The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Nov 2013
Multicenter Study Comparative StudySpinal cord injury without radiologic abnormality in children imaged with magnetic resonance imaging.
This study aimed to compare children diagnosed with cervical spinal cord injury without radiographic abnormality (SCIWORA) relative to whether there is evidence of cervical spinal cord abnormalities on magnetic resonance imaging (MRI). ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Nov 2013
Multicenter Study Comparative StudyS.T.A.R.T.T.: development of a national, multidisciplinary trauma crisis resource management curriculum-results from the pilot course.
Most medical errors are nontechnical and include failures in team communication, situational awareness, resource use, and leadership. Other high-risk industries have adopted team-based crisis resource management (CRM) training strategies to address "nontechnical" skills and to improve human error and safety. Here, we describe the development and evaluation of a national multidisciplinary trauma CRM curriculum. ⋯ Creation of a national multidisciplinary trauma CRM curriculum is feasible, has high satisfaction among participants, and can improve attitudes toward the importance of simulation and CRM principles with the ultimate goal of improving patient safety and care.
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J Trauma Acute Care Surg · Nov 2013
Multicenter Study Comparative StudyThe deleterious effect of red blood cell storage on microvascular response to transfusion.
The transfusion of relatively older red blood cells (RBCs) has been associated with both morbidity and mortality in trauma patients in observational studies. Although the mechanisms responsible for this phenomenon remain unclear, alterations in the microcirculation as a result of the transfusion of relatively older blood may be a causative factor. To assess this hypothesis, we evaluated microvascular perfusion in trauma patients during RBC transfusion. ⋯ Prognostic study, level III.
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J Trauma Acute Care Surg · Nov 2013
Multicenter Study Comparative StudyBurden of hospitalizations for bicycling injuries by motor vehicle involvement: United States, 2002 to 2009.
Bicycling and bicycling injuries have increased during the past decade in the United States, but research on the extent and outcomes of injuries has lagged behind. This study aimed to estimate the current burden of injury from bicycling injury hospitalizations by motor vehicle crash (MVC) and non-MVC in the United States. ⋯ Epidemiologic study, level III.