physical exam, plain radiography Comparison: CT scan, surgical findings, follow up Outcome: Need for surgical intervention or TLSO bracing Search Strategy A systematic review and meta-analysis, recently published by a collaboration

2019 Washington University Emergency Medicine Journal Club

16. Feasibility of a Hybrid Web-Based and In-Person Self-management Intervention Aimed at Preventing Acute to Chronic Pain Transition After Major Lower Extremity Trauma (iPACT-E-Trauma): A Pilot Randomized Controlled Trial

Feasibility of a Hybrid Web-Based and In-Person Self-management Intervention Aimed at Preventing Acute to Chronic Pain Transition After Major Lower Extremity Trauma (iPACT-E-Trauma): A Pilot Randomized Controlled Trial 1) To assess the feasibility of research methods to test a self-management intervention aimed at preventing acute to chronic pain transition in patients with major lower extremity trauma (iPACT-E-Trauma) and 2) to evaluate its potential effects at three and six months postinjury (...) . Design. A pilot randomized controlled trial (RCT) with two parallel groups.A supraregional level 1 trauma center.Fifty-six adult patients were randomized. Participants received the intervention or an educational pamphlet. Several parameters were evaluated to determine the feasibility of the research methods. The potential efficacy of iPACT-E-Trauma was evaluated with measures of pain intensity and pain interference with activities.More than 80% of eligible patients agreed to participate

2019 EvidenceUpdates

17. Urological Trauma

Urological Trauma Urological Trauma | Uroweb › Urological Trauma Urological Trauma To access the pdfs & translations of individual guidelines, please as EAU member. Non-EAU members can view the web versions. To become an EAU member, click . N.D. Kitrey (Chair), N. Djakovic, P. Hallscheidt, F.E. Kuehhas, N. Lumen, E. Serafetinidis, D.M. Sharma Guidelines Associates: Y. Abu-Ghanem, A. Sujenthiran, M. Waterloos TABLE OF CONTENTS REFERENCES 1. Radmayr, C., et al., EAU Guidelines on Paediatric (...) Urology. In: EAU Guidelines, edition presented at the annual EAU Congress Barcelona 2019. ISBN 978-94-92671-04-2. 2. Martinez-Pineiro, L., et al. EAU Guidelines on Urethral Trauma. Eur Urol, 2010. 57: 791. 3. Summerton, D.J., et al. EAU guidelines on iatrogenic trauma. Eur Urol, 2012. 62: 628. 4. Lumen, N., et al. Review of the current management of lower urinary tract injuries by the EAU Trauma Guidelines Panel. Eur Urol, 2015. 67: 925. 5. Serafetinides, E., et al. Review of the current management

2019 European Association of Urology

18. Minor Blunt Thoracic Trauma in the Emergency Department: Sensitivity and Specificity of Chest Ultralow-Dose Computed Tomography Compared With Conventional Radiography

Minor Blunt Thoracic Trauma in the Emergency Department: Sensitivity and Specificity of Chest Ultralow-Dose Computed Tomography Compared With Conventional Radiography To evaluate the diagnostic performance of chest ultralow-dose computed tomography (CT) compared with chest radiograph for minor blunt thoracic trauma.One hundred sixty patients with minor blunt thoracic trauma were evaluated first by chest radiograph and subsequently with a double-acquisition nonenhanced chest CT protocol (...) to that of chest radiograph and was more reliable than a radiographic study for minor blunt thoracic trauma assessment. Radiologists, regardless of experience with ultralow-dose CT, were more confident with chest ultralow-dose CT than chest radiograph.Copyright © 2018 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

2019 EvidenceUpdates

19. Hypertonic saline as effective as normal saline for trauma patients

Hypertonic saline as effective as normal saline for trauma patients Hypertonic saline as effective as normal saline for trauma patients Discover Portal Discover Portal Hypertonic saline as effective as normal saline for trauma patients Published on 13 March 2018 doi: Solutions more concentrated than normal, such as hypertonic saline, are as good as those more usually given to trauma patients with severe blood loss. Survival to hospital discharge was the same in patients treated before arrival (...) at the hospital with either type of fluid. There are around 20,000 cases of major trauma per year in England. Outcomes for patients have improved in the UK over the last 25 years, but as there is still room for improvement this review sought to find evidence that supported or challenged the convention that normal saline is always best. Hypertonic solutions are given to patients in a lower volume, and so can be carried in more compact packaging. They could be preferred for transportation by emergency services

2019 NIHR Dissemination Centre

20. Drugs that stimulate bone marrow might save lives in critically ill trauma patients

Drugs that stimulate bone marrow might save lives in critically ill trauma patients Drugs that stimulate bone marrow might save lives in critically ill trauma patients Discover Portal Discover Portal Drugs that stimulate bone marrow might save lives in critically ill trauma patients Published on 23 August 2016 doi: Erythropoiesis stimulating agents (ESAs) might improve survival of critically ill patients after trauma. These drugs are synthetic versions of erythropoietin, a natural hormone (...) produced by the kidneys. They boost production of red blood cells from the bone marrow; however the survival effect seems to be independent of the effect on red cell production. ESA’s are already commonly used to treat anaemia associated with chronic kidney disease. This systematic review of trials in critical trauma patients found the survival benefit occurred without an increase in adverse effects, such as blood clots in the leg veins. ESA’s had no effect on the chance of making a good recovery after

2019 NIHR Dissemination Centre