Latest & greatest articles for trauma

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Top results for trauma

1. Acute Pain Management in Trauma Patients

Acute Pain Management in Trauma Patients ACS TRAUMA QUALITY PROGRAMS BEST PRACTICES GUIDELINES FOR ACUTE PAIN MANAGEMENT IN TRAUMA PATIENTS Released November 2020 Supported by the American Society of Anesthesiologists (ASA) Administrative Council*Table of Contents Introduction 4 Pain Physiology 6 Pain Assessment 10 Unidimensional Assessment Tools for Cognitively Intact Adults 11 Assessment Tools for Adult Patients with Cognitive Impairment 12 Functional Pain Assessment Tools 14 Pain Assessment (...) Therapy for Chronic Pain 103 Management of Patients with Untreated OUD 103 Management of Patients Receiving Treatment for OUD 104 Coordination with Chronic Pain or Primary Care Provider 105 Pain Management at End-of-Life 107 Principles of Medication Management 108 Drugs and Dosages 109 Implementing the Best Practices Guideline for Acute Pain Management in Trauma Patients 110 Recommended Trauma Performance Improvement Guideline Integration 114 Acronyms 117 Appendix A: Doloplus-2 Scale 118 Expert Panel

2020 American College of Surgeons

2. The Clinical Frailty Scale predicts adverse outcome in older people admitted to a UK major trauma centre

The Clinical Frailty Scale predicts adverse outcome in older people admitted to a UK major trauma centre The Clinical Frailty Scale predicts adverse outcome in older people admitted to a UK major trauma centre - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. COVID-19 is an emerging, rapidly evolving situation. Get the latest public (...) adverse outcome in older people admitted to a UK major trauma centre , , , , , , Affiliations Expand Affiliations 1 Clinical Fellow in Geriatric Trauma, North Bristol NHS Trust, Bristol, UK. 2 Consultant in Critical Care Medicine & Anaesthetics, North Bristol NHS Trust, Bristol, UK. 3 Consultant Physician and Perioperative Geriatrician, North Bristol NHS Trust, Bristol, UK. 4 Honorary Senior Clinical Lecturer, University of Bristol, Bristol, UK. PMID: 32980868 DOI: Item in Clipboard The Clinical

2020 EvidenceUpdates

3. Effect of Prophylactic Embolization on Patients With Blunt Trauma at High Risk of Splenectomy: A Randomized Clinical Trial

Effect of Prophylactic Embolization on Patients With Blunt Trauma at High Risk of Splenectomy: A Randomized Clinical Trial Effect of Prophylactic Embolization on Patients With Blunt Trauma at High Risk of Splenectomy: A Randomized Clinical Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. COVID-19 is an emerging, rapidly (...) of print. Effect of Prophylactic Embolization on Patients With Blunt Trauma at High Risk of Splenectomy: A Randomized Clinical Trial , , , , , , , , , , , , , , , , , Affiliations Expand Affiliations 1 Department of General and Digestive Surgery, Grenoble-Alpes University Hospital (CHU), Grenoble, France. 2 Department of Imaging and Interventional Radiology, Nîmes University Hospital (CHU), Nîmes, France. 3 Department of Imaging and Interventional Radiology, Montpellier University Hospital (CHU

2020 EvidenceUpdates

4. Comparison of ibuprofen and piroxicam gel in the treatment of trauma pain: A randomized double-blind trial of geriatric population

Comparison of ibuprofen and piroxicam gel in the treatment of trauma pain: A randomized double-blind trial of geriatric population Comparison of ibuprofen and piroxicam gel in the treatment of trauma pain: A randomized double-blind trial of geriatric population - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. COVID-19 is an emerging (...) .2020.08.041. Online ahead of print. Comparison of ibuprofen and piroxicam gel in the treatment of trauma pain: A randomized double-blind trial of geriatric population , , , , , , Affiliations Expand Affiliations 1 Department of Emergency Medicine, Manisa Merkez Efendi State Hospital, Manisa, Turkey. 2 Department of Emergency Medicine, Faculty of Medicine, Ataturk University, Erzurum, Turkey. 3 Department of Emergency Medicine, Bingol State Hospital, Bingol, Turkey. Electronic address: akbasilker@gmail.com

2020 EvidenceUpdates

5. Local cooling for relieving pain from perineal trauma sustained during childbirth. Full Text available with Trip Pro

Local cooling for relieving pain from perineal trauma sustained during childbirth. Perineal trauma is common during childbirth and may be painful. Contemporary maternity practice includes offering women numerous forms of pain relief, including the local application of cooling treatments. This Cochrane Review is an update of a review last updated in 2012.To evaluate the effectiveness of localised cooling treatments compared with no treatment, placebo, or other cooling treatments applied (...) to the perineum for pain relief following perineal trauma sustained during childbirth.We searched Cochrane Pregnancy and Childbirth's Trials Register, ClinicalTrials.gov, the WHO International Clinical Trials Registry Platform (ICTRP) (7 October 2019) and reference lists of retrieved studies.Published and unpublished randomised and quasi-randomised trials (RCTs) that compared a localised cooling treatment applied to the perineum with no treatment, placebo, or another cooling treatment applied to relieve pain

2020 Cochrane

6. Head Trauma

Head Trauma Date of origin: 1996 Last review date: 2015 ACR Appropriateness Criteria ® 1 Head Trauma American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Head Trauma Variant 1: Minor or mild acute closed head injury (GCS =13), imaging not indicated by NOC or CCHR or NEXUS-II clinical criteria (see Appendix 1). Initial study. Radiologic Procedure Rating Comments RRL* CT head without IV contrast 2 ??? MRI head without IV contrast 1 O MRA head and neck without IV (...) Appropriateness Criteria ® 2 Head Trauma Clinical Condition: Head Trauma Variant 2: Minor or mild acute closed head injury (GCS =13), imaging indicated by NOC or CCHR or NEXUS-II clinical criteria (see Appendix 1). Initial study. Radiologic Procedure Rating Comments RRL* CT head without IV contrast 9 ??? MRI head without IV contrast 5 This procedure may be appropriate in the outpatient setting, but there was disagreement among panel members on the appropriateness rating as defined by the panel’s median rating

2020 American College of Radiology

7. Case Report: Airway Management of Penetrating Neck Trauma in the Game of Thrones

Case Report: Airway Management of Penetrating Neck Trauma in the Game of Thrones Case Report: Airway Management of Penetrating Neck Trauma in the Game of Thrones - CanadiEM Case Report: Airway Management of Penetrating Neck Trauma in the Game of Thrones In , , by Will Wu September 15, 2020 Patient Presentation On a cold winter’s day in Winterfell, a middle-aged man by the name of Lord Baelish was stood in front of the Northern and Vale lords to answer for his crimes. His cunning and deceitful (...) . We’re all liars here – and every one of us is better than you”. Unfortunately for him, his lies led him to suffer a brutal execution in Winterfell with Lady Arya slitting his throat with a dagger. Penetrating neck trauma account for 5-10% of all trauma cases and is the leading cause of death under the age of 46 in the USA. ​1​ Complex vascular, nervous, and respiratory/GI anatomy in the neck underly the challenges of managing these patients. In this article, we will give a brief overview of clinical

2020 CandiEM

8. Comparison of topical capsaicin and topical piroxicam in the treatment of acute trauma-induced pain: A randomized double-blind trial

Comparison of topical capsaicin and topical piroxicam in the treatment of acute trauma-induced pain: A randomized double-blind trial Comparison of topical capsaicin and topical piroxicam in the treatment of acute trauma-induced pain: A randomized double-blind trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. COVID-19 (...) ahead of print. Comparison of topical capsaicin and topical piroxicam in the treatment of acute trauma-induced pain: A randomized double-blind trial , , , , , , , , Affiliations Expand Affiliations 1 Department of Emergency Medicine, Faculty of Medicine, Ataturk University, Erzurum, Turkey. Electronic address: abdullahmrym86@gmail.com. 2 Department of Emergency Medicine, Manisa Merkez Efendi State Hospital, Manisa, Turkey. 3 Department of Emergency Medicine, Bingol State Hospital, Bingol, Turkey. 4

2020 EvidenceUpdates

9. Negative-pressure wound therapy compared with standard dressings following surgical treatment of major trauma to the lower limb: the WHiST RCT Full Text available with Trip Pro

Negative-pressure wound therapy compared with standard dressings following surgical treatment of major trauma to the lower limb: the WHiST RCT Negative-pressure wound therapy compared with standard dressings following surgical treatment of major trauma to the lower limb: the WHiST RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from (...) Madan 3 , Karan Vadher 2 , Melina Dritsaki 2 , James Masters 1 , Louise Spoors 1 , Marta Campolier 1 , Nick Parsons 4 , Miguel Fernandez 1 , Suzanne Jones 5 , Richard Grant 5 , Jagdeep Nanchahal 1 1 Oxford Trauma, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK 2 Oxford Clinical Trials Research Unit, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK 3 Clinical Trials Unit

2020 NIHR HTA programme

10. Negative pressure wound therapy versus conventional dressing for open fractures in lower extremity trauma

Negative pressure wound therapy versus conventional dressing for open fractures in lower extremity trauma Negative pressure wound therapy versus conventional dressing for open fractures in lower extremity trauma - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. COVID-19 is an emerging, rapidly evolving situation. Get the latest (...) there aren't any new results Optional text in email: Save Cancel Create a file for external citation management software Create file Cancel Your RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation Randomized Controlled Trial Bone Joint J Actions . 2020 Jul;102-B(7):912-917. doi: 10.1302/0301-620X.102B7.BJJ-2019-1462.R1. Negative pressure wound therapy versus conventional dressing for open fractures in lower extremity trauma

2020 EvidenceUpdates

11. Chest ultrasonography versus supine chest radiography for diagnosis of pneumothorax in trauma patients in the emergency department. (Abstract)

Chest ultrasonography versus supine chest radiography for diagnosis of pneumothorax in trauma patients in the emergency department. Chest X-ray (CXR) is a longstanding method for the diagnosis of pneumothorax but chest ultrasonography (CUS) may be a safer, more rapid, and more accurate modality in trauma patients at the bedside that does not expose the patient to ionizing radiation. This may lead to improved and expedited management of traumatic pneumothorax and improved patient safety (...) and clinical outcomes.To compare the diagnostic accuracy of chest ultrasonography (CUS) by frontline non-radiologist physicians versus chest X-ray (CXR) for diagnosis of pneumothorax in trauma patients in the emergency department (ED). To investigate the effects of potential sources of heterogeneity such as type of CUS operator (frontline non-radiologist physicians), type of trauma (blunt vs penetrating), and type of US probe on test accuracy.We conducted a comprehensive search of the following electronic

2020 Cochrane

12. Whole blood transfusion versus component therapy in adult trauma patients with acute major haemorrhage Full Text available with Trip Pro

Whole blood transfusion versus component therapy in adult trauma patients with acute major haemorrhage Whole blood transfusion versus component therapy in adult trauma patients with acute major haemorrhage - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes of Health National Library of Medicine National Center (...) Copy Actions Cite Share Permalink Copy Page navigation Review Emerg Med J Actions . 2020 Jun;37(6):370-378. doi: 10.1136/emermed-2019-209040. Epub 2020 May 6. Whole blood transfusion versus component therapy in adult trauma patients with acute major haemorrhage , , , , , Affiliations Expand Affiliations 1 Emergency Department, North Bristol NHS Trust, Bristol, UK pascale.avery@nhs.net. 2 Trauma Sciences, Blizard Institute of Cell and Molecular Science, Queen Mary University of London, London, UK. 3

2020 EvidenceUpdates

13. The Use of Tranexamic Acid (TXA) for the Management of Hemorrhage in Trauma Patients in the Prehospital Environment: Literature Review and Descriptive Analysis of Principal Themes

The Use of Tranexamic Acid (TXA) for the Management of Hemorrhage in Trauma Patients in the Prehospital Environment: Literature Review and Descriptive Analysis of Principal Themes The Use of Tranexamic Acid (TXA) for the Management of Hemorrhage in Trauma Patients in the Prehospital Environment: Literature Review and Descriptive Analysis of Principal Themes - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search (...) Cancel Create a file for external citation management software Create file Cancel Your RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation Shock Actions . 2020 Mar;53(3):277-283. doi: 10.1097/SHK.0000000000001389. The Use of Tranexamic Acid (TXA) for the Management of Hemorrhage in Trauma Patients in the Prehospital Environment: Literature Review and Descriptive Analysis of Principal Themes , , Affiliations Expand

2020 EvidenceUpdates

14. Blunt Chest Trauma-Suspected Cardiac Injury

Blunt Chest Trauma-Suspected Cardiac Injury Date of origin: 2013 ACR Appropriateness Criteria ® 1 Blunt Chest Trauma American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Blunt Chest Trauma Variant 1: First-line evaluation. High-energy mechanism. Radiologic Procedure Rating Comments RRL* X-ray chest 9 Chest x-ray and CT/CTA are complementary examinations. ? CT chest with IV contrast 9 Ideally, this procedure should be performed with CTA. Chest x-ray and CT/CTA (...) status. No high-energy mechanism. Radiologic Procedure Rating Comments RRL* CTA chest with IV contrast 5 ??? CT chest with IV contrast 5 ??? CT chest without IV contrast 4 ??? MRI chest without and with IV contrast 2 O CT chest without and with IV contrast 1 ??? US chest 1 O MRI chest without IV contrast 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 Blunt Chest Trauma Clinical Condition

2020 American College of Radiology

15. Acute Trauma to the Ankle

Acute Trauma to the Ankle Date of origin: 1995 Last review date: 2014 ACR Appropriateness Criteria ® 1 Acute Trauma to the Ankle American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Acute Trauma to the Ankle Variant 1: Adult or child >5 years old. Patient meets Ottawa Ankle Rules: 1. Inability to bear weight immediately after the injury, OR 2. Point tenderness over the medial malleolus, the posterior edge or inferior tip of the lateral malleolus, talus, or calcaneus (...) be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Acute Trauma to the Ankle Clinical Condition: Acute Trauma to the Ankle Variant 4: Adult or child >5 years old. Acute injury to the ankle with persistent pain. Radiographs not obtained at time of injury. Initial study. Radiologic Procedure Rating Comments RRL* X-ray ankle 9 Obtain AP, lateral, and mortise views. ? CT ankle without IV contrast 1 ? CT ankle with IV contrast 1 ? CT ankle without and with IV

2020 American College of Radiology

16. Paediatric Trauma: Stabilisation of the Cervical Spine

Paediatric Trauma: Stabilisation of the Cervical Spine Patron: HRH The Princess Royal 7-9 Bream’s Buildings Tel +44 (0)207 404 1999 London Fax +44 (0)207 067 1267 EC4A 1DT www.rcem.ac.uk Position Statement Paediatric Trauma - Stabilisation of the Cervical Spine 10 April 2019 The Royal College of Emergency Medicine (RCEM) recognises that there are nationwide discrepancies in how immobilisation of the cervical spine is achieved during the initial assessment of children who have suffered traumatic (...) immobilisation by other means may be impractical). NICE guidelines [1] and JRCALC guidelines [2]still recommend their use although evidence that semi-rigid collars offer extra stabilisation to the spine of patients who are already lying immobile and supine is of poor quality and results are contradictory [3][4]. Guidelines, based on historical consensus, which strongly advocate the use of semi-rigid collars in initial trauma care should not automatically be used to the exclusion of more recent evidence

2020 Royal College of Emergency Medicine

17. Validation of the PredAHT-2 prediction tool for abusive head trauma (Abstract)

Validation of the PredAHT-2 prediction tool for abusive head trauma The validated Predicting Abusive Head Trauma (PredAHT) clinical prediction tool calculates the probability of abusive head trauma (AHT) in children <3 years of age who have sustained intracranial injuries (ICIs) identified on neuroimaging, based on combinations of six clinical features: head/neck bruising, seizures, apnoea, rib fracture, long bone fracture and retinal haemorrhages. PredAHT version 2 enables a probability

2020 EvidenceUpdates

18. Effect of Incisional Negative Pressure Wound Therapy vs Standard Wound Dressing on Deep Surgical Site Infection After Surgery for Lower Limb Fractures Associated With Major Trauma: The WHIST Randomized Clinical Trial. Full Text available with Trip Pro

Effect of Incisional Negative Pressure Wound Therapy vs Standard Wound Dressing on Deep Surgical Site Infection After Surgery for Lower Limb Fractures Associated With Major Trauma: The WHIST Randomized Clinical Trial. Following surgery to treat major trauma-related fractures, deep wound infection rates are high. It is not known if negative pressure wound therapy can reduce infection rates in this setting.To assess outcomes in patients who have incisions resulting from surgery for lower limb (...) fractures related to major trauma and were treated with either incisional negative pressure wound therapy or standard wound dressing.A randomized clinical trial conducted at 24 trauma hospitals representing the UK Major Trauma Network that included 1548 patients aged 16 years or older who underwent surgery for a lower limb fracture caused by major trauma from July 7, 2016, through April 17, 2018, with follow-up to December 11, 2018.Incisional negative pressure wound therapy (n = 785), which involved

2020 JAMA

19. Clinical practice guideline for evaluation of psychosocial factors influencing recovery from adult orthopaedic trauma

Clinical practice guideline for evaluation of psychosocial factors influencing recovery from adult orthopaedic trauma 1 View background material via the PRF CPG eAppendix CLINICAL PRACTICE GUIDELINE FOR EVALUATION OF PSYCHOSOCIAL FACTORS INFLUENCING RECOVERY FROM ADULT ORTHOPAEDIC TRAUMA Adopted by the American Academy of Orthopaedic Surgeons Board of Directors December 6, 2019 2 View background material via the PRF CPG eAppendix Disclaimer This clinical practice guideline (CPG) was developed (...) by the Major Extremity Trauma and Rehabilitation Consortium (METRC) in collaboration with the American Academy of Orthopaedic Surgeons (AAOS) 9400 W Higgins Rosemont, IL First Edition Copyright 2019 by the Major Extremity Trauma and Rehabilitation Consortium (METRC) and the American Academy of Orthopaedic Surgeons (AAOS)3 View background material via the PRF CPG eAppendix To View All AAOS and AAOS-Endorsed Evidence-Based clinical practice guidelines and Appropriate Use Criteria in a User-Friendly Format

2020 American Academy of Orthopaedic Surgeons

20. Alcohol-related trauma reinjury prevention with hospital-based screening in adult populations Full Text available with Trip Pro

Alcohol-related trauma reinjury prevention with hospital-based screening in adult populations Alcohol-related trauma reinjury prevention with hospital-based screening in adult populations - Practice Management Guideline Search » Alcohol-related trauma reinjury prevention with hospital-based screening in adult populations Published 2020 Citation: Authors Kodadek, Lisa M. MD; Freeman, Jennifer J. MD; Tiwary, Devesh MD; Drake, Mack Dillon DO; Schroeder, M. Elizabeth MD; Dultz, Linda MD, MPH; White (...) , Cassandra MD; Abdel Aziz, Hiba MD; Crandall, Marie MD, MPH; Como, John J. MD, MPH; Rattan, Rishi MD Author Information From the Division of Trauma and Surgical Critical Care (L.M.K.), Vanderbilt University Medical Center, Nashville, Tennessee; General Surgery, Trauma , and Surgical Critical Care (J.J.F.), Texas Health Harris Hospital, Fort Worth, Texas; Central Florida Regional Hospital (D.T.), Sanford, Florida; Trauma and Surgical Critical Care (M.D.D.), Brody School of Medicine at East Carolina

2020 Eastern Association for the Surgery of Trauma