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Recent Trauma Articles

Below are links to recent trauma journal articles of interest. These links are through the NSW Health CIAP website and will require a CIAP username and password if accessed from outside the NSW Health intranet. If you work within NSW Health and do not have a CIAP username and password, please contact your nearest CIAP representative.     

» Intensive Care Unit Management of the Trauma Patient
"The goal of this concise review is to provide an overview of some of the most important intensive care unit issues and approaches that are unique to trauma patients as compared with the general intensive care unit population." Deitch, Edwin A. MD; Dayal, Saraswati D. MD. Critical Care Medicine. 34(9):2294-2301, September 2006. [Read More...]

» Daily multidisciplinary rounds shorten length of stay for trauma patients
"...we have seen a 36% increase in patient volume and a 15% decrease in length of stay. “Bypass” status—inability to accept admissions—has been virtually eliminated. This effect has been sustained. By providing a forum for clear communications among all providers, discharge rounds have streamlined the care of complex trauma patients. As health care resources become ever more constrained, this sort of multidisciplinary effort is a viable option for senior physicians to directly impact hospital performance." Dutton, Richard P. MD et al. Journal of Trauma-Injury Infection & Critical Care. 55(5):913-919, November 2003. [Read More...]

» Cervical Spine Clearance in Unconscious Traumatic Brain Injury Patients: Dynamic Flexion-Extension Fluoroscopy versus Computed Tomography with Three-Dimensional Reconstruction
A study from the Alfred Hospital in Melbourne showed "Dynamic flexion-extension X-ray studies with fluoroscopy delayed cervical spine clearance and were almost always reported as normal. In a cervical spine clearance protocol for unconscious traumatic brain injury patients, dynamic flexion-extension X-ray studies with fluoroscopy did not identify any patients with cervical fracture or instability not already identified by plain radiographs and fine-cut CT (C0 to T2) with 3D reconstructions." Padayachee et al. Journal of Trauma-Injury Infection & Critical Care. 60(2):341-345, February 2006. [Read More...]

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