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Trauma Care
ISSN 2673-866X · MDPI AG · 163 artikel di indeks
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Artikel Jurnal Teks lengkap
Identifying Barriers to Pediatric Trauma Resuscitation: A Cross-Disciplinary Needs Assessment and Evidence-Informed Quality Improvement Framework
Background/Objectives: Pediatric trauma resuscitation requires rapid, coordinated interdisciplinary teamwork; however, communication and organizational challenges frequently impede effective performance. This study aimed to characterize cross-disciplinary perceptions of barriers encountered during…
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Assessment of IV Contrast Utilization and Utility in the MRI Evaluation of Acute Spine Trauma
Purpose: MRI is a valuable tool in evaluating select acute spine trauma cases, offering superior assessment of soft tissue, ligament, and spinal cord injuries compared to CT and radiographs. Although the ACR Appropriateness Criteria advises MRIs be performed without gadolinium-based IV contrast…
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High-Dose Opioid Prescription at Hospital Discharge After Spine Trauma: A Propensity-Matched Analysis
Background/Objectives: Opioid requirements among patients with spine trauma vary widely, yet the patient- and injury-level factors associated with high morphine milligram equivalent (MME) dosing at discharge remain unclear. This study aimed to characterize factors associated with high-dose MME at…
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Outcomes and Predictors of Failure of Non-Operative Management in Blunt Splenic Trauma: A South African Level I Trauma Centre Experience
Background: Non-operative management (NOM) is the standard of care for haemodynamically stable patients with blunt splenic injury; however, failure of NOM remains clinically significant, particularly in settings where adjunctive interventions such as splenic artery embolisation are not routinely…
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The Safety and Efficacy of Ibuprofen in Acute Burn Pain Management—A Scoping Review
Background: While ibuprofen is a widely used non-opioid analgesic with growing evidence in surgical settings, its safety and efficacy in acute burn care remain poorly characterized. This review aims to address this gap. Methods: A systematic search was conducted in accordance with PRISMA-ScR…
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Incidence and Predictors of Early Postoperative Complications in Operative Management of Ankle Fractures: A Multivariable Approach
Background: Despite standardization of treatment for ankle fractures, postoperative complications continue to pose a challenge. Previous studies focused on the association between patient-specific factors and early complications; less is known about fracture- and treatment-related factors. This…
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Effect of Enhanced Physical Rehabilitation on Functional Outcomes After Traumatic Injury: A Narrative Review
Background/Objectives: Traumatic injury in adults can result in decreased physical function, reduced health-related quality of life, and persisting mental health problems. Enhanced rehabilitation in the acute setting may support recovery. Although prior reviews have investigated enhanced…
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Management Outcomes of Trauma Patients Presenting with Renal Injuries: A Three-Year Retrospective Audit at a South African Tertiary Trauma Centre
Background: Renal trauma is a major cause of morbidity and mortality among trauma patients, especially in low- and middle-income countries (LMICs) where penetrating injuries are common. Although international evidence increasingly supports selective non-operative management (SNOM) for…
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Pediatric Recreational Motorized Vehicle Trauma in Alberta: Injury Patterns, Resource Utilization, and Opportunities for Prevention
Background: Recreational motorized vehicles, including all-terrain vehicles (ATVs), dirt and motor bikes, snowmobiles, and e-scooters, are an increasingly recognized source of severe trauma among children. Adult provincial data from Alberta demonstrate high morbidity, mortality, and more than $6…
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A Randomized Placebo-Controlled Trial of Mild Hyperbaric Oxygen on Serum Biomarkers in Persistent Post-Concussive Symptoms: Analysis at 13-Week Follow-Up
Background: The management of persistent post-concussive symptoms (PPCS) is limited by the absence of objective biomarkers to guide treatment. We examined the early effects of a mild hyperbaric oxygen protocol on serum biomarkers of neuronal injury (neurofilament light chain, NfL), astrogliosis…
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Descriptive Survey of Firearm Storage Practices Among Families in the Emergency Department Before and After Jaelynn’s Law in Baltimore
Background: Firearm injuries are the leading cause of mortality among youth in the United States and legislation is a key strategy in reducing youth firearm injuries and deaths. Maryland recently enacted a stronger child access prevention (CAP) law known as Jaelynn’s Law, which mandates secure…
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Perioperative Anesthetic Strategies in Emergent Neurosurgery During Severe Traumatic Brain Injury
Introduction: Severe traumatic brain injury (sTBI) frequently coexists with polytrauma and often necessitates damage control neurosurgery (DCNS), where rapid decompression and temporary stabilization take precedence over definitive reconstruction. Within this context, anesthetic management must…
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Predictive Traumatic Brain Injury Model for Determining Discharge Disposition and Infection Outcomes: A Machine Learning Approach Developed from the National Trauma Data Bank
Background/Objectives: Traumatic brain injury (TBI) affects more than 50 million people annually worldwide. Challenges in managing moderate-to-severe TBI include high rates of hospital-acquired infections and substantial variability in discharge disposition, and these combined challenges contribute…
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Analysis of the Psychophysiological Effect of a Bull Horn Wound in a Professional Bullfighter: A Case Report
Goring during bullfights represents a penetrating trauma with a high risk of muscular, vascular, and vital injuries. Despite its frequency and severity, limited information is available on the immediate physiological response of the bullfighter at the moment of trauma. This case report describes…
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Evaluating Three Techniques for Coronoid Process and Anterior Capsule Fixation: A Biomechanical Study
Background: To compare the biomechanical strength of three fixation techniques for the elbow anterior capsule and coronoid process using a synthetic ulna model. We hypothesize that a cortical suture button would be equivalent to the bone tunnel model but inferior to a screw-post construct. Methods…
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The Effect of Antithrombotic Agents on the Incidence of Intracranial Hemorrhage in Elderly Patients with Traumatic Brain Injury
Background/Objectives: Traumatic brain injury in elderly patients is a significant public health concern, particularly for those on antithrombotic therapy. A clearer understanding of how different antithrombotic agents affect the likelihood of intracranial hemorrhage in elderly patients with TBI is…
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Halo Vest Usage Trend, Past and Present: Is It Still a Choice of Treatment?
Background/Objectives: In the past few decades, there have been advancements in surgical techniques, improved understanding of spinal biomechanics, and awareness of complications associated with halo vest (HV) use with resultant surgical treatment of various pathologies that cause acute or chronic…
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Anterior Skull Base Fractures Treated with Surgical Correction: Factors Associated with Development of Infection
Objective: Traumatic anterior skull base fractures can be associated with significant morbidity and are managed based on the method of injury, presence of cerebrospinal leak, clinical stability and other factors. Our objective is to determine factors associated with the development of infection in…
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Utilization of the MGAP (Mechanism, GCS, Age, Pressure) Score in Assessing Outcome Predictions in High-Volume Trauma Centres in Low–Middle-Income Countries
Background: Trauma injury scoring systems are essential for standardized assessment, treatment decisions, and outcome prediction in trauma patients. The mechanism, Glasgow Coma Scale (GCS), age, and arterial pressure (MGAP) score offers a simplified approach that is particularly beneficial in…
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Evaluation of a Standardized Severity Grading System for Blunt Thoracic Aortic Injury in the Endovascular Era: A Retrospective Review from a Level I Trauma Center
Background: In recent years, endovascular repair has outpaced open repair of blunt traumatic aortic injury (TAI), calling for updated evaluation of severity grading systems to ensure continued efficacy in guiding clinical decision-making. Methods: A retrospective review assessed all adult…