Search

Your search keyword '"Kirkpatrick, Andrew W."' showing total 38 results
Start Over Author "Kirkpatrick, Andrew W." Topic trauma
38 results on '"Kirkpatrick, Andrew W."'

1. Management of complicated diaphragmatic hernia in the acute setting: a WSES position paper

Author

Giuffrida, Mario, Perrone, Gennaro, Abu-Zidan, Fikri, Agnoletti, Vanni, Ansaloni, Luca, Baiocchi, Gian Luca, Bendinelli, Cino, Biffl, Walter L., Bonavina, Luigi, Bravi, Francesca, Carcoforo, Paolo, Ceresoli, Marco, Chichom-Mefire, Alain, Coccolini, Federico, Coimbra, Raul, de’Angelis, Nicola, de Moya, Marc, De Simone, Belinda, Di Saverio, Salomone, Fraga, Gustavo Pereira, Galante, Joseph, Ivatury, Rao, Kashuk, Jeffry, Kelly, Michael Denis, Kirkpatrick, Andrew W., Kluger, Yoram, Koike, Kaoru, Leppaniemi, Ari, Maier, Ronald V., Moore, Ernest Eugene, Peitzmann, Andrew, Sakakushev, Boris, Sartelli, Massimo, Sugrue, Michael, Tian, Brian W. C. A., Broek, Richard Ten, Vallicelli, Carlo, Wani, Imtaz, Weber, Dieter G., Docimo, Giovanni, and Catena, Fausto

Published
2023
Full Text
View/download PDF

2. Source control in emergency general surgery: WSES, GAIS, SIS-E, SIS-A guidelines

Author

Coccolini, Federico, Sartelli, Massimo, Sawyer, Robert, Rasa, Kemal, Viaggi, Bruno, Abu-Zidan, Fikri, Soreide, Kjetil, Hardcastle, Timothy, Gupta, Deepak, Bendinelli, Cino, Ceresoli, Marco, Shelat, Vishal G., Broek, Richard ten, Baiocchi, Gian Luca, Moore, Ernest E., Sall, Ibrahima, Podda, Mauro, Bonavina, Luigi, Kryvoruchko, Igor A., Stahel, Philip, Inaba, Kenji, Montravers, Philippe, Sakakushev, Boris, Sganga, Gabriele, Ballestracci, Paolo, Malbrain, Manu L. N. G., Vincent, Jean-Louis, Pikoulis, Manos, Beka, Solomon Gurmu, Doklestic, Krstina, Chiarugi, Massimo, Falcone, Marco, Bignami, Elena, Reva, Viktor, Demetrashvili, Zaza, Di Saverio, Salomone, Tolonen, Matti, Navsaria, Pradeep, Bala, Miklosh, Balogh, Zsolt, Litvin, Andrey, Hecker, Andreas, Wani, Imtiaz, Fette, Andreas, De Simone, Belinda, Ivatury, Rao, Picetti, Edoardo, Khokha, Vladimir, Tan, Edward, Ball, Chad, Tascini, Carlo, Cui, Yunfeng, Coimbra, Raul, Kelly, Michael, Martino, Costanza, Agnoletti, Vanni, Boermeester, Marja A., De’Angelis, Nicola, Chirica, Mircea, Biffl, Walt L., Ansaloni, Luca, Kluger, Yoram, Catena, Fausto, and Kirkpatrick, Andrew W.

Published
2023
Full Text
View/download PDF

3. The open abdomen in trauma and non-trauma patients: WSES guidelines

Author

Coccolini, Federico, Roberts, Derek, Ansaloni, Luca, Ivatury, Rao, Gamberini, Emiliano, Kluger, Yoram, Moore, Ernest E, Coimbra, Raul, Kirkpatrick, Andrew W, Pereira, Bruno M, Montori, Giulia, Ceresoli, Marco, Abu-Zidan, Fikri M, Sartelli, Massimo, Velmahos, George, Fraga, Gustavo Pereira, Leppaniemi, Ari, Tolonen, Matti, Galante, Joseph, Razek, Tarek, Maier, Ron, Bala, Miklosh, Sakakushev, Boris, Khokha, Vladimir, Malbrain, Manu, Agnoletti, Vanni, Peitzman, Andrew, Demetrashvili, Zaza, Sugrue, Michael, Di Saverio, Salomone, Martzi, Ingo, Soreide, Kjetil, Biffl, Walter, Ferrada, Paula, Parry, Neil, Montravers, Philippe, Melotti, Rita Maria, Salvetti, Francesco, Valetti, Tino M, Scalea, Thomas, Chiara, Osvaldo, Cimbanassi, Stefania, Kashuk, Jeffry L, Larrea, Martha, Hernandez, Juan Alberto Martinez, Lin, Heng-Fu, Chirica, Mircea, Arvieux, Catherine, Bing, Camilla, Horer, Tal, De Simone, Belinda, Masiakos, Peter, Reva, Viktor, DeAngelis, Nicola, Kike, Kaoru, Balogh, Zsolt J, Fugazzola, Paola, Tomasoni, Matteo, Latifi, Rifat, Naidoo, Noel, Weber, Dieter, Handolin, Lauri, Inaba, Kenji, Hecker, Andreas, Kuo-Ching, Yuan, Ordoñez, Carlos A, Rizoli, Sandro, Gomes, Carlos Augusto, De Moya, Marc, Wani, Imtiaz, Mefire, Alain Chichom, Boffard, Ken, Napolitano, Lena, and Catena, Fausto

Subjects
Rare Diseases, Physical Injury - Accidents and Adverse Effects, Clinical Research, Cardiovascular, Abdomen, Abdominal Cavity, Abdominal Wound Closure Techniques, Guidelines as Topic, Humans, Intra-Abdominal Hypertension, Negative-Pressure Wound Therapy, Postoperative Complications, Prophylactic Surgical Procedures, Resuscitation, Open abdomen, Laparostomy, Non-trauma, Trauma, Peritonitis, Pancreatitis, Vascular emergencies, Intra-abdominal infection, Fistula, Nutrition, Re-exploration, Reintervention, Closure, Biological, Synthetic, Mesh, Technique, Timing, Guidelines, Surgery
Abstract

Damage control resuscitation may lead to postoperative intra-abdominal hypertension or abdominal compartment syndrome. These conditions may result in a vicious, self-perpetuating cycle leading to severe physiologic derangements and multiorgan failure unless interrupted by abdominal (surgical or other) decompression. Further, in some clinical situations, the abdomen cannot be closed due to the visceral edema, the inability to control the compelling source of infection or the necessity to re-explore (as a "planned second-look" laparotomy) or complete previously initiated damage control procedures or in cases of abdominal wall disruption. The open abdomen in trauma and non-trauma patients has been proposed to be effective in preventing or treating deranged physiology in patients with severe injuries or critical illness when no other perceived options exist. Its use, however, remains controversial as it is resource consuming and represents a non-anatomic situation with the potential for severe adverse effects. Its use, therefore, should only be considered in patients who would most benefit from it. Abdominal fascia-to-fascia closure should be done as soon as the patient can physiologically tolerate it. All precautions to minimize complications should be implemented.

Published
2018

6. A Ten year review of alcohol use and major trauma in a Canadian province: still a major problem.

Author

McKee, Jessica, Widder, Sandy L., Paton-Gay, J. Damian, Kirkpatrick, Andrew W., and Engels, Paul

Subjects
ALCOHOL drinking risk factors, PREVENTION of injury, DRINKING & traffic accidents
Abstract

Background: Alcohol plays a significant role in major traumatic injuries. While the role of alcohol in motor vehicle trauma (MVT) is well described, its role and approaches to prevention in other injury mechanisms is less defined. Methods: A 10 year retrospective examination of Alberta Trauma Registry (ATR) data was conducted on all major trauma patients (age ≥ 9 and ISS ≥ 12) from 2001-2010. The role and prevalence of alcohol is examined. Results: Of 22,457 patients included in our study, only 60 %(n = 13,552) were screened for alcohol use. Of those screened, 38 %(n = 5,170) tested positive for alcohol with a mean blood alcohol concentration (BAC) of 39.4 ± 21.1 mmol/L. Of the positive screening tests, 82.3% had BAC levels greater than the common legal driving limit of 17.4 mmol/L (0.08 %). Testing positive was associated with male gender (p < 0.001) and younger age (p < 0.001). The rate of positive alcohol use in major trauma increased from 20.3% in 2001 to 24.3% in 2010, corresponding with a screening rate increase from 51.3% to 61.2% over the same period. Railway incidents have the highest rate of alcohol involvement (65 %), followed by undetermined-if-accidental/self-inflicted (53.5 %) and assault (49 %); motor vehicle traffic (MVT) incidents had a frequency of 25.4 %. Conclusions: The prevalence of alcohol use in major trauma appears to be increasing in Alberta but the true extent is still underappreciated. Furthermore, the role of alcohol in non-MVT injuries is significant and deserves further attention. The vast majority of patients involved in alcohol-related trauma are legally intoxicated. Alcohol use continues to be a substantial contributor to major trauma in Alberta, and represents an important opportunity to reduce preventable injuries. [ABSTRACT FROM AUTHOR]

Published
2016
Full Text
View/download PDF

7. Long-term mortality after admission to hospital for trauma: A review.

Author

Niven, Daniel J, Kirkpatrick, Andrew W, Ball, Chad G, and Laupland, Kevin B

Subjects
*CAUSES of death, *HOSPITAL care, *EVALUATION of medical care, *WOUNDS & injuries, *COMORBIDITY, *SEVERITY of illness index, MORTALITY risk factors
Abstract

Trauma is associated with significant acute morbidity and mortality. However, advances in the delivery of trauma care have resulted in considerable improvements in the short-term mortality from trauma. Recent studies have shown that survivors of trauma are at significant risk of delayed long-term mortality that is above that expected for a similar uninjured cohort of patients. Few studies have provided a detailed analysis of the determinants of this increased risk of death, and even fewer publications have examined the causes of death in these patients. This information is relevant because an increased number of patients will survive their injuries as acute trauma care continues to improve. It may also highlight opportunities for interventions that reduce the risk of delayed death in a population of patients that is generally young and healthy at the time of injury. As such, this article will review the literature on the long-term mortality rate and its determinants among patients who are hospitalized for severe injuries. [ABSTRACT FROM PUBLISHER]

Published
2013
Full Text
View/download PDF

8. The sonographic diagnosis of pneumothorax.

Author

Ouellet, Jean-Francois, Ball, Chad G., Panebianco, Nova L., and Kirkpatrick, Andrew W.

Subjects
ULTRASONIC imaging, PNEUMOTHORAX, PHYSICIANS, DECISION making, CRITICALLY ill, TRAUMA centers, MEDICAL imaging systems, DIAGNOSIS
Abstract

Ultrasound is a modality now available to all physicians and can help in making rapid decisions, particularly with critically ill patients. This article reviews the basis of the use of sonography for the diagnosis of pneumothorax. [ABSTRACT FROM AUTHOR]

Published
2011
Full Text
View/download PDF

9. Identifying patients at risk for intracranial and extracranial blunt carotid injuries

Author

McKevitt, Elaine C., Kirkpatrick, Andrew W., Vertesi, Leslie, Granger, Robert, and Simons, Richard K.

Subjects
*ARTERIAL injuries, *BLUNT trauma, *NECK injuries
Abstract

Background: Blunt carotid injuries are rare, often occult, and potentially devastating. Angiographic screening programs have detected this injury in up to 1% of blunt trauma patients. Implementing a liberal angiographic screening program at our hospital is impractical and we want to identify a high-risk group to target for screening. We hypothesize that intracranial and extracranial carotid injuries have different risks, presentations, and outcomes.Methods: Patients with intracranial and extracranial carotid injuries were identified from the British Columbia trauma registry. Presentation and outcome were reviewed. To facilitate statistical modeling the analysis was done by matching cases to 5 randomly selected controls. Risk factors for injury were evaluated by univariate and multiple logistic regression.Results: A total of 35 carotid injuries were identified. Thirteen intracranial injuries were identified in 10 patients. Twenty-two extracranial injuries were identified in 18 patients. Sixty-seven percent of patients with intracranial injuries and 31% of those with extracranial injuries died (P = 0.11). Eleven percent of intracranial injuries and 56% of extracranial injuries were occult (P = 0.04). Glasgow outcome scores were 2.04 intracranial and 3.12 extracranial (P = 0.18). For intracranial injuries the multiple variable predictive model had two predictors: Glasgow Coma Score or =3).Conclusions: Intracranial injuries were frequently detected on initial investigations and have very poor outcomes. Extracranial injuries were more frequently occult and stand to benefit from early detection by screening programs. As independent risk factors for these two injuries differ, limited screening resources should focus on risk factors for occult extracranial injury: namely, low GCS and significant thoracic injury. [ABSTRACT FROM AUTHOR]

Published
2002
Full Text
View/download PDF

10. Role and Limitations of Mininvasive Approach in Abdominal Emergencies and Trauma

Author

Ribeiro, Marcelo A. F., Jr, Tebar, Gabriela Karabachian, Salgueiro, José Lucas Rodrigues, de Camargo Galindo, Gabriel Franco, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, Podda, Mauro, editor, Lim, Robert B., editor, and Chiarugi, Massimo, editor

Published
2023
Full Text
View/download PDF

11. Post-traumatic Diaphragmatic Hernia

Author

Cremonini, Camilla, Cicuttin, Enrico, Tartaglia, Dario, Strambi, Silvia, Musetti, Serena, Chiarugi, Massimo, Coccolini, Federico, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, Podda, Mauro, editor, Lim, Robert B., editor, and Chiarugi, Massimo, editor

Published
2023
Full Text
View/download PDF

12. Postinjury MOF with and Without Infection

Author

Sartelli, Massimo, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, and Balogh, Zsolt J., editor

Published
2022
Full Text
View/download PDF

13. The Relevance of Traumatic Shock and Its Treatment on the Epidemiology of Multiple Organ Failure

Author

Ali, Ayman, Brown, Tommy Alan, II, Duchesne, Juan, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, and Balogh, Zsolt J., editor

Published
2022
Full Text
View/download PDF

14. The Population at Risk Predictors of MOF

Author

King, Kate L., Balogh, Zsolt J., Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, and Balogh, Zsolt J., editor

Published
2022
Full Text
View/download PDF

15. Multiple Organ Failure Epidemiology

Author

Black, Hannah, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, and Balogh, Zsolt J., editor

Published
2022
Full Text
View/download PDF

16. Future Directions

Author

Iadarola, Roberta, Catena, Fausto, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, and Balogh, Zsolt J., editor

Published
2022
Full Text
View/download PDF

17. Post-injury Bone Marrow Failure

Author

Briggs, Gabrielle D., Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, and Balogh, Zsolt J., editor

Published
2022
Full Text
View/download PDF

18. The Definition of Multiple Organ Failure

Author

Black, Hannah, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, and Balogh, Zsolt J., editor

Published
2022
Full Text
View/download PDF

19. The Pathomechanism of Post-Injury Multiple Organ Dysfunction Syndrome (MODS)

Author

Brogi, Etrusca, Coccolini, Federico, Forfori, Francesco, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, and Balogh, Zsolt J., editor

Published
2022
Full Text
View/download PDF

20. Trauma in Elderly

Author

Coccolini, Federico, Cremonini, Camilla, Arces, Francesco, Tartaglia, Dario, Chiarugi, Massimo, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris, Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, and Latifi, Rifat, editor

Published
2021
Full Text
View/download PDF

21. Radiologic Evaluation of Elderly Surgical Patients Undergoing Major Emergency Surgeries

Author

Diestelkamp, Timothy, Gilet, Anthony, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris, Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, and Latifi, Rifat, editor

Published
2021
Full Text
View/download PDF

22. Psychological Support in Times of Crisis and Natural Disasters

Author

Lampropoulou, Aikaterini, Hatzichristou, Chryse, Tadaros, Spyros, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, Pikoulis, Emmanouil, editor, and Doucet, Jay, editor

Published
2021
Full Text
View/download PDF

23. Hemorrhage Control

Author

Carter, David L., Melmer, Patrick D., Kaufmann, Christoph R., Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, Pikoulis, Emmanouil, editor, and Doucet, Jay, editor

Published
2021
Full Text
View/download PDF

24. Trauma Management in Pregnant Women

Author

Degiannis, Elias, Tsepelaki, Aidona, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, Pikoulis, Emmanouil, editor, and Doucet, Jay, editor

Published
2021
Full Text
View/download PDF

25. Trauma Management in Children

Author

Degiannis, Elias, Tsepelaki, Aidona, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, Pikoulis, Emmanouil, editor, and Doucet, Jay, editor

Published
2021
Full Text
View/download PDF

26. Burn Management

Author

Tsourouflis, Gerasimos, Pikoulis, Andreas, Pararas, Nikos, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, Pikoulis, Emmanouil, editor, and Doucet, Jay, editor

Published
2021
Full Text
View/download PDF

27. Missile and Fragment Injuries

Author

Kouridakis, Petros M., Pikoulis, Andreas, Stavratis, Fotios, Theodoridis, Charalampos, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, Pikoulis, Emmanouil, editor, and Doucet, Jay, editor

Published
2021
Full Text
View/download PDF

28. Neck Injuries

Author

Athanasiou, Antonios, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, Pikoulis, Emmanouil, editor, and Doucet, Jay, editor

Published
2021
Full Text
View/download PDF

29. Eye and Maxillofacial Injuries

Author

Moschos, Marilita M., Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, Pikoulis, Emmanouil, editor, and Doucet, Jay, editor

Published
2021
Full Text
View/download PDF

30. Injuries and Scoring Systems

Author

Perrone, Gennaro, Bonati, Elena, Tarasconi, Antonio, Abongwa, Harishine K., Catena, Fausto, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, Pikoulis, Emmanouil, editor, and Doucet, Jay, editor

Published
2021
Full Text
View/download PDF

31. Intra-abdominal Hypertension and Abdominal Compartment Syndrome: Updates

Author

Pereira, Bruno M., Ottolino-Lavarte, Pablo R., Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris, Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, and Weber, Dieter, Editorial Board Member

Published
2020
Full Text
View/download PDF

32. Equestrian injuries: incidence, injury patterns, and risk factors for 10 years of major traumatic injuries

Author

Ball, Chad G., Ball, Jill E., Kirkpatrick, Andrew W., and Mulloy, Robert H.

Subjects
*EQUESTRIAN accidents, *INJURY risk factors, *SPORTS injuries, *TRAUMATOLOGY
Abstract

Abstract: Background: Horseback riding is more dangerous than motorcycle riding, skiing, football, and rugby. The purpose of this study was to identify the incidence and injury patterns, as well as risk factors associated with severe equestrian trauma. Methods: All patients with major equestrian injuries (injury severity score ≥ 12) admitted between 1995 and 2005 were reviewed. A 46-question survey outlining potential rider, animal, and environmental risk factors was administered. Results: Among 7941 trauma patients, 151 (2%) were injured on horseback (mean injury severity score, 20; mortality rate, 7%). Injuries included the chest (54%), head (48%), abdomen (22%), and extremities (17%). Forty-five percent required surgery. Survey results (55%) indicated that riders and horses were well trained, with a 47% recidivism rate. Only 9% of patients wore helmets, however, 64% believed the accident was preventable. Conclusions: Chest trauma previously has been underappreciated. This injury pattern may be a result of significant rider experience. Helmet and vest use will be targeted in future injury prevention strategies. [Copyright &y& Elsevier]

Published
2007
Full Text
View/download PDF

33. Traumatic urethral injuries: Does the digital rectal examination really help us?

Author

Ball, Chad G., Jafri, S. Mohammed, Kirkpatrick, Andrew W., Rajani, Ravi R., Rozycki, Grace S., Feliciano, David V., and Wyrzykowski, Amy D.

Subjects
*URETHRA, *MEDICAL centers, *TRAUMA centers, *TRAUMATOLOGY diagnosis, *CATHETERS, *HEMATURIA, *MEDICAL equipment, *WOUNDS & injuries
Abstract

Abstract: Introduction: The digital rectal examination (DRE) has been commonly employed as a trauma screening tool since the inception of the ATLS program. Because of weak evidence, its utility as a screening test has recently been questioned. The primary goal of this study was to identify the sensitivity of the DRE for detecting blunt urethral injuries in a level 1 trauma center. The secondary goal was to evaluate the interaction of DRE with additional clinical indices of urethral trauma. Methods: A retrospective review of all blunt injured patients diagnosed with a urethral disruption at an urban level 1 trauma center from 1995 to 2008 was performed. Urethral injuries were diagnosed by retrograde urethrogram, urethroscopy and operative exploration. Demographics and injury data were collected. The value of the DRE in diagnosing urethral trauma was assessed (p =0.05). Results: Urethral injuries were diagnosed in 41 male patients (mean age=39 years), 34 (83%) of whom were injured via a motor vehicle (median ISS=21). Associated injuries were present in 40 (95%) patients, including 39 (95%) pelvic fractures. No clinical signs of urethral injury were evident on initial examination in 25 (61%) patients. All patients had hematuria after catheter insertion. An abnormal prostate on DRE, blood at the urethral meatus, and hematuria prior to catheter insertion was present in 1 (2%), 8 (20%) and 7 (17%) patients, respectively. Both meatal blood and hematuria were better screening tests than the DRE (p <0.05). Discussion: The sensitivity of the DRE for identifying urethral disruption is 2%. The majority of patients with urethral trauma undergo urinary catheterization prior to diagnosis of the injury. Additional signs of disruption including meatal blood and hematuria detected prior to catheter insertion are also infrequent. While the DRE remains clinically indicated in patients with penetrating trauma in the vicinity of the rectum, pelvic fractures, and spinal cord injuries, it appears to be insensitive for detecting blunt urethral injuries. [Copyright &y& Elsevier]

Published
2009
Full Text
View/download PDF

34. Does increased prehospital time lead to a “trial of life” effect for patients with blunt trauma?

Author

Clements, Thomas W., Vogt, Kelly, Hameed, S. Morad, Parry, Neil, Kirkpatrick, Andrew W., Grondin, Sean C., Dixon, Elijah, McKee, Jessica, and Ball, Chad G.

Subjects
*BLUNT trauma, *MORTALITY, *HOSPITAL care, *HEALTH outcome assessment, *DECISION making in clinical medicine, *PATIENTS
Abstract

Background Variance in prehospital time among severely injured blunt trauma patients is dependent upon numerous factors. Effects on subsequent mortality and trauma team activation (TTA) rates are also unclear. The primary aim of this study was to evaluate the relationship between prehospital time and mortality at level I trauma referral centers amongst critically blunt injured patients. Materials and methods This multiinstitutional study from three geographically distinct level I trauma centers analyzed all severely blunt injured patients (Injury Severity Score [ISS] ≥12). The relationship between prehospital time and survival was evaluated. Secondary outcomes included the association between prehospital time and TTA. Standard statistical methodology was used ( P < 0.05 = significance). Results Between January 1, 2011, and January 1, 2016, 5375 severely blunt injured patients (mean ISS = 25; mean length of stay = 16.3 d) were analyzed (center 1 = 3376; center 2 = 2401; and center 3 = 1104). As prehospital time interval increased, overall mortality decreased (0-30 min = 24.1%; 31-60 min = 14.7%; 61-90 min = 10.3%; 91-120 min = 10.4%; 121-150 min = 10.2%; P < 0.05). This pattern was especially strong for patients with an arrival measurement of hypotension, despite corrections for ISS ( P < 0.05). TTA and patient outcomes were extremely variable across intervals and centers ( P < 0.05). Conclusions A trial of life effect is present for severely blunt injured patients who arrive with vital signs. Despite arrival measurements of hypotension, patients with prolonged prehospital times have a substantially lower risk of subsequent mortality. This concept should contribute to decision-making with regard to TTA. [ABSTRACT FROM AUTHOR]

Published
2017
Full Text
View/download PDF

35. To drain or not to drain? Predictors of tube thoracostomy insertion and outcomes associated with drainage of traumatic hemothoraces.

Author

Wells, Bryan J., Roberts, Derek J., Grondin, Sean, Navsaria, Pradeep H., Kirkpatrick, Andrew W., Dunham, Michael B., and Ball, Chad G.

Subjects
*THORACOSTOMY, *HEALTH outcome assessment, *MEDICAL drainage, *HEMOTHORAX, *COHORT analysis, *THERAPEUTICS
Abstract

Introduction Historical data suggests that many traumatic hemothoraces (HTX) can be managed expectantly without tube thoracostomy (TT) drainage. The purpose of this study was to identify predictors of TT, including whether the quantity of pleural blood predicted tube placement, and to evaluate outcomes associated with TT versus expected management (EM) of traumatic HTXs. Patients and methods A retrospective cohort study of all trauma patients with HTXs and an Injury Severity Score (ISS) ≥12 managed at a level I trauma centre between April 1, 2005 and December 31, 2012 was completed. Mixed-effects models with a subject-specific random intercept were used to identify independent risk factors for TT. Logistic and log-linear regression were used to compute odds ratios (ORs) for mortality and empyema and percent increases in length of hospital and intensive care unit stay between patients managed with TT versus EM, respectively. Results A total of 635 patients with 749 HTXs were included in the study. Overall, 491 (66%) HTXs were drained while 258 (34%) were managed expectantly. Independent predictors of TT placement included concomitant ipsilateral flail chest [OR 3.03; 95% confidence interval (CI) 1.04–8.80; p = 0.04] or pneumothorax (OR 6.19; 95% CI 1.79–21.5; p < 0.01) and the size of the HTX (OR per 10 cc increase 1.12; 95% CI 1.04–1.21; p < 0.01). Although the adjusted odds of mortality were not significantly different between groups (OR 3.99; 95% CI 0.87–18.30; p = 0.08), TT was associated with a 47.14% (95% CI, 25.57–69.71%; p < 0.01) adjusted increase in hospital length of stay. Empyemas ( n = 29) only occurred among TT patients. Conclusions Expectant management of traumatic HTX was associated with a shorter length of hospital stay, no empyemas, and no increase in mortality. Although EM of smaller HTXs may be safe, these findings must be confirmed by a large multi-centre cohort study and randomized controlled trials before they are used to guide practice. [ABSTRACT FROM AUTHOR]

Published
2015
Full Text
View/download PDF

36. Long-term mortality outcome of victims of major trauma

Author

Laupland, Kevin B., Svenson, Lawrence W., Grant, Vincent, Ball, Chad G., Mercado, Michelle, and Kirkpatrick, Andrew W.

Subjects
*TRAUMATISM, *MORTALITY, *HEALTH outcome assessment, *REGIONAL programs, *HOSPITAL admission & discharge, *ACUTE abdomen
Abstract

Abstract: Introduction: Although trauma is associated with major acute morbidity and mortality, its long-term outcome is less well defined. We sought to define the rate of readmission to hospital and long-term mortality of victims of major trauma. Patients and Methods: All Calgary Health Region residents presenting to the regional trauma program with an injury severity score (ISS) ≥12 between April 1, 2002 and March 31, 2006 were included. Readmission to hospital within one-year and deaths occurring on or before September 30, 2008 were identified using regional and provincial databases. Results: A total of 2652 incident major trauma episodes occurred among 2630 residents; the median age was 41.3 [interquartile range (IQR); 23.1–59.2] years, 1,915 (72%) were male, the median ISS was 19 (IQR; 16–25), and 717 (27%) required intensive care unit admission. Among 2350 survivors to hospital discharge, 537 readmissions occurred (median length of stay 4.0; IQR; 1.6–7.5 days) among 386 patients within one-year of the incident trauma episode, and 323 (60%) required surgery. Re-admitted patients were older, had higher ISS, had longer initial admission length of stay, and were less likely to have sports related injuries. Two hundred and fifteen (8%) of 2350 survivors to hospital discharge died during the median study follow-up duration of 1543 (IQR; 1181–1934) days. Case-fatality rates for 28 days, 90 days, and 365 days were 304 (11%), 327 (12%), and 370 (14%), respectively. Among survivors to 28 days (n =2348), 66 (3%) suffered delayed one-year mortality (i.e. death occurred between 28 days and 365 days post-trauma). Age ≥65 years of age, initial hospitalisation for ≥28 days, and unintentional falls were independently associated with delayed one-year mortality. Conclusions: Patients with major trauma are at risk for both acute and delayed adverse outcomes. [Copyright &y& Elsevier]

Published
2010
Full Text
View/download PDF

37. Alpine ski and snowboarding traumatic injuries: incidence, injury patterns, and risk factors for 10 years

Author

McBeth, Paul B., Ball, Chad G., Mulloy, Robert H., and Kirkpatrick, Andrew W.

Subjects
*DOWNHILL skiing, *SKIING injuries, *SNOWBOARDING injuries, *HEALTH risk assessment, *CRITICAL care medicine, *PREVENTION, *ACCIDENTS
Abstract

Abstract: Background: Alpine skiing and snowboarding are popular winter sports in Canada. Every year participation in these activities results in traumatic injury. The purpose of this study was to identify the incidence and injury patterns, as well as risk factors associated with ski and snowboarding injuries. Methods: A comprehensive 10-year retrospective review of Alpine ski and snowboarding injuries from 1996 to 2006 was conducted. The Alberta Trauma Registry was used as the primary source of data. Results: A total of 196 patients (56.6% skiers, 43.4% snowboarders) were identified as having major traumatic injuries (Injury Severity Score, ≥12). Forty-three patients required intensive care unit support. The majority of injuries were related to falls and collisions with natural objects. Head injuries were most common, followed by chest, spinal, and extremity trauma. Seventy-nine patients required emergency surgery. Conclusions: Skiing and snowboarding represent activities with high potential for traumatic injury. Safety initiatives should be developed to target this population. [Copyright &y& Elsevier]

Published
2009
Full Text
View/download PDF

38. The open abdomen in trauma and non-trauma patients: WSES guidelines

Author

Osvaldo Chiara, Matteo Tomasoni, Peter T. Masiakos, Marco Ceresoli, Tino Martino Valetti, Viktor Reva, Kaoru Kike, Mircea Chirica, Fausto Catena, Stefania Cimbanassi, Lena M. Napolitano, Gustavo Pereira Fraga, Carlos A. Ordoñez, Yuan Kuo-Ching, Ingo Martzi, Federico Coccolini, Marc de Moya, Emiliano Gamberini, Walter L. Biffl, Zaza Demetrashvili, Kenneth D. Boffard, Paola Fugazzola, Martha Larrea, Andrew B. Peitzman, Nicola de’Angelis, Ernest E. Moore, Giulia Montori, Miklosh Bala, Paula Ferrada, Neil Parry, Zsolt J. Balogh, Manu L N G Malbrain, Matti Tolonen, Catherine Arvieux, Yoram Kluger, Fikri M. Abu-Zidan, Salomone Di Saverio, Luca Ansaloni, Alain Chichom Mefire, Carlos Augusto Gomes, Vanni Agnoletti, Francesco Salvetti, Dieter G. Weber, Rifat Latifi, Massimo Sartelli, Camilla Bing, Philippe Montravers, R. V. Maier, Jeffry L. Kashuk, Rita Maria Melotti, Raul Coimbra, Joseph M. Galante, Kenji Inaba, Tal M. Hörer, Belinda De Simone, Andreas Hecker, Sandro Rizoli, Rao R. Ivatury, Juan Alberto Martinez Hernandez, Michael Sugrue, Thomas M. Scalea, Noel Naidoo, Heng Fu Lin, Ari Leppäniemi, Kjetil Søreide, Andrew W. Kirkpatrick, George C. Velmahos, Vladimir Khokha, Bruno M. Pereira, Imtiaz Wani, Derek J. Roberts, Boris Sakakushev, Tarek Razek, Lauri Handolin, Coccolini, F, Roberts, D, Ansaloni, L, Ivatury, R, Gamberini, E, Kluger, Y, Moore, E, Coimbra, R, Kirkpatrick, A, Pereira, B, Montori, G, Ceresoli, M, Abu-Zidan, F, Sartelli, M, Velmahos, G, Fraga, G, Leppaniemi, A, Tolonen, M, Galante, J, Razek, T, Maier, R, Bala, M, Sakakushev, B, Khokha, V, Malbrain, M, Agnoletti, V, Peitzman, A, Demetrashvili, Z, Sugrue, M, Di Saverio, S, Martzi, I, Soreide, K, Biffl, W, Ferrada, P, Parry, N, Montravers, P, Melotti, R, Salvetti, F, Valetti, T, Scalea, T, Chiara, O, Cimbanassi, S, Kashuk, J, Larrea, M, Hernandez, J, Lin, H, Chirica, M, Arvieux, C, Bing, C, Horer, T, De Simone, B, Masiakos, P, Reva, V, Deangelis, N, Kike, K, Balogh, Z, Fugazzola, P, Tomasoni, M, Latifi, R, Naidoo, N, Weber, D, Handolin, L, Inaba, K, Hecker, A, Kuo-Ching, Y, Ordonez, C, Rizoli, S, Gomes, C, De Moya, M, Wani, I, Mefire, A, Boffard, K, Napolitano, L, Catena, F, Coccolini, Federico, Roberts, Derek, Ansaloni, Luca, Ivatury, Rao, Gamberini, Emiliano, Kluger, Yoram, Moore, Ernest E., Coimbra, Raul, Kirkpatrick, Andrew W., Pereira, Bruno M., Montori, Giulia, Ceresoli, Marco, Abu-Zidan, Fikri M., Sartelli, Massimo, Velmahos, George, Fraga, Gustavo Pereira, Leppaniemi, Ari, Tolonen, Matti, Galante, Joseph, Razek, Tarek, Maier, Ron, Bala, Miklosh, Sakakushev, Bori, Khokha, Vladimir, Malbrain, Manu, Agnoletti, Vanni, Peitzman, Andrew, Demetrashvili, Zaza, Sugrue, Michael, Di Saverio, Salomone, Martzi, Ingo, Soreide, Kjetil, Biffl, Walter, Ferrada, Paula, Parry, Neil, Montravers, Philippe, Melotti, Rita Maria, Salvetti, Francesco, Valetti, Tino M., Scalea, Thoma, Chiara, Osvaldo, Cimbanassi, Stefania, Kashuk, Jeffry L., Larrea, Martha, Hernandez, Juan Alberto Martinez, Lin, Heng-Fu, Chirica, Mircea, Arvieux, Catherine, Bing, Camilla, Horer, Tal, De Simone, Belinda, Masiakos, Peter, Reva, Viktor, DeAngelis, Nicola, Kike, Kaoru, Balogh, Zsolt J., Fugazzola, Paola, Tomasoni, Matteo, Latifi, Rifat, Naidoo, Noel, Weber, Dieter, Handolin, Lauri, Inaba, Kenji, Hecker, Andrea, Kuo-Ching, Yuan, Ordoñez, Carlos A., Rizoli, Sandro, Gomes, Carlos Augusto, De Moya, Marc, Wani, Imtiaz, Mefire, Alain Chichom, Boffard, Ken, Napolitano, Lena, Catena, Fausto, Supporting clinical sciences, Intensive Care, II kirurgian klinikka, Clinicum, Department of Surgery, I kirurgian klinikka (Töölö), HUS Abdominal Center, and HUS Musculoskeletal and Plastic Surgery

Subjects
Fistula, Abdominal Wound Closure Techniques, Abdominal compartment syndrome, medicine.medical_treatment, SEVERE ACUTE-PANCREATITIS, Review, Guideline, 030230 surgery, Cardiovascular, Abdominal wall, Postoperative Complications, 0302 clinical medicine, ACELLULAR DERMAL MATRIX, Laparotomy, Abdomen, Open abdomen, NEGATIVE-PRESSURE THERAPY, Medicine(all), DAMAGE CONTROL SURGERY, Peritoniti, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Abdominal Wound Closure Technique, Abdominal Cavity, VENTRAL HERNIA REPAIR, Prophylactic Surgical Procedures, 3. Good health, Vascular emergencie, medicine.anatomical_structure, Emergency Medicine, Technique, Re-exploration, ABDOMINAL COMPARTMENT SYNDROME, Intra-Abdominal Hypertension, ACUTE MESENTERIC ISCHEMIA, Human, medicine.medical_specialty, Physical Injury - Accidents and Adverse Effects, Closure, Resuscitation, PRIMARY FASCIAL CLOSURE, lcsh:Surgery, Non-trauma, Peritonitis, Guidelines as Topic, Reintervention, Guidelines, Trauma, Prophylactic Surgical Procedure, 03 medical and health sciences, LONG-TERM COMPLICATIONS, Intra-abdominal infection, Rare Diseases, Clinical Research, medicine, Humans, ddc:610, Timing, Intensive care medicine, Nutrition, Mesh, Pancreatiti, Laparostomy, business.industry, Synthetic, Vascular emergencies, 030208 emergency & critical care medicine, lcsh:RD1-811, lcsh:RC86-88.9, 3126 Surgery, anesthesiology, intensive care, radiology, Biological, medicine.disease, Pancreatitis, Negative-Pressure Wound Therapy, RANDOMIZED-CONTROLLED-TRIAL, Surgery, Postoperative Complication, business
Abstract

Damage control resuscitation may lead to postoperative intra-abdominal hypertension or abdominal compartment syndrome. These conditions may result in a vicious, self-perpetuating cycle leading to severe physiologic derangements and multiorgan failure unless interrupted by abdominal (surgical or other) decompression. Further, in some clinical situations, the abdomen cannot be closed due to the visceral edema, the inability to control the compelling source of infection or the necessity to re-explore (as a "planned second-look" laparotomy) or complete previously initiated damage control procedures or in cases of abdominal wall disruption. The open abdomen in trauma and non-trauma patients has been proposed to be effective in preventing or treating deranged physiology in patients with severe injuries or critical illness when no other perceived options exist. Its use, however, remains controversial as it is resource consuming and represents a non-anatomic situation with the potential for severe adverse effects. Its use, therefore, should only be considered in patients who would most benefit from it. Abdominal fascia-to-fascia closure should be done as soon as the patient can physiologically tolerate it. All precautions to minimize complications should be implemented.

Published
2018

Catalog

Books, media, physical & digital resources
See catalog results