The journal of trauma and acute care surgery
-
J Trauma Acute Care Surg · May 2019
Pediatric blunt renal trauma practice management guidelines: Collaboration between the Eastern Association for the Surgery of Trauma and the Pediatric Trauma Society.
Injury to the kidney from either blunt or penetrating trauma is the most common urinary tract injury. Children are at higher risk of renal injury from blunt trauma than adults, but no pediatric renal trauma guidelines have been established. The authors reviewed the literature to guide clinicians in the appropriate methods of management of pediatric renal trauma. ⋯ Guidelines study, level III.
-
J Trauma Acute Care Surg · May 2019
Association between age and acute respiratory distress syndrome development and mortality following trauma.
Improved understanding of the relationship between patient age and acute respiratory distress syndrome (ARDS) development and mortality following traumatic injury may help facilitate generation of new hypotheses about ARDS pathophysiology and the role of novel treatments to improve outcomes across the age spectrum. ⋯ Prognostic/epidemiological study, level III.
-
J Trauma Acute Care Surg · May 2019
Comorbidities, anticoagulants, and geriatric-specific physiology for the field triage of injured older adults.
Comorbid conditions and anticoagulants have been considered as field triage criteria to raise the sensitivity for identifying seriously injured older adults, but research is sparse. We evaluated the utility of comorbidities, anticoagulant use, and geriatric-specific physiologic measures to improve the sensitivity of the field triage guidelines for high-risk older adults in the out-of-hospital setting. ⋯ Prognostic/Epidemiologic, level II.