Latest & greatest articles for trauma

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Top results for trauma

1. Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial.

Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial. OBJECTIVE: To determine if using a parachute prevents death or major traumatic injury when jumping from an aircraft. DESIGN: Randomized controlled trial. SETTING: Private or commercial aircraft between September 2017 and August 2018. PARTICIPANTS: 92 aircraft passengers aged 18 and over were screened for participation. 23 agreed to be enrolled and were randomized. INTERVENTION: Jumping from

BMJ2018

2. Point-of-care ultrasonography for diagnosing thoracoabdominal injuries in patients with blunt trauma.

Point-of-care ultrasonography for diagnosing thoracoabdominal injuries in patients with blunt trauma. BACKGROUND: Point-of-care sonography (POCS) has emerged as the screening modality of choice for suspected body trauma in many emergency departments worldwide. Its best known application is FAST (focused abdominal sonography for trauma). The technology is almost ubiquitously available, can be performed during resuscitation, and does not expose patients or staff to radiation. While many authors (...) have stressed the high specificity of POCS, its sensitivity varied markedly across studies. This review aimed to compile the current best evidence about the diagnostic accuracy of POCS imaging protocols in the setting of blunt thoracoabdominal trauma. OBJECTIVES: To determine the diagnostic accuracy of POCS for detecting and excluding free fluid, organ injuries, vascular lesions, and other injuries (e.g. pneumothorax) compared to a diagnostic reference standard (i.e. computed tomography (CT

Cochrane2018

4. Risk of Serious Trauma with Glucose-Lowering Drugs in Older Persons: A Nested Case-Control Study

Risk of Serious Trauma with Glucose-Lowering Drugs in Older Persons: A Nested Case-Control Study 30246861 2018 11 14 1532-5415 66 11 2018 Nov Journal of the American Geriatrics Society J Am Geriatr Soc Risk of Serious Trauma with Glucose-Lowering Drugs in Older Persons: A Nested Case-Control Study. 2086-2091 10.1111/jgs.15515 To assess the risk of hospitalization for trauma associated with use of hypoglycemic glucose-lowering drugs (GLDs) in individuals aged 65 and older. Observational, nested (...) , case-control study. The Echantillon Généraliste de Bénéficiaires claims database, a 1/97 th representative sample of the population covered by French healthcare insurance. All persons with a first hospitalization for trauma between 2009 and 2015 were considered as potential cases. They were selected if they had been followed for 365 days or longer at index date, were aged 65 and older, and had no diagnosed cancer. Cases (n=10,743) were matched with up to 10 randomly selected controls on age, sex

EvidenceUpdates2018

5. Hypertonic saline as effective as normal saline for trauma patients

Hypertonic saline as effective as normal saline for trauma patients Signal - Hypertonic saline as effective as normal saline for trauma patients Dissemination Centre Discover Portal NIHR DC Discover Hypertonic saline as effective as normal saline for trauma patients Published on 13 March 2018 Solutions more concentrated than normal, such as hypertonic saline, are as good as those more usually given to trauma patients with severe blood loss. Survival to hospital discharge was the same (...) in patients treated before arrival at the hospital with either type of fluid. There are around 20,000 cases of major trauma per year in England. Outcomes for patients have improved in the UK over the last 25 years, but as there is still room for improvement this review sought to find evidence that supported or challenged the convention that normal saline is always best. Hypertonic solutions are given to patients in a lower volume, and so can be carried in more compact packaging. They could be preferred

NIHR Dissemination Centre2018

6. Drugs that stimulate bone marrow might save lives in critically ill trauma patients

Drugs that stimulate bone marrow might save lives in critically ill trauma patients Signal - Drugs that stimulate bone marrow might save lives in critically ill trauma patients Dissemination Centre Discover Portal NIHR DC Discover Drugs that stimulate bone marrow might save lives in critically ill trauma patients Published on 23 August 2016 Erythropoiesis stimulating agents (ESAs) might improve survival of critically ill patients after trauma. These drugs are synthetic versions (...) of erythropoietin, a natural hormone produced by the kidneys. They boost production of red blood cells from the bone marrow; however the survival effect seems to be independent of the effect on red cell production. ESA’s are already commonly used to treat anaemia associated with chronic kidney disease. This systematic review of trials in critical trauma patients found the survival benefit occurred without an increase in adverse effects, such as blood clots in the leg veins. ESA’s had no effect on the chance

NIHR Dissemination Centre2018

7. Predicting severe brain injuries from apparent minor head trauma without a scan

Predicting severe brain injuries from apparent minor head trauma without a scan Signal - Predicting severe brain injuries from apparent minor head trauma without a scan Dissemination Centre Discover Portal NIHR DC Discover Predicting severe brain injuries from apparent minor head trauma without a scan Published on 8 March 2016 Specific clinical decision rules applied to adults and adolescents with apparent minor head injury identified groups at low risk of severe internal head injuries (...) clinical decision rules to identify serious head trauma in people presenting with minor head injuries. The clinical decision rule was compared against a reference standard, either neuroimaging or follow-up evaluation. What did this study do? This systematic review included 14 studies from eight countries (US, Japan, Korea and from continental Europe) including 23,079 adults and adolescents with minor head trauma, defined as a Glasgow Coma Scale (GCS) of 13 to 15, where 15 is completely alert

NIHR Dissemination Centre2018

8. Malnutrition and the Orthopaedic Trauma Patient: A Systematic Review of the Literature

Malnutrition and the Orthopaedic Trauma Patient: A Systematic Review of the Literature 30247276 2018 09 24 1531-2291 32 10 2018 Oct Journal of orthopaedic trauma J Orthop Trauma Malnutrition and the Orthopaedic Trauma Patient: A Systematic Review of the Literature. 491-499 10.1097/BOT.0000000000001254 To evaluate the available literature for associations between nutrition and outcomes after operative treatment of long bone and long bone periarticular fractures. Systematic review of English (...) trauma patient, there remains a need for well-designed trials to clarify this role. There is likely benefit to multidisciplinary approaches to nutritional optimization in the orthopaedic trauma patient, and this should be explored further in forthcoming work. Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. Ernst Alexandra A Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA. Wilson Jacob M JM Department of Orthopaedics

EvidenceUpdates2018

9. Urological Trauma

Urological Trauma Urological Trauma | Uroweb Guidelines › Urological Trauma Urological Trauma To access the pdfs & translations of individual guidelines, please as EAU member. Non-EAU members can view the web versions. To become an EAU member, click . EAU Central Office PO Box 30016 NL-6803 AA ARNHEM The Netherlands

European Association of Urology2018

11. Trauma

Trauma Top results for trauma - Trip Database or use your Google+ account Liberating the literature My query is: English Français Deutsch Čeština Español Magyar Svenska ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search (...) button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Latest & greatest articles for trauma The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory

Trip Latest and Greatest2018

12. Prehospital Plasma during Air Medical Transport in Trauma Patients at Risk for Hemorrhagic Shock.

Prehospital Plasma during Air Medical Transport in Trauma Patients at Risk for Hemorrhagic Shock. BACKGROUND: After a person has been injured, prehospital administration of plasma in addition to the initiation of standard resuscitation procedures in the prehospital environment may reduce the risk of downstream complications from hemorrhage and shock. Data from large clinical trials are lacking to show either the efficacy or the risks associated with plasma transfusion in the prehospital setting (...) until 30 days after randomization (log-rank chi-square test, 5.70; P=0.02). The median prothrombin-time ratio was lower in the plasma group than in the standard-care group (1.2 [interquartile range, 1.1 to 1.4] vs. 1.3 [interquartile range, 1.1 to 1.6], P<0.001) after the patients' arrival at the trauma center. No significant differences between the two groups were noted with respect to multiorgan failure, acute lung injury-acute respiratory distress syndrome, nosocomial infections, or allergic

NEJM2018

14. External Validation of the PediBIRN Clinical Prediction Rule for Abusive Head Trauma

External Validation of the PediBIRN Clinical Prediction Rule for Abusive Head Trauma 29700200 2018 05 03 1098-4275 141 5 2018 May Pediatrics Pediatrics External Validation of the PediBIRN Clinical Prediction Rule for Abusive Head Trauma. e20173674 10.1542/peds.2017-3674 A 4-variable abusive head trauma (AHT) clinical prediction rule (CPR) for use in the PICU was derived and validated for children <3 years of age by the Pediatric Brain Injury Research Network (PediBIRN). We aimed to externally

EvidenceUpdates2018

15. A Two-Center Validation of "Patient Does Not Follow Commands" and Three Other Simplified Measures to Replace the Glasgow Coma Scale for Field Trauma Triage

A Two-Center Validation of "Patient Does Not Follow Commands" and Three Other Simplified Measures to Replace the Glasgow Coma Scale for Field Trauma Triage 29729813 2018 05 06 1097-6760 2018 May 02 Annals of emergency medicine Ann Emerg Med A Two-Center Validation of "Patient Does Not Follow Commands" and Three Other Simplified Measures to Replace the Glasgow Coma Scale for Field Trauma Triage. S0196-0644(18)30312-3 10.1016/j.annemergmed.2018.03.038 Out-of-hospital personnel worldwide calculate (...) the 13-point Glasgow Coma Scale (GCS) score as a routine part of field trauma triage. We wish to independently validate a simpler binary assessment to replace the GCS for this task. We analyzed trauma center registries from Loma Linda University Health (2003 to 2015) and Denver Health Medical Center (2009 to 2015) to compare the binary assessment "patient does not follow commands" (ie, GCS motor score <6) with GCS score less than or equal to 13 for the prediction of 5 trauma outcomes: emergency

EvidenceUpdates2018

17. Recent opioid use and fall-related injury among older patients with trauma

Recent opioid use and fall-related injury among older patients with trauma 29685910 2018 05 03 1488-2329 190 16 2018 Apr 23 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ Recent opioid use and fall-related injury among older patients with trauma. E500-E506 10.1503/cmaj.171286 Evidence for an association between opioid use and risk of falls or fractures in older adults is inconsistent. We examine the association between recent opioid use (...) and the risk, as well as the clinical outcomes, of fall-related injuries in a large trauma population of older adults. In a retrospective, observational, multicentre cohort study conducted on registry data, we included all patients aged 65 years and older who were admitted (hospital stay > 2 d) for injury in 57 trauma centres in the province of Quebec, Canada, between 2004 and 2014. We looked at opioid prescriptions filled in the 2 weeks preceding the trauma in patients who sustained a fall, compared

EvidenceUpdates2018 Full Text: Link to full Text with Trip Pro

18. Crisis Intervention for Adults Using a Trauma-Informed Approach: Initial Four Weeks of Management Third Edition

Crisis Intervention for Adults Using a Trauma-Informed Approach: Initial Four Weeks of Management Third Edition Crisis Intervention for Adults Using a Trauma-Informed Approach: Initial Four Weeks of Management Third Edition | Registered Nurses' Association of Ontario l’Association des infirmières et infirmiers autorisés de l’Ontario Speaking out for nursing. Speaking out for health. » » Crisis Intervention for Adults Using a Trauma-Informed Approach: Initial Four Weeks of Management Third

Registered Nurses' Association of Ontario2018

19. Trauma penetrating

Trauma penetrating Trauma (penetrating) submit The College submit You're here: Trauma (penetrating) Trauma (penetrating) The CMGs are guidelines on the diagnosis and management of a range of common and rare, but important, eye conditions that present with varying frequency in primary and first contact care. Share options Aetiology Partial or full-thickness injury of outer wall of eye caused by sharp object Common causes include: assault, industrial or work-related accident, DIY injury (...) Predisposing factors Male:female = 3:1 Symptoms History of trauma Pain Visual loss Signs Lid laceration: assess depth, contamination and whether canaliculi involved Conjunctiva hyperaemia and chemosis look for foreign bodies but do not remove them assess depth of any conjunctival laceration Corneal laceration check depth check for signs of perforation (shallow or flat AC, Seidel test +ve) possible iris damage (iridodialysis) ± iris prolapse into wound Lens may be subluxated, dislocated, absent

College of Optometrists2018

20. Trauma chemical

Trauma chemical Trauma (chemical) submit The College submit You're here: Trauma (chemical) Trauma (chemical) The CMGs are guidelines on the diagnosis and management of a range of common and rare, but important, eye conditions that present with varying frequency in primary and first contact care. Share options Aetiology The incidence of chemical injuries to the eye has been reported to be 10.7 per 100,000 population, representing an estimated 10% of ocular trauma treated in emergency departments (...) Predisposing factors Domestic accidents, DIY injuries Industrial injuries Assault Riot control Warfare Symptoms Immediate pain, redness, epiphora Visual loss Severe chemical trauma may be relatively pain free (damage to superficial nerves) Signs Burns to eyelids and surrounding skin Particulate matter under lid (evert to examine) Conjunctival chemosis and hyperaemia Limbal and conjunctival blanching (cessation of blood flow in superficial vessels; may indicate poor prognosis) Corneal epithelial defects

College of Optometrists2018