The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Apr 2018
Speed is not everything: Identifying patients who may benefit from helicopter transport despite faster ground transport.
Helicopter emergency medical services (HEMS) have demonstrated survival benefits over ground emergency medical services (GEMS) for trauma patient transport. While HEMS speed is often-cited, factors such as provider experience and level of care may also play a role. Our objective was to identify patient groups that may benefit from HEMS even when prehospital time for helicopter utilization is longer than GEMS transport. ⋯ Therapeutic, level III.
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J Trauma Acute Care Surg · Apr 2018
Randomized Controlled TrialPost-discharge adherence with venous thromboembolism prophylaxis after orthopedic trauma: Results from a randomized controlled trial of aspirin versus low molecular weight heparin.
Orthopedic trauma patients are often treated with venous thromboembolism (VTE) chemoprophylaxis with aspirin or low molecular weight heparin (LMWH) after discharge from their index admission, but adherence patterns are not known. We hypothesized that overall adherence would be moderate and greater with aspirin compared to LMWH. ⋯ Therapeutic, level II.