The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Sep 2018
Comparative StudyFacing the facts on prophylactic antibiotics for facial fractures: 1 day or less.
To evaluate the role of initial prophylactic antibiotics on facial fractures, outcomes were compared between a short course (≤24 hours) of antibiotics to those who received an extended course (>24 hours). ⋯ Therapeutic/care management, level IV.
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J Trauma Acute Care Surg · Sep 2018
Selective nonoperative management of pharyngoesophageal injuries secondary to penetrating neck trauma: A single-center review of 86 cases.
This article describes our experience with penetrating pharyngoesophageal injuries (PEI) in the light of a selective conservative approach, and has the objective to define criteria for nonoperative management (NOM). ⋯ Clinical Management Study, Level V evidence.
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J Trauma Acute Care Surg · Sep 2018
ReviewA US military Role 2 forward surgical team database study of combat mortality in Afghanistan.
Timely and optimal care can reduce mortality among critically injured combat casualties. US military Role 2 surgical teams were deployed to forward positions in Afghanistan on behalf of the battlefield trauma system. They received prehospital casualties, provided early damage control resuscitation and surgery, and rapidly transferred casualties to Role 3 hospitals for definitive care. A database was developed to capture Role 2 data. ⋯ Therapeutic/Care Management, level IV.
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J Trauma Acute Care Surg · Sep 2018
Multicenter Study Comparative StudyAn AAST-MITC analysis of pancreatic trauma: Staple or sew? Resect or drain?
Pancreatic trauma results in high morbidity and mortality, in part caused by the delay in diagnosis and subsequent organ dysfunction. Optimal operative management strategies remain unclear. We therefore sought to determine CT accuracy in diagnosing pancreatic injury and the morbidity and mortality associated with varying operative strategies. ⋯ Epidemiologic/Diagnostic study, level III.
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J Trauma Acute Care Surg · Sep 2018
Randomized Controlled TrialDo screening and a randomized brief intervention at a Level 1 trauma center impact acute stress reactions to prevent later development of posttraumatic stress disorder?
Approximately 20% to 40% of trauma survivors experience posttraumatic stress disorder (PTSD). The American College of Surgeons Committee on Trauma reports that early screening and referral has the potential to improve outcomes and that further study of screening and intervention for PTSD would be beneficial. This prospective randomized study screened hospitalized patients for traumatic stress reactions and assessed the effect of a brief intervention in reducing later development of PTSD. ⋯ Prospective randomized controlled trial, level II.