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
Critical Care Medicine
Maisah Joarder, Hussein Noureddine El Moussaoui, Arpita Das, Frances Williamson, Martin Wullschleger
Summary: The reintroduction of tourniquets for hemorrhage control in acute limb trauma has been supported by evidence from military settings. However, it remains unclear how these findings apply to patients with prolonged transport times in rural settings. This scoping review investigates the relationship between time, distance, and outcomes following tourniquet use in civilian and military settings.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Surgery
Chuli Jiang, Zheng Chen, Yu Zhao, Wayne W. Zhang, Qiu Zeng, Fenghe Li
Summary: A retrospective study of 46 patients who underwent endovascular repair for traumatic popliteal arterial injuries showed a high technical success rate and good midterm outcomes. However, single vessel runoff was identified as an independent risk factor for primary patency loss.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Public, Environmental & Occupational Health
Pedro N. Oblea, Nicole Q. Bathan, Christyn A. Gaa, Michael B. Lustik, Todd M. Tartavoulle, Elizabeth D. Nguyen-Wu, Leilani A. Siaki
Summary: This study evaluates the knowledge and skill outcomes of an LGBTQ cultural sensitivity training program and finds significant improvements in participants' knowledge and skills. It is one of the few studies exploring LGBTQ sensitivity training in civilian and military settings. Further research and development of similar educational programs can contribute to improved care and readiness for all servicemembers.
JOURNAL OF PUBLIC HEALTH
(2022)
Article
Psychology, Clinical
Shannon E. McCaslin, Colleen Becket-Davenport, Julie Dinh, Brooke Lasher, Minsu Kim, Gerard Choucroun, Ellen Herbst
Summary: This study investigated veterans' perceptions of military culture and the impact of military service on veterans' values, beliefs, and behaviors. Results showed that many veterans continue to identify with various aspects of military culture. Seven broad themes related to military culture emerged from the study, including military values, relationships, occupational habits and practices, acquired skills, communication, affiliation, and psychological health and well-being.
PSYCHOLOGICAL TRAUMA-THEORY RESEARCH PRACTICE AND POLICY
(2021)
Article
Surgery
Ghassan T. Alswaiti, Tamara J. Worlton, Matthew Arnaouti, Gabrielle Cahill, Amy Russell, Gareth R. Hide, Simon Horne, Damian L. Clarke, Andrew K. L. Robinson, Henk van der Wal, Aldo Ayvar, Miklosh Bala, Brian Gavitt, Aysha S. Aldhaheri, Asma S. Al Mughery, Zachary Brown, Michael D. Baird, Michelle Joseph, Amila Ratnayake
Summary: Traumatic injury is a major cause of disability worldwide, especially in low and middle income countries (LMICs). The integration of civilian and military systems has been shown to have positive impact on trauma care in high-income countries (HICs), but it is unclear if this synergy could benefit LMICs. This study examines the integration between civilian and military systems in various countries and international partnerships to identify common facilitators and barriers.
JOURNAL OF SURGICAL RESEARCH
(2023)
Article
Surgery
Helen A. Potter, Daniel B. Alfson, Vincent L. Rowe, Niquelle B. Wade, Fred A. Weaver, Kenji Inaba, Leigh Ann O'Banion, Jeffrey J. Siracuse, Gregory A. Magee
Summary: The study compared the characteristics and outcomes of endovascular vs open repair for traumatic superficial femoral artery (SFA) and popliteal artery (PA) injuries. Endovascular repair was more commonly used for SFA injuries, while PA injuries were more often associated with open repair. Both repair methods showed similar in-hospital amputation-free survival outcomes.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Joshua Dilday, Natthida Owattanapanich, Elizabeth R. Benjamin, Subarna Biswas, Stacy Shackelford, Demetrios Demetriades
Summary: This study compares injury patterns, management, and outcomes in isolated abdominal gunshots wounds between military and civilian populations. The results show that military patients have more hollow viscus injuries while civilian patients have more vascular injuries. The operative strategies and use of exploratory laparotomy also differ between the two groups, but the in-hospital outcomes, including mortality, are similar.
WORLD JOURNAL OF SURGERY
(2023)
Review
Andrology
Charlotte Goldman, Nathan Shaw, Danelo du Plessis, Jeremy B. Myers, Andre van der Merwe, Krishnan Venkatesan
Summary: Gunshot wounds to the external genitalia are common in GU trauma, with different injury patterns for military and civilian GSWs. This review provides a detailed overview of ballistic injury impact on tissues, types of injuries, and assessment methods for external genitalia injuries.
TRANSLATIONAL ANDROLOGY AND UROLOGY
(2021)
Review
Nursing
Pablo Roman, Amanda Rodriguez-Alvarez, Daniel Bertini-Perez, Carmen Ropero-Padilla, Luis Martin-Ibanez, Miguel Rodriguez-Arrastia
Summary: This review aimed to summarize the effectiveness of tourniquets in controlling hemorrhage, focusing on the use of different types of tourniquets, indications for placement, and potential complications. The results showed that commercial tourniquets are valuable and safe instruments in military and civilian care settings.
JOURNAL OF CLINICAL NURSING
(2021)
Article
Orthopedics
Gang Liu, Jialei Chen, Zhou Xiang
Summary: This study investigated the long-term trauma-specific functional outcomes and risk factors associated with poor outcomes in patients with acute blunt popliteal artery injury (PAI). The results showed that most patients had functional deficits, and nerve injury and compartment syndrome were identified as important risk factors for poor functional outcomes.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Veterinary Sciences
Thomas H. Edwards, Laura L. F. Scott, Kerry E. Gonyeau, Emily H. Howard, Jacquelyn S. Parker, Kelly Hall
Summary: The study compared the prevalence of trauma types, mechanisms of injury, and outcomes among military working dogs, operational canines, and civilian dogs. Differences were found in the type of injury, mechanism, and outcome experienced by these different groups of dogs.
JOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE
(2021)
Article
Orthopedics
Chihua Lee, Maximilian G. McQuade, Amy A. Ostrofe, Ashton H. Goldman, Thomas J. Douglas
Summary: The study found that patient-reported outcome scores after lateral ankle stabilization in military servicemembers were lower than in civilian population. The addition of fibular periosteum augmentation and whether the procedure was performed by an orthopaedic surgeon or a podiatrist did not affect the outcomes.
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2021)
Article
Critical Care Medicine
Nee-Kofi Mould-Millman, Navneet Kaur Baidwan, Brenda Beaty, Krithika Suresh, Julia M. Dixon, Chandni Patel, Shaheem de Vries, Hendrick J. Lategan, Elmin Steyn, Janette Verster, Steven G. Schauer, Tyson E. Becker, Cord Cunningham, Sean Keenan, Ernest E. Moore, Lee A. Wallis, Adit A. Ginde, Vikhyat S. Bebarta
Summary: This study provides an initial description of civilians in the Western Cape who experience prolonged trauma care and compares the prolonged care and non-prolonged care populations.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2022)
Article
Surgery
Heepeel Chang, Frank J. Veith, Caron B. Rockman, Jeffrey J. Siracuse, Glenn R. Jacobowitz, Neal S. Cayne, Virendra Patel, Karan Garg
Summary: This study compared outcomes of open popliteal artery aneurysm repair using autologous vein versus prosthetic conduits. The results showed that both conduit types had similar primary and secondary patency rates and MALEs at 2 years for popliteal artery targets. However, worse outcomes were observed with prosthetic conduit when the distal target was infrapopliteal. Vein conduit should be preferred for infrapopliteal targets, while prosthetic conduit can be used for patients without suitable autologous vein conduits.
ANNALS OF VASCULAR SURGERY
(2021)
Article
Critical Care Medicine
Jeffry Nahmias, Saskya Byerly, Deborah Stein, Elliott R. Haut, Jason W. Smith, Rondi Gelbard, Markus Ziesmann, Melissa Boltz, Ben Zarzaur, Walter L. Biffl, Megan Brenner, Joseph DuBose, Charles Fox, Joseph Galante, Matthew Martin, Ernest E. Moore, Laura Moore, Jonathan Morrison, Tatsuya Norii, Thomas Scalea, D. Dante Yeh
Summary: This study achieved consensus on a core outcome set (COS) for resuscitative endovascular balloon occlusion of the aorta (REBOA) through a modified Delphi study. The established COS will contribute to the development of evidence-based guidelines, improved study designs, and valid aggregation of data related to REBOA management.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2022)
Article
Surgery
Cassra N. Arbabi, Joseph DuBose, Kristofer Charlton-Ouw, Benjamin W. Starnes, Naveed Saqib, Elina Quiroga, Charles Miller, Ali Azizzadeh
Summary: This study aimed to determine the outcomes of medical management for blunt thoracic aortic injury (BTAI). The results showed that definitive medical management is safe and effective for patients with minimal aortic injury, with low intervention rate and no aortic-related deaths.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Surgery
Claire Morton, Justin E. Kung, Hilary Hayssen, Michael Hall, Charles J. Fox, Khanjan Nagarsheth, Shabah Toursavadkohi
Article
Critical Care Medicine
John K. Bini, Claire Hardman, Jonathon Morrison, Thomas M. Scalea, Laura J. Moore, Jeanette M. Podbielski, Kenji Inaba, Alice Piccinini, David S. Kauvar, Jeremey Cannon, Chance Spalding, Charles Fox, Ernest Moore, Joseph J. DuBose
Summary: This study compared outcomes for patients with hemorrhage below the aortic bifurcation treated with REBOA to those treated with open AO, finding a significantly higher survival rate in REBOA patients.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Critical Care Medicine
Alexis L. Cralley, Ernest E. Moore, Daniel Kissau, Julia R. Coleman, Navin Vigneshwar, Margot DeBot, Terry R. Schaid, Hunter B. Moore, Mitchell J. Cohen, Kirk Hansen, Christopher C. Silliman, Angela Sauaia, Charles J. Fox
Summary: The study developed a swine model to study military blast injuries and interventions. Results showed coagulopathy and increased intracranial pressure in pigs with DCBI model.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2022)
Article
Surgery
Cassra N. Arbabi, Joseph DuBose, Benjamin W. Starnes, Naveed Saqib, Elina Quiroga, Charles Miller, Ali Azizzadeh
Summary: Results from this study showed that emergent or urgent TEVAR for patients with concomitant BTAI and TBI was not associated with delayed stroke, in-hospital mortality, or aortic-related mortality. The timing of TEVAR should be guided by individual patient factors rather than surgical timing.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Critical Care Medicine
Nicole L. Werner, Ernest E. Moore, Melanie Hoehn, Ryan Lawless, Julia R. Coleman, Mari Freedberg, Alicia A. Heelan, K. Barry Platnick, Mitchell J. Cohen, Jamie J. Coleman, Eric M. Campion, Charles J. Fox, Cyril Mauffrey, Alexis Cralley, Fredric M. Pieracci, Clay Cothren Burlew
Summary: This study evaluated the use of REBOA in patients undergoing PPP for pelvic fracture-related hemorrhage. It was found that although REBOA patients required greater transfusion requirements, there were no deaths due to acute pelvic hemorrhage.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Surgery
Alexis L. Cralley, Ernest E. Moore, Charles J. Fox, Daniel Kissau, Margot DeBot, Terry R. Schaid, Sanchayita Mitra, Patrick Hom, Miguel Fragoso, Arsen Ghasabyan, Christopher Erickson, Angelo D'Alessandro, Kirk C. Hansen, Mitchell J. Cohen, Christopher C. Silliman, Angela Sauaia
Summary: This study evaluated the effects of resuscitative endovascular balloon occlusion of the aorta zone I on intracranial pressure and cerebral edema in a combat casualty relevant swine model. The results showed that zone 1 aortic occlusion did not significantly increase intracranial pressure and did not lead to increased brain water content. Additionally, troponin levels did not increase in the zone 1 aortic occlusion group. These findings suggest that zone 1 aortic occlusion may provide neuro- and cardioprotection in the setting of blast traumatic brain injury.
Article
Hematology
Sara F. Goldkind, Laura R. Brosch, Roger J. Lewis, Claudia Pedroza, Philip C. Spinella, Kabir Yadav, Stacy A. Shackelford, John B. Holcomb
Article
Critical Care Medicine
Andrew P. Eitel, Ernest E. Moore, Angela Sauaia, Marguerite R. Kelher, Navin G. Vigneshwar, Matthew G. Bartley, Jamie B. Hadley, Clay C. Burlew, Eric M. Campion, Charles J. Fox, Ryan A. Lawless, Frederic M. Pieracci, Kenneth B. Platnick, Hunter B. Moore, Mitchell J. Cohen, Christopher C. Silliman
Summary: By scoring trauma patients in the operating room and ICU, a correlation can be found between trauma-induced coagulopathy (TIC) and coagulation measurements, transfusion requirements, and mortality. Patients with higher scores are more likely to have abnormal coagulation measurements and higher mortality rates. This scoring method for predicting TIC needs to be validated in multicenter studies.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2023)
Article
Critical Care Medicine
Alexis L. Cralley, Ernest E. Moore, Angela Sauaia, Pedro H. Carani, Terry R. Schaid, Margot DeBot, Miguel Fragoso, Arsen Ghasabyan, Kirk Hansen, Mitchell J. Cohen, Christopher C. Silliman, Charles J. Fox
Summary: Compared with aortic occlusion Zone 1, Zone 3 provides similar neuro/cardioprotection while reducing organ dysfunction and coagulopathy. This study suggests that Zone 3 REBOA may be preferable over Zone 1 for treating military relevant blast polytrauma.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2023)
Article
Critical Care Medicine
Alexis L. Cralley, Ernest E. Moore, Joseph Dubose, Megan L. Brenner, Terry R. Schaid, Margot DeBot, Mitchell Cohen, Christopher Silliman, Charles Fox, Angela Sauaia
Summary: This study compared the outcomes of patients treated with REBOA Zone 3 and REBOA Zone 1 for severe blunt pelvic injuries. The results showed that REBOA Zone 3 had better survival rates and comparable outcomes in other adverse events compared to REBOA Zone 1.
Article
Medicine, General & Internal
Amila S. Ratnayake, M. Bala, C. J. Fox, A. U. Jayatilleke, S. P. B. Thalgaspitiya, T. J. Worlton
Summary: Multiple factors, including anatomical injuries, concomitant venous and skeletal trauma, and fasciotomy, have a stronger correlation to subsequent amputation than ischaemic time. Early identification and prioritisation of these factors can lead to successful limb salvage.
BMJ MILITARY HEALTH
(2022)
Article
Critical Care Medicine
Megan Brenner, Bishoy Zakhary, Raul Coimbra, Jonathan Morrison, Thomas Scalea, Laura J. Moore, Jeanette Podbielski, John B. Holcomb, Kenji Inaba, Jeremy W. Cannon, Mark Seamon, Chance Spalding, Charles Fox, Ernest E. Moore, Joseph Abdellatif Ibrahim
Summary: This study examined the impact of resuscitative endovascular balloon occlusion of the aorta (REBOA) and resuscitative thoracotomy (RT) on outcomes in patients with traumatic brain injury (TBI). The results suggest that TBI patients who receive REBOA may have improved survival compared with those who receive RT for the same indication, without significant differences in systemic complications. This highlights the potential of REBOA as an alternative to RT in the resuscitation of patients with TBI.
TRAUMA SURGERY & ACUTE CARE OPEN
(2022)
Article
Psychology, Multidisciplinary
Annalyn S. DeMello, Yijiong Yang, Joann Schulte, Dwayne A. Wolf, John B. Holcomb, Bethany Bless, Kaeleigh DeMeter, Charles E. Wade, Stacy A. Drake
Summary: This study analyzed the demographic characteristics of suicides in a highly populated county in the United States by combining medical examiner records and U.S. Census data. The findings revealed that the majority of suicide victims were non-Hispanic, white males who died from gunshot wounds. Notable age characteristics included interpersonal violence and depression among individuals younger than 40. Interestingly, areas with higher population density and racial/ethnic minorities had lower suicide rates despite lower incomes and education levels. Future research should focus on male and elderly depression, interpersonal violence, firearm access, and cultural factors.