A5047900529- Trauma and Emergency Care Studies
- Trauma Management and Diagnosis
- Abdominal Trauma and Injuries
- Cardiac Arrest and Resuscitation
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Pelvic and Acetabular Injuries
- Traumatic Brain Injury and Neurovascular Disturbances
- Emergency and Acute Care Studies
- Appendicitis Diagnosis and Management
- Abdominal Surgery and Complications
- Cardiac, Anesthesia and Surgical Outcomes
- Injury Epidemiology and Prevention
- Vascular Procedures and Complications
- Hernia repair and management
- Venous Thromboembolism Diagnosis and Management
- Traumatic Ocular and Foreign Body Injuries
- Blood transfusion and management
- Spinal Fractures and Fixation Techniques
- Urological Disorders and Treatments
- Gun Ownership and Violence Research
- Ultrasound in Clinical Applications
- Intestinal and Peritoneal Adhesions
- Pleural and Pulmonary Diseases
- Diverticular Disease and Complications
- Hip and Femur Fractures
University of Southern California
2016-2025
LAC+USC Medical Center
2016-2025
Los Angeles Medical Center
2016-2025
Angeles University Foundation
2014-2025
Keck Graduate Institute
2025
October 6 University
2024
Novem (Netherlands)
2015-2024
McGill University
2024
University of Calgary
2015-2024
Johns Hopkins University
2015-2024
<h3>Importance</h3> Severely injured patients experiencing hemorrhagic shock often require massive transfusion. Earlier transfusion with higher blood product ratios (plasma, platelets, and red cells), defined as damage control resuscitation, has been associated improved outcomes; however, there have no large multicenter clinical trials. <h3>Objective</h3> To determine the effectiveness safety of transfusing severe trauma major bleeding using plasma, cells in a 1:1:1 ratio compared 1:1:2...
The objective of this study was to analyze the preventable and potentially deaths occurring at a mature Level I trauma center.All patients that died during their initial hospital admission an 8-year period (January, 1998 December, 2005) were analyzed. initially reviewed weekly Morbidity Mortality (M&M) conference followed by multidisciplinary (Trauma Surgery, Critical Care, Emergency Medicine, Neurosurgery, Nursing, Coroner) Combined Trauma Death Review Committee, classified into...
Aortic occlusion (AO) for resuscitation in traumatic shock remains controversial. Resuscitative endovascular balloon of the aorta (REBOA) offers an emerging alternative.The American Association Surgery Trauma Occlusion Resuscitation and Acute Care registry prospectively identified trauma patients requiring AO from eight ACS Level 1 centers. Presentation, intervention, outcome variables were collected analyzed to compare REBOA open AO.From November 2013 February 2015, 114 captured (REBOA, 46;...
Background The resuscitation of severely injured bleeding patients has evolved into a multi-modal strategy termed damage control (DCR). This guideline evaluates several aspects DCR including the role massive transfusion (MT) protocols, optimal target ratio plasma (PLAS) and platelets (PLT) to red blood cells (RBC) during DCR, recombinant activated factor VII (rVIIa) tranexamic acid (TXA). Methods Using Grading Recommendations Assessment, Development Evaluation (GRADE) methodology,...
Acute care surgery encompasses trauma, surgical critical care, and emergency general (EGS). While the first two components are well defined, scope of EGS practice remains unclear. This article describes work American Association for Surgery Trauma to define EGS.A total 621 unique International Classification Diseases-9th Rev. (ICD-9) diagnosis codes were identified using billing data (calendar year 2011) from seven large academic medical centers that EGS. A modified Delphi methodology was...
Prediction of massive transfusion (MT) among trauma patients is difficult in the early phase management. Whole-blood thromboelastometry (ROTEM®) tests provide immediate information about coagulation status acute bleeding patients. We investigated their value for prediction MT.This retrospective study included admitted to AUVA Trauma Centre, Salzburg, Austria, with an injury severity score ≥16, from whom blood samples were taken immediately upon admission emergency room (ER). ROTEM® analyses...
Background: The incidence and risk factors for traumatic brain injury (TBI)-associated coagulopathy after severe TBI (sTBI) the effect of this complication on outcomes have not been evaluated in any large prospective studies. Methods: Prospective study all patients admitted to surgical intensive care unit (ICU) an urban, Level I trauma center from June 2005 through May 2007 with sTBI (head Abbreviated Injury Scale score ≥3). Criteria TBI-coagulopathy included a clinical condition consistent...
American College of Surgeons Trauma Quality Improvement Best Practices recommends initial massive transfusion (MT) cooler delivery within 15 minutes protocol activation, with a goal 10 minutes. The current study sought to examine the impact timing first on patient outcomes.Patients predicted receive MT at 12 Level I trauma centers were randomized two separate ratios as described in PROPPR trial. Assessment Blood Consumption score or clinician gestalt prediction was used randomize patients...
BACKGROUND There is no consensus as to the optimal treatment paradigm for patients presenting with hemorrhage from severe pelvic fracture. This study was established determine methods of control currently being used in clinical practice. METHODS prospective, observational multi-center enrolled fracture blunt trauma. Demographic data, admission vital signs, presence shock on (systolic blood pressure < 90 mm Hg or heart rate > 120 beats per minute base deficit −5), method control, transfusion...
This is a recommended evaluation and management algorithm from the Western Trauma Association (WTA) Algorithms Committee focused on of pharmacologic prophylaxis for venous thromboembolism (VTE) prevention in trauma patients. Because there are few related published prospective, randomized clinical trials that have generated class I data this topic population, these recommendations based primarily prospective retrospective cohort studies, expert opinion WTA members. The final result an...
Historically, hemorrhage has been attributed as the leading cause (40%) of early death. However, a rigorous, real-time classification death (COD) not performed. This study sought to prospectively adjudicate and classify COD determine epidemiology trauma mortality.Eighteen centers enrolled all adult patients at time during December 2015 August 2017. Immediately following death, attending providers adjudicated primary contributing secondary using standardized definitions. Data were confirmed...