The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Oct 2012
Multicenter Study Comparative StudyScreening ultrasonography of 2,204 patients with blunt abdominal trauma in the Wenchuan earthquake.
Abdominal injuries constitute a small proportion of all earthquake-related traumas; however, it often resulted in fatal hemorrhage. Ultrasonography has been described as an effective triage tool in the evaluation of blunt abdominal trauma. We aimed to present an overview of the diagnostic accuracy of screening ultrasonography for patients with blunt abdominal trauma admitted to various hospitals during the Wenchuan earthquake in China. ⋯ Diagnostic study, level III.
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J Trauma Acute Care Surg · Oct 2012
Comparative StudyUnintentional firearm death across the urban-rural landscape in the United States.
Unintentional injuries are one of the leading causes of death in the United States. Many of these injuries are preventable, and unintentional firearm injuries, in particular, may be responsive to prevention efforts. We investigated the relationship between unintentional firearm death and urbanicity among adults. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Oct 2012
ReviewHypothermia and hemostasis in severe trauma: A new crossroads workshop report.
The hypothermia and hemostasis in severe trauma (HYPOSTAT): a new crossroads workshop was convened to evaluate the interplay among hypothermia, hemostasis, and severe trauma/hemorrhage. Trauma is the major cause of death in young individuals in the United States, with uncontrolled hemorrhage representing the major cause of preventable deaths. ⋯ This document provides a summary of the expert opinion and highlights the recommendations that came out of the discussions at this workshop to guide scientific efforts in basic, translational, and clinical research in this area.
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J Trauma Acute Care Surg · Oct 2012
Comparative StudyDefining acute aortic syndrome after trauma: Are Abbreviated Injury Scale codes a useful surrogate descriptor?
The severity and location of injuries resulting from vehicular collisions are normally recorded in Abbreviated Injury Scale (AIS) code; we propose a system to link AIS code to a description of acute aortic syndrome (AAS), thus allowing the hypothesis that aortic injury is progressive with collision kinematics to be tested. ⋯ Epidemiologic/prognostic study, level IV.
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J Trauma Acute Care Surg · Oct 2012
Comparative StudyUtility of cervical spinal and abdominal computed tomography in diagnosing occult pneumothorax in patients with blunt trauma: Computed tomographic imaging protocol matters.
Small pneumothoraces (PXs), which are not initially recognized with a chest x-ray film and diagnosed by a thoracic computed tomography (CT), are described as occult PX (OCPX). The objective of this study was to evaluate cervival spine (C-spine) and abdominal CT (ACT) for diagnosing OCPX and overt PX (OVPX). ⋯ Diagnostic study, level III.