A5000145397- Trauma and Emergency Care Studies
- Traumatic Brain Injury and Neurovascular Disturbances
- Gastrointestinal disorders and treatments
- Trauma Management and Diagnosis
- Disaster Response and Management
- Abdominal Trauma and Injuries
- Respiratory Support and Mechanisms
- Cardiac, Anesthesia and Surgical Outcomes
- Intensive Care Unit Cognitive Disorders
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Injury Epidemiology and Prevention
- Intestinal and Peritoneal Adhesions
- COVID-19 and healthcare impacts
- Abdominal Surgery and Complications
- Traumatic Brain Injury Research
- Hernia repair and management
- Intestinal Malrotation and Obstruction Disorders
- Esophageal and GI Pathology
- Ultrasound in Clinical Applications
- Appendicitis Diagnosis and Management
- Gun Ownership and Violence Research
- Venous Thromboembolism Diagnosis and Management
- Psychosomatic Disorders and Their Treatments
Winthrop-University Hospital
2019-2025
Island Hospital
2020-2024
New York University
2019-2024
Long Island University
2021-2024
Southwestern University
2023
Northwestern Memorial Hospital
2023
Northwell Health
2017-2023
Duke Medical Center
2023
MetroHealth
2023
MetroHealth Medical Center
2023
ABSTRACT BACKGROUND Despite the high incidence of blunt trauma in older adults, there is a lack evidence-based guidance for computed tomography (CT) imaging this population. We aimed to identify an algorithm guide use Pan-Scan (Head/C-spine/Torso) or Selective Scan (Head/C-spine ± Torso). hypothesized that patient’s initial history and exam could be used imaging. METHODS prospectively studied patients aged 65+ at 18 Level I/II centers. Patients presenting >24 h after injury who died upon...
Spontaneous common bile duct perforation is an uncommon clinical entity in both adults and children. Few case reports have been published since the first description 1882. Our work has reported line with SCARE criteria. Herein, we describe of a 28 year-old female who suffered spontaneous while admitted for choledocholithiasis. The occurred in-hospital, extensive imaging laboratory tests characterized disease detail. To our knowledge, this report witnessed from pre-perforation through...
Objective: Geriatric admissions to trauma centers have increased, and in 2013, our center integrated geriatrician consultation with the management of admitted patients. Our goal is describe experience increasing geriatric fall volume help inform organized programs. Method: We retrospectively analyzed patients ≥65 years old, suffering falls from January 1, 2006, December 31, 2017. examined descriptive statistics changes outcomes after integration. Results: A total 1,335 were admitted, which...
A rarely reported entity, Waugh's syndrome is the association between intestinal malrotation and intussusception. We present a case of encountered during medical mission to resource poor country.A 3-month-old female presented with septic shock acute bowel obstruction secondary intussusception malrotation. She required aggressive resuscitation emergent laparotomy, resection, Ladd procedure temporary ileostomy.First described in 1911, has been literature. summarize total 54 cases that are...
Prior research has demonstrated that platelet count and inflammation are dominant contributors to hypercoagulability. Our objective is determine whether elevated systemic inflammatory response syndrome (SIRS) have an association with the development of venous thromboembolism (VTE) in hospitalized patients a high clinical index suspicion for thromboembolic disease.We performed retrospective medical record review 844 surgical suspected VTE from July 2012 May 2013 who underwent screening by...
ABSTRACT Background Pneumonia leading to acute respiratory distress syndrome (ARDS) is one of the devastating consequences coronavirus disease 2019 (COVID-19). Airway pressure release ventilation (APRV) has been described as beneficial in lung injury and ARDS. We hypothesized that utilizing APRV would be advantageous COVID-19 ARDS population. Methods Prospective, observational, single-center study. Data were extracted on demographics, vasopressors, sedatives, analgesics, oxygenation...
Background: Prevention of secondary brain injury is a key component acute management patients with severe traumatic (TBI). Haemoglobin concentration may have an impact on optimization cerebral oxygenation. Patients TBI best be served by organized trauma service. The objective to determine if haemoglobin or dedicated admission has outcomes after TBI.Methods: This study retrospectively analysed consecutive admitted level-I centre over 3 years. <16 years-old and length stay (LOS) <24 hours were...
Sinking skin flap syndrome is a rare leading to increased intracranial pressure, known neurosurgeons, yet uncommon and hardly ever reported in trauma patients. In hospitalized patient with declining neurological status, rarely do we encounter further deterioration by elevating the patients' head, diuresis hyperventilation. However, after craniectomy for trauma, partially boneless cranium may be compressed higher atmospheric that pressure rises dangerous levels. For such cases, paradoxical...
Colonic atresia and anorectal malformation are rare congenital anomalies individually. Few reports of the conditions combined in a single patient have been published literature. Neither colonic atresia, or combination disorders has previously reported Haitian population.A 5-day-old female presented with feculent emesis, failure to pass stool since birth an imperforate stenotic anus. Exploratory laparotomy revealed colorectal distal malformed cecum Wingspread low subtype without any...
Primary leiomyosarcomas of the breast are extremely rare. Because this rarity, only a small number studies have been published about disease; diagnosis, treatment, and prognosis not well-described. Our work has reported in line with SCARE criteria. We present 20-year-old female primary leiomyosarcoma who despite mastectomy, developed lung metastases three years later. discuss rarity risk metastatic disease even treatment. review literature provide an outline available data to shed light on...
Optimal management of post-concussion symptoms (PCS) remains ill-defined but includes multimodal, symptom-guided plans care. Osteopathic manipulative treatment (OMT) may be used as an adjunct for PCS. We present a case motor vehicle collision victim whose PCS improved directly and progressively after OMT. To our knowledge, this is the first report OMT utilized polytrauma part organized trauma system. Previous studies discuss potential benefits patients with sports-related injuries, none...
Abstract Somatic dysfunction caused by traumatic brain injury (TBI) may be managed osteopathic manipulative treatment (OMT). In this case report, the authors describe 2 patients with severe TBI who were each treated OMT in a level-1 regional trauma center. Both received beginning acute care phase of injury. improved during course treatment, and no adverse effects noted. More comprehensive research clarify efficacy as part multimodal TBI.
Chilaiditi syndrome is a very rare disorder characterized by abdominal pain due to the entrapment of colon between liver and diaphragm. However, it have bowel perforation as complication this with only 2 cases reported date. In article, we present case 56-year-old woman medical history scleroderma who presents was found colonic from syndrome. She also incidentally cecal adenocarcinoma. Sometimes in patients may be more than benign calls for increased attention clinicians regarding this.
Gunshot wounds to the cardiac region usually result in devastating injuries. However, if bullets embolize into myocardium without significant damage organ, optimal evaluation and management remains unclear. We present case of a hemodynamically stable gunshot wound patient who presented with bullet heart. Sternotomy revealed that had embolized through superior vena cava embedded apex right ventricle. The was managed retrieval continues be well despite retained intracardiac bullet. discuss...
Background Although the standard of care for anterior abdominal gunshot wounds (AAGSWs) is immediate laparotomy, these operations are associated with a high rate negativity and potentially serious complications. Recent data suggest possibility selective non-operative management (SNOM) AAGSWs, but none implicate body mass index (BMI) as factor in patient selection. Anecdotal experience at our trauma center suggested protective effect obesity among patients given exceptionally Bronx, we sought...
Abstract Molecular genetic studies of population structure and gene flow are commonly employed in fish stock assessment breeding delineation. Genetically structured populations may have different effective sizes, distinct reproductive rates variable susceptibility to harvesting or habitat degradation. Nine microsatellite loci were isolated for Morone saxatilis (Moronidae), an anadromous inhabiting the mid‐Atlantic. Microsatellite with a subtractive hybridization method will be used estimate...