INTRODUCTION Renewed interest in whole blood (WB) resuscitation civilians has emerged following its military use. There is a paucity of data on role where balanced component therapy (CT) the standard care. The aim this study was to assess nationwide outcomes using WB as an adjunct CT versus alone resuscitating civilian trauma patients. METHODS We analyzed (2015–2016) Trauma Quality Improvement Program. included adult (age, ≥18 years) patients presenting with hemorrhagic shock and requiring...

Whole blood (WB) has shown promise in pediatric trauma resuscitation following its prominent role the of adult patients. Although WB children been to be feasible, effectiveness yet explored. The aim this study was examine outcomes transfusion as an adjunct component therapy (CT) compared with CT only early for patients.Children aged 1 17 years, who were transfused within 4 hours presentation, identified Trauma Quality Improvement Program 2017 database. Patients stratified into those...

Objective: To evaluate racial disparities among White and Black pediatric firearm injury patients on a national level. Background: Pediatric firearm-related morbidity mortality are rising in the United States. There is paucity of data examining those patients. Methods: The Trauma Quality Improvement Program (2017) was queried for (age ≤17 years) admitted with injuries. Patients were stratified by race: Black. Injury characteristics assessed. Outcomes mortality, hospital length stay,...

Abstract Background In recent years, several studies have demonstrated the efficacy of using pre‐hospital blood product and in‐hospital whole for trauma resuscitation. While some observations suggest an encouraging uptake this evidence by emergency medical service (EMS) agencies centers, a nationwide characterization utilization bleeding patients remains unknown. The objective study is to determine estimates Study Design Methods All adult reported National Emergency Medical Services...

Nonoperative management of acute calculous cholecystitis (ACC) in the frail geriatric population is underexplored. The aim our study was to examine long-term outcomes patients with ACC treated cholecystectomy compared initial nonoperative management.We conducted a 2017 analysis Nationwide Readmissions Database and included (≥65 years) ACC. Frailty assessed using five-factor modified frailty index. Patients were stratified into those undergoing at index admission (operative [OP]) versus...

BACKGROUND Tetrahydrocannabinoids (THC) can modulate the coagulation cascade resulting in hypercoagulability. However, clinical relevance of these findings has not been investigated. The aim our study was to evaluate impact preinjury marijuana exposure on thromboembolic complications (TEC) trauma patients. METHODS We performed a 2-year (2015–2016) analysis American College Surgeons Trauma Quality and Improvement Program database included all adult (≥18 year) Patients were stratified based...

INTRODUCTION Angioembolization (AE) is an integral component in multidisciplinary algorithms for achieving hemostasis patients with trauma. The American College of Surgeons Committee on Trauma recommends that interventional radiologists be available within 30 minutes to perform emergent AE. However, the impact timing AE patient outcomes still not well known. We hypothesized a delay would associated increased mortality and higher blood transfusion requirements blunt intra-abdominal solid...

INTRODUCTION Organ dysfunction following traumatic brain injury (TBI) is common and has been associated with unpredictable outcomes. The aim of our study to describe the incidence non-neurological organ (NNOD) its impact on outcomes in patients severe TBI admitted intensive care unit (ICU). METHODS We performed a 3-year (2015-2017) review Level 1 trauma center’s prospectively maintained database included all adult (age ≥18y) isolated (head abbreviated severity (AIS) ≥3 other AIS <3) an...

The volume-outcome relationship led to the regionalization of trauma care. between centers' injury-specific laparotomy volume and outcomes has not been explored. aim our study was examine a center's in blunt penetrating patients.We performed (2017) analysis Trauma Quality Improvement Program database. We included adult (age, ≥18 years) patients who required emergent laparotomies for hemorrhage control. centers were stratified based on their volumes: high (HV), ≥25 cases per year; medium...

Studies have proposed the use of antibiotics only in cases acute uncomplicated appendicitis (AUA). However, there remains a paucity data evaluating this nonoperative approach vulnerable frail geriatric population. The aim study was to examine long-term outcomes patients with AUA treated appendectomy compared initial management (NOP).We conducted 1-year (2017) analysis Nationwide Readmissions Database and included all patients(age, ≥65 years) diagnosis AUA. Frailty assessed using five-factor...

Never-frozen liquid plasma (LQP) was found to reduce component waste, decrease health care expenses, and have a superior hemostatic profile compared with fresh frozen (FFP). Although transfusing LQP in hemorrhaging patients has become more common, its clinical effectiveness remains be explored. This study aims examine outcomes of trauma transfused thawed FFP.Adult (≥18 years) receiving early (≤4 hours) transfusions were identified the Trauma Quality Improvement Program 2017. Patients...

Calcium pyrophosphate deposition involves of calcium dihydrate crystals in various joints throughout the body. The term "pseudogout" refers to an acute attack crystal-induced arthritis. Though clinical presentation and joint involvement vary, lumbar spine is rare. We present case a 61-year-old male who presented with 3 days worsening lower back pain. He had elevated inflammatory markers, leukocytosis, spinal tenderness on exam. Magnetic resonance imaging showed likely L4-L5 osteomyelitis;...

The use of whole blood (WB) for the treatment hemorrhagic shock and coagulopathy is increasing in civilian trauma patients. Four-factor prothrombin complex concentrate (4-PCC) adjunct to component therapy showed improved outcomes Our study aims evaluate patients who received 4-PCC WB (4-PCC-WB) compared with alone.We performed a 3-year (2015-2017) analysis American College Surgeons-Trauma Quality Improvement Program database. All adult (age, ≥18 years) were included. We excluded on preinjury...

BACKGROUND Pelvic angioembolization (AE) is a mainstay in the treatment algorithm for pelvic hemorrhage from fractures. Nonselective AE refers to embolization of bilateral internal iliac arteries (IIAs) proximally rather than their tributaries distally. The aim this study was quantify effect nonselective on venous flow swine model. We hypothesized that vein (IIV) following IIA reduced by half. METHODS Nine Yorkshire underwent right gelfoam AE, followed left. arterial and diameter, velocity,...

Abstract Background Although the internet can be a source of reassurance and clarification for expectant women, it could cause concerns or feelings worry when reading about pregnancy-related information. This research study sought to assess perceived reliability online information associated factors among women attending antenatal clinics at primary healthcare centers in Qatar. Methods A cross-sectional design was used. The participants were recruited through systematic random sampling...

Nutrition is a critical component of acute burn care and wound healing. There no consensus over the appropriate timing initiating enteral nutrition in geriatric patients. This study aimed to assess impact early on outcomes this patient population. We performed 1-year (2017) analysis American College Surgeons Trauma Quality Improvement Program included all older adult (age ≥65 years) isolated thermal patients who were admitted for more than 24 hr received nutrition. Patients stratified into...