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Latest & greatest articles for trauma
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on trauma or other clinical topics then use Trip today.
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A Probabilistic Matching Approach to Link De-identified Data from a Trauma Registry and a Traumatic Brain Injury Model System Center There is no civilian traumatic brain injury database that captures patients in all settings of the care continuum. The linkage of such databases would yield valuable insight into possible care interventions. Thus, the objective of this article is to describe the creation of an algorithm used to link the Traumatic Brain Injury Model System (TBIMS) to trauma data (...) in state and national trauma databases.The TBIMS data from a single center was randomly divided into two sets. One subset was used to generate a probabilistic linking algorithm to link the TBIMS data to the center's trauma registry. The other subset was used to validate the algorithm. Medical record numbers were obtained and used as unique identifiers to measure the quality of the linkage. Novel methods were used to maximize the positive predictive value.The algorithm generation subset had 121 patients
Venous Thromboembolism Prophylaxis, Pediatric Trauma Patients - Joint between EAST and PTS Venous Thromboembolism Prophylaxis, Pediatric Trauma Patients - Joint between EAST and PTS - Practice Management Guideline Search » Venous Thromboembolism Prophylaxis, Pediatric Trauma Patients - Joint between EAST and PTS Published 2017 Citation: Authors Mahajerin, Arash MD, MSCr; Petty, John K. MD; Hanson, Sheila J. MD, MS; Thompson, A. Jill PharmD; O’Brien, Sarah H. MD; Streck, Christian J. MD (...) ; Petrillo, Toni M. MD; Faustino, E. Vincent S. MD, MHS Objectives The primary objective of this guideline was to evaluate whether pharmacologic or mechanical prophylaxis reduces the incidence of VTE in children hospitalized after trauma and whether active surveillance with ultrasound (versus daily physical examination alone) results in earlier detection of VTE in this population. Our PICO (population [P], intervention [I], comparator [C], and outcome [O]) questions were as follows: PICO Question 1
Glasgow Coma Scale for Field Triage of Trauma: A Systematic Review Comparative Effectiveness Review Number 182 Glasgow Coma S for Field Triage of Trauma: A Syste cale matic Review eComparative Effectiveness Review Number 182 Glasgow Coma Scale for Field Triage of Trauma: A Systematic Review Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov Contract No. 290-2015-00009-I Prepared by: Pacific (...) Web site at www.effectivehealthcare.ahrq.gov. Search on the title of the report. Persons using assistive technology may not be able to fully access information in this report. For assistance contact EffectiveHealthCare@ahrq.hhs.gov. Suggested citation: Chou R, Totten AM, Pappas M, Carney N, Dandy S, Grusing S, Fu R, Wasson N, Newgard C. Glasgow Coma Scale for Field Triage of Trauma: A Systematic Review. Comparative Effectiveness Review No.182. (Prepared by the Pacific Northwest Evidence-based
RCEM Response to RCR Imaging in Paediatric Trauma Guidelines Patron: HRH Princess Royal 7-9 Bream’s Buildings Tel +44 (0)20 7404 1999 London Fax +44 (0)20 7067 1267 EC4A 1DT www.rcem.ac.uk RCEM Response to RCR Imaging in Paediatric Trauma Guidelines 14 March 2017 In 2014 the Royal College of Radiologists (RCR) published “Paediatric trauma protocols”. This document promoted the judicious use of plain radiographs and targeted use of CT following careful examination of injured children (...) by competent clinicians. Routine use of whole-body CT (WBCT) was strongly discouraged. This approach has subsequently been endorsed in the recently published NICE guidance on major trauma management. The RCEM wholly supports the principle of minimising radiation exposure in injured children, however in selected cases believes there is still a role for WBCT. Major trauma in children is rare and genuine expertise in the management of children with severe injuries is now concentrated in a small number
Resuscitative Thoracotomy in Trauma Units Patron: HRH Princess Royal 7-9 Bream’s Buildings Tel +44 (0)20 7404 1999 London Fax +44 (0)20 7067 1267 EC4A 1DT www.rcem.ac.uk Position statement on Resuscitative Thoracotomy in Trauma Units 20 April 2017 In patients with penetrating chest trauma, ‘resus room’ thoracotomy can be a life- saving procedure, if performed within a short period of the patient sustaining cardiac arrest. The October 2015 Resuscitation Council Guidelines recommend (...) that it should be considered in these circumstances. Outside a Major Trauma Centre setting, it is unlikely that cardiothoracic surgery support will be available to take over the patient’s management immediately following an ED resuscitative thoracotomy. If the Trauma Unit is geographically remote, a lengthy transfer may be required before definitive care can be delivered. In consequence, there may be local resistance to performing ED thoracotomy in such units, based on a belief that it is futile. This may
CRACKCast E055 – Pelvic Trauma CRACKCast E055 - Pelvic Trauma - CanadiEM CRACKCast E055 – Pelvic Trauma In , by Adam Thomas December 26, 2016 This episode of CRACKCast covers Rosen’s Chapter 55, Pelvic Trauma. These patients can decline quickly from blood loss, so recognition and determining injury severity early is important to stabilize them. Shownotes – Rosen’s in Perspective Key message: be scared! Patients can easily exsanguinate into their pelvis from pelvic ring fractures Also requires (...) large amount of force – look for other injuries Epidemiology: Primarily result from MVCs and ped struck trauma. Less commonly (5-10%) falls from height Mortality is 9-22% – independent predictor of death Anatomy Complex structure, but at the core is a ring protecting visceral components (GI tract, vasculature, nerves) Major components of stability: posterior arch (weight bearing), symphysis pubis anteriorly. Unstable ring fractures mostly due to disruption of ligaments of posterior arch. Vascular