A5011748143- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Abdominal Trauma and Injuries
- Injury Epidemiology and Prevention
- Pelvic and Acetabular Injuries
- Cardiac Arrest and Resuscitation
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Appendicitis Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Intraperitoneal and Appendiceal Malignancies
- Disaster Response and Management
- Trauma Management and Diagnosis
- Traffic and Road Safety
- Healthcare Policy and Management
- Traumatic Brain Injury and Neurovascular Disturbances
- Venous Thromboembolism Diagnosis and Management
- Family and Patient Care in Intensive Care Units
- COVID-19 and healthcare impacts
- COVID-19 Clinical Research Studies
- Spinal Fractures and Fixation Techniques
- Hemodynamic Monitoring and Therapy
- Healthcare cost, quality, practices
- Meta-analysis and systematic reviews
- Non-Invasive Vital Sign Monitoring
- Patient Safety and Medication Errors
Angeles University Foundation
2025
Cornell University
2016-2024
American Association for the Surgery of Trauma
1997-2024
Weill Cornell Medicine
2017-2024
American Association for Thoracic Surgery
2024
Institute of Medical Ethics
2024
Presbyterian Hospital
2016-2024
New York Hospital Queens
2017-2024
Collaborative Group (United States)
2022-2023
University of Maryland Medical Center
2019-2023
Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) provides a new tool in selected patients for management non-compressible torso hemorrhage.1–3 Recent improvements technology have facilitated more rapid placement through smaller femoral access sheaths, which may reduce access-related complications.4 However, high grade evidence to guide REBOA use is limited, and there substantial complication risk should this approach be used inappropriately.5 To address current state...
To measure the effect of prehospital endotracheal intubation on outcome in patients with severe head injury and percentage these intubated field under existing protocol.Retrospective case-control study.Countywide urban trauma system.Trauma blunt scene Glasgow Coma Score 8 or less, transported by ground ambulance advanced life support capabilities from January 1, 1991, to December 31, 1995. Severe was defined as neck Abbreviated Injury Scale score 4 greater. Isolated greater no other...
Hoyt, David B. MD, FACS; Bulger, Eileen M. MD; Knudson, Margaret Morris, John lerardi, Ralph Sugerman, Harvey J. Shackford, Steven R. Landercasper, Jeffery Winchell, Robert Jurkovich, Gregory Coffey, Susan C. BS; Chang, Michael O'Malley, Keith F. Lowry, James BA; Trevisani, Gino T. Cogbill, Thomas H. FACS Author Information
Objective The purpose of this study was to define the period time after which delays in management incurred by investigations cause increased morbidity and mortality. outcome is intended correlate with death from esophageal causes, overall complications, related surgical intensive care unit length stay. Methods This a retrospective multicenter involving 34 trauma centers United States, under auspices American Association for Surgery Trauma Multi-institutional Trials Committee over span 10.5...
Severe renal injuries after blunt trauma cause diagnostic and therapeutic challenges for the treating clinicians. The need an operative vs a nonoperative approach is debated.To determine rate, causes, predictors, consequences of failure management (NOM) in grade IV V (BRIs).Retrospective case series.Twelve level I II centers New England.A total 206 adult patients with or BRI who were admitted between January 1, 2000, December 31, 2011.Failure NOM, defined as delayed operation death due to...
<h3>Importance</h3> In the Comparison of Outcomes Antibiotic Drugs and Appendectomy (CODA) trial, which found antibiotics to be noninferior, approximately half participants randomized receive had outpatient management with hospital discharge within 24 hours. If is safe, it could increase convenience decrease health care use costs. <h3>Objective</h3> To assess safety acute appendicitis. <h3>Design, Setting, Participants</h3> This cohort study, a secondary analysis CODA included 776 adults...
Analysis of heart-rate variability (HRV) is a promising new technique for noninvasive quantification autonomic function. We measured HRV in patients with severe head injury to assess its potential as monitoring tool.Analysis was prospectively done on all intensive care unit patients. Concurrent data intracranial pressure (ICP) and cerebral perfusion (CPP) were collected. Registry reviewed identify injury, defined Head/Neck Abbreviated Injury Scale score > or = 4. Mortality, likelihood...
<h3>Hypothesis</h3>Grade 4 and grade 5 blunt liver injuries can be safely treated by nonoperative management (NOM).<h3>Design</h3>Retrospective case series.<h3>Setting</h3>Eleven level I II trauma centers in New England.<h3>Patients</h3>Three hundred ninety-three adult patients with or injury who were admitted between January 1, 2000, 31, 2010.<h3>Main Outcome Measure</h3>Failure of NOM (f-NOM), defined as the need for a delayed operation.<h3>Results</h3>One thirty-one (33.3%) operated on...
Jenkins, Donald H. MD; Winchell, Robert J. Coimbra, Raul MD, PhD; Rotondo, Michael F. Weireter, Leonard Bulger, Eileen M. Kozar, Rosemary A. Nathens, Avery B. Reilly, Patrick Henry, Sharon Jimenez, Maria Chang, C. Coburn, Dodd, Jimm MA; Neal, Melanie L. MS; Rosen, Justin; Clemency, Jean; Hoyt, David Stewart, Ronald MD Author Information
Despite prophylaxis, pulmonary embolism (PE) remains a major cause of posttraumatic morbidity and mortality in high-risk patients. We studied injury-related risk factors associated with the occurrence PE despite routine prophylaxis. A review 9721 trauma patients discharged from January 1, 1985 through December 31, 1992, identified 36 (0.4%) who suffered clinically evident policy prophylaxis against deep venous thrombosis that included use prophylactic inferior vena caval filters....
Varying institutional definitions and degrees of surveillance limit awareness the true incidence posttraumatic pulmonary complications. Prospective review with standardized 25 categories complications was applied to a university level I trauma service over 3 years establish incidence. Potential injury-related predictors individual were determined using multiple logistic regression analysis adjusted odds ratios calculated, thereby controlling for effect other covariants. Significance...
<h3>Objectives</h3> To evaluate the safety of nonoperative management (NOM), to examine diagnostic sensitivity computed tomography (CT), and identify missed diagnoses related outcomes in patients with blunt pancreatoduodenal injury (BPDI). <h3>Design</h3> Retrospective multicenter study. <h3>Setting</h3> Eleven New England trauma centers (7 academic 4 nonacademic). <h3>Patients</h3> Two hundred thirty (>15 years old) BPDI admitted hospital during 11 years. Each was graded from 1 (lowest)...
THE EVALUATION OF PATIENT WITH ACUTE ABDOMINAL PAIN: HISTORY AND PHYSICAL INITIAL LABORATORIES Evaluation of the patient with abdominal pain begins a thorough history and physical examination (Fig. 1). Patients typically present 12 to 24 hours mid-abdominal pain, which may migrate right lower quadrant. In early course appendicitis, reveal nonlocalizing, without peritoneal irritation. Additional symptoms include loss appetite, distention, nausea, vomiting, malaise, obstipation, fever, chills....
Costantini, Todd W. MD, FACS; Martin, David MD; Winchell, Robert Napolitano, Lena Inaba, Kenji Biffl, Walter L. Diaz, Jose J. Salim, Ali Livingston, H. Coimbra, Raul PhD Author Information
The circumstances of failure for nonoperative management blunt traumatic brain injury have been poorly defined. In this study, all trauma patients identified over a 12-year period with progression neurologic requiring craniotomy were retrospectively reviewed.Data collected included demographic information, mechanism injury, field and admission vital signs, Glasgow Coma Scale score, medications, associated injuries, coagulopathy. Head computed tomographic scans reviewed, anatomic findings...
To determine the frequency and clinical impact of transient systolic hypotension (systolic blood pressure < 100 mm Hg) in patients with severe anatomic head injury.Retrospective case-control study.Urban level 1 trauma center.Consecutive admitted to intensive care unit (ICU) injury, defined as Head Neck Abbreviated Injury Scale Score 4 or higher. One thousand thirteen were ICU during study period, 157 whom met inclusion criteria.Acute mortality, death initial admission, functional status...
Complications in trauma care occur because of provider-related or patient disease-related events. Strictly defined standardized definitions both types complications are needed to develop strategies for problem resolution. The frequency and characteristics 135 were examined a 3-year period level I university service all patients meeting Major Trauma Outcome Study (MTOS) criteria. Provider-related analyzed recurrent process errors be targeted corrective action. Complication events occurred...
Although cervical spine CT (CSCT) accurately detects bony injuries, it may not identify all soft tissue injuries. some clinicians rely exclusively on a negative to remove precautions in unevaluable patients or with cervicalgia, others use MRI for that purpose. The objective of this study was determine the rates abnormal after CSCT.Blunt trauma who either were had persistent midline cervicalgia and underwent an C-spine CSCT enrolled prospectively eight Level I II New England centers....