Latest & greatest articles for trauma

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Top results for trauma

181. Major trauma: assessment and initial management

Major trauma: assessment and initial management Major tr Major trauma: assessment and initial auma: assessment and initial management management NICE guideline Published: 17 February 2016 nice.org.uk/guidance/ng39 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration (...) injury 5 1.2 Airway management in pre-hospital and hospital settings 5 1.3 Management of chest trauma in pre-hospital settings 6 1.4 Management of chest trauma in hospital settings 7 1.5 Management of haemorrhage in pre-hospital and hospital settings 7 1.6 Reducing heat loss in pre-hospital and hospital settings 12 1.7 Pain management in pre-hospital and hospital settings 12 1.8 Documentation in pre-hospital and hospital settings 13 1.9 Information and support for patients, family members and carers

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

182. Does usage of a parachute in contrast to free fall prevent major trauma?: a prospective randomised-controlled trial in rag dolls. (Abstract)

Does usage of a parachute in contrast to free fall prevent major trauma?: a prospective randomised-controlled trial in rag dolls. It is undisputed for more than 200 years that the use of a parachute prevents major trauma when falling from a great height. Nevertheless up to date no prospective randomised controlled trial has proven the superiority in preventing trauma when falling from a great height instead of a free fall. The aim of this prospective randomised controlled trial was to prove (...) the rate of head injury; cervical, thoracic, lumbar, and pelvic fractures; and pneumothoraxes, hepatic, spleen, and bladder injuries in the control and parachute groups. An interdisciplinary team consisting of a specialised trauma surgeon, two neurosurgeons, and a coroner examined the rag doll for injuries. Additionally, whole-body computed tomography scans were performed to identify the injuries.All 50 falls-25 with the use of a parachute, 25 without a parachute-were successfully performed. Head

2016 European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Controlled trial quality: uncertain

183. Management of Cardiac Arrest due to Trauma

Management of Cardiac Arrest due to Trauma ANZCOR Guideline 11.10.1 April 2016 Page 1 of 11 ANZCOR Guideline 11.10.1 Management of Cardiac Arrest due to Trauma Summary To whom does this guideline apply? This guideline applies to adult and paediatric patients in cardiac arrest, or peri-arrest, due to physical trauma. Specific isolated traumatic mechanisms such as near-hanging and burns are not addressed. Who is the audience for this guideline? This guideline applies to first-aiders, prehospital (...) clinicians and hospital teams. Recommendations The Australian and New Zealand Committee on Resuscitation (ANZCOR) recommends: • Unless there are injuries obviously incompatible with life, attempted resuscitation of patients with cardiac arrest due to trauma is not futile and should be attempted. • The first priority in peri-arrest trauma patients is to stop any obvious bleeding. • Depending on the likely aetiology of the cardiac arrest, restoration of the circulating blood volume may have a higher

2016 Australian Resuscitation Council

184. Causes and risk factors: Childhood trauma predicts onset and recurrence of depression, and comorbid anxiety and depressive disorders

Causes and risk factors: Childhood trauma predicts onset and recurrence of depression, and comorbid anxiety and depressive disorders Childhood trauma predicts onset and recurrence of depression, and comorbid anxiety and depressive disorders | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using (...) your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Childhood trauma predicts onset and recurrence of depression, and comorbid anxiety and depressive disorders Article Text Electronic pages Causes

2016 Evidence-Based Mental Health

185. Thoracic Trauma, Blunt, Pain Management of

Thoracic Trauma, Blunt, Pain Management of Thoracic Trauma, Blunt, Pain Management of - Practice Management Guideline Search » Thoracic Trauma, Blunt, Pain Management of Published 2016 Citation: Authors Galvagno, Samuel Michael Jr DO, PhD; Smith, Charles E. MD; Varon, Albert J. MD, MHPE; Hasenboehler, Erik A. MD; Sultan, Shahnaz MD, MHSc; Shaefer, Gregory DO; To, Kathleen B. MD; Fox, Adam D. DO, DPM; Alley, Darrell E.R. MD; Ditillo, Michael DO; Joseph, Bellal A. MD; Robinson, Bryce R.H. MD, MS (...) ; Haut, Elliot R. MD, PhD Author Information From the Department of Anesthesiology, University of Maryland School of Medicine and Program in Trauma, R Adams Cowley Shock Trauma Center, Baltimore, Maryland (S.M.G.); Case Western Reserve University School of Medicine, and Cardiothoracic and Trauma Anesthesia, Department of Anesthesiology, MetroHealth Medical Center, Cleveland, Ohio (C.E.S.); Department of Anesthesiology, University of Miami Miller School of Medicine, and Ryder Trauma Center at Jackson

2016 Eastern Association for the Surgery of Trauma

187. Update: Do Patients With Minor Head Trauma Require Neuroimaging?

Update: Do Patients With Minor Head Trauma Require Neuroimaging? TAKE-HOME MESSAGE Negative results for Canadian CT Head Rule or New Orleans Criteria can identify patients with minor head trauma for whom routine neuroimaging is unlikely to identify a clinically signi?cant intracranial injury ( 2 episodes 3 3.6 (3.1–4.1) 0.76 (0.61–0.95) Signs Skull fracture Any 3 16 (3.1–59) 0.85 (0.48–0.98) Basal 5 6 (3.9–8) 0.84 (0.76–0.92) GCS score Any decline 2 3.4–16 0.76–0.8 <15 at 2 h 3 3.5 (1.6–7.6 (...) of the following: subdural, epidural, ventricular, or parenchymal hematoma; subarachnoid hemorrhage; herniation; or depressed skull fracture. DATA EXTRACTION AND SYNTHESIS Threeinvestigatorsindependently assessedqualifyingstudies undergoingfull-textreviewand assignedaRationalClinical TRAUMA/SYSTEMATIC REVIEW SNAPSHOT 754 Annals of Emergency Medicine Volume 68, no. 6 : December 2016motor vehicle were variables iden- ti?ed as higher risk for intracranial injuries (Table 1). Among patients with negative clinical

2016 Annals of Emergency Medicine Systematic Review Snapshots

188. Immunonutrition – the influence of early postoperative glutamine supplementation in enteral/parenteral nutrition on immune response, wound healing and length of hospital stay in multiple trauma patients and patients after extensive surgery Full Text available with Trip Pro

Immunonutrition – the influence of early postoperative glutamine supplementation in enteral/parenteral nutrition on immune response, wound healing and length of hospital stay in multiple trauma patients and patients after extensive surgery In the postoperative phase, the prognosis of multiple trauma patients with severe brain injuries as well as of patients with extensive head and neck surgery mainly depends on protein metabolism and the prevention of septic complications. Wound healing (...) problems can also result in markedly longer stays in the intensive care unit and general wards. As a result, the immunostimulation of patients in the postoperative phase is expected to improve their immunological and overall health.A study involving 15 patients with extensive ENT tumour surgery and 7 multiple-trauma patients investigated the effect of enteral glutamine supplementation on immune induction, wound healing and length of hospital stay. Half of the patients received a glutamine-supplemented

2015 GMS Interdisciplinary plastic and reconstructive surgery DGPW

189. Trends in non-fatal agricultural injuries requiring trauma care Full Text available with Trip Pro

Trends in non-fatal agricultural injuries requiring trauma care Efforts to control agricultural injuries have been underway for years. Yet, very little is known about their trends over time. We examined trends in non-fatal agricultural injuries through analyzing injuries reported in a state trauma registry.Using Iowa Trauma Registry data collected by the Iowa Department of Public Health, we examined trends in non-fatal agricultural injuries reported by acute care hospitals accredited as Level I (...) , II, and III Trauma Care Facilities from 2005 to 2013. Rate ratios and corresponding 95 % confidence intervals were used to examine the burden of non-fatal agricultural injuries across this period. Negative binomial regression was used to calculate the average annual change in agricultural injury rates over time. Joinpoint regression analysis was used to examine the average annual change in the number of injuries over time.Between 2005 and 2013, a total of 1238 agricultural injuries were reported

2015 Injury epidemiology

190. Development and Validation of the Air Medical Prehospital Triage Score for Helicopter Transport of Trauma Patients Full Text available with Trip Pro

Development and Validation of the Air Medical Prehospital Triage Score for Helicopter Transport of Trauma Patients The aim of this study was to develop and internally validate a triage score that can identify trauma patients at the scene who would potentially benefit from helicopter emergency medical services (HEMS).Although survival benefits have been shown at the population level, identification of patients most likely to benefit from HEMS transport is imperative to justify the risks and cost (...) of this intervention.Retrospective cohort study of subjects undergoing scene HEMS or ground emergency medical services (GEMS) in the National Trauma Databank (2007-2012). Data were split into training and validation sets. Subjects were grouped by triage criteria in the training set and regression used to determine which criteria had a survival benefit associated with HEMS. Points were assigned to these criteria to develop the Air Medical Prehospital Triage (AMPT) score. The score was applied in the validation set to determine

2015 EvidenceUpdates

191. Occult Congenital Ureteropelvic Junction Obstruction in Two Adults Presenting with Collecting System Rupture After Blunt Renal Trauma: A Case Report Series Full Text available with Trip Pro

Occult Congenital Ureteropelvic Junction Obstruction in Two Adults Presenting with Collecting System Rupture After Blunt Renal Trauma: A Case Report Series We report two adult cases of congenital ureteropelvic junction obstruction detected incidentally in the setting of blunt abdominal trauma. CT images are provided to describe the presentation, while review of the literature and management of renal trauma are discussed.

2015 Journal of endourology case reports

192. Comparison of sexual function and quality of life after pelvic trauma with and without Angioembolization Full Text available with Trip Pro

Comparison of sexual function and quality of life after pelvic trauma with and without Angioembolization The aim is to study the safety of Angioembolization on long-term sexual function and quality of life.IRB approval was gained to review the prospectively collected trauma database as well as prospective questionnaires of patients at least 1 year out from pelvic fractures that occurred between 1996 and 2009. Surveys included the SF36v2, Female Sexual Function Index and the International Index

2015 Burns & trauma

193. Decoronation Technique for the Treatment of Trauma-Based Ankylosis Results in Favorable Alveolar Ridge Preservation

Decoronation Technique for the Treatment of Trauma-Based Ankylosis Results in Favorable Alveolar Ridge Preservation UTCAT2922, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Decoronation Technique for the Treatment of Trauma-Based Ankylosis Results in Favorable Alveolar Ridge Preservation Clinical Question In the young patient with an infrapositioned incisor due to ankylosis following trauma, does decoronation result (...) . Overall, these articles demonstrate good evidence to justify the use of decoronation as a means to preserve bone in preparation for future dental implant placement in patients with trauma-induced ankylosis. Applicability It is important for dental practioners to recognize the early manifestations of ankylosis and treatment options for patients with this condition. Decoronation is a simple and conservative treatment option that offers predictable success in the treatment of trauma-based ankylosis

2015 UTHSCSA Dental School CAT Library

194. Derivation and validation of a clinical decision rule to identify young children with skull fracture following isolated head trauma Full Text available with Trip Pro

Derivation and validation of a clinical decision rule to identify young children with skull fracture following isolated head trauma There is no clear consensus regarding radiologic evaluation of head trauma in young children without traumatic brain injury. We conducted a study to develop and validate a clinical decision rule to identify skull fracture in young children with head trauma and no immediate need for head tomography.We performed a prospective cohort study in 3 tertiary care emergency (...) departments in the province of Quebec. Participants were children less than 2 years old who had a head trauma and were not at high risk of clinically important traumatic brain injury (Glasgow Coma Scale score < 15, altered level of consciousness or palpable skull fracture). The primary outcome was skull fracture. For each participant, the treating physician completed a standardized report form after physical examination and before radiologic evaluation. The decision to order skull radiography

2015 EvidenceUpdates

195. Is CT thorax necessary to exclude significant injury in paediatric patients with blunt chest trauma?

Is CT thorax necessary to exclude significant injury in paediatric patients with blunt chest trauma? BestBets: Is CT thorax necessary to exclude significant injury in paediatric patients with blunt chest trauma? Is CT thorax necessary to exclude significant injury in paediatric patients with blunt chest trauma? Report By: Craig Ferguson - Consultant in Emergency Medicine Search checked by Katharine de la Morandiere - Consultant in Emergency Medicine Institution: Central Manchester Foundation (...) Trust Date Submitted: 24th June 2015 Date Completed: 29th July 2015 Last Modified: 29th July 2015 Status: Green (complete) Three Part Question In [paediatric patients with blunt chest trauma] is [CT thorax] necessary to [exclude significant injury]? Clinical Scenario A 6-year-old child was brought to hospital as a major trauma having been hit by a reversing car. The actual incident was not witnessed but the tyre tracks across the child's chest and the petechiae on his face and neck give credence

2015 BestBETS

196. The BIG Score and Prediction of Mortality in Pediatric Blunt Trauma (Abstract)

The BIG Score and Prediction of Mortality in Pediatric Blunt Trauma To examine the association between in-hospital mortality and the BIG (composed of the base deficit [B], International normalized ratio [I], Glasgow Coma Scale [G]) score measured on arrival to the emergency department in pediatric blunt trauma patients, adjusted for pre-hospital intubation, volume administration, and presence of hypotension and head injury. We also examined the association between the BIG score and mortality (...) in patients requiring admission to the intensive care unit (ICU).A retrospective 2001-2012 trauma database review of patients with blunt trauma ≤ 17 years old with an Injury Severity score ≥ 12. Charts were reviewed for in-hospital mortality, components of the BIG score upon arrival to the emergency department, prehospital intubation, crystalloids ≥ 20 mL/kg, presence of hypotension, head injury, and disposition.50/621 (8%) of the study patients died. Independent mortality predictors were the BIG score

2015 EvidenceUpdates

197. Validation of a Prediction Tool for Abusive Head Trauma Full Text available with Trip Pro

Validation of a Prediction Tool for Abusive Head Trauma Abusive head trauma (AHT) may be missed in the clinical setting. Clinical prediction tools are used to reduce variability in practice and inform decision-making. From a systematic review and individual patient data analysis we derived the Predicting Abusive Head Trauma (PredAHT) tool, using multilevel logistic regression to predict likelihood of AHT. This study aims to externally validate the PredAHT tool.Consecutive children aged <36

2015 EvidenceUpdates

198. Guidelines for the Management of a Pregnant Trauma Patient

Guidelines for the Management of a Pregnant Trauma Patient 404 Toggle navigation Toggle search Keyword search language Keyword search 404 Error Page/Asset Not Found The Society of Obstetricians and Gynaecologists of Canada (SOGC) {1} {1} {1}

2015 Society of Obstetricians and Gynaecologists of Canada

199. Comorbidity-Polypharmacy Score as Predictor of Outcomes in Older Trauma Patients: A Retrospective Validation Study (Abstract)

Comorbidity-Polypharmacy Score as Predictor of Outcomes in Older Trauma Patients: A Retrospective Validation Study Traditional injury severity assessment is insufficient in estimating the morbidity and mortality risk for older (≥45 years) trauma patients. Commonly used tools involve complex calculations or tables, do not consider all comorbidities, and often rely on data that are not available early in the trauma patient's hospitalization. The comorbidity-polypharmacy score (CPS), a sum of all (...) pre-injury medications and comorbidities, was found in previous studies to independently predict morbidity and mortality in this older patient population. However, these studies are limited by relatively small sample sizes. Consequently, we sought to validate previous research findings in a large, administrative dataset.A retrospective study of patients ages≥45 years was performed using an administrative trauma database from St. Luke's University Hospital's Level I Trauma Center. The study period

2015 EvidenceUpdates

200. Musculoskeletal trauma and all-cause mortality in India: a multicentre prospective cohort study. Full Text available with Trip Pro

Musculoskeletal trauma and all-cause mortality in India: a multicentre prospective cohort study. There is little data in low-income and middle-income countries (LMICs) quantifying the burden of fractures and describing current practices. The aim of the study was describe the severity of musculoskeletal injuries in LMICS and identify modifiable factors that predict subsequent early all-cause mortality.We did a multicentre, prospective, observational study of patients who presented to 14 (...) hospitals across India for musculoskeletal trauma (fractures or dislocations). Patients were recruited during an 8-week period, between November, 2011, and June, 2012, and were followed for 30-days or hospital discharge, whichever occurred first. Primary outcome was all-cause mortality with secondary outcomes of reoperation and infection. Logistic regression analyses were conducted to identify factors associated with all-cause mortality.We enrolled 4822 patients, but restricted analyses to 4612 (96

2015 Lancet