The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Jul 2014
Multicenter Study Observational StudyTraumatic brain injury is not associated with coagulopathy out of proportion to injury in other body regions.
Coagulopathy following trauma is associated with poor outcomes. Traumatic brain injury has been associated with coagulopathy out of proportion to other body regions. We hypothesized that injury severity and shock determine coagulopathy independent of body region injured. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Jul 2014
Comparative StudyEvidence-based improvement of the National Trauma Triage Protocol: The Glasgow Coma Scale versus Glasgow Coma Scale motor subscale.
Ideal triage uses simple criteria to identify severely injured patients. Glasgow Coma Scale motor (GCSm) may be easier for field use and was considered for the National Trauma Triage Protocol (NTTP). This study evaluated performance of the NTTP if GCSm is substituted for the current GCS score ≤ 13 criterion. ⋯ Prognostic study, level III.
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J Trauma Acute Care Surg · Jul 2014
Comparative StudyTeen trauma without the drama: outcomes of adolescents treated at Ohio adult versus pediatric trauma centers.
The optimal treatment facility for adolescent trauma patients is controversial. We sought to investigate risk-adjusted outcomes of adolescents treated at adult-only trauma centers (ATCs) versus pediatric-only trauma centers (PTCs) in a state system with legislated American College of Surgeons-verified institutions to determine ideal prehospital referral patterns. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Jul 2014
Geriatric outcomes for trauma patients in the state of Florida after the advent of a large trauma network.
Florida State has one of the largest geriatric populations in the United States. However, recent data show that up to the year 2010, geriatric trauma patients were least served by designated trauma centers (TCs). One existing TC and five provisional Level 2 TCs were combined to create a large-scale trauma network (TN). The new TCs were placed in those areas with the lowest ratios of TC to residents based on census data. The aim of this study was to measure the TN impact on the population of geriatric trauma patients. ⋯ Epidemiologic study, level III.
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J Trauma Acute Care Surg · Jul 2014
Comparative StudyComparison of procedural complications between resident physicians and advanced clinical providers.
In the era of resident work hour restrictions, many trauma centers across the country have incorporated advanced clinical providers (ACPs) as integral partners in the care of critically ill patients. In addition to providing daily care, ACPs have also begun performing invasive procedures. Few studies have addressed ACPs procedural complications. The purpose of this study was to compare the complication rates from surgical procedures performed by resident physicians (RPs) and ACPs in the critical care setting. ⋯ Therapeutic study, level IV.