The use of cold-stored low-titer group O whole blood (LTOWB) for civilian trauma patients is gaining popularity. However, hemolysis might occur among non-group recipients. This study evaluated the serologic safety transfusing up to 4 units LTOWB.Hypotensive male and at least 50-year-old female who received leukoreduced, uncrossmatched, O+, (<50 anti-A anti-B), platelet-replete during initial resuscitation were included in this prospective, observational study. Biochemical markers measured on...

Delayed splenic hemorrhage after nonoperative management (NOM) of blunt injury (BSI) is a feared complication, particularly in the outpatient setting. Significant resources, including angiography (ANGIO), are used an effort to prevent delayed splenectomy (DS). No prospective, long-term data exist determine actual risk splenectomy. The purposes this trial were ascertain 180-day 24 hours NOM BSI and factors related splenectomy.Eleven Level I trauma centers participated prospective...

From the Department of Surgery, Division Multisystem Trauma, The Mercy Hospital Pittsburgh, Pennsylvania. Submitted for publication May 15, 2001. Accepted July 23, Presented at 31st Annual Meeting Western Trauma Association, February 24–March 1, 2001, Big Sky, Montana. Address reprints: Alain C. Corcos, MD, 1400 Locust Street, Suite 6538, PA 15219.

Background: Endovascular management of blunt aortic injury has dramatically reduced the morbidity and mortality associated with this specific injury. There remains a paucity evidence quantifying beneficial effects endovascular (ENDO) techniques for other vascular types little information regarding impact ENDO have had on traumatic injuries over time. Methods: We performed retrospective analysis data from National Trauma Data Bank 2002 to 2006 2008 time periods (NTDB 7.2 RDS 2008). Injured...

BACKGROUND Low‐titer group O whole blood (LTOWB) is increasingly being used in the civilian trauma setting, although there a risk of hemolysis. This study evaluated impact on hemolytic markers following transfusion 4 or more units uncrossmatched LTOWB. METHODS Civilian adult patients who received four leukoreduced O+, low‐titer (&lt;50 anti‐A and anti‐B), platelet‐replete during their initial resuscitation survived for than 24 hours after were included this retrospective study. Lactate...

To determine the rate of RhD-alloimmunization in injured RhD-negative patients age range childbearing potential who were transfused with at least one unit RhD-positive red blood cells (RBC) or low titer group O whole (LTOWB).Injured between ages 13-50 an American Level 1 trauma center RBCs LTOWB during their resuscitation and had antibody detection test performed 14 days afterwards included.Over a 20-year period, 96 study-eligible identified, which 90/96 (93.8%) male. The median these was 33...

It is commonly believed that hypothermia occurring during burn resuscitation associated with poor outcome, but there little direct supporting evidence. The authors conducted an analysis of a statewide trauma registry to determine whether (T ≤36.5°C) was mortality when controlling for clinical confounders. They included all patients treated at accredited center from 2000 2011 where the registrar recorded primary injury type as burn. excluded records missing data and nonphysiologic temperature...

Objective. Hypothermia has been associated with increased mortality in burn patients. We sought to characterize the body temperature of patients transported directly a center by emergency medical services (EMS) personnel and identify factors independently hypothermia. Methods. utilized prospective data collected statewide trauma registry carry out nested case-control study EMS an accredited between 2000 2011. Temperature at hospital admission ≤36.5°C was defined as abstracted from...

Abstract Introduction Socioeconomic status has been consistently linked to both the incidence of house fires and severity burns inhalation injuries resulting from these fires. Neighborhoods with lower income levels experience significantly higher rates residential likely due factors such as overcrowding, poor housing conditions, lack fire safety devices. Because can be life-threatening, any social or structural barriers lead exacerbation socioeconomic racial disparities. This study aims...

Abstract Introduction Lower extremity burn wounds present unique challenges due to their susceptibility complications like graft loss, hypertrophic scarring, and contractures, which can significantly impact functional aesthetic outcomes. The varying biomechanical properties across different anatomical sites—including shearing forces pressure points—may influence healing processes. This study aims identify location-specific risks in lower injuries, hypothesizing that joint areas will show...

Abstract Introduction Burn patients are at increased risk of developing decubitus ulcers due to prolonged immobilization and systemic complications during extended hospital stays. These can lead significant complications, such as delayed wound healing, morbidity, hospitalizations. This national database study characterizes burn who developed ulcers. Methods A retrospective review was performed using data from the ABA National Registry January 2013 December 2016 on Patient demographics,...

Abstract Introduction Chronic obstructive pulmonary disease (COPD) is characterized by obstruction of small airways (chronic bronchitis) and emphysema, which lead to air trapping shortness breath in response physical exertion. Such a process can inhibit the vital physiologic functions that are necessary keep lungs healthy free pathogens. In patients with inhalation injuries, where there be significant airway damage, COPD may thus less equipped heal. This study therefore examined effect...

Abstract Introduction Ocular burns, often resulting from workplace accidents, chemical exposures, or thermal incidents, can lead to severe vision impairment blindness. Management of ocular burns varies, lacking a definitive treatment algorithm. This study reviews the management and complication rates at single institution. Methods A retrospective cohort analyzed patients with treated an ABA-verified burn center January 2012 July 2023. Data included demographics, injury characteristics,...

Abstract Introduction Burn injuries present complex challenges in clinical management, with burn depth critically influencing treatment and outcomes. Understanding factors that affect severity is therefore crucial. While existing literature addresses various demographic physiological severity, such as patient age skin composition, there a notable gap understanding how Body Mass Index (BMI) influences patterns. This study aims to analyze patterns across BMI categories elucidate the role of...

Abstract Introduction Infection is a leading cause of mortality in third-degree burns, contributing to over 75% burn-related deaths. Vashe and Sulfamylon are commonly used antiseptics burn care, but comparative data on their efficacy reducing infection limited. This study compares the effectiveness managing infections postoperative patients. Methods retrospective included adult patients with 3rd-degree burns who underwent surgical excision grafting from January 2012 March 2022 at single...

Abstract Introduction Genital burns pose unique challenges due to their anatomical location, complexity, and infection risk. Despite affecting only 1% of total body surface area (TBSA), these are associated with a high mortality Treatment protocols vary, standardized approaches still needed, particularly for full-thickness burns. This study aims develop an algorithm genital burn management based on single institution’s 11-year experience. Methods A retrospective analysis was conducted...

Abstract Introduction Burn injuries significantly contribute to accidental and fatalities worldwide, affecting an estimated eight million people annually. At the same time, diabetes impacts approximately 422 globally, with majority living in low- middle-income countries, is directly responsible for 1.5 deaths each year. Both number of cases prevalence have been steadily increasing over past few decades. As a chronic metabolic disease, characterized by elevated blood glucose levels, which...

Abstract Introduction Burn centers are disproportionately concentrated in urban areas, threatening to produce health disparities among rural patients. Delays treatment can lead longer hospital stays, higher risk of complications, delayed wound healing, and increased mortality. This study aims determine the impact patients’ distance a single burn center on outcomes. Methods A 5-year retrospective review was conducted patients who presented ABA-verified with acute injuries between 2016 2023....

Abstract Introduction The social vulnerability index is a composite value scoring census tracts across the country from 0-1 on 16 US Census variables within 4 overarching themes: socioeconomic status, household composition and disability, minority status language, housing type transportations. Scores closer to 0 indicate more vulnerable areas. This study aims explore impact of acute burn outcomes. Methods A retrospective review was conducted patients who presented single ABA-verified center...