Injury
-
In city hospitals, subway-related traumatic amputations are a frequent pattern of injury, however there is a paucity of literature on this specific injury pattern. The purpose of this study was to describe the epidemiology of subway-related traumatic amputations, as well as compare them to non-subway traumatic amputations. ⋯ Prognostic Level III.
-
An increasing number of patients with hip fracture are taking oral anticoagulation medication including direct oral anticoagulants (DOAC). The management of these patients regarding the timing of surgery and occurrence of complications remains contentious. The aim of this study was to compare treatment and outcomes for hip fracture patients taking anticoagulation. ⋯ Current policies on the timing of surgery and anticoagulation are safe.
-
Observational Study
Epidemiology, classification, and treatment of 2084 Lisfranc injuries: An observational study from the Swedish fracture register.
Lisfranc injuries are potentially severe but relatively uncommon. Limited epidemiological data regarding Lisfranc injuries of the midfoot are available. This study aimed to describe the injury's epidemiology, injury mechanism, and primary treatment. ⋯ Lisfranc injuries are the consequence of a broad spectrum of injury mechanisms, are primarily induced by low-energy trauma and found in all age groups in adults. The majority of Lisfranc injuries are treated non-operatively. This comprehension can aid in accurate diagnosis and management in everyday clinical practice.
-
Musculoskeletal injuries enact a substantial burden in military settings, incurring high costs, long-term disability, and impacting military readiness. This has led to a prioritization of injury prevention programs. Understanding the challenges faced by those trying to implement these programs could help standardize and better inform future efforts. The purpose was to capture perceptions of barriers and facilitators to implementation of injury prevention programs in the US Armed Forces. ⋯ Factors leading to incidence and recovery of musculoskeletal injuries are multifactorial, requiring collaborative multidisciplinary approaches for optimal injury prevention program development and implementation. Leadership support/prioritization, unit-level cultural acceptance and sufficient resources are essential facilitators to implementing prevention programs. Developing standardized, relevant metrics for assessing program effectiveness and establishing organizational best practices are necessary for long term program viability and lasting change.
-
Observational Study
Clinical presentations, management, and outcomes of trauma in pregnancy: A retrospective observational study.
Trauma poses significant risks during pregnancy, leading to adverse outcomes. We aimed to evaluate the impact of trauma during pregnancy on maternal and fetal outcomes. ⋯ This study revealed that trauma during pregnancy is associated with adverse pregnancy outcomes, therefore, these patients should be monitored carefully. Further research is needed to explore how trauma impacts pregnancy progression and fetal well-being, and public health interventions/awareness campaigns highlighting the importance of preventive measures should target pregnant women.