The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · May 2017
Comparative StudyThe occurrence of single and multiple organ dysfunction in pediatric electrical versus other thermal burns.
Multiple organ failure (MOF) is a major contributor to morbidity and mortality in burned children. While various complications induced by electrical injuries have been described, the incidence and severity of single organ failure (SOF) and MOF associated with this type of injury are unknown. The study was undertaken to compare the incidence and severity of SOF and MOF as well as other complications between electrically and thermally burned children. ⋯ Retrospective chart review, level III.
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J Trauma Acute Care Surg · May 2017
Comparative StudyResuscitative endovascular balloon occlusion of the aorta or resuscitative thoracotomy with aortic clamping for noncompressible torso hemorrhage: A retrospective nationwide study.
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emerging treatment for noncompressible torso hemorrhage. It remains unclear if REBOA is superior to resuscitative thoracotomy with aortic cross-clamping (RT) in terms of improving outcomes. This study compared in-hospital outcomes between REBOA and RT in trauma patients with uncontrolled hemorrhagic shock, using data from a national inpatient database in Japan. ⋯ Therapeutic/care management, level III.
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J Trauma Acute Care Surg · May 2017
Repeat head imaging in blunt pediatric trauma patients: Is it necessary?
Children with confirmed brain injury usually undergo follow-up computed tomography (CT) scan of the head within 24 hours of admission. To date, no evidence exists to validate the diagnostic or therapeutic value of these repeat CTs. The purpose of this study was to (1) evaluate progression of traumatic brain injuries, (2) determine if routine repeat imaging changes management, and (3) compare the efficacy of recognizing worsening hemorrhage with serial neurological examination versus repeat imaging. ⋯ Therapeutic study, level III.
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J Trauma Acute Care Surg · May 2017
Caring for critically injured children: An analysis of 56 pediatric damage control laparotomies.
Injury is the leading cause of death in children under 18 years. Damage control principles have been extensively studied in adults but remain relatively unstudied in children. Our primary study objective was to evaluate the use of damage control laparotomy (DCL) in critically injured children. ⋯ Therapeutic study, level IV.
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J Trauma Acute Care Surg · May 2017
Historical ArticlePanamerican Trauma Society: The first three decades.
Panamerican Trauma Society was born 30 years ago with the mission of improving trauma care in the Americas by exchange of ideas and concepts and expanding knowledge of trauma and acute illness. The authors, immediate-past leaders of the organization, review the evolution of this assembly of diverse cultures and nationalities.