Rib fractures are a common thoracic injury that is encountered in 20% to 39% of patients with blunt chest trauma and associated substantial morbidity mortality1,2. Traditionally, the majority patient rib have been managed nonoperatively. Recently, utilization surgical stabilization has increased considerably because procedure shown improved outcomes3-5.Surgical should be considered cases multiple bicortically displaced fractures, especially those flail and/or concomitant ipsilateral midshaft...

BACKGROUND The need for an emergency upgrade of a hospitalized trauma patient from the floor to intensive care unit (ICU) is unanticipated event with possible life-threatening consequences. Unplanned ICU admissions are associated increased morbidity and mortality indicator service quality. Two different types unplanned include upgrades (patients admitted then moved ICU) bounce backs ICU, discharged floor, readmitted ICU). Previous studies have shown that geriatric patients at higher risk...

Objectives: To compare outcomes in patients with rib fractures (RFX) who underwent surgical stabilization of (SSRF) to those treated nonoperatively. Design: Retrospective cohort study. Setting: Two Level 1 Trauma Centers. Patients: One hundred seventy-four multiple RFX divided into 2 groups: surgically stabilized (n = 87) were compared nonoperatively managed the matched control group (MCG) 87). Intervention: SSRF. Outcome Measurements: Age, sex, injury severity score, RFX, mortality,...

Pelvic fractures (PF) with concomitant injuries are on the rise due to an increase of high-energy trauma. Increase elderly population age related comorbidities further complicates management. Abdominal organ kindred PF proximity pelvic bones. Presence contrast blush (CB) computed tomography in patients is considered a sign active bleeding, however, its clinical significance and association outcomes debatable.

Background Blunt cardiac injury (BCI) is a possible consequence of sternal fractures (SF). There scarcity studies addressing BCI in patients with different types SF and pre-existing conditions. The goal this study was to delineate diagnostic patterns cohorts patients. Methods This retrospective cohort included 380 blunt trauma admitted two level 1 centers between January 2015 March 2020 radiologically confirmed SF. Electrocardiography, enzymes echocardiography were evaluated for diagnosis....

Objective To compare outcomes between geriatric and non-geriatric patients with traumatic brain injury (TBI) transferred to trauma center effects of anticoagulants/antiplatelets (AC/AP) reversal therapy.

To delineate characteristics of trauma patients associated with a palliative care consultation (PCC) and to analyze the role do-not-resuscitate (DNR) orders related outcomes.Retrospective study included 864 from 2 level one centers admitted between 2012 2019. Level 1 are designated for admission most severe injured patients. Palliative group 432 who received PCC were compared matched control (MC) without PCC. Propensity matching covariates Injury Severity Score, mechanism injury, gender,...

The braided multielectrode probe (BMEP) is an ultrafine microwire bundle interwoven into a precise tubular structure, which designed to be used as invasive neural consisting of multiple microelectrodes for electrophysiological recording and stimulation. Significant advantages BMEPs include highly flexible mechanical properties leading decreased immune responses after chronic implantation in tissue dense recording/stimulation sites (24 channels) within the 100-200 µm diameter. In addition,...

Objectives: First rib fractures (first RFX) have been correlated with increased morbidity and mortality. Whether this is due to the fracture of itself or an number associated injuries remains debatable. Design: Retrospective cohort study. Setting: Level 1 trauma center. Patients: One thousand eighty-nine patients divided into 3 groups: group A (n = 44) isolated first RFX, B 116) RFX combined other fractures, C 929) without RFX. Intervention: None. Outcome measurements: Age, sex, Injury...

Background: Palliative care is expanding as part of treatment, but remains underutilized in trauma settings. consultations (PCC) have shown to reduce nonbeneficial, potentially inappropriate interventions (PII), decision for their use should always be made the context both patient's prognosis and goals care. Objective: To characterize patients who received PCC analyze effect do-not-resuscitate (DNR) orders on PII severely injured patients. Setting/Subjects: Retrospective cohort study 864...

With increased demand for registered nurses (RN), due to increasing shortage and turnover rate, the role of meaningful recognition becomes paramount importance. We hypothesized that RNs leaders value forms differently, generational gap changing health care environment. This study included 46 RN/support staff (RN/SS group) 10 nurse (leaders from a Level 1 trauma center. Mean values 5-point Likert scale survey on 31 (grouped into 6 categories) demographics (age, nursing experience, gender)...

Hip fractures (HF) are common among the aging population, and surgery within 48 h is recommended. Patients can be hospitalized for through different pathways, either trauma or medicine admitting services.To compare management outcomes patients admitted pathway (TP) vs medical (MP).This Institutional Review Board-approved retrospective study included 2094 with proximal femur (AO/Orthopedic Trauma Association Type 31) who underwent at a level 1 center between 2016-2021. There were 69 TP 2025...