"Penetrating trauma"

Characteristics of blunt and penetrating trauma among victims of physical violence: A retrospective study. A significant number of referrals to the emergency departments is due to violence and conflict leading to serious injuries and death. The increasing number of such cases highlights the urgent need for investigating victimization of physical violence. The purpose of this study location of injury (P < 0.001) and therapeutic interventions (p < 0.001(. Most of the clients of the violence suffered from blunt trauma, the severity of which was mild, and they were treated supportively without the need for surgery. Blunt trauma was seen more in women, divorcees, over 40 years and non-smokers. Penetrating trauma was observed more in lower limb injuries and alcohol and amphetamine users

Late video-assisted thoracoscopic surgery versus thoracostomy tube reinsertion for retained hemothorax after penetrating trauma, a prospective randomized control study. Early video-assisted thoracoscopic surgery (VATS) is the recommended treatment of choice for retained hemothorax (RH). A prospective single-center randomized control study was conducted to compare outcomes between VATS and thoracostomy tube (TT) reinsertion for patients with RH after penetrating trauma in a resource constrained unit. Our hypothesis was that patients with a RH receiving VATS instead of TT reinsertion would have a shorter hospital stay and lesser complications. From January 2014 to November 2019, stable patients with thoracic penetrating trauma complicated with retained hemothoraces were randomized to either

Prehospital SALAD Airway Technique in an Adolescent with Penetrating Trauma Case Report. We present a case of an adolescent patient with a penetrating gunshot wound to the mouth requiring endotracheal intubation via rapid sequence intubation in the prehospital setting. The team used video laryngoscopy (VL) to secure the airway; however, continuous bloody secretions increased the complexity

Cost-effectiveness analysis of routine computed tomography angiography (CTA) for lower extremity penetrating trauma. Routine evaluation with CTA for patients with isolated lower extremity penetrating trauma and normal ankle-brachial-indices (ABI) remains controversial. While prior literature has found normal ABI's (≥0.9) and a normal clinical examination to be adequate for safe discharge , there remains concern for missed injuries which could lead to delayed surgical intervention and unnecessary morbidity. Our hypothesis was that routine CTA after isolated lower extremity penetrating trauma with normal ABIs and clinical examination is not cost-effective. We performed a decision-analytic model to evaluate the cost-effectiveness of obtaining a CTA routinely compared to clinical observation

Scoping it Out: The Use of Laparoscopy After Penetrating Trauma in Stable Children. In stable children with penetrating abdominal trauma, literature regarding the use of laparoscopy (LAP) remains limited. Given increasing evidence in favor of LAP for selective adult trauma patients, we reviewed contemporary practices and outcomes in pediatric trauma patients. The American College of Surgeons they had LAP, open, or laparoscopic converted to open (LCO) exploration. Primary outcomes were length of stay (LOS) and complications, including missed injuries. Among 1945 patients who underwent abdominal surgery for penetrating trauma, 32% were stabbed and 68% had gunshot wounds (GSW). LAP occurred in 235 (12%) and LCO in 145 (7.4%) patients. The proportion of LAP did not change over the study period

Utility of Spinal Immobilization in Patients with Penetrating Trauma HomeReviewsTherapy (NNT) ReviewsDiagnosis (LR) ReviewsAboutThe NNT, ExplainedThe NNT Rating SystemtheNNT Editorial ProcessThe NNT Intervention QuizAbout theNNT TeamSubmit an articleAccountLoginSign upContactDONATEUtility of Spinal Immobilization in Patients with Penetrating TraumaIncreased mortality and does not mitigate neurologic deficits; spinal immobilization is not recommendedBenefits in NNTNo one benefittedHarms in NNT101 in 10 were harmed (died)View As: NNT %SourceVelopulos CG, Shihab HM, Lottenberg L, Feinman M, Raja A, Salomone J, et al. Prehospital spine immobilization/spinal motion restriction in penetrating trauma: A practice management guideline from the Eastern Association for the Surgery of Trauma (EAST). J

Penetrating Trauma-Lower Abdomen and Pelvis. Revised 2019 ACR Appropriateness Criteria® 1 Penetrating Trauma–Lower Abdomen and Pelvis American College of Radiology ACR Appropriateness Criteria® Penetrating Trauma–Lower Abdomen and Pelvis Variant 1: Penetrating trauma, lower abdomen and pelvis. Suspected lower urinary tract trauma. Initial imaging. Procedure Appropriateness Category ACR Appropriateness Criteria® 2 Penetrating Trauma–Lower Abdomen and Pelvis PENETRATING TRAUMA–LOWER ABDOMEN AND PELVIS Expert Panel on Urological Imaging: Matthew T. Heller, MDa; Aytekin Oto, MDb; Brian C. Allen, MDc; Oguz Akin, MDd; Lauren F. Alexander, MDe; Jaron Chong, MDf; Adam T. Froemming, MDg; Pat F. Fulgham, MDh; David C. Mackenzie, MDCMi; Jodi K

National community disparities in prehospital penetrating trauma adjusted for income, 2020-2021. While Black individuals experienced disproportionately increased firearm violence and deaths during the COVID-19 pandemic, less is known about community level disparities. We sought to evaluate national community race and ethnicity differences in 2020 and 2021 rates of penetrating trauma. We linked the 2018-2021 National Emergency Medical Services Information System databases to ZIP Code demographics. We stratified encounters into majority race/ethnicity communities (>50% White, Black, or Hispanic/Latino). We used logistic regression to compare penetrating trauma for each community in 2020 and 2021 to a combined 2018-2019 historical baseline. Majority Black and majority Hispanic/Latino communities

National trends in prehospital penetrating trauma in 2020 and 2021. Prior studies identified increased penetrating trauma rates during the earlier phase of the COVID-19 pandemic, but there is limited study of penetrating trauma rates in 2021 or at a national level. We evaluated trends in prehospital encounters for penetrating trauma in 2020 and 2021 using a national database. We conducted a retrospective analysis of the National Emergency Medicinal Services (EMS) Information System (NEMSIS) combined 2018-2021 databases of prehospital encounters. We calculated penetrating trauma yearly and monthly rates with 95% confidence; both overall and for each census region. We compared trauma rates in 2020 and 2021 to combined 2018/2019. There were 67,457 (rate of 0.30%) penetrating traumas in 2018, 86,054

Pediatric penetrating thoracic trauma: Examining the impact of trauma center designation and penetrating trauma volume on outcomes. We analyzed the impact of treating center designation and case volume of penetrating trauma on outcomes after pediatric penetrating thoracic injuries (PTI). PTI patients <18 years were identified from the National Trauma Data Bank (2013-2016). Centers were categorized by type (Pediatric or Adult) and designation status (Level I, Level II, and other). Performance was calculated as the difference between observed and expected mortality and standardized using the total penetrating trauma volume per center. Expected mortality was calculated using the Trauma Mortality Prediction Model. Pearson correlation and linear mixed-effects models evaluated the association

Development of a Machine Learning-Based Prescriptive Tool to Address Racial Disparities in Access to Care After Penetrating Trauma. The use of artificial intelligence (AI) in clinical medicine risks perpetuating existing bias in care, such as disparities in access to postinjury rehabilitation services. To leverage a novel, interpretable AI-based technology to uncover racial disparities in access

Prehospital spine immobilization/spinal motion restriction in penetrating trauma This website uses cookies. By continuing you are agreeing to our privacy statement.CloseSkip to main contentEastern Association for the Surgery of TraumaJobsFellowshipsNews & EventsFind a MemberSearchSearchSIGN INEducation & ResourcesCareer DevelopmentResearchDevelopment FundScholarships & AwardsMembershipAbout remained an integral part of most emergency medical services protocols despite a lack of evidence for efficacy and concern for associated complications, especially in penetrating trauma patients. We reviewed the published evidence on the topic of prehospital spine immobilization or spinal motion restriction in adult patients with penetrating trauma to structure a practice management guideline.METHODS We

Prehospital spine immobilization/spinal motion restriction in penetrating trauma Prehospital spine immobilization/spinal motion restriction in penetrating trauma - Practice Management Guideline Skip to main content Eastern Association for the Surgery of Trauma * Jobs * Fellowships * News & Events * Find a Member * Search * Search * Sign inWhat can we help you find? Submit * Education & Career withpenetrating trauma.LEVEL OF EVIDENCESystematic review with meta-analysis study, level III.KEYWORDSGuidelines; penetrating trauma; spine immobilization; spinal motion restrictionAuthor InformationFrom the Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado (C.G.V.); Combined Family Medicine and Preventive Medicine Residency Program, MedStar Franklin Square Medical Center

The American Association for the Surgery of Trauma (AAST) Liver Injury Grade Does Not Equally Predict Interventions in Blunt and Penetrating Trauma. The AAST liver injury grade has a validated association with mortality and need for operation. AAST liver injury grade is the same regardless of the mechanism of trauma. A 5-year retrospective review of all liver injuries at an urban, level-one % for all grades). In penetrating trauma, AAST grade was associated with need for angiography (7%, 4%, 15%, 24%, 30%, p < 0.01) and percutaneous drainage (7%, 2%, 14%, 18%, 26%, p = 0.03) and had a marginal association with embolization (0%, 4%, 11%, 13%, 22%, p = 0.06). Laparotomy, ERCP, sphincterotomy, and stenting rates increased with AAST grade, but this was not statistically significant. AAST grade

Penetrating trauma: Relationships to recreational drug and alcohol use. The incidence of alcohol and recreational drug use is increasing. The impact on penetrating trauma is unknown. This study was undertaken to identify the incidence of alcohol and recreational drug use prior to penetrating trauma, and to identify ISS and outcomes among patients with penetrating trauma. In this retrospective study, eligible subjects included trauma patients age 18 and older, with major trauma (admitted or evaluated by the Trauma Team) from 2017 to 2021. A chart review was conducted to identify data including mechanism of injury, ISS, alcohol level, toxicologic testing, length of stay, and final disposition. Among 1270 adult subjects with penetrating trauma during 2017 through 2020, the majority were male

Resuscitative Endovascular Balloon Occlusion of the Aorta in Penetrating Trauma. Resuscitative endovascular balloon occlusion of the aorta (REBOA) achieves temporary hemorrhage control via aortic occlusion. Existing REBOA literature focuses on blunt trauma without a clearly defined role in penetrating trauma. This study compared clinical/injury data and outcomes after REBOA in penetrating vs ). On subgroup analysis of patients arriving alive, improvement or stabilization in hemodynamics was similar between groups (87% vs 86%, p = 0.388; 77% vs 72%, p = 0.273). Penetrating REBOA was not independently associated with mortality (odds ratio 1.253; p = 0.776). Despite lower injury severity, REBOA was significantly less likely to improve or stabilize hemodynamics after penetrating trauma. Among patients

Association of Police Transport With Survival Among Patients With Penetrating Trauma in Philadelphia, Pennsylvania. Police in Philadelphia, Pennsylvania, routinely transport patients with penetrating trauma to nearby trauma centers. During the past decade, this practice has gained increased acceptance, but outcomes resulting from police transport of these patients have not been recently evaluated. To assess mortality among patients with penetrating trauma who are transported to trauma centers by police vs by emergency medical services (EMS). This cohort study used the Pennsylvania Trauma Outcomes Study registry and included 3313 adult patients with penetrating trauma from January 1, 2014, to December 31, 2018. Outcomes were compared between patients transported by police (n = 1970

Lower extremity vascular injuries caused by firearms have a higher risk of amputation and death compared with non-firearm penetrating trauma. Firearm injuries have traditionally been associated with worse outcomes compared with other types of penetrating trauma. Lower extremity trauma with vascular injury is a common presentation at many centers. Our goal was to compare firearm and non-firearm  = .001) were higher compared with non-firearm penetrating trauma. Multivariable analysis showed that injury by a firearm source was independently associated with postoperative major amputation (odds ratio, 4.78; 95% confidence interval, 2.07-11.01; P < .0001) and mortality (odds ratio, 1.74; 95% confidence interval, 1.14-2.65; P = .01). Firearm injury is associated with a higher rate of amputation

The use of new procoagulants in blunt and penetrating trauma. Uncontrolled bleeding in trauma secondary to a combination of surgical bleeding and trauma-induced complex coagulopathy is a leading cause of death. Prothrombin complex concentrates (PCCs), recombinant activated factor seven (rFVIIa) and recombinant human prothrombin act as procoagulants by increasing thrombin generation

Stimulant drugs are associated with violent and penetrating trauma. Substance abuse is associated with traumatic injuries. Prior studies of drug use and injury have relied on urine drug of abuse screens, which have false positives, false negatives and inability to detect novel drugs. Our study characterizes the relationship between injury mechanism and drugs of abuse detected in serum via of multidimensional hazardous behaviors, which were associated with more violent and penetrating trauma.