Latest & greatest articles for trauma

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Top results for trauma

441. Assessment of early tracheostomy in trauma patients: a systematic review and meta-analysis

Assessment of early tracheostomy in trauma patients: a systematic review and meta-analysis Assessment of early tracheostomy in trauma patients: a systematic review and meta-analysis Assessment of early tracheostomy in trauma patients: a systematic review and meta-analysis Dunham C M, Ransom K J CRD summary This review concluded that early tracheostomy in brain injured patients is associated with a reduction in the time spent on a ventilator or in an intensive care unit (...) , but that there was no advantage regarding mortality, pneumonia or laryngotracheal pathology. Limitations in the review methods affect the reliability of these conclusions. Authors' objectives To assess the benefits of early tracheostomy (ET) in trauma patients. Searching PubMed and databases from the Eastern and American Association for the Surgery of Trauma were searched; the search terms were reported. The bibliographies of retrieved articles were also checked. Only English language papers were considered. Study selection

2006 DARE.

442. A systematic review and meta-analysis comparing outcome of severely injured patients treated in trauma centers following the establishment of trauma systems

A systematic review and meta-analysis comparing outcome of severely injured patients treated in trauma centers following the establishment of trauma systems A systematic review and meta-analysis comparing outcome of severely injured patients treated in trauma centers following the establishment of trauma systems A systematic review and meta-analysis comparing outcome of severely injured patients treated in trauma centers following the establishment of trauma systems Celso B, Tepas J, Langland (...) -Orban B, Pracht E, Papa L, Lottenberg L, Flint L CRD summary This review assessed the effectiveness of trauma systems for the treatment of severely injured patients. A 15% reduction in mortality was found in favour of the establishment of trauma systems. However, concerns about the robustness of the analyses used in both the review and the original studies suggest that the findings should be interpreted with caution. Authors' objectives To assess if the establishment of a trauma system improves

2006 DARE.

443. Recombinant factor VIIa in severe trauma: further study needed Full Text available with Trip Pro

Recombinant factor VIIa in severe trauma: further study needed Recombinant factor VIIa in severe trauma: further study needed | Critical Care | Full Text Advertisement Menu Search Search all BMC articles Search Menu Table of Contents and Mitchell P Fink Critical Care 2006 10 :308 © BioMed Central Ltd 2006 Published: 2 May 2006 Citation Boffard KD, Riou B, Warren B, Choong PI, Rizoli S, Rossaint R, Axelsen M, Kluger Y: Recombinant factor VIIa as adjunctive therapy for bleeding control (...) in severely injured trauma patients: two parallel randomized, placebo-controlled, double-blind clinical trials. J Trauma 2005, 59:8–15 [ ]. Background Uncontrolled bleeding is a leading cause of death in trauma. Two randomized, placebo-controlled, double-blind trials (one in blunt trauma and one in penetrating trauma) were conducted simultaneously to evaluate the efficacy and safety of recombinant factor VIIa (rFVIIa) as adjunctive therapy for control of bleeding in patients with severe blunt

2006 Critical Care - EBM Journal Club

444. Prehospital endotracheal intubation in adult major trauma patients with head injury

Prehospital endotracheal intubation in adult major trauma patients with head injury BestBets: Prehospital endotracheal intubation in adult major trauma patients with head injury Prehospital endotracheal intubation in adult major trauma patients with head injury Report By: Ayan Sen - Senior House Officer, Critical Care Search checked by Raj Nichani - Specialist Registrar, Anaesthesia and Critical Care Institution: Manchester Royal Infirmary Date Submitted: 8th May 2005 Date Completed: 24th (...) November 2005 Last Modified: 8th May 2005 Status: Green (complete) Three Part Question In [patients with major trauma and head injury needing airway management in prehospital setting] is [endotracheal intubation better than bag and mask ventilation] for [improved outcomes] Clinical Scenario A 41 year old car driver was involved in a major road traffic accident, sustaining injuries to his head, a fracture of his right femur and multiple bruises on his chest. On scene he had altered sensorium and his GCS

2005 BestBETS

445. Trauma focused cognitive behavioural therapy reduces PTSD more effectively than child centred therapy in children who have been sexually abused Full Text available with Trip Pro

Trauma focused cognitive behavioural therapy reduces PTSD more effectively than child centred therapy in children who have been sexually abused Trauma focused cognitive behavioural therapy reduces PTSD more effectively than child centred therapy in children who have been sexually abused | 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 Trauma focused cognitive behavioural therapy reduces PTSD more effectively than child centred therapy

2005 Evidence-Based Mental Health

446. Psychiatric and cognitive effects of war in former yugoslavia: association of lack of redress for trauma and posttraumatic stress reactions. Full Text available with Trip Pro

Psychiatric and cognitive effects of war in former yugoslavia: association of lack of redress for trauma and posttraumatic stress reactions. Although impunity for those responsible for trauma is widely thought to be associated with psychological problems in survivors of political violence, no study has yet investigated this issue.To examine the mental health and cognitive effects of war trauma and how appraisal of redress for trauma and beliefs about justice, safety, other people, war cause (...) Interview for Survivors of War, Redress for Trauma Survivors Questionnaire, Emotions and Beliefs After War questionnaire, Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV).The mean (SD) age was 39 (12) years, 806 (59%) were men, and 339 (25%) had high school or higher level of education. Participants reported experiencing a mean of 12.6 war-related events, with 292 (22%) and 451 (33%) having current and lifetime posttraumatic stress

2005 JAMA

447. Transthoracic ultrasonography to diagnose pneumothorax in trauma

Transthoracic ultrasonography to diagnose pneumothorax in trauma BestBets: Transthoracic ultrasonography to diagnose pneumothorax in trauma Transthoracic ultrasonography to diagnose pneumothorax in trauma Report By: Usman Jaffer - SHO Search checked by Duncan McAuley - A&E SpR Institution: The Ipswich Hospital Current web editor: Richard Body - Clinical Research Fellow Date Submitted: 31st December 2004 Date Completed: 12th July 2005 Last Modified: 3rd August 2005 Status: Green (complete) Three (...) Part Question In a [patient with chest trauma] can [transthoracic ultrasonography] accurately diagnose [a traumatic pneumothorax] Clinical Scenario A 35 year old male is brought into the Emergency department after falling from a height. He is tachypnoeic and tachycardic and has tenderness on the left anterior chest and left upper abdomen. Your department has an ultrasound scanner and this is used to assess the patient's abdomen. You wonder whether it could also be used to diagnose a pneumothorax

2005 BestBETS

448. Access to trauma centers in the United States. Full Text available with Trip Pro

Access to trauma centers in the United States. Previous studies have reported that the number and distribution of trauma centers are uneven across states, suggesting large differences in access to trauma center care.To estimate the proportion of US residents having access to trauma centers within 45 and 60 minutes.Cross-sectional study using data from 2 national databases as part of the Trauma Resource Allocation Model for Ambulances and Hospitals (TRAMAH) project. Trauma centers, base helipads (...) , and block group population were counted for all 50 states and the District of Columbia as of January 2005.Percentages of national, regional, and state populations having access to all 703 level I, II, and III trauma centers in the United States by either ground ambulance or helicopter within 45 and 60 minutes.An estimated 69.2% and 84.1% of all US residents had access to a level I or II trauma center within 45 and 60 minutes, respectively. The 46.7 million Americans who had no access within an hour

2005 JAMA

449. Oral vitamin D3 and calcium for secondary prevention of low-trauma fractures in elderly people (Randomised Evaluation of Calcium Or vitamin D, RECORD): a randomised placebo-controlled trial. (Abstract)

Oral vitamin D3 and calcium for secondary prevention of low-trauma fractures in elderly people (Randomised Evaluation of Calcium Or vitamin D, RECORD): a randomised placebo-controlled trial. Elderly people who have a fracture are at high risk of another. Vitamin D and calcium supplements are often recommended for fracture prevention. We aimed to assess whether vitamin D3 and calcium, either alone or in combination, were effective in prevention of secondary fractures.In a factorial-design trial (...) , 5292 people aged 70 years or older (4481 [85%] of whom were women) who were mobile before developing a low-trauma fracture were randomly assigned 800 IU daily oral vitamin D3, 1000 mg calcium, oral vitamin D3 (800 IU per day) combined with calcium (1000 mg per day), or placebo. Participants who were recruited in 21 UK hospitals were followed up for between 24 months and 62 months. Analysis was by intention-to-treat and the primary outcome was new low-energy fractures.698 (13%) of 5292 participants

2005 Lancet Controlled trial quality: predicted high

450. Use of troponin for the diagnosis of myocardial contusion after blunt chest trauma

Use of troponin for the diagnosis of myocardial contusion after blunt chest trauma BestBets: Use of troponin for the diagnosis of myocardial contusion after blunt chest trauma Use of troponin for the diagnosis of myocardial contusion after blunt chest trauma Report By: Lorna Jackson - SpR in Emergency Medicine Search checked by Alison Stewart - SHO III in Emergency Medicine Institution: Frenchay Hospital, Bristol Current web editor: shweta gidwani - clincal effectiveness fellow Date Submitted (...) : 24th August 2004 Date Completed: 3rd March 2005 Last Modified: 30th November 2004 Status: Green (complete) Three Part Question Is [troponin] level a good indicator of underlying [cardiac damage] after [blunt chest trauma]? Clinical Scenario A 45 year old man attends the emergency department after being involved in a road traffic accident. He has sustained a blunt chest injury during the impact and has bruising across his chest wall. His ECG shows non specific ST segment changes and the chest

2005 BestBETS

451. Alcohol interventions for trauma patients treated in emergency departments and hospitals: a cost benefit analysis

Alcohol interventions for trauma patients treated in emergency departments and hospitals: a cost benefit analysis Alcohol interventions for trauma patients treated in emergency departments and hospitals: a cost benefit analysis Alcohol interventions for trauma patients treated in emergency departments and hospitals: a cost benefit analysis Gentilello L M, Ebel B E, Wickizer T M, Salkever D S, Rivara F P 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 assessed the provision of brief alcohol interventions (BAIs) to trauma patients treated in hospitals and emergency departments (EDs). The comparator was no screening and no intervention. Type of intervention Secondary prevention. Economic study type Cost-effectiveness

2005 NHS Economic Evaluation Database.

452. Trauma-focused group psychotherapy is not effective for posttraumatic stress disorder in Vietnam veterans Full Text available with Trip Pro

Trauma-focused group psychotherapy is not effective for posttraumatic stress disorder in Vietnam veterans Trauma-focused group psychotherapy is not effective for posttraumatic stress disorder in Vietnam veterans | 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 Trauma-focused group psychotherapy is not effective for posttraumatic stress disorder in Vietnam veterans Article Text Therapeutics Trauma-focused group psychotherapy

2004 Evidence-Based Mental Health

453. Trauma and PTSD symptoms in Rwanda: implications for attitudes toward justice and reconciliation. Full Text available with Trip Pro

Trauma and PTSD symptoms in Rwanda: implications for attitudes toward justice and reconciliation. The 1994 genocide in Rwanda led to the loss of at least 10% of the country's 7.7 million inhabitants, the destruction of much of the country's infrastructure, and the displacement of nearly 4 million people. In seeking to rebuild societies such as Rwanda, it is important to understand how traumatic experience may shape the ability of individuals and groups to respond to judicial and other (...) reconciliation initiatives.To assess the level of trauma exposure and the prevalence of posttraumatic stress disorder (PTSD) symptoms and their predictors among Rwandans and to determine how trauma exposure and PTSD symptoms are associated with Rwandans' attitudes toward justice and reconciliation.Multistage, stratified cluster random survey of 2091 eligible adults in selected households in 4 communes in Rwanda in February 2002.Rates of exposure to trauma and symptom criteria for PTSD using the PTSD

2004 JAMA

454. Development of trauma systems and effect on outcomes after injury. (Abstract)

Development of trauma systems and effect on outcomes after injury. The ideal system for management of trauma remains controversial, especially in respect of prehospital care and regionalisation of trauma-care delivery. To explore these issues, we compare two differing trauma systems--in the USA the focus is on the trauma centre, with a lesser emphasis on prehospital care, whereas in France there is more emphasis on prehospital care coordinated by the Service d'Aide Médicale Urgente. We describe (...) the historical developments, current structure, and major controversies with regard to trauma-care delivery in the two countries. Comparative evidence on the effectiveness of the two systems was obtained through a structured review of databases, but very little evidence permits direct comparison of outcomes across the two systems. Crude injury mortality rates and fatality rates from motor-vehicle accidents (crashes in US usage) are higher in France than in the USA, although adjustment for potential

2004 Lancet

455. Advanced trauma life support training for hospital staff. (Abstract)

Advanced trauma life support training for hospital staff. Injury is responsible for an increasing global burden of death and disability. As a result, new models of trauma care have been developed. Many of these, though initially developed in high-income countries, are now being adopted in low and middle-income countries (LMICs). One such trauma care model is advanced trauma life support (ATLS) training in hospitals, which is being promoted in LMICs as a strategy for improving outcomes (...) for victims of trauma. However, the evidence of effectiveness for this health service intervention, in either HIC or LMIC settings, has not been rigorously tested using methodology such as a systematic review.To quantify the effectiveness of hospitals with an ATLS-trained trauma response system versus hospitals without such a response system in reducing mortality and morbidity following trauma.We searched the Cochrane Injuries Group Specialised Register (CIGSR), the Cochrane Controlled Trials Register

2004 Cochrane

456. Pre-hospital initiation of fluid replacement therapy in trauma (TA74)

Pre-hospital initiation of fluid replacement therapy in trauma (TA74) Overview | Pre-hospital initiation of fluid replacement therapy in trauma | Guidance | NICE Pre-hospital initiation of fluid replacement therapy in trauma Technology appraisal guidance [TA74] Published date: 28 January 2004 Share Guidance NICE has made the following recommendations about giving IV fluid replacement to injured people before they reach hospital. The guidance applies to adults and older children, but does

2004 National Institute for Health and Clinical Excellence - Technology Appraisals

457. Cost-effectiveness and benefit of alternatives to improve training for prehospital trauma care in Mexico

Cost-effectiveness and benefit of alternatives to improve training for prehospital trauma care in Mexico Cost-effectiveness and benefit of alternatives to improve training for prehospital trauma care in Mexico Cost-effectiveness and benefit of alternatives to improve training for prehospital trauma care in Mexico Arreola Risa C, Mock C, Herrera Escamilla A J, Contreras I, Vargas J 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 analysed the effect of different approaches for improving personnel training in ambulance services in Mexico. These were: in Monterrey, the Pre-Hospital Trauma Life Support (PHTLS) course or Basic Trauma Life Support (BTLS) course, conducted annually or semi-annually; and in San

2004 NHS Economic Evaluation Database.

458. Clinical effectiveness and cost-effectiveness of prehospital intravenous fluids in trauma patients

Clinical effectiveness and cost-effectiveness of prehospital intravenous fluids in trauma patients Clinical effectiveness and cost-effectiveness of prehospital intravenous fluids in trauma patients Clinical effectiveness and cost-effectiveness of prehospital intravenous fluids in trauma patients Dretzke J, Sandercock J, Bayliss S, Burls A Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality (...) of this assessment has been made for the HTA database. Citation Dretzke J, Sandercock J, Bayliss S, Burls A. Clinical effectiveness and cost-effectiveness of prehospital intravenous fluids in trauma patients. Health Technology Assessment 2004; 8(23): 1-118 Authors' objectives The focus of this report was to determine whether prehospital intravenous (IV) fluid replacement, compared with no IV fluid replacement or delayed fluid replacement, should be undertaken in trauma patients who have haemorrhage-induced

2004 Health Technology Assessment (HTA) Database.

459. Pre-hospital initiation of fluid replacement therapy in trauma

Pre-hospital initiation of fluid replacement therapy in trauma Pre-hospital initiation of fluid replacement therapy in trauma Pre-hospital initiation of fluid replacement therapy in trauma National Institute for Clinical Excellence Citation National Institute for Clinical Excellence. Pre-hospital initiation of fluid replacement therapy in trauma. London: National Institute for Clinical Excellence (NICE). Technology Appraisal Guidance 74. 2004 Authors' objectives

To provide guidance on pre (...) -hospital initiation of fluid replacement therapy in trauma.

Authors' conclusions This guidance covers the management of adults, children and infants with physical injuries as a result of trauma, in whom there is evidence of obvious or probable blood loss. It does not cover the management of isolated closed head injury. For the purpose of this guidance, it is assumed that basic life support and ongoing assessment of the trauma victim are taking place as appropriate. The requirement for cannulation

2004 Health Technology Assessment (HTA) Database.

460. The reliability of clinical examination in detecting pelvic fractures in blunt trauma patients: a meta-analysis

The reliability of clinical examination in detecting pelvic fractures in blunt trauma patients: a 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.

2004 DARE.