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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 guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on trauma or other clinical topics then use Trip today.
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Trauma release exercises for the treatment of mental health issues: clinical effectiveness, safety and guidelines Trauma release exercises for the treatment of mental health issues: clinical effectiveness, safety and guidelines Trauma release exercises for the treatment of mental health issues: clinical effectiveness, safety and guidelines CADTH Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality (...) of this assessment has been made for the HTA database. Citation CADTH. Trauma release exercises for the treatment of mental health issues: clinical effectiveness, safety and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response. 2015 Authors' conclusions No relevant literature was identified regarding the clinical effectiveness of trauma release exercises (TRE) for the treatment of patients with PTSD, anxiety, depression, or psychological trauma. No evidence
Cervical Spine Collar Clearance in the Obtunded Adult Blunt Trauma Patient Cervical Spine Collar Clearance in the Obtunded Adult Blunt Trauma Patient - Practice Management Guideline Search » Cervical Spine Collar Clearance in the Obtunded Adult Blunt Trauma Patient Published 2015 Citation: Authors Patel, Mayur B. MD, MPH; Humble, Stephen S.; Cullinane, Daniel C. MD; Day, Matthew A. MD; Jawa, Randeep S. MD; Devin, Clinton J. MD; Delozier, Margaret S.; Smith, Lou M. MD; Smith, Miya A.; Capella (...) , Jeannette M. MD, MEd; Long, Andrea M. MD; Cheng, Joseph S. MD, MS; Leath, Taylor C. BS, MPH; Falck-Ytter, Yngve MD; Haut, Elliott R. MD, PhD; Como, John J. MD, MPH Supplemental Author Material Author Information From the Veterans Affairs (VA) Tennessee Valley Healthcare System (M.B.P.), Nashville VA Medical Center; Division of Trauma and Surgical Critical Care (M.B.P., S.S.H., M.A.S., T.C.L.), Department of Surgery, and Department of Neurosurgery (M.B.P., J.S.C.), Section of Surgical Sciences
Epidemiology of blunt head trauma in children in U.S. emergency departments. Among more than 43,000 children treated in 25 emergency departments for blunt head trauma, traumatic brain injury was identified on CT scan in 7% of the patients. Falls were the most frequent injury mechanism for children under the age of 12 years.
New Injury Severity Score Is a Better Predictor of Mortality for Blunt Trauma Patients Than the Injury Severity Score 25189444 2014 12 22 2015 07 15 2014 12 22 1432-2323 39 1 2015 Jan World journal of surgery World J Surg New Injury Severity Score is a better predictor of mortality for blunt trauma patients than the Injury Severity Score. 165-71 10.1007/s00268-014-2745-2 Trauma-related mortality depends on injury severity. Several trauma scores are used to evaluate injury severity. We compared (...) the Injury Severity Score (ISS) and the New Injury Severity Score (NISS) in terms of predicting mortality among hospitalized blunt trauma patients. The data of Al-Ain Hospital Trauma Registry were prospectively collected over 3 years. Data of blunt trauma patients were then analyzed retrospectively. Univariate analysis was used to compare patients who died with those who survived. Sex, age, mechanism of injury, heart rate, systolic blood pressure (SBP), and Glasgow Coma Score (GSC) on arrival
Utility of Extended FAST in Blunt Chest Trauma: Is it the Time to be Used in the ATLS Algorithm? 25205343 2014 12 22 2015 07 15 2016 11 25 1432-2323 39 1 2015 Jan World journal of surgery World J Surg Utility of extended FAST in blunt chest trauma: is it the time to be used in the ATLS algorithm? 172-8 10.1007/s00268-014-2781-y The clinical significance of extended Focused Assessment with Sonography for Trauma (EFAST) for diagnosis of pneumothorax is not well defined. To investigate the utility (...) of EFAST in blunt chest trauma (BCT) patients. A single blinded, prospective study. All patients admitted with BCT (2011-2013). Level 1 trauma center in Qatar. Patients were screened by EFAST and results were compared to the clinical examination (CE) and chest X-ray (CXR). Chest-computed tomography (CT) scoring system was used to confirm and measure the pneumothorax. Diagnostic accuracy of diagnostic modalities of pneumothorax was measured using sensitivity, specificity, predictive values (PVs
The systemic immune response to trauma: an overview of pathophysiology and treatment. Improvements in the control of haemorrhage after trauma have resulted in the survival of many people who would otherwise have died from the initial loss of blood. However, the danger is not over once bleeding has been arrested and blood pressure restored. Two-thirds of patients who die following major trauma now do so as a result of causes other than exsanguination. Trauma evokes a systemic reaction (...) that includes an acute, non-specific, immune response associated, paradoxically, with reduced resistance to infection. The result is damage to multiple organs caused by the initial cascade of inflammation aggravated by subsequent sepsis to which the body has become susceptible. This Series examines the biological mechanisms and clinical implications of the cascade of events caused by large-scale trauma that leads to multiorgan failure and death, despite the stemming of blood loss. Furthermore, the stark
Perimortem trauma in King Richard III: a skeletal analysis. BACKGROUND: Richard III was the last king of England to die in battle, but how he died is unknown. On Sept 4, 2012, a skeleton was excavated in Leicester that was identified as Richard. We investigated the trauma to the skeleton with modern forensic techniques, such as conventional CT and micro-CT scanning, to characterise the injuries and establish the probable cause of death. METHODS: We assessed age and sex through direct analysis (...) of the skeleton and from CT images. All bones were examined under direct light and multi-spectral illumination. We then scanned the skeleton with whole-body post-mortem CT. We subsequently examined bones with identified injuries with micro-CT. We deemed that trauma was perimortem when we recorded no evidence of healing and when breakage characteristics were typical of fresh bone. We used previous data to identify the weapons responsible for the recorded injuries. FINDINGS: The skeleton was that of an adult
Advanced trauma life support training for hospital staff. BACKGROUND: Injury is responsible for an increasing global burden of death and disability. As a result, new models of trauma care have been developed. Many of these, though initially developed in high-income countries (HICs), are now being adopted in low and middle-income countries (LMICs). One such trauma care model is advanced trauma life support (ATLS) training in hospitals, which is being promoted in LMICs as a strategy for improving (...) outcomes for victims of trauma. The impact of this health service intervention, however, has not been rigorously tested by means of a systematic review in either HIC or LMIC settings. OBJECTIVES: To quantify the impact of ATLS training for hospital staff on injury mortality and morbidity in hospitals with and without such a training program. SEARCH METHODS: The search for studies was run on the 16th May 2014. We searched the Cochrane Injuries Group's Specialised Register, the Cochrane Central Register
Laser Doppler Flowmetry and Pulse Oximetry are the Most Accurate Pulp Vitality Test after Trauma UTCAT2751, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Laser Doppler Flowmetry and Pulse Oximetry are the Most Accurate Pulp Vitality Test after Trauma Clinical Question In traumatized teeth, do laser doppler flowmetry and pulse oximetry, compared to conventional pulp vitality tests, produce more accurate and reliable (...) that current diagnostic measures, including LDF and pulse oximetry are limited to diagnosing the existence or nonexistence of pulpal blood flow, but cannot differentiate between reversible and irreversible pulpitis. Further research and studies need to focus on determining a more precise diagnosis for the traumatized pulp. Applicability Applicable to clinicians treating traumatized teeth. The evidence indicates that traditional methods of vitality testing are inaccurate after trauma. Pulse oximetry
Does size matter? Chest drains in haemothorax following trauma BestBets: Does size matter? Chest drains in haemothorax following trauma Does size matter? Chest drains in haemothorax following trauma Report By: Nicola Penrose - ST4 Search checked by Gareth Roberts - Gareth Roberts, Specialist Trainee in Emergency Medicine Institution: Royal Oldham Hospital/Manchester Royal Infirmary, Greater Manchester, UK Date Submitted: 29th July 2013 Date Completed: 24th February 2014 Last Modified: 26th (...) February 2014 Status: Green (complete) Three Part Question In [a patient with a haemothorax following trauma] is [a small bore chest drain as good as a large bore chest drain] at [achieving haemothorax resolution without complications]? Clinical Scenario A 27-year-old man is brought to the emergency department (ED) with a chest injury following a road traffic accident. Initial assessment reveals a right-sided haemothorax. You elect to place a chest drain and ask for the equipment to be set up. You
Is the Kampala Trauma Score an Effective Predictor of Mortality in Low-Resource Settings? A Comparison of Multiple Trauma Severity Scores 24715042 2014 06 27 2015 08 03 2014 06 27 1432-2323 38 8 2014 Aug World journal of surgery World J Surg Is the Kampala trauma score an effective predictor of mortality in low-resource settings? A comparison of multiple trauma severity scores. 1905-11 10.1007/s00268-014-2496-0 In the developed world, multiple injury severity scores have been used for trauma (...) patient evaluation and study. However, few studies have supported the effectiveness of different trauma scoring methods in the developing world. The Kampala Trauma Score (KTS) was developed for use in resource-limited settings and has been shown to be a robust predictor of death. This study evaluates the ability of KTS to predict the mortality of trauma patients compared to other trauma scoring systems. Data were collected on injured patients presenting to Central Hospital of Yaoundé, Cameroon from
Non-operative versus operative treatment for blunt pancreatic trauma in children. BACKGROUND: Pancreatic trauma in children is a serious condition with high morbidity. Blunt traumatic pancreatic lesions in children can be treated non-operatively or operatively. For less severe, grade I and II, blunt pancreatic trauma a non-operative or conservative approach is usually employed. Currently, the optimal treatment, of whether to perform operative or non-operative treatment of severe, grade III to V (...) , blunt pancreatic injury in children is unclear. OBJECTIVES: To assess the benefits and harms of operative versus non-operative treatment of blunt pancreatic trauma in children. SEARCH METHODS: We searched the Cochrane Injuries Group's Specialised Register, Cochrane Central Register of Controlled Trials (Issue 5, 2013), MEDLINE (OvidSP), EMBASE (OvidSP), ISI Web of Science (SCI-EXPANDED and CPCI-S) and ZETOC. In addition, we searched bibliographies of relevant articles, conference proceeding
The use of spine boards in the pre-hospital setting for the stabilization of patients following trauma: a review of the clinical evidence and guidelines The use of spine boards in the pre-hospital setting for the stabilization of patients following trauma: a review of the clinical evidence and guidelines The use of spine boards in the pre-hospital setting for the stabilization of patients following trauma: a review of the clinical evidence and guidelines CADTH Record Status (...) This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation CADTH. The use of spine boards in the pre-hospital setting for the stabilization of patients following trauma: a review of the clinical evidence and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response - Summary with Critical Appraisal. 2013 Authors' conclusions No health technology