The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Jan 2015
ReviewThe benefit of neck computed tomography compared with its harm (risk of cancer).
The purpose of this study was to compare the benefit of neck computed tomography (CT) of identifying important cervical spine injuries (CSIs) with its harm of radiation exposure and cancer risk. ⋯ Systematic review, level IV.
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J Trauma Acute Care Surg · Jan 2015
Radiation fear: Impact on compliance with trauma imaging guidelines in the pregnant patient.
The Royal Melbourne Hospital is a Level 1 adult trauma center, and due to its colocation with The Royal Women's Hospital, it functions as the state's major obstetric trauma center. Obstetric trauma guidelines have been established to facilitate management of pregnant patients, yet adherence to these recommendations has not been evaluated. The aim of this study was to assess compliance with recommended imaging guidelines in obstetric trauma patients. ⋯ Therapeutic/care management study, level IV.
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J Trauma Acute Care Surg · Jan 2015
Early surgical intervention for blunt bowel injury: the Bowel Injury Prediction Score (BIPS).
Computed tomography (CT) scan of the abdomen has been used for 30 years to evaluate the stable blunt trauma patient. However, the early diagnosis of blunt hollow viscus injury (BHVI) remains a challenge. Delayed diagnosis and intervention of BHVI lead to significant morbidity and mortality. This study aimed to identify a combination of radiographic and clinical variables present at admission that could lead to earlier surgical intervention for BHVI. ⋯ Prognostic study, level III.
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J Trauma Acute Care Surg · Jan 2015
Nonoperative management of hemodynamically unstable abdominal trauma patients with angioembolization and resuscitative endovascular balloon occlusion of the aorta.
Many hemodynamically stable patients with blunt abdominal solid organ injuries are successfully managed nonoperatively, while unstable patients often require urgent laparotomy. Recently, therapeutic angioembolization has been used in the treatment of intra-abdominal hemorrhage in hemodynamically unstable patients. We undertook this study to review a series of hemodynamically unstable patients with abdominal solid organ injuries managed nonoperatively with angioembolization and resuscitative endovascular balloon occlusion of the aorta. ⋯ Therapeutic study, level V.