Article
Surgery
Leigh Ann O'Banion, Rachel Dirks, Emaad Farooqui, Nallely Saldana-Ruiz, William J. Yoon, Cara Pozolo, Charles Fox, Alexis Crally, Sammy Siada, Mark R. Nehler, Benjamin S. Brooke, Julie L. Beckstrom, Sharon Kiang, Hans K. Boggs, Venita Chandra, Vy T. Ho, Wei Zhou, Ashton Lee, Nina Bowens, Yan Cho, Karen Woo, Jesus Ulloa, Gregory A. Magee
Summary: The study introduced a simplified scoring system (POPSAVEIT) for preoperative risk stratification of traumatic popliteal vascular injuries. The scoring system, based on multivariate analysis, independently assessed amputation risk in these patients and demonstrated good validation in the testing group.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Critical Care Medicine
Alexis M. Moren, Walter L. Biffl, Chad G. Ball, Marc de Moya, Karen J. Brasel, Carlos V. R. Brown, Jennifer L. Hartwell, Kenji Inaba, Eric J. Ley, Ernest E. Moore, Kimberly A. Peck, Anne G. Rizzo, Nelson G. Rosen, Jason L. Sperry, Jordan A. Weinberg, Raul Coimbra, David V. Shatz, Matthew J. Martin
Summary: The Western Trauma Association (WTA) has developed best practice clinical practice guidelines for various trauma topics, including the treatment challenges of blunt pancreatic trauma. This algorithm is the result of a comprehensive literature review and input from WTA members and Algorithm Committee members.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2023)
Article
Surgery
Jeanette E. Polcz, Joseph M. White, Alley E. Ronaldi, Joseph J. Dubose, Scott Grey, Devin Bell, Paul W. White, Todd E. Rasmussen
Summary: The use of temporary intravascular shunts (TIVS) in arterial injuries helps restore distal perfusion and reduce ischemic time. Studies have shown that TIVS can extend the opportunity for limb salvage and lower the amputation rate in early care for severely injured patients with extremity vascular injury.
JOURNAL OF VASCULAR SURGERY
(2021)
Review
Biochemistry & Molecular Biology
Preeti J. Muire, Marc A. Thompson, Robert J. Christy, Shanmugasundaram Natesan
Summary: This review discusses the shift from agonistic to targeted interventions in controlling the immune response following traumatic injuries. By providing a targeted discussion of the wound healing processes, this review assists in the identification of novel therapeutic targets. Additionally, the importance of immune engineering as an emerging tool to modulate acute immune response after traumatic injuries is emphasized.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2022)
Article
Surgery
Chun-Lin Su, Chung-Chen Hsu, Chien-Hung Liao, Chi-Hsun Hsieh, Chi-Tung Cheng, Chih-Yuan Fu
Summary: A prediction model and simplified scoring system for vascular injuries in patients with lower extremity open fractures were developed. Three clinical variables (hard or soft vascular signs, segmental fractures, and degloving soft-tissue injury) were identified for assessing the risk of vascular injuries. The model showed good performance in prediction and diagnosis, and can guide the subsequent management decisions for patients with lower extremity open fractures.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Article
Critical Care Medicine
Marc de Moya, Karen J. Brasel, Carlos V. R. Brown, Jennifer L. Hartwell, Kenji Inaba, Eric J. Ley, Ernest E. Moore, Kimberly A. Peck, Anne G. Rizzo, Nelson G. Rosen, Jason Sperry, Jordan A. Weinberg, Matthew J. Martin
Summary: The recommended algorithm for managing traumatic pneumothorax is based on research and expert opinions, offering a safe and reasonable approach. Variability in decision making, resources, consensus, and patient factors should be considered in application.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2022)
Article
Surgery
Leigh Ann O'Banion, Rachel Dirks, Nallely Saldana-Ruiz, Emaad Farooqui, William J. Yoon, Cara Pozolo, Charles J. Fox, Alexis Crally, Sammy Siada, Mark R. Nehler, Benjamin S. Brooke, Julie L. Beckstrom, Sharon Kiang, Hans K. Boggs, Venita Chandra, Vy T. Ho, Wei Zhou, Ashton Lee, Nina Bowens, Yan Cho, Karen Woo, Jesus Ulloa, Gregory A. Magee
Summary: Traumatic popliteal artery injuries are associated with a high rate of major amputation, with factors such as preoperative scoring, postoperative patency, and antiplatelet therapy influencing outcomes. Loss of primary patency and absence of postoperative pedal Doppler signals were strongly linked to major amputation.
JOURNAL OF VASCULAR SURGERY
(2021)
Review
Medicine, General & Internal
Anish B. Patel, E. Charles Osterberg, Praveen N. Satarasinghe, Jessica L. Wenzel, Sabah T. Akbani, Saad L. Sahi, Brent J. Emigh, J. Stuart Wolf, Carlos V. R. Brown
Summary: Urologic trauma can lead to urethral injury, and the management recommendations vary depending on the type of injury. The retrograde urethrogram is the preferred initial diagnostic method for suspected urethral injury. Iatrogenic urethral injury caused by traumatic catheterization is best managed by an experienced clinician attempting catheterization or using a suprapubic catheter for proper drainage. Penetrating trauma, such as gunshot wounds, may result in anterior and/or posterior urethral injury, requiring early operative repair. Blunt trauma, such as straddle injuries or pelvic fractures, can be treated with either early endoscopic realignment or delayed urethroplasty after suprapubic cystostomy. Regardless of the type of injury and treatment chosen, regular follow-up with a urologist is crucial for accurate assessment of outcomes and management of complications.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
David S. Kauvar, Amanda M. Staudt, Zachary M. Arthurs, Brandon W. Propper, Lydia C. Piper, Jessica C. Rivera, Kathy L. Ryan, Thomas J. Walters
Summary: This study evaluated the association between fasciotomy after military lower extremity vascular injury and amputation and limb complications. The results showed that early fasciotomy is often performed without documented compartment pressure elevation in severely injured limbs, but it is still associated with a high rate of limb complications.
JOURNAL OF SURGICAL RESEARCH
(2021)
Article
Surgery
Victor Lopez-Lopez, Christoph Kuemmerli, Jose Cutillas, Javier Maupoey, Rafael Lopez-Andujar, Emilio Ramos, Kristel Mils, Andres Valdivieso, Arkaitz Perfecto Valero, Pedro Antonio Martinez, Sandra Paterna, Alejando Serrablo, Tim Reese, Karl Oldhafer, Roberto Brusadin, Asuncion Lopez Conesa, Luis Diez Valladares, Carmelo Loinaz, Marina Garces-Albir, Luis Sabater, Federico Mocchegiani, Marco Vivarelli, Sergio Annese Perez, Benito Flores, Jose Luis Lucena, Santiago Sanchez-Cabus, Alicia Calero, Antonio Minguillon, Jose Manuel Ramia, Candido Alcazar, Javier Aguilo, Jose A. Ruiperez-Valiente, Lukasz Filip Grochola, Pierre-Alain Clavien, Henrik Petrowsky, Ricardo Robles-Campos
Summary: This study analyzed the management of vascular injuries during cholecystectomy. The results showed a higher incidence of vascular and biliary injuries in non-specialized centers. Referral to specialized centers for treatment reduced mortality and reoperation rates.
Article
Critical Care Medicine
L. Andrew Koman
Summary: Penetrating vascular injuries in the upper extremity are relatively rare but can lead to significant morbidity if not treated optimally; outcomes vary due to multiple factors. This article discusses the complex interplay of factors in vascular trauma, providing guidance for arterial reconstruction and comprehensive management planning.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Review
Immunology
Maria Christou-Ergos, Kerrie E. Wiley, Julie Leask, Gilla K. Shapiro
Summary: Despite the apparent relationship between past experiences and subsequent vaccination decisions, the role of traumatic events has been overlooked when understanding vaccination intention and behaviour. This systematic review synthesizes existing knowledge on the association between traumatic events and subsequent vaccination decisions, and finds that the experience of trauma is associated with individual vaccination decisions. Social and practical factors related to both trauma and vaccination may mediate this relationship. Further research is needed to clarify the nuances of this relationship in this relatively new field of inquiry.
Article
Critical Care Medicine
Kenji Inaba, Hasan B. Alam, Karen J. Brasel, Megan Brenner, Carlos V. R. Brown, David J. Ciesla, Marc A. de Moya, Joseph J. DuBose, Ernest E. Moore, Laura J. Moore, Jack A. Sava, Gary A. Vercruysse, Matthew J. Martin
Summary: This article presents a Western Trauma Association Critical Decisions Algorithm: REBOA, which offers a practical approach for the use of REBOA in trauma based on scientific evidence, expert opinion, and input from the Western Trauma Association membership.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2022)
Article
Medicine, General & Internal
Tobias Gauss, Justin E. Richards, Costanza Tortu, Francois-Xavier Ageron, Sophie Hamada, Julie Josse, Francois Husson, Anatole Harrois, Thomas M. Scalea, Valentin Vivant, Eric Meaudre, Jonathan J. Morrison, Samue Galvagno, Pierre Bouzat
Summary: This retrospective study evaluated the association between early norepinephrine administration and mortality in patients with blunt trauma and hemorrhagic shock. The findings suggest that early norepinephrine infusion does not affect 24-hour or in-hospital mortality.
Article
Emergency Medicine
Srinivasa R. Janagama, Jennifer A. Newberry, Michael A. Kohn, G. V. Ramana Rao, Matthew C. Strehlow, Swaminatha V. Mahadevan
Summary: This study found a correlation between prehospital AVPU assessment of the level of consciousness and mortality rates in trauma victims. The predictive ability of AVPU and GCS for 48-hour mortality was comparable.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
