Abstract
There are many clinical decision rules for adults with minor head injury, but it is unclear how they compare in terms of diagnostic accuracy. This study aimed to systematically identify clinical decision rules for adults with minor head injury and compare the estimated diagnostic accuracies for any i...
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PMID: 21818031
PDF is available here.
Abstract
Cirrhosis is associated with poor outcomes in the trauma setting. We aimed to evaluate the utility of Model for End-Stage Liver Disease (MELD) in assessing additional mortality risk in trauma patients with cirrhosis.
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PMID: 21818010
PDF is available here.
Abstract
We hypothesize that specific and unique risk factors exist for failed extubation in trauma patients. The purpose of this study was to identify the risk factors in trauma patients....
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PMID: 21818012
PDF is available here.
Abstract
Our acute care surgeon (ACS) group aggressively treats complications of penetrating chest trauma with VATS, and our results suggested that the early use of VATS by ACS should be expanded....
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PMID: 21818019
PDF is available here.
Craig D CD Newgard,
Maria J MJ Nelson,
Michael M Kampp,
Somnath S Saha,
Dana D Zive,
Terri T Schmidt,
Mohamud M Daya,
Jonathan J Jui,
Lynn L Wittwer,
Craig C Warden,
Ritu R Sahni,
Mark M Stevens,
Kyle K Gorman,
Karl K Koenig,
Dean D Gubler,
Pontine P Rosteck,
Jan J Lee and
Jerris R JR Hedges
Abstract
The decision-making processes used for out-of-hospital trauma triage and hospital selection in regionalized trauma systems remain poorly understood. The objective of this study was to assess the process of field triage decision making in an established trauma system.
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PMID: 21817971
PDF is available here.
Abstract
We hypothesized that there would be no difference in outcome at Level I versus Level II trauma centers....
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PMID: 21817972
PDF is available here.
Abstract
We investigate the extent to which deviations are classified as errors or innovations, as a function of expertise in a Trauma setting. Field observations were conducted in a Level 1 Trauma unit. A total of 10 Trauma cases were observed and collected data was analyzed using measures that included cus...
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PMID: 21496496
PDF is available here.
Abstract
Management of combat casualties should optimize outcomes by appropriate patient triage, prehospital care, and rapid transport to the most capable medical facility, while avoiding overwhelming individual facilities.
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PMID: 21702381
PDF is available here.
Douglas D Fraser,
Taylor E Close,
Keeley L Rose,
Roxanne Ward,
Martin Mehl,
Catherine Farrell,
Jacques Lacroix,
David Creery,
Murray Kesselman,
Danica Stanimirovic,
James S Hutchison and
Canadian Critical Care Translational Biology Group
Abstract
1) To determine the levels of glial fibrillary acidic protein (GFAP) in both cerebrospinal fluid and serum; 2) to determine whether serum GFAP levels correlate with functional outcome; and 3) to determine whether therapeutic hypothermia, as compared with normothermia, alters serum GF...
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PMID: 20625342
PDF is available here.
Abstract
We conducted a review of pediatric concussion literature regarding incidence, etiology, return to play, and recurrent concussive injury by using MEDLINE, CINAHL, Sport-Discus, and PsychInfo databases from 1995-2010. A review of reference lists in the aforementioned articles was also performed. We di...
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PMID: 21497322
PDF is available here.
Abstract
We also found associations between CH and NSE levels in CSF of patients with severe TBI. Our results suggest that there is an association between levels of ICH and CH and these biomarkers when measured before episodes of clinically significant secondary insults. These markers of neuronal cell death...
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PMID: 21210304
PDF is available here.
Abstract
To analyze casualties from firearm and explosives injuries who were admitted to the Intensive Care Unit in the Spanish ROLE-2E from December 2005 to December 2008 and to evaluate which damaging agent had produced the highest morbidity-mortality in our series using score indices with anatomical base (...
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PMID: 21353338
PDF is available here.
Abstract
We measured arterial and jugular levels of ET-1 and its precursor, big endothelin (Big ET), and calculated juguloarterial (JA) gradients for the first 5 days post-TBI.
Arterial levels of both Big ET and ET-1 were maximal on day 1 post-TBI, and decreased thereafter (P < 0.05). Arteria...
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PMID: 20652766
PDF is available here.
Abstract
Studies have established a link between contextual factors, such as neighborhood and community environments, and psychopathology. Although these factors have been shown to affect the expression of symptoms of depression and other disorders, little evidence exists of a link between contextual factors...
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PMID: 21219273
PDF is available here.
Abstract
The aim of this study was to review the usefulness of clinical and instrumental evaluation in individuals with disorders of consciousness (DOC). Thirteen subjects with severe acquired brain injury (ABI) and a diagnosis of DOC were evaluated using the Coma Recovery Scale in its revise...
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PMID: 21693084
PDF is available here.
Abstract
The author summarizes the original experience with the surgical treatment of gunshot wounds on the neck with reference to the specific approaches for the purpose dictated by the marked variability of the clinical course. An active surgical strategy is proposed depending on the character of tissue les...
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PMID: 21720288
PDF is available here.
Abstract
Laparoscopy, as a minimally invasive diagnostic and therapeutic tool in blunt abdominal trauma (BAT), is not commonly used and has been shown to be controversial. The aim of this study is to assess the role of laparoscopy in the diagnosis and therapy of BAT.
A systema...
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PMID: 21520776
PDF is available here.
Abstract
We identified the conditions secondary to battle injury that result in disqualification from continued service. The Army Physical Evaluation Board records of 464 wounded service members who were injured between October 2001 and January 2005 were reviewed to determine the codes indicating unfitting c...
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PMID: 21304041
PDF is available here.
Abstract
Severe extremity trauma is a significant cause of morbidity and disability; these injuries are often considered for amputation. Two studies have shown few differences between amputation and limb salvage outcomes. Functional limitations that result from loss of muscle needed to cover bone and provide...
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PMID: 21304042
PDF is available here.
Abstract
To investigate the feasibility of noncontrast computed tomography (NcCT) and perfusion CT (PCT) in the assessment of head deceleration injury (HDI). MATERIAL and
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PMID: 21534191
PDF is available here.
Abstract
In this study, we aimed to show the neuroprotective effects of AT III and Enoxaparin after severe traumatic brain injury. MATERIAL and
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PMID: 21534203
PDF is available here.
Abstract
The Centers for Disease Control recently updated the National Trauma Triage Protocol. This field triage algorithm guides emergency medical service providers through four decision steps (physiologic [PHY], anatomic [ANA], mechanism, and special considerations) to identify patients who would benefit f...
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PMID: 21217479
PDF is available here.
Author(s) unavailable
Abstract
To analyze treatment results of patients with retroperitoneal bleedings (RP), they were divided in 3 groups. The first group (n=75) consisted of patients with extensive RP, the second group (n=284) was formed by patients with localized RP. The control group consisted of 77 patients with blunt abdomin...
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PMID: 21423104
PDF is available here.
Abstract
In the article was quoted data about the thrombocyte aggregation and collagenbinding activity of Willebrand factor in the blood of 50 patients with local frostbite of third and forth degree. Thrombocyte aggregation was studied with the help of photometry. Collagenbinding activity of Willebrand factor...
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PMID: 21488357
PDF is available here.
Abstract
We report our surgical experience with TTI in 13 patients.
From January 2000 through March 2008, we operated on 13 patients with TTI (10 men 3 women; mean age, 39.8 ± 10.5 years). The intervals from trauma to diagnosis and from trauma to surgery averaged 37.4 and 54.4 months, respectively. At opera...
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PMID: 21095339
PDF is available here.
Abstract
The purpose of a scaling system for specific injuries is to provide a common language to facilitate the clinical decisions and the investigative basis for this decision making. This brief overview describes the evolution of the Organ Injury Scaling (OIS) system developed by the American Association...
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PMID: 21150537
PDF is available here.
Abstract
We conducted a prospective 6-month audit of open tibial diaphyseal fracture management in five plastic surgery units (Bristol, Exeter, Plymouth, Salisbury, Swansea) with a collective catchment of 9.2 million people. Detailed data were collected on patient demographics, injury pattern, surgical manag...
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PMID: 21047449
PDF is available here.
Abstract
We identified 67 extremities requiring a coverage procedure out of 213 consecutive combat-related Type III open diaphyseal tibia fractures.
The 67 Type III B tibia fractures were treated with rotational or free flap coverage.
Flap failure, reoperation, infection, amputation, time to union, and visua...
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PMID: 20926962
PDF is available here.
Abstract
Bicycle riding is a popular recreational activity and a common mode of transportation. Impact with a motor vehicle, however, has the potential to result in significant injury to the rider. The magnitude of this problem, the incidence and types of injuries, and the effect of age on these variables ar...
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PMID: 20526215
PDF is available here.
Abstract
We have identified prognostic factors of open globe injury including initial visual acuity, presence of retinal detachment, relative afferent papillary defect, and wound length. OTS may have prognostic value in open globe injuries in Asian patients....
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PMID: 20404759
PDF is available here.
Abstract
I trauma center between January 2003 and June 2008. Patients who underwent a DCL were included in the study. Elderly (55 years or older) and young (16-54 years) patients were compared for demographics, injury severity, intraoperative transfusion volume, complications, and mortality.
During the study...
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PMID: 21068610
PDF is available here.
Abstract
We hypothesized that patient and provider factors accounted for the higher incidence of VAP in trauma patients compared with other critically ill patients.
We conducted a 2-year study of all intubated adult patients at our Trauma Center. VAP was identified according to the Centers for Disease Contro...
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PMID: 21068613
PDF is available here.
Abstract
There are an estimated 80,000 to 100,000 anterior cruciate ligament (ACL) repairs in the United States each year. Most ACL tears occur from noncontact injuries. Women experience ACL tears up to nine times more often than men. Evaluation of the ACL should be performed immediately afte...
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PMID: 20949884
PDF is available here.
Abstract
The aim of this study was to examine the hypothesis that patients with non-traumatic subarachnoid hemorrhage (SAH) have statistically significant subnormal creatinine levels and that the creatinine levels are associated with severity of disease.
This was a retrospective observational study over 2 ye...
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PMID: 20704519
PDF is available here.
Forest R Sheppard,
Paul Keiser,
David W Craft,
Fred Gage,
Martin Robson,
Trevor S Brown,
Kyle Petersen,
Stephanie Sincock,
Matt Kasper,
Jason Hawksworth,
Doug Tadaki,
Thomas A Davis,
Alexander Stojadinovic and
Eric Elster
Abstract
Most soft-tissue wounds from Iraq and Afghanistan do not have significant bacterial burden upon arrival to and during initial treatment at NNMC. Improved evaluation of combat wound microbiology at all levels of care is warranted to determine shifts in microbiology and to impact care practices....
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PMID: 20887842
PDF is available here.
Abstract
This study examined the association between medically attended traumatic brain injury (TBI) and in-prison behavioral infractions in a statewide population by comparing rate ratios of infractions in inmates with and without TBI over an 11.5-year period (16,299 males and 1,270 females). The in-prison...
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PMID: 20881142
PDF is available here.
Abstract
I urban trauma center. Patients with acute rib fractures, PTX, HTX, or pulmonary contusion on TCT were included. Patient groups analyzed included: (1) no injury (normal CXR, normal TCT, n=1337); (2) occult injury (normal CXR, abnormal TCT, n=205); and (3) overt injury (abnormal CXR, abnormal TCT, n=...
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PMID: 21105610
PDF is available here.
Abstract
The nonoperative management (NOM) of abdominal gunshot injuries is gradually becoming the standard of care. Patients with pelvic gunshot injuries constitute a subgroup of patients at high risk of visceral injury. The aim of this study was to assess the feasibility and safety of the selective NOM of p...
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PMID: 20883972
PDF is available here.
Abstract
There were 32,135 injured older adults hospitalized over the 2-year period, with a median age of 82 (interquartile range 77-88). Cumulative in-hospital mortality and at 30, 60, 90, 180, and 365 days was 4.1%, 9.7%, 13.6%, 16.1%, 21.3%, and 28.4%, respectively. Mortality rates stabilized by 6 months...
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PMID: 20831727
PDF is available here.
Abstract
Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) are sequelae of severe trauma. It is unknown if certain races are at greater risk of developing ALI/ARDS, and once established, if there are racial differences in the severity of lung injury or mortality.
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PMID: 20832050
PDF is available here.
Abstract
Road traffic injury, mostly from motorcycles, has become the major cause of morbidity and mortality amongst the paediatric age group, especially the male gender, and outcome from management is mostly satisfactory....
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PMID: 20857784
PDF is available here.
Abstract
The aim of the study was to examine the clinical forensic findings of strangulation according to their ability to differentiate between life-threatening and non-life-threatening strangulation, compare clinical and MRI findings of the neck and discuss a simple score for life-threatening strangulation...
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PMID: 20630784
PDF is available here.
Abstract
We examined the frequency of 61 single nucleotide polymorphisms (SNPs) in 1095 consecutive trauma patients with fractures. Radiographic studies of these patients were examined for HO in follow-up. Ten percent of the patients in the study demonstrated radiographic evidence of HO. Multivariate logisti...
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PMID: 20736788
PDF is available here.
Abstract
We performed an Institutional Review Board-approved, prospective study on 36 children (age range, 2.9-15.1 yrs) with traumatic brain injuries, requiring intracranial pressure monitoring. A total of 274 intraocular pressure measurements were made after placement of the pressure transducer, and concor...
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PMID: 20081553
PDF is available here.
Abstract
Thermal injury is a sad but common and obligatory component of armed conflicts. Although the frequency of noncombat burns has decreased, overall incidence of burns in current military operations has nearly doubled during the past few years. Burn injuries in the military environment do not need to be...
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PMID: 20818237
PDF is available here.
Abstract
We studied diagnostics and stabilizing surgery in severely injured patients transferred from local hospitals to a university hospital. The purpose was to identify a potential for improvement of regional trauma care.
The material comprises all severely injured patients (Injury Severity [ISS] Score >...
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PMID: 20706304
PDF is available here.
Abstract
With the shift toward nonoperative management, most hepatic injuries are managed nonoperatively. On the other hand, up to two-thirds of high-grade hepatic injuries require laparotomy; these cases are technically difficult and challenging. Damage-control approaches, understanding of liver anatomy, an...
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PMID: 20637947
PDF is available here.
Abstract
Infractions result in higher measures of head impact severity than noninfraction collisions. Athletes and coaches should conform to playing rules, and officials should enforce more stringently existing rules and assess more severe penalties to participants who purposefully attempt to foul an opponen...
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PMID: 20139779
PDF is available here.
Abstract
This clinical study demonstrates that late recovery of responsiveness and consciousness is not exceptional in patients with traumatic and nontraumatic VS, although with residual severe disability....
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PMID: 20554941
PDF is available here.
Abstract
The expected worldwide increases in injuries from traffic crashes, violence and war will not only affect the individual but the health care system. A current and comprehensive understanding of the causes of injury will serve to identify at-risk populations, create injury prevention programs and provi...
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PMID: 21465753
PDF is available here.
Abstract
The diagnosis and management of concussion can be difficult in a combat environment, especially in the absence of loss of consciousness or post-traumatic amnesia. As no validated test exists to diagnose or grade neurocognitive impairment from a concussion, the military currently employs the Military...
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PMID: 20684450
PDF is available here.
Abstract
The ABC score is a valid instrument to predict MT early in the patient's care and across various demographically diverse trauma centers. Future research should focus on this score's ability to prospectively identify patients who will receive MT....
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PMID: 20622617
PDF is available here.
Abstract
The evolution of trauma care is driven by a synergistic relationship between civilian and military medical systems. Although the characteristics of civilian injuries differ from those encountered on the battlefield, the pathophysiologic process of dying is the same and dominated by exsanguination an...
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PMID: 20622623
PDF is available here.
Abstract
Extremity injured patients receiving MT may benefit from high transfusion ratios and do not experience increased complications. No change in mortality or complications was observed in non-MT patients across transfusions ratios. High transfusion ratios are not associated with increased complications...
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PMID: 20622622
PDF is available here.