The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Sep 2012
Comparative StudyRestrictive fluid resuscitation in combination with damage control resuscitation: time for adaptation.
Damage control resuscitation (DCR) conveys a survival advantage in patients with severe hemorrhage. The role of restrictive fluid resuscitation (RFR) when used in combination with DCR has not been elucidated. We hypothesize that RFR, when used with DCR, conveys an overall survival benefit for patients with severe hemorrhage. ⋯ Therapeutic study, level IV.
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J Trauma Acute Care Surg · Sep 2012
Comparative StudyTrauma caused by falling objects at construction sites.
Workplace-related injuries carry a significant health care challenge. The state of Qatar is developing rapidly, with much construction and an expanding industrial work force. This study aimed to assess the incidence and social impact of work-related injuries requiring hospitalization caused by falling objects at the construction sites. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Sep 2012
Computed tomography-based Three-Column Classification in tibial plateau fractures: introduction of its utility and assessment of its reproducibility.
The purpose of our study is to introduce a new Three-Column Classification for tibial plateau fractures and evaluate its reproducibility and reliability. ⋯ Diagnostic study, level III.
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J Trauma Acute Care Surg · Sep 2012
Comparative StudyDead men tell no tales: analysis of the use of autopsy reports in trauma system performance improvement activities.
To analyze the influence and use of autopsy report review on preventability judgments as part of trauma system performance improvement activities. ⋯ Review of autopsy reports adds little to the trauma performance improvement process. It does not significantly change death review panel determinations. It may, perhaps, be most useful in PHD. Ardent initiatives to expend resources on autopsy performance and acquisition of autopsy reports in all patients with trauma is unwarranted.
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J Trauma Acute Care Surg · Sep 2012
Comparative StudyPlacement of intracranial pressure monitors by non-neurosurgeons: excellent outcomes can be achieved.
Traumatic brain injury remains one of the most prevalent and costly injuries encountered within the discipline of trauma and represents a leading cause of morbidity and mortality within our society. The purpose of this study was to compare the safety of intracranial pressure (ICP) monitor placement by general surgery residents and neurosurgeons. ⋯ Therapeutic study, level IV.