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Impact of falls on early mortality from severe traumatic brain injuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study is based on 2779 patients with severe TBI treated at 24 trauma centers enrolled in a New York State quality improvement program. The prospectively collected database includes information on age, sex, mechanism of injury, initial Glasgow Coma Scale score, blood pressure, pupillary assessment, and CT scan findings. This multi-center study was conducted to explore the impact of falls on early mortality from severe TBI among the elderly. Results: After exclusion criteria were applied, a total of 2162 patients were eligible for analysis. Falls contributed to 21% of all severe TBI, 12% occurring from > 3 meters and 9%...
Source: Journal of Trauma Management and Outcomes - July 30, 2009 Category: Emergency Medicine Authors: Linda GerberQuanhong NiRoger HartlJamshid Ghajar Source Type: journals

Hospital mortality among major trauma victims admitted on weekends and evenings: a cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In our region, the time of admission during the day or day of the week does not influence the risk for adverse outcome and may reflect our highly developed multi-hospital acute care and trauma system.
Source: Journal of Trauma Management and Outcomes - July 27, 2009 Category: Emergency Medicine Authors: Kevin LauplandChad BallAndrew Kirkpatrick Source Type: journals

A multicenter review of deep venous thrombosis prophylaxis practice patterns for blunt hepatic traumaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Practice patterns indicate that chemical DVT prophylaxis initiated within 48 hours of admission may be safe in patients with significant blunt hepatic trauma. Delays in prevention result in venothromboembolic events, but not in fewer blood transfusions or a decreased need for subsequent angiographic or operative therapies.
Source: Journal of Trauma Management and Outcomes - June 3, 2009 Category: Emergency Medicine Authors: Indraneel DattaChad BallLucas RudmikDamian Paton-GayDeepak BhayanaPeter SalatColin SchiemanDean SmithMary vanWijngaarden-StephensJohn Kortbeek Source Type: journals

Advocating "spine damage control" as a safe and effective treatment modality for unstable thoracolumbar fractures in polytrauma patients: a hypothesisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: The "ideal" timing and modality of fracture fixation for unstable thoracolumbar spine fractures in multiply injured patients remains controversial. The concept of "damage control orthopedics" (DCO), which has evolved globally in the past decade, provides a safe guidance for temporary external fixation of long bone or pelvic fractures in multisystem trauma. In contrast, "damage control" concepts for unstable spine injuries have not been widely implemented, and the scarce literature in the field remains largely anecdotal. The current practice standards are reflected by two distinct positions, either (1) immediate...
Source: Journal of Trauma Management and Outcomes - May 11, 2009 Category: Emergency Medicine Authors: Philip F Stahel, Michael A Flierl, Ernest E Moore, Wade R Smith, Kathryn M Beauchamp and Anthony Dwyer Source Type: journals

Outcome after severe head injury: focal surgical lesions do not imply a better Glasgow Outcome Score than diffuse injuries at 3 monthsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The assumption in the past has always been that patients presenting in coma from traumatic diffuse brain injury will do worse than those that have a mass lesion amenable to surgical decompression. Our series would suggest that this is not the case and all severely head injured patients should expect similar outcome when cared for in a neuroscience centre.
Source: Journal of Trauma Management and Outcomes - April 3, 2009 Category: Emergency Medicine Authors: Paul Leach, Omar N Pathmanaban, Hiren C Patel, Julian Evans, Raphael Sacho, Richard Protheroe and Andrew T King Source Type: journals

Severe traumatic injury during long duration spaceflight: Light years beyond ATLS.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Traumatic injury strikes unexpectedly among the healthiest members of the human population, and has been an inevitable companion of exploration throughout history. In space flight beyond the Earth's orbit, NASA considers trauma to be the highest level of concern regarding the probable incidence versus impact on mission and health. Because of limited resources, medical care will have to focus on the conditions most likely to occur, as well as those with the most significant impact on the crew and mission. Although the relative risk of disabling injuries is significantly higher than traumatic deaths on earth, either issue wo...
Source: Journal of Trauma Management and Outcomes - March 25, 2009 Category: Emergency Medicine Authors: Andrew W Kirkpatrick, Chad G Ball, Mark Campbell, David R Williams, Scott E Parazynski, Kenneth L Mattox and Timothy J Broderick Source Type: journals

Ten years of major equestrian injury: are we addressing functional outcomes?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Rehabilitation therapy is significantly underutilized following severe equestrian trauma. Increased therapy services should target patients with brain, neck and skull injuries. Improvements in the initial provision, and follow-up of rehabilitation therapy could enhance functional outcomes in the treatment resistant Western equestrian population.
Source: Journal of Trauma Management and Outcomes - February 19, 2009 Category: Emergency Medicine Authors: Jill E Ball, Chad G Ball, Robert H Mulloy, Indraneel Datta and Andrew W Kirkpatrick Source Type: journals

Cost-effectiveness of an integrated 'fast track' rehabilitation service for multi-trauma patients involving dedicated early rehabilitation intervention programs: design of a prospective, multi-centre, non-randomised clinical trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionThe study will yield results on the efficiency of an adapted care service for multi-trauma patients (SFTRS) featuring earlier (and condensed) involvement of specialised rehabilitation treatment. Results will show whether improved SFTRS logistics, combined with shorter stays in hospital and rehabilitation clinic and specialised early rehabilitation training modules are more (cost-) effective, relative to CTCS. Trial registration: This trial is registered both at the Current Controlled Trials register (ISRCTN68246661) and at the Netherlands Trial Register (NTR139).
Source: Journal of Trauma Management and Outcomes - January 30, 2009 Category: Emergency Medicine Authors: Sevginur Kosar, Henk A.M. Seelen, Bena Hemmen, Silvia M.A.A. Evers and Peter R.G. Brink Source Type: journals

Strategic emergency department design: An approach to capacity planning in healthcare provision in overcrowded emergency roomsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Healthcare professionals and the public have increasing concerns about the ability of emergency departments to meet current demands. Increased demand for emergency services, mainly caused by a growing number of minor and moderate injuries has reached crisis proportions, especially in the United Kingdom. Numerous efforts have been made to explore the complex causes because it is becoming more and more important to provide adequate healthcare within tight budgets. Optimisation of patient pathways in the emergency department is therefore an important factor. This paper explores the possibilities offered by dynamic simulation ...
Source: Journal of Trauma Management and Outcomes - November 17, 2008 Category: Emergency Medicine Authors: Aristomenis K Exadaktylos, Dimitrios S Evangelopoulos, Marcel Wullschleger, Leo Burki and Heinz Zimmermann Source Type: journals

Strategic emergency department design: An approach to capacity planning in healthcare provision in overcrowded emergency roomsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Healthcare professionals and the public have increasing concerns about the ability of emergency departments to meet current demands. Increased demand for emergency services, mainly caused by a growing number of minor and moderate injuries has reached crisis proportions, especially in the United Kingdom. Numerous efforts have been made to explore the complex causes because it is becoming more and more important to provide adequate healthcare within tight budgets. Optimisation of patient pathways in the emergency department is therefore an important factor.This paper explores the possibilities offered by dynamic simulation t...
Source: Journal of Trauma Management and Outcomes - November 17, 2008 Category: Emergency Medicine Authors: Aristomenis K Exadaktylos, Dimitrios S Evangelopoulos, Marcel Wullschleger, Leo Bürki and Heinz Zimmermann Source Type: journals

Evaluation of the safety of high-frequency chest wall oscillation (HFCWO) therapy in blunt thoracic trauma patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study suggests that HFCWO treatment is safe for trauma patients with lung and chest wall injuries. These findings support further work to demonstrate the airway clearance benefits of HFCWO treatment.
Source: Journal of Trauma Management and Outcomes - October 6, 2008 Category: Emergency Medicine Authors: Casandra A Anderson, Cassandra A Palmer, Arthur L Ney, Brian Becker, Steven D Schaffel and Robert R Quickel Source Type: journals

The BHU bicentric bipolar prosthesis in fracture neck femur in active elderlyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Thus at follow up of 4 year the BHU bicentric bipolar prosthesis has been shown to be a good option for intracapsular fractures of neck femur with encouraging results.
Source: Journal of Trauma Management and Outcomes - September 25, 2008 Category: Emergency Medicine Authors: Anil K Rai, Rakesh Agarwal, Saurabh Singh and Ratnav Ratan Source Type: journals

Outcomes of Ilizarov ring fixation in recalcitrant infected tibial non-unions – a prospective studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Treatment of infected non-unions of Tibia with Ilizarov ring fixation is effective but for optimal results the treatment needs to be individualised by the treating surgeon with due consideration of the socio-economic factors.
Source: Journal of Trauma Management and Outcomes - July 23, 2008 Category: Emergency Medicine Authors: Thayur R Madhusudhan, Balasundaram Ramesh, KS Manjunath, Harshad M Shah, Dabir C Sundaresh and N Krishnappa Source Type: journals

Investment in online self-evaluation tests: A theoretical approachEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The identification of individuals at risk for PTSD following a disaster may help organizations prevent both the human and the economic costs of this disease. Consequently future research on mental health issues should put more emphasis on the importance of monitoring to detect early PTSD and focus the most effective resources within early treatment and morbidity prevention.
Source: Journal of Trauma Management and Outcomes - April 15, 2008 Category: Emergency Medicine Authors: Francesco de Gara, William T Gallo, Jonathan I Bisson, Jerome Endrass and Stefan Vetter Source Type: journals

'Damage control orthopaedics' in patients with delayed referral to a tertiary care center: experience from a place where Composite Trauma Centers do not existEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In situations of delayed referral in areas where composite trauma centers do not exist the damage control modality provides an acceptable method of treatment in the management of polytrauma cases.
Source: Journal of Trauma Management and Outcomes - January 29, 2008 Category: Emergency Medicine Authors: Shabir Ahmed Dhar, Masood Iqbal Bhat, Ajaz Mustafa, Mohammed Ramzan Mir, Mohammed Farooq Butt, Manzoor Ahmed Halwai, Amin Tabish, Murtaza Asif Ali and Arshiya Hamid Source Type: journals

The beneficial effects of inhaled nitric oxide in patients with severe traumatic brain injury complicated by acute respiratory distress syndrome: a hypothesisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: The Iraq war has vividly brought the problem of traumatic brain injury to the foreground. The costs of death and morbidity in lost wages, lost taxes, and rehabilitative costs, let alone the emotional costs, are enormous. Military personnel with traumatic brain injury and acute respiratory distress syndrome may represent a substantial problem. Each of these entities, in and of itself, may cause a massive inflammatory response. Both presenting in one patient can precipitate an overwhelming physiological scenario. Inhaled nitric oxide has recently been demonstrated to have anti-inflammatory effects beyond the pulm...
Source: Journal of Trauma Management and Outcomes - January 14, 2008 Category: Emergency Medicine Authors: Thomas J Papadimos Source Type: journals

Complex proximal femoral fractures in the elderly managed by reconstruction nailing – complications & outcomes: a retrospective analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Favourable fixation of unstable complex femoral fractures in the elderly population can be achieved with the Russell-Taylor reconstruction nail. However, use of this device in this frail population was associated with a high implant complication and mortality rate that undoubtedly reflected the severity of the injury sustained, co-morbidity within the group and the stress of a major surgical procedure.
Source: Journal of Trauma Management and Outcomes - December 10, 2007 Category: Emergency Medicine Authors: Ulfin Rethnam, James Cordell-Smith, Thirumoolanathan M Kumar and Amit Sinha Source Type: journals

Specialisation of spinal services: consequences for cervical trauma management in the district hospitalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The lack of equipment and expertise to apply the halo vest device for unstable cervical spine injuries is highlighted in this study. Training of all trauma surgeons in the application of the halo device would overcome this deficiency.
Source: Journal of Trauma Management and Outcomes - November 30, 2007 Category: Emergency Medicine Authors: Ulfin Rethnam, James Cordell-Smith and Amit Sinha Source Type: journals

Sledding injuries: is safety in this winter pastime overlooked? A three-year survey in South-TyrolEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Sledding is rarely thought of as a potentially dangerous activity, but it can result in serious injury. Better public awareness of the risks of sledding injuries is required and preventive measures like the use of helmet, soft-side protections on the tracks, regular checks of the track conditions and good lightning for night sledding should be enforced.
Source: Journal of Trauma Management and Outcomes - November 28, 2007 Category: Emergency Medicine Authors: Stefano Corra and Franco De Giorgi Source Type: journals

Is mechanism of injury alone in the prehospital setting a predictor of major trauma – a review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: This study identified only five articles on the predictability of the mechanism of injury criteria alone. All studies stated that the mechanism of injury criteria alone are not good predictors of major trauma or the need for trauma team activation. This study was the precursor of a Victorian prehospital study to determine the predictability of the mechanism of injury alone criteria for trauma patients in the Australian context.
Source: Journal of Trauma Management and Outcomes - November 26, 2007 Category: Emergency Medicine Authors: Malcolm J Boyle Source Type: journals

A geographic information system to study trauma epidemiology in IndiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: GIS is a promising technology for geo-referencing accident data, and may be a valuable tool to identify areas of priority for injury prevention in India.
Source: Journal of Trauma Management and Outcomes - November 26, 2007 Category: Emergency Medicine Authors: Vaibhav Bagaria and Saurabh Bagaria Source Type: journals

The floating knee: epidemiology, prognostic indicators & outcome following surgical managementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The associated injuries and the type of fracture (open, intra-articular, comminution) are prognostic indicators in the Floating knee. Appropriate management of the associated injuries, intramedullary nailing of both the fractures and post operative rehabilitation are necessary for good final outcome.
Source: Journal of Trauma Management and Outcomes - November 26, 2007 Category: Emergency Medicine Authors: Ulfin Rethnam, Rajam S Yesupalan and Rajagopalan Nair Source Type: journals

Journal of Trauma Management & Outcomes: a new platform for interdisciplinary, outcome-oriented research in traumaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
No abstract
Source: Journal of Trauma Management and Outcomes - November 26, 2007 Category: Emergency Medicine Authors: Axel Ekkernkamp Source Type: journals