Latest & greatest articles for trauma

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Top results for trauma

1. Acute Trauma to the Ankle

Acute Trauma to the Ankle Date of origin: 1995 Last review date: 2014 ACR Appropriateness Criteria ® 1 Acute Trauma to the Ankle American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Acute Trauma to the Ankle Variant 1: Adult or child >5 years old. Patient meets Ottawa Ankle Rules: 1. Inability to bear weight immediately after the injury, OR 2. Point tenderness over the medial malleolus, the posterior edge or inferior tip of the lateral malleolus, talus, or calcaneus (...) be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Acute Trauma to the Ankle Clinical Condition: Acute Trauma to the Ankle Variant 4: Adult or child >5 years old. Acute injury to the ankle with persistent pain. Radiographs not obtained at time of injury. Initial study. Radiologic Procedure Rating Comments RRL* X-ray ankle 9 Obtain AP, lateral, and mortise views. ? CT ankle without IV contrast 1 ? CT ankle with IV contrast 1 ? CT ankle without and with IV

2020 American College of Radiology

2. Blunt Chest Trauma-Suspected Cardiac Injury

Blunt Chest Trauma-Suspected Cardiac Injury Date of origin: 2013 ACR Appropriateness Criteria ® 1 Blunt Chest Trauma American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Blunt Chest Trauma Variant 1: First-line evaluation. High-energy mechanism. Radiologic Procedure Rating Comments RRL* X-ray chest 9 Chest x-ray and CT/CTA are complementary examinations. ? CT chest with IV contrast 9 Ideally, this procedure should be performed with CTA. Chest x-ray and CT/CTA (...) status. No high-energy mechanism. Radiologic Procedure Rating Comments RRL* CTA chest with IV contrast 5 ??? CT chest with IV contrast 5 ??? CT chest without IV contrast 4 ??? MRI chest without and with IV contrast 2 O CT chest without and with IV contrast 1 ??? US chest 1 O MRI chest without IV contrast 1 O Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Blunt Chest Trauma Clinical Condition

2020 American College of Radiology

3. Paediatric Trauma: Stabilisation of the Cervical Spine

Paediatric Trauma: Stabilisation of the Cervical Spine Patron: HRH The Princess Royal 7-9 Bream’s Buildings Tel +44 (0)207 404 1999 London Fax +44 (0)207 067 1267 EC4A 1DT www.rcem.ac.uk Position Statement Paediatric Trauma - Stabilisation of the Cervical Spine 10 April 2019 The Royal College of Emergency Medicine (RCEM) recognises that there are nationwide discrepancies in how immobilisation of the cervical spine is achieved during the initial assessment of children who have suffered traumatic (...) immobilisation by other means may be impractical). NICE guidelines [1] and JRCALC guidelines [2]still recommend their use although evidence that semi-rigid collars offer extra stabilisation to the spine of patients who are already lying immobile and supine is of poor quality and results are contradictory [3][4]. Guidelines, based on historical consensus, which strongly advocate the use of semi-rigid collars in initial trauma care should not automatically be used to the exclusion of more recent evidence

2020 Royal College of Emergency Medicine

4. Validation of the PredAHT-2 prediction tool for abusive head trauma (Abstract)

Validation of the PredAHT-2 prediction tool for abusive head trauma The validated Predicting Abusive Head Trauma (PredAHT) clinical prediction tool calculates the probability of abusive head trauma (AHT) in children <3 years of age who have sustained intracranial injuries (ICIs) identified on neuroimaging, based on combinations of six clinical features: head/neck bruising, seizures, apnoea, rib fracture, long bone fracture and retinal haemorrhages. PredAHT version 2 enables a probability

2020 EvidenceUpdates

5. Alcohol-related trauma reinjury prevention with hospital-based screening in adult populations Full Text available with Trip Pro

Alcohol-related trauma reinjury prevention with hospital-based screening in adult populations Alcohol-related trauma reinjury prevention with hospital-based screening in adult populations - Practice Management Guideline Search » Alcohol-related trauma reinjury prevention with hospital-based screening in adult populations Published 2020 Citation: Authors Kodadek, Lisa M. MD; Freeman, Jennifer J. MD; Tiwary, Devesh MD; Drake, Mack Dillon DO; Schroeder, M. Elizabeth MD; Dultz, Linda MD, MPH; White (...) , Cassandra MD; Abdel Aziz, Hiba MD; Crandall, Marie MD, MPH; Como, John J. MD, MPH; Rattan, Rishi MD Author Information From the Division of Trauma and Surgical Critical Care (L.M.K.), Vanderbilt University Medical Center, Nashville, Tennessee; General Surgery, Trauma , and Surgical Critical Care (J.J.F.), Texas Health Harris Hospital, Fort Worth, Texas; Central Florida Regional Hospital (D.T.), Sanford, Florida; Trauma and Surgical Critical Care (M.D.D.), Brody School of Medicine at East Carolina

2020 Eastern Association for the Surgery of Trauma

6. Clinical practice guideline for evaluation of psychosocial factors influencing recovery from adult orthopaedic trauma

Clinical practice guideline for evaluation of psychosocial factors influencing recovery from adult orthopaedic trauma 1 View background material via the PRF CPG eAppendix CLINICAL PRACTICE GUIDELINE FOR EVALUATION OF PSYCHOSOCIAL FACTORS INFLUENCING RECOVERY FROM ADULT ORTHOPAEDIC TRAUMA Adopted by the American Academy of Orthopaedic Surgeons Board of Directors December 6, 2019 2 View background material via the PRF CPG eAppendix Disclaimer This clinical practice guideline (CPG) was developed (...) by the Major Extremity Trauma and Rehabilitation Consortium (METRC) in collaboration with the American Academy of Orthopaedic Surgeons (AAOS) 9400 W Higgins Rosemont, IL First Edition Copyright 2019 by the Major Extremity Trauma and Rehabilitation Consortium (METRC) and the American Academy of Orthopaedic Surgeons (AAOS)3 View background material via the PRF CPG eAppendix To View All AAOS and AAOS-Endorsed Evidence-Based clinical practice guidelines and Appropriate Use Criteria in a User-Friendly Format

2020 American Academy of Orthopaedic Surgeons

7. Society of Interventional Radiology Position Statement on Endovascular Intervention for Trauma Full Text available with Trip Pro

Society of Interventional Radiology Position Statement on Endovascular Intervention for Trauma Society of Interventional Radiology Position Statement on Endovascular Intervention for Trauma - Journal of Vascular and Interventional Radiology Email/Username: Password: Remember me Available now: Use your SIR login to access JVIR. Search Terms Search within Search Share this page Access provided by Article in Press Society of Interventional Radiology Position Statement on Endovascular Intervention (...) for Trauma x Siddharth A. Padia Affiliations Department of Radiology, Section of Interventional Radiology, David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, California Correspondence Address correspondence to S.A.P., c/o Elizabeth Himes, SIR, 3975 Fair Ridge Dr., Suite 400 N., Fairfax, VA 22033 , MD a , ∗ , x Siddharth A. Padia Affiliations Department of Radiology, Section of Interventional Radiology, David Geffen School of Medicine at the University of California

2020 Society of Interventional Radiology

8. The Mangled Extremity Severity Score Fails to be a Good Predictor for Secondary Limb Amputation After Trauma with Vascular Injury in Central Europe

The Mangled Extremity Severity Score Fails to be a Good Predictor for Secondary Limb Amputation After Trauma with Vascular Injury in Central Europe The Mangled Extremity Severity Score Fails to Be a Good Predictor for Secondary Limb Amputation After Trauma With Vascular Injury in Central Europe - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Welcome to the new PubMed. For legacy PubMed go to . Clipboard, Search History (...) be less than 100 characters Choose a collection: Unable to load your collection due to an error Add Cancel Add to My Bibliography My Bibliography Unable to load your delegates due to an error Add Cancel Actions Cite Share Permalink Copy Page navigation World J Surg Actions 2019 Nov 4 [Online ahead of print] The Mangled Extremity Severity Score Fails to Be a Good Predictor for Secondary Limb Amputation After Trauma With Vascular Injury in Central Europe , , , , , , Affiliations Expand Affiliations 1

2020 EvidenceUpdates

9. Covid-19: Management of trauma and orthopaedic patients

Covid-19: Management of trauma and orthopaedic patients Publications approval reference: 001559 NHS England and NHS Improvement Specialty guides for patient management during the coronavirus pandemic Clinical guide for the management of trauma and orthopaedic patients during the coronavirus pandemic 14 April 2020 Version 2 “…and there are no more surgeons, urologists, orthopaedists, we are only doctors who suddenly become part of a single team to face this tsunami that has overwhelmed us…” Dr (...) Daniele Macchine, Bergamo, Italy. 9 March 2020 As doctors we all have general responsibilities in relation to coronavirus and for these we should seek and act on national and local guidelines. We also have a specific responsibility to ensure that essential trauma and orthopaedic care continues with the minimum burden on the NHS. We must engage with management and clinical teams planning the local response in our hospitals. We may also need to work outside our specific areas of training and expertise

2020 Covid-19 Ad hoc guidelines

10. Palliative Care for Geriatric Trauma Patients, Trauma Center Care and Routine Processes for Care - Evidence-Based Review

Palliative Care for Geriatric Trauma Patients, Trauma Center Care and Routine Processes for Care - Evidence-Based Review Downloaded from https://journals.lww.com/jtrauma by SHrJlXRiF9wyGdmDxC/n4ZvpFObN52W8/pJs1OP5wSe8gFsvgypyd1IoKm1sOFkZv1K8SX2R9B65BkYPRgcPtPTSC/ubO7ynQxHVVztWt8diOe6metvPjVQIEhwIX51W on 04/05/2019 Downloaded from https://journals.lww.com/jtrauma by SHrJlXRiF9wyGdmDxC/n4ZvpFObN52W8/pJs1OP5wSe8gFsvgypyd1IoKm1sOFkZv1K8SX2R9B65BkYPRgcPtPTSC/ubO7ynQxHVVztWt8diOe6metvPjVQIEhwIX51W (...) on 04/05/2019 Evidence-basedreviewoftraumacentercareandroutinepalliative care processes for geriatric trauma patients; A collaboration from the American Association for the Surgery of Trauma Patient Assessment Committee, the American Association for the Surgery of Trauma GeriatricTrauma Committee, andthe Eastern Association for the Surgeryof Trauma GuidelinesCommittee HibaAbdelAziz,MD,JohnLunde,DNP,RobertBarraco,MD,MPH,JohnJ.Como,MD,MPH, ZaraCooper,MD,MSc,ThomasHayward,III,MD,FranchescaHwang,MD,MSc

2019 Eastern Association for the Surgery of Trauma

11. Impact of Affordable Care Act on Trauma and Emergency General Surgery

Impact of Affordable Care Act on Trauma and Emergency General Surgery Downloaded from https://journals.lww.com/jtrauma by SHrJlXRiF9wyGdmDxC/n4ZvpFObN52W8/pJs1OP5wSe8gFsvgypyd1IoKm1sOFkZv1K8SX2R9B65BkYPRgcPtMQCRf/IzvVQaOu4uz61ZYv4n2SlVPyMQA== on 08/13/2019 Downloaded from https://journals.lww.com/jtrauma by SHrJlXRiF9wyGdmDxC/n4ZvpFObN52W8/pJs1OP5wSe8gFsvgypyd1IoKm1sOFkZv1K8SX2R9B65BkYPRgcPtMQCRf/IzvVQaOu4uz61ZYv4n2SlVPyMQA== on 08/13/2019 ImpactoftheAffordableCareActontraumaandemergency (...) )patientswhoareuninsuredhaveworseoutcomesascomparedwithinsuredpatients. Partially modeledafter the 2006 Massachusetts Healthcare Reform (MHR), thePatient Protectionand Affordable Care Act was passed in 2010 with thegoal of expanding health insurance coverage, primarily through state-based Medicaid expansion (ME). We evaluatedtheimpact ofMEandMHRon outcomesfor trauma patients, EGSpatients,andtrauma systems. METHODS: ThisstudywasapprovedbytheEasternAssociationfortheSurgeryofTraumaGuidelinesCommittee.UsingGradingofRecom- mendations Assessment, Development

2019 Eastern Association for the Surgery of Trauma

12. Pediatric Blunt Renal Trauma

Pediatric Blunt Renal Trauma Downloaded from https://journals.lww.com/jtrauma by SHrJlXRiF9wyGdmDxC/n4ZvpFObN52W8/pJs1OP5wSe8gFsvgypyd1IoKm1sOFkZv1K8SX2R9B65BkYPRgcPtPTSC/ubO7ynQxHVVztWt8diOe6metvPjVQIEhwIX51W on 05/01/2019 Downloaded from https://journals.lww.com/jtrauma by SHrJlXRiF9wyGdmDxC/n4ZvpFObN52W8/pJs1OP5wSe8gFsvgypyd1IoKm1sOFkZv1K8SX2R9B65BkYPRgcPtPTSC/ubO7ynQxHVVztWt8diOe6metvPjVQIEhwIX51W on 05/01/2019 Pediatricblunt renal trauma practicemanagementguidelines: Collaborationbetween (...) theEasternAssociation fortheSurgeryof Trauma andthe PediatricTrauma Society JudithC.Hagedorn,MD,NicoleFox,MD,JonathanS.Ellison,MD,RobertRussell,MD,CordelieE.Witt,MD, KristenZeller,MD,PaulaFerrada,MD, andJohnM.Draus,Jr,MD, Seattle, Washington BACKGROUND: Injurytothekidneyfromeitherbluntorpenetratingtraumaisthemostcommonurinarytractinjury.Childrenareathigherriskof renalinjuryfromblunttraumathanadults,butnopediatricrenaltraumaguidelineshavebeenestablished.Theauthorsreviewedthe literaturetoguide cliniciansin

2019 Eastern Association for the Surgery of Trauma

13. Inhaled Methoxyflurane Provides Greater Analgesia and Faster Onset of Action Versus Standard Analgesia in Patients With Trauma Pain: InMEDIATE: A Randomized Controlled Trial in Emergency Departments Full Text available with Trip Pro

Inhaled Methoxyflurane Provides Greater Analgesia and Faster Onset of Action Versus Standard Analgesia in Patients With Trauma Pain: InMEDIATE: A Randomized Controlled Trial in Emergency Departments The objective of the InMEDIATE study was to evaluate the change in intensity of traumatic pain over the first 20 min in adult patients treated with methoxyflurane versus standard analgesic treatment in Spain. This the first randomized, active-controlled, multicenter trial of methoxyflurane (...) in the emergency setting in Europe.This was a randomized, controlled study that enrolled adult patients with acute moderate to severe (score ≥4 on the 11-point Numeric Rating Scale) trauma-associated pain in 14 Spanish emergency departments. Patients were randomized 1:1 to methoxyflurane (up to 2×3 mL) or standard analgesic treatment. Coprimary endpoints were the change from baseline in Numeric Rating Scale pain intensity score during the first 20 minutes of treatment and time to first pain relief.Three

2019 EvidenceUpdates

14. Trauma-informed models in out-of-home care: Frameworks used at an organisational level to enable trauma-informed practice.

Trauma-informed models in out-of-home care: Frameworks used at an organisational level to enable trauma-informed practice. Trauma-informed models in out-of-home care - What Works for Children's Social Care This website uses cookies to help us understand the way visitors use our website. We can't identify you with them and we don't share the data with anyone else. If you click Reject we will set a single cookie to remember your preference. Find out more in our . Accept cookies Reject cookies (...) Trauma-informed models in out-of-home care Frameworks used at an organisational level to enable trauma-informed practice. Headline points Very limited evidence that trauma-informed models improve outcomes for children in out-of-home care Strength of the evidence is weak with a high risk of bias in six of the seven studies All studies were conducted in the US. It is unclear whether these interventions would be successful outside of that context Useful contacts Children's behaviour Overall

2019 What Works for Children’s Social Care

15. Trauma models to identify major trauma and mortality in the prehospital setting Full Text available with Trip Pro

Trauma models to identify major trauma and mortality in the prehospital setting Patients with major trauma might benefit from treatment in a trauma centre, but early identification of major trauma (Injury Severity Score (ISS) over 15) remains difficult. The aim of this study was to undertake an external validation of existing prognostic models for injured patients to assess their ability to predict mortality and major trauma in the prehospital setting.Prognostic models were identified through (...) a systematic literature search up to October 2017. Injured patients transported by Emergency Medical Services to an English hospital from the Trauma Audit and Research Network between 2013 and 2016 were included. Outcome measures were major trauma (ISS over 15) and in-hospital mortality. The performance of the models was assessed in terms of discrimination (concordance index, C-statistic) and net benefit to assess the clinical usefulness.A total of 154 476 patients were included to validate six previously

2019 EvidenceUpdates

16. Medical Follow-up and Discharge of Individuals Receiving Electric Shock or Blunt Trauma from Non-Lethal Weapons: Guidelines

Medical Follow-up and Discharge of Individuals Receiving Electric Shock or Blunt Trauma from Non-Lethal Weapons: Guidelines Medical Follow-up and Discharge of Individuals Receiving Electric Shock or Blunt Trauma from Non-Lethal Weapons: Guidelines | CADTH.ca Find the information you need Medical Follow-up and Discharge of Individuals Receiving Electric Shock or Blunt Trauma from Non-Lethal Weapons: Guidelines Medical Follow-up and Discharge of Individuals Receiving Electric Shock or Blunt (...) Trauma from Non-Lethal Weapons: Guidelines Last updated: August 16, 2019 Project Number: RB1378-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What are the evidence-based guidelines regarding medical follow-up and discharge of people who have received an electric shock from a conducted electrical weapon or blunt trauma from a projectile-based weapon? Key Message Two evidence-based guidelines were identified regarding medical follow

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

17. Point of Care Ultrasound for Assessment of Patients with Physical Trauma in Emergency Departments: Clinical Utility and Cost-Effectiveness

Point of Care Ultrasound for Assessment of Patients with Physical Trauma in Emergency Departments: Clinical Utility and Cost-Effectiveness Point of Care Ultrasound for Assessment of Patients with Physical Trauma in Emergency Departments: Clinical Utility and Cost-Effectiveness | CADTH.ca Find the information you need Point of Care Ultrasound for Assessment of Patients with Physical Trauma in Emergency Departments: Clinical Utility and Cost-Effectiveness Point of Care Ultrasound for Assessment (...) of Patients with Physical Trauma in Emergency Departments: Clinical Utility and Cost-Effectiveness Last updated: September 16, 2019 Project Number: RB1383-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical utility of point of care ultrasound for the assessment of patients with physical trauma in the emergency department? What is the cost-effectiveness of point of care ultrasound for the assessment of patients

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

18. Major Blunt Trauma

Major Blunt Trauma New 2019 ACR Appropriateness Criteria ® 1 Major Blunt Trauma American College of Radiology ACR Appropriateness Criteria ® Major Blunt Trauma Variant 1: Major blunt trauma. Hemodynamically unstable. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography trauma series Usually Appropriate ??? US FAST scan chest abdomen pelvis Usually Appropriate O CT whole body with IV contrast May Be Appropriate ???? CT whole body without IV contrast May (...) Be Appropriate ???? MRI abdomen and pelvis without and with IV contrast Usually Not Appropriate O MRI abdomen and pelvis without IV contrast Usually Not Appropriate O Variant 2: Major blunt trauma. Hemodynamically stable. Not otherwise specified. Initial imaging. Procedure Appropriateness Category Relative Radiation Level CT whole body with IV contrast Usually Appropriate ???? Radiography trauma series Usually Appropriate ??? US FAST scan chest abdomen pelvis Usually Appropriate O CT whole body without IV

2019 American College of Radiology

19. What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients With Suspected Blunt Thoracoabdominal Trauma? Full Text available with Trip Pro

What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients With Suspected Blunt Thoracoabdominal Trauma? What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients With Suspected Blunt Thoracoabdominal Trauma? - Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page Access provided by Volume 74, Issue 3, Pages 400–402 What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients (...) With Suspected Blunt Thoracoabdominal Trauma? x Brit Long , MD (EBEM Commentator) , x Michael D. April , MD, DPhil (EBEM Commentator) Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX DOI: | Publication History Published online: February 14, 2019 Expand all Collapse all Article Outline Take-Home Message In patients with blunt trauma, a positive point-of-care ultrasonography result can identify thoracoabdominal injury with high specificity

2019 Annals of Emergency Medicine Systematic Review Snapshots

20. What Is the Incidence of Intracranial Hemorrhage Among Anticoagulated Patients With Minor Head Trauma? Full Text available with Trip Pro

What Is the Incidence of Intracranial Hemorrhage Among Anticoagulated Patients With Minor Head Trauma? What Is the Incidence of Intracranial Hemorrhage Among Anticoagulated Patients With Minor Head Trauma? - Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page Access provided by Volume 74, Issue 1, Pages 98–100 What Is the Incidence of Intracranial Hemorrhage Among Anticoagulated Patients With Minor Head Trauma? x Michael Gottlieb (...) , MD (EBEM Commentator) , x Somy M. Thottathil , MD (EBEM Commentator) , x Jacob P. Holton , MD (EBEM Commentator) Department of Emergency Medicine, Rush University Medical Center, Chicago, IL DOI: | Publication History Published online: December 20, 2018 Expand all Collapse all Article Outline Take-Home Message Among anticoagulated patients presenting with minor head trauma, 9% may have an intracranial hemorrhage. Methods Data Sources PubMed, EMBASE, the Cochrane databases, and the Database

2019 Annals of Emergency Medicine Systematic Review Snapshots