Trauma Article Archive
» 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.
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» 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.
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» 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...]
» Developing a Decision Instrument to Guide Computed Tomographic Imaging of Blunt Head Injury Patients (NEXUS II Study)
"Clinical characteristics can reliably identify patients who are unlikely to have intracranial injuries and who do not require CT imaging". Mower et al. Journal of Trauma-Injury Infection & Critical Care. 59(4):954-959, October 2005.
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» Paediatric Trauma at an Adult Trauma Centre
"The majority of children with trauma were treated safely and appropriately at the ATC." Holland, Andrew J. A., Jackson, Alicia M. & Joseph, Anthony P. (2005) Paediatric trauma at an adult trauma centre. ANZ Journal of Surgery 75 (10), 878-881.
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» Recombinant Factor VIIa as Adjunctive Therapy for Bleeding Control in Severely Injured Trauma Patients: Two Parallel Randomized, Placebo-Controlled, Double-Blind Clinical Trials
"Recombinant FVIIa resulted in a significant reduction in RBC transfusion in severe blunt trauma. Similar trends were observed in penetrating trauma. The safety of rFVIIa was established in these trauma populations within the investigated dose range". Boffard et al. Journal of Trauma-Injury Infection & Critical Care. 59(1):8-18, July 2005.
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» Helical Computed Tomographic Scanning for the Evaluation of the Cervical Spine in the Unconscious, Intubated Trauma Patient.
“Helical CT scanning of the cervical spine allows rapid and safe evaluation of the cervical spine in the unconscious, intubated trauma patient." Brohi et al. Journal of Trauma-Injury Infection & Critical Care. 58(5):897-901, May 2005.
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