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Journal J Trauma Acute Care Surg

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Does Simulation Work? Monthly Trauma Simulation and Procedural Training are Associated with Decreased Time to Intervention.

Caroline Park, Jennifer Grant, Ryan Dumas, Linda Dultz, Thomas Shoultz, Daniel J Scott, Stephen Luk, Kareem Abdelfattah, Michael Cripps,

BACKGROUND:Establishing proficiency in specific trauma procedures during surgical residency has been limited to annual courses with limited data on its effect on the delivery of healthcare and patient outcomes. There is a wide variety of training on content and complexity with recent studies looking at time to imaging or secondary ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, :]

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Letter to the editor RE: Intermittent REBOA translational science papers.

Timothy Keith Williams, Lucas P Neff, M Austin Johnson,

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):e20]

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Use of ShotSpotter detection technology decreases prehospital time for patients sustaining gunshot wounds.

Anna Goldenberg, Deviney Rattigan, Michael Dalton, John P Gaughan, J Scott Thomson, Kyle Remick, Christopher Butts, Joshua P Hazelton,

BACKGROUND:Shorter prehospital time in patients sustaining penetrating trauma has been shown to be associated with improved survival. Literature has also demonstrated that police transport (vs. Emergency Medical Services [EMS]) shortens transport times to a trauma center. The purpose of this study was to determine if ShotSpotter, which triangulates the location ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):1253-1259]

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Readmission rates and associated factors following rib cage injury.

Jennifer E Baker, Mitchell Skinner, Victor Heh, Timothy A Pritts, Michael D Goodman, D Anderson Millar, Christopher F Janowak,

BACKGROUND:There remains a lack of knowledge about readmission characteristics after sustaining rib fractures. We aimed to determine rates, characteristics, and predictive/protective factors associated with unexpected reevaluation and readmission after rib cage injury. METHODS:A retrospective review was performed based on trauma patients evaluated at an urban Level I trauma center from ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):1269-1276]

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Effects of Hospital-Acquired Pneumonia on Long-Term Recovery and Hospital Resource Utilization Following Moderate to Severe Traumatic Brain Injury.

Raj G Kumar, Matthew R Kesinger, Shannon B Juengst, Maria M Brooks, Anthony Fabio, Kristen Dams-O'Connor, Mary Jo Pugh, Jason Sperry, Amy K Wagner,

BACKGROUND:Individuals with Traumatic Brain Injury (TBI) have extended inpatient hospital stays that includes prolonged mechanical ventilation, increasing risk for infections, including pneumonia. Studies show the negative short-term effects of hospital-acquired pneumonia (HAP) on hospital-based outcomes; however, little is known of its long-term effects. METHODS:Prospective cohort study. National Trauma Databank (NTDB) ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, :]

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A Multicenter, Prospective, Controlled Clinical Trial of Surgical Stabilization of Rib Fractures in Patients with Severe, Non-flail Fracture Patterns.

Fredric M Pieracci, Kiara Leasia, Zach Bauman, Evert A Eriksson, Lawrence Lottenberg, Sarah Majercik, Ledford Powell, Babak Sarani, Gregory Semon, Bradley Thomas, Frank Zhao, Cornelius Dyke, Andrew R Doben,

BACKGROUND:The efficacy of surgical stabilization of rib fracture (SSRF) in patients without flail chest has not been studied specifically. We hypothesized that SSRF improves outcomes among patients with displaced rib fractures in the absence of flail chest. METHODS:Multicenter, prospective, controlled, clinical trial (12 centers) comparing SSRF within 72 hours to ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, :]

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Pancreatic Trauma.

Gregory Jerome Jurkovich,

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, :]

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The utility of magnetic resonance imaging in pediatric trauma patients suspected of having cervical spine injuries.

S Christopher Derderian, Krista Greenan, David M Mirsky, Nicholas V Stence, Sarah Graber, Todd C Hankinson, Noah Hubbell, Allyson Alexander, Brent R OʼNeill, C Corbett Wilkinson, Michael H Handler,

BACKGROUND:Pediatric cervical spine injuries (CSI) are rare but potentially devastating sequelae of blunt trauma. Existing protocols to evaluate children at risk for CSI frequently incorporate computed topography (CT) and magnetic resonance imaging (MRI); however, the clinical value of performing both remains unclear. METHODS:Single-center retrospective review of pediatric trauma patients who ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):1328-1335]

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Analysis of blunt cerebrovascular injury in pediatric trauma.

Areg Grigorian, Matthew Dolich, Michael Lekawa, Roy M Fujitani, Nii-Kabu Kabutey, Catherine M Kuza, Rame Bashir, Jeffry Nahmias,

BACKGROUND:Blunt cerebrovascular injury (BCVI) occurs in <1% of pediatric patients. The two principal screening criteria for BCVI in children are the Utah and McGovern Score with motor vehicle accident (MVA) considered to be a predictor for BCVI. We sought to confirm previously reported risk factors and identify novel associations with ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):1354-1359]

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Life-saving interventions in pediatric trauma: A National Trauma Data Bank experience.

Robert A Swendiman, Catherine E Sharoky, Katie W Russell, Matthew A Goldshore, Thane A Blinman, Michael L Nance,

BACKGROUND:Emergent procedures are infrequent in pediatric trauma. We sought to determine the frequency and efficacy of life-saving interventions (LSI) performed for pediatric trauma patients within the first hour of care at a trauma center. METHODS:The National Trauma Data Bank (2010-2014) was queried for patients 19 years or younger who underwent ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):1321-1327]

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Selective nonoperative management of renal gunshot wounds.

Morgan Schellenberg, Elizabeth Benjamin, Alice Piccinini, Kenji Inaba, Demetrios Demetriades,

BACKGROUND:Selective nonoperative management (SNOM) of blunt kidney injuries has been the standard of care for decades. However, the role of SNOM after renal gunshot wounds (GSWs) remains unclear. The purpose of this study was to assess the safety and outcomes of SNOM of renal GSWs at a national level. METHODS:The ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):1301-1307]

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Long Term Functional Outcomes After Traumatic Popliteal Artery Injury: A 20-Year Experience.

Louis J Magnotti, John P Sharpe, Betsy Tolley, Fritjof Thomas, Richard H Lewis, Dina M Filiberto, Cory Evans, Leo Kokorev, Timothy C Fabian, Martin A Croce,

BACKGROUND:Traumatic popliteal arterial injury (TPAI) is associated with a risk of both limb loss and long-term morbidity due to prolonged ischemia and the often-associated musculoskeletal injuries. Long-term functional outcome following this injury has not been adequately studied. We evaluated patients with TPAI in order to determine if there was an ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, :]

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Blame it on the injury: Trauma is a risk factor for pancreatic fistula following distal pancreatectomy compared with elective resection.

Noah S Rozich, Katherine T Morris, Tabitha Garwe, Zoona Sarwar, Alessandra Landmann, Chesney B Siems, Alexandra Jones, Casey S Butler, Paul K McGaha, Benjamin C Axtman, Barish H Edil, Jason S Lees,

BACKGROUND:Postoperative pancreatic fistula (POPF) remains a significant source of morbidity following distal pancreatectomy (DP). There is a lack of information regarding the impact of trauma on POPF rates when compared with elective resection. We hypothesize that trauma will be a significant risk factor for the development of POPF following DP. ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):1289-1300]

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FEATURED ARTICLES FOR CME CREDIT DECEMBER 2019.

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):e22-e24]

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Authors' reply: Intermittent REBOA translational science articles.

John Kuckelman, Matthew Eckert, Matthew J Martin,

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):e20-e21]

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Endothelial cell dysfunction during anoxia-reoxygenation is associated with a decrease in adenosine triphosphate levels, rearrangement in lipid bilayer phosphatidylserine asymmetry, and an increase in endothelial cell permeability.

Javid Sadjadi, Aaron M Strumwasser, Gregory P Victorino,

BACKGROUND:Phosphatidylserine (PS) is normally confined in an energy-dependent manner to the inner leaflet of the lipid cell membrane. During cellular stress, PS is exteriorized to the outer layer, initiating a cascade of events. Because cellular stress is often accompanied by decreased energy levels and because maintaining PS asymmetry is an ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):1247-1252]

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The Sequential Clinical Assessment of Respiratory Function (SCARF) score: A dynamic pulmonary physiologic score that predicts adverse outcomes in critically ill rib fracture patients.

Kimberly S Hardin, Kiara N Leasia, James Haenel, Ernest E Moore, Clay Cothren Burlew, Fredric M Pieracci,

BACKGROUND:Rib fracture scoring systems are limited by a lack of serial pulmonary physiologic variables. We created the Sequential Clinical Assessment of Respiratory Function (SCARF) score and hypothesized that admission, maximum, and rising scores predict adverse outcomes among critically ill rib fracture patients. METHODS:Prospective cohort study of rib fracture patients admitted ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):1260-1268]

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Characteristics of hardware failure in patients undergoing surgical stabilization of rib fractures: A Chest Wall Injury Society multicenter study.

Babak Sarani, Rebecca Allen, Fredric M Pieracci, Andrew R Doben, Evert Eriksson, Zachary M Bauman, Puneet Gupta, Greg Semon, Patrick Greiffenstein, Alistair J Chapman, Brian D Kim, Lawrence Lottenberg, Scott Gardner, Silvana Marasco, Tom White,

BACKGROUND:Surgical stabilization of rib fractures (SSRF) is increasingly used for severe rib fractures/flail chest. There are no reports discussing mechanisms of failure of implanted hardware, its clinical presentation, or consequences. The purpose of this study was to evaluate the incidence, presenting signs, and clinical sequela of hardware failure after SSRF. ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):1277-1281]

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Role of Tumor Necrosis Factor-α in vascular hyporeactivity following endotoxic shock and its mechanism.

HongLiang Zhao, Lei Kuang, JiaoJiang He, ZiSen Zhang, DanYang Zheng, ChenYang Duan, Yu Zhu, Yue Wu, Jie Zhang, XiaoYong Peng, BingHu Li, GuangMing Yang, Tao Li, LiangMing Liu,

BACKGROUND:Vascular hyporeactivity plays an important role in organ dysfunction induced by endotoxic shock. Given that cytokine, such as TNF-α, plays an important role in endotoxic shock, the aim of the present study is to investigate the role of Tumor Necrosis Factor (TNF)-α in vascular hyporeactivity following endotoxic shock and the ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):1346-1353]

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The Israel Defense Forces experience with freeze-dried plasma for the resuscitation of traumatized pediatric patients.

Roy Nadler, Yael Mozer-Glassberg, Barbara Gaines, Elon Glassberg, Jacob Chen,

BACKGROUND:With the growing recognition of the disadvantages of crystalloid- and colloid-based resuscitation and the advantages of using blood products as the preferred resuscitation fluid, the Israel Defense Forces Medical Corps (IDF-MC) adopted plasma as the primary volume resuscitation regimen in 2013. While data are accumulating for prehospital plasma transfusion, little ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):1315-1320]

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Role of resveratrol in protecting vasodilatation function in septic shock rats and its mechanism.

Zi-Sen Zhang, Hong-Liang Zhao, Guang-Ming Yang, Jia-Tao Zang, Dan-Yang Zheng, Chen-Yang Duan, Lei Kuang, Yu Zhu, Yue Wu, Tao Li, Liang-Ming Liu,

BACKGROUND:Vascular dysfunction is a major cause of sepsis-induced multiple-organ dysfunction. Resveratrol is a polyphenol compound with extensive pharmacological effects including anti-inflammation. The aim of this study was to determine the role and mechanism of resveratrol in protecting vascular function following sepsis. METHODS:The cecal ligation and puncture method was used to ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):1336-1345]

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Assessing the role of urologists and general surgeons in the open repair of bladder injuries: Analysis of a large, statewide trauma database.

Joon Yau Leong, Hamza Rshaidat, Elwin Tham, Shuji Mitsuhashi, Paul H Chung,

BACKGROUND:Bladder injuries often occur in the setting of polytrauma, and if severe, may require open surgical repairs. We assess the role of urologists and general surgeons (GS) in the open surgical management of bladder injuries and their outcomes in a traumatic setting. METHODS:Patients who underwent open bladder injury repair secondary ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):1308-1314]

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Readmissions after Non-operative Trauma: Increased Mortality and Costs with Delayed Intervention.

Marta L McCrum, Chong Zhang, Angela P Presson, Raminder Nirula,

BACKGROUND:We sought to examine patterns of readmission after non-operative trauma, including rates of delayed operative intervention and mortality. METHODS:The Nationwide Readmissions Database (2013-2014) was queried for all adult trauma admissions and 30-day readmissions. Index admissions were classified as operative (OI) or non-operative (NOI), and readmissions examined for major operative intervention ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, :]

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Determining the clinical significance of the Chest Wall Injury Society taxonomy for multiple rib fractures.

Peter T M Clarke, Rosalind B Simpson, Jessica R Dorman, William J Hunt, John G Edwards,

BACKGROUND:The Chest Wall Injury Society (CWIS) proposals for standardized nomenclature for multiple rib fracture (MRF) classifications were derived by international expert Delphi consensus. This study aimed to validate the CWIS taxonomy using a single-instituion clinical database. METHODS:Computed tomography (CT) scans, of 539 consecutive patients with MRFs admitted to a regional ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, 87(6):1282-1288]

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Blood flow of the venous system during resuscitative endovascular balloon occlusion of the aorta: Non-invasive evaluation using phase contrast MRI.

Yoshimitsu Izawa, Shuji Hishikawa, Yosuke Matsumura, Kimiyasu Nakamura, Hideharu Sugimoto, Takashi Mato,

BACKGROUND:Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a viable resuscitation approach for a subdiaphragmatic injury that can regulate arterial blood flow. On the other hand, the evaluation of venous or portal venous blood flow during REBOA remains insufficient because invasive cannulation or exposure of the vessel may affect ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2019, :]

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