The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Jan 2015
Review Meta AnalysisImpact of prehospital transfer strategies in major trauma and head injury: systematic review, meta-analysis, and recommendations for study design.
It is unclear whether trauma patients should be transferred initially to a trauma center or local hospital. ⋯ Systematic review, level IV.
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J Trauma Acute Care Surg · Jan 2015
ReviewClinical evidence of inflammation driving secondary brain injury: a systematic review.
Despite advances in both prevention and treatment, traumatic brain injury (TBI) remains one of the most burdensome diseases; 2% of the US population currently lives with disabilities resulting from TBI. Recent advances in the understanding of inflammation and its impact on the pathophysiology of trauma have increased the interest in inflammation as a possible mediator in TBI outcome. ⋯ Systematic review, level III.
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Cell phone use and texting are prevalent within society and have thus pervaded the driving population. This technology is a growing concern within the confines of distracted driving, as all diversions from attention to the road have been shown to increase the risk of crashes. Adolescent, inexperienced drivers, who have the greatest prevalence of texting while driving, are at a particularly higher risk of crashes because of distraction. ⋯ Based on the evidence reviewed, we can recommend the following. All drivers should minimize all in-vehicle distractions while on the road. All drivers should not text or use any touch messaging system (including the use of social media sites such as Facebook and Twitter) while driving. Younger, inexperienced drivers should especially not use cell phones, texting, or any touch messaging system while driving because they pose an increased risk for death and injury caused by distractions while driving.
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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.