Latest & greatest articles for trauma

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Top results for trauma

401. Trauma and post-traumatic stress disorder in patients with HIV/AIDS.

Trauma and post-traumatic stress disorder in patients with HIV/AIDS. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You are here Guidelines and Measures Funding for the National

2008 New York State Department of Health

402. The Child Trauma Screening Questionnaire predicts PTSD onset 6 months after traumatic accident better than the Children’s Impact of Events Scale

The Child Trauma Screening Questionnaire predicts PTSD onset 6 months after traumatic accident better than the Children’s Impact of Events Scale The Child Trauma Screening Questionnaire predicts PTSD onset 6 months after traumatic accident better than the Children’s Impact of Events Scale | 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 The Child Trauma Screening Questionnaire predicts PTSD onset 6 months after traumatic accident

2008 Evidence-Based Mental Health

403. Blunt abdominal trauma: diagnostic performance of contrast-enhanced US in children--initial experience (Abstract)

Blunt abdominal trauma: diagnostic performance of contrast-enhanced US in children--initial experience To prospectively compare the sensitivity and specificity of ultrasonography (US) with those of contrast material-enhanced US in the depiction of solid organ injuries in children with blunt abdominal trauma, with contrast-enhanced computed tomography (CT) as the reference standard.The study protocol was approved by the ethics board, and written informed consent was obtained from parents. US (...) , contrast-enhanced US, and contrast-enhanced CT were performed in 27 consecutive children (19 boys, eight girls; mean age, 8.9 years +/- 2.8 [standard deviation]) with blunt abdominal trauma to determine if solid abdominal organ injuries were present. Sensitivity, specificity, agreement, accuracy, number of lesions correctly identified, and positive and negative predictive values were determined for US and contrast-enhanced US, as compared with contrast-enhanced CT.In 15 patients, contrast-enhanced CT

2008 EvidenceUpdates

404. Prehospital management of trauma patients

Prehospital management of trauma patients Volumen 16. DTB Navarre. Vol 16, No 3. May - July 2008 - navarra.es Castellano | Euskara | Français | English Use the search tool! Search engine : : : : : : DTB Navarre. Vol 16, No 3. May - July 2008 DTB Navarre. Vol 16, No 3. May - July 2008 Content tools Share it Prehospital management of trauma patients The management steps taken during the critical period condition the survival and posterior morbidity of trauma patients. Life should take priority

2008 Drug and Therapeutics Bulletin of Navarre (Spain)

405. Trauma and loss. Guidelines for providing mental health first aid to an Aboriginal and Torres Strait Islander person

Trauma and loss. Guidelines for providing mental health first aid to an Aboriginal and Torres Strait Islander person Purpose of these guidelines These guidelines describe how members of the public should provide first aid to an Aboriginal or Torres Strait Islander person who has experienced trauma or loss that has resulted in ongoing grief or distress. The role of the first aider is to assist the person until appropriate professional help is received or the crisis resolves. The guidelines aim (...) to be respectful to cultural differences in understanding and responding to trauma and loss. More information regarding culturally respectful first aid practice can be found in Cultural Considerations and Communication Techniques: Guidelines for Providing Mental Health First Aid to an Aboriginal or T orres Strait Islander Person. Development of these guidelines The following guidelines are based on the expert opinions of Aboriginal clinicians from across Australia, who have extensive knowledge

2008 Clinical Practice Guidelines Portal

406. Multidisciplinary Guidelines on the Identification, Investigation and Management of Suspected Abusive Head Trauma

Multidisciplinary Guidelines on the Identification, Investigation and Management of Suspected Abusive Head Trauma Multidisciplinary Guidelines on the Identification, Investigation and Management of Suspected Abusive Head Trauma | Canadian Paediatric Society CPS In this section Protecting and promoting the health and well-being of children and youth CPS Policy & Advocacy Clinical Practice Education & Events News & Publications Programs Membership About the CPS Position statement (...) Multidisciplinary Guidelines on the Identification, Investigation and Management of Suspected Abusive Head Trauma Posted: Feb 1 2008 The Canadian Paediatric Society gives permission to print single copies of this document from our website. For permission to reprint or reproduce multiple copies, please see our . Principal author(s) Canadian Paediatric Society, The is available as a pdf. References Disclaimer: The recommendations in this position statement do not indicate an exclusive course of treatment

2008 Canadian Paediatric Society

407. Early trauma-focused cognitive-behavioural therapy to prevent chronic post-traumatic stress disorder and related symptoms: a systematic review and meta-analysis

Early trauma-focused cognitive-behavioural therapy to prevent chronic post-traumatic stress disorder and related symptoms: a systematic review and meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2008 DARE.

408. Endovascular stent-graft or open surgical repair for blunt thoracic aortic trauma: systematic review

Endovascular stent-graft or open surgical repair for blunt thoracic aortic trauma: systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2008 DARE.

409. Randomised trial of glutamine-enriched enteral nutrition on infectious morbidity in patients with multiple trauma

Randomised trial of glutamine-enriched enteral nutrition on infectious morbidity in patients with multiple trauma PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2008 PedsCCM Evidence-Based Journal Club

410. Epidural analgesia/anaesthesia versus systemic intravenous opioid analgesia in the management of blunt thoracic trauma.

Epidural analgesia/anaesthesia versus systemic intravenous opioid analgesia in the management of blunt thoracic trauma. BestBets: Epidural analgesia/anaesthesia versus systemic intravenous opioid analgesia in the management of blunt thoracic trauma. Epidural analgesia/anaesthesia versus systemic intravenous opioid analgesia in the management of blunt thoracic trauma. Report By: Dr Richard Parris - Consultant in Emergency Medicine Search checked by Barbara Scobie - ST3 in Emergency Medicine (...) Institution: Royal Bolton Hospitals Date Submitted: 1st September 2003 Last Modified: 5th August 2008 Status: Green (complete) Three Part Question In a [patient with blunt thoracic injury] is an [epidural infusion rather than intravenous administration of opioids] [superior in relieving pain or reducing complications] from his chest wall trauma? Clinical Scenario A 65 year old pedestrian involved in a road traffic accident has sustained four fractured ribs and has a small area of contused lung noted

2007 BestBETS

411. High-trauma fractures and low bone mineral density in older women and men. Full Text available with Trip Pro

High-trauma fractures and low bone mineral density in older women and men. It is widely believed that fractures resulting from high trauma are not osteoporotic; however, this assumption has not been studied prospectively.To examine the association between bone mineral density (BMD) and high-trauma fracture and between high-trauma fracture and subsequent fracture in older women and men.Two prospective US cohort studies in community-dwelling adults 65 years or older from geographically diverse (...) sites. The Study of Osteoporotic Fractures followed up 8022 women for 9.1 years (1988-2006). The Osteoporotic Fractures in Men Study followed up 5995 men for 5.1 years (2000-2007).Hip and spine BMD were assessed by dual-energy x-ray absorptiometry. Incident nonspine fractures were confirmed by radiographic report. Fractures were classified, without knowledge of BMD, as high trauma (due to motor vehicle crashes and falls from greater than standing height) or as low trauma (due to falls from standing

2007 JAMA

412. Association of trauma and PTSD symptoms with openness to reconciliation and feelings of revenge among former Ugandan and Congolese child soldiers. Full Text available with Trip Pro

Association of trauma and PTSD symptoms with openness to reconciliation and feelings of revenge among former Ugandan and Congolese child soldiers. Tens of thousands of the estimated 250,000 child soldiers worldwide are abused or have been abused during the last decade in Africa's Great Lakes Region. In the process of rebuilding the war-torn societies, it is important to understand how psychological trauma may shape the former child soldiers' ability to reconcile.To investigate the association (...) . Children who showed more PTSD symptoms had significantly less openness to reconciliation (rho= -0.34, P < .001) and more feelings of revenge (rho= 0.29, P < .001).PTSD symptoms are associated with less openness to reconciliation and more feelings of revenge among former Ugandan and Congolese child soldiers. The effect of psychological trauma should be considered when these children are rehabilitated and reintegrated into civilian society.

2007 JAMA

413. Risk of subsequent fracture after low-trauma fracture in men and women. Full Text available with Trip Pro

Risk of subsequent fracture after low-trauma fracture in men and women. There are few published long-term data on absolute risk of subsequent fracture (refracture) following initial low-trauma fracture in women and fewer in men.To examine long-term risk of subsequent fracture following initial osteoporotic fracture in men and women.Prospective cohort study (Dubbo Osteoporosis Epidemiology Study) in Australia of 2245 community-dwelling women and 1760 men aged 60 years or older followed up for 16 (...) an initial low-trauma fracture, absolute risk of subsequent fracture was similar for men and women. This increased risk occurred for virtually all clinical fractures and persisted for up to 10 years.

2007 JAMA

414. A probabilistic cost-effectiveness analysis of enoxaparin versus unfractionated heparin for the prophylaxis of deep-vein thrombosis following major trauma

A probabilistic cost-effectiveness analysis of enoxaparin versus unfractionated heparin for the prophylaxis of deep-vein thrombosis following major trauma A probabilistic cost-effectiveness analysis of enoxaparin versus unfractionated heparin for the prophylaxis of deep-vein thrombosis following major trauma A probabilistic cost-effectiveness analysis of enoxaparin versus unfractionated heparin for the prophylaxis of deep-vein thrombosis following major trauma Lynd L D, Goeree R, Crowther M (...) experienced major trauma. When final endpoints, such as life-years gained, were the measure of benefit, UH was the dominant strategy. This appears to have been a well conducted evaluation which was clearly and transparently reported. The conclusions reached by the authors appear to be appropriate. Type of economic evaluation Cost-effectiveness analysis Study objective The aim was to compare the cost-effectiveness of two treatment options for the prophylaxis of deep vein thrombosis (DVT) in patients who

2007 NHS Economic Evaluation Database.

415. Cost-utility analysis of emergency department thoracotomy for trauma victims Full Text available with Trip Pro

Cost-utility analysis of emergency department thoracotomy for trauma victims Cost-utility analysis of emergency department thoracotomy for trauma victims Cost-utility analysis of emergency department thoracotomy for trauma victims Brown T B, Romanello M, Kilgore M Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical (...) assessment on the reliability of the study and the conclusions drawn. Health technology The study examined emergency department thoracotomy (EDT) in comparison with no thoracotomy. Type of intervention Treatment. Economic study type Cost-utility analysis. Study population The study population comprised patients with either penetrating injury or blunt trauma of the thorax. Setting The setting was the emergency department (ED). The economic study was carried out in the USA. Dates to which data relate

2007 NHS Economic Evaluation Database.

416. Cost effectiveness of recombinant activated factor VII for the control of bleeding in patients with severe blunt trauma injuries in the United Kingdom

Cost effectiveness of recombinant activated factor VII for the control of bleeding in patients with severe blunt trauma injuries in the United Kingdom Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2007 NHS Economic Evaluation Database.

417. Trauma - limb trauma

Trauma - limb trauma INTRODUCTION There is one fundamental rule to apply to these cases and that is NOT to let limb injuries, however dramatic in appearance, distract the clinician from less visible but life-threatening problems such as airway obstruction, compromised breathing, poor perfusion and spinal injury. HISTORY Obtain a history of how the injury was sustained, in particular factors indicating the forces involved. ASSESSMENT However dramatic limb injuries appear, ALWAYS exclude (...) the presence of other TIME CRITICAL injuries by using the PRIMARY SURVEY. Assess and correct de?cits with: ? AIRWAY ? BREATHING ? CIRCULATION ? DISABILITY (mini neurological examination) Evaluate whether the patient is TIME CRITICAL or NON-TIME CRITICAL following criteria as per trauma emergencies guideline. In TIME CRITICAL patients, evidence suggests that haemorrhage control, spinal immobilisation if indicated (refer to neck and back trauma guideline) and rigid splinting are suf?cient treatment

2007 Joint Royal Colleges Ambulance Liaison Committee

418. Trauma - head trauma

Trauma - head trauma INTRODUCTION Head injury is estimated to be the cause of 1,000,000 hospital presentations each year in the UK, with an incidence of severe brain injury of between 10 and 15 per 100,000 population. 1 It may be an isolated injury or be part of multi-system traumatic injury. There is a signi?cant association with cervical spinal injury in those with a depressed level of consciousness. 2 Little can be done for primary brain injury, i.e. damage that occurs to the brain (...) dioxide and a metabolic acidosis. Blood loss from other sources in a multi-system trauma may lead to hypovolaemia and a fall in the cerebral perfusion pressure. HISTORY Mechanism of injury In a person with altered level of consciousness, at risk of intracranial head injury, an appreciation of the forces that were involved in causing the injury is helpful. With scene indicators such as a “bulls-eye” of the windscreen or blood staining of the dashboard or steering wheel in a motor vehicle collision

2007 Joint Royal Colleges Ambulance Liaison Committee

419. Trauma - electrocution

Trauma - electrocution INTRODUCTION Electrocution may result in burn injury to the skin and deeper tissues including muscles and nerves. As a result of being thrown, patients may also sustain mechanical injury such as joint dislocation. Electrocution may result in cardiac arrhythmias and cardio-respiratory arrest. Sustained muscle contraction from the electrical current may produce respiratory arrest or other mechanical damage. Arrhythmias are unlikely to develop with domestic voltage once (...) -ALERT MESSAGE. If no time critical features, complete primary and secondary assessment for burn and mechanical injuries prior to transport. MANAGEMENT 1,2 Take the de?brillator to the patient. Manage ABCD’s. Immobilise the cervical spine when there is risk of injury (refer to neck and back trauma guideline). Administer high concentration oxygen (O2) via a non- re-breathing mask, using the stoma in laryngectomee and other neck breathing patients, to ensure an oxygen saturation (SpO2) of >95%, except

2007 Joint Royal Colleges Ambulance Liaison Committee

420. Trauma - abdominal trauma

Trauma - abdominal trauma INTRODUCTION Trauma to the abdomen can be extremely dif?cult to assess even in a hospital setting. In the field, identifying which abdominal structure/s has been injured is less important than identifying that abdominal trauma itself has occurred. It is therefore, of major importance to note abnormal signs associated with blood loss, and establish that abdominal injury is the probable cause, rather than being concerned with, for example, whether the source (...) , what was the length of the weapon or the type of gun and the range? ASSESSMENT Assess and correct de?cits with: ? AIRWAY ? BREATHING ? CIRCULATION ? DISABILITY (mini neurological examination) Evaluate whether a patient is TIME CRITICAL/ POTENTIALLY TIME CRITICAL or NON-TIME CRITICAL following criteria as per trauma emergencies guideline. If patient is TIME CRITICAL/POTENTIALLY TIME CRITICAL, immobilise cervical spine if indicated (refer to neck and back guideline) and go to nearest suitable

2007 Joint Royal Colleges Ambulance Liaison Committee