J Trauma
The most recent articles from:
J Trauma
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Letter Case Reports
Injuries are the leading cause of death among children less than 15 years old.
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Randomized Controlled Trial Comparative Study Clinical Trial
Early tracheostomy versus prolonged endotracheal intubation in severe head injury.
To see if early tracheostomy (fifth day) reduces duration of mechanical ventilation, ICU stay, incidence of pneumonia and mortality in comparison with prolonged intubation (PI) in patients with head injury. ⋯ In severe head injury early tracheostomy decreases total days of mechanical ventilation or mechanical ventilation time after development of pneumonia.
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Comparative Study
Goal-directed ultrasound in the detection of long-bone fractures.
New portable ultrasound (US) systems are capable of detecting fractures in the remote setting. However, the accuracy of ultrasound by physicians with minimal ultrasound training is unknown. ⋯ Ultrasound scans by minimally trained clinicians may be used to rule out a long-bone fracture in patients with a medium to low probability of fracture.