A5014884934- Trauma and Emergency Care Studies
- Abdominal Trauma and Injuries
- Pelvic and Acetabular Injuries
- Trauma Management and Diagnosis
- Cardiac Arrest and Resuscitation
- Traumatic Brain Injury and Neurovascular Disturbances
- Respiratory Support and Mechanisms
- Cardiac, Anesthesia and Surgical Outcomes
- Emergency and Acute Care Studies
- Spinal Fractures and Fixation Techniques
- Venous Thromboembolism Diagnosis and Management
- Congenital Diaphragmatic Hernia Studies
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Spinal Cord Injury Research
- Clinical practice guidelines implementation
- Traumatic Ocular and Foreign Body Injuries
- Pneumonia and Respiratory Infections
- Blood transfusion and management
- Ultrasound in Clinical Applications
- Injury Epidemiology and Prevention
- Urological Disorders and Treatments
- Nosocomial Infections in ICU
- Intracranial Aneurysms: Treatment and Complications
- Hernia repair and management
- Vascular Procedures and Complications
University of Tennessee Health Science Center
2000-2025
Florida College
2013-2024
University of Florida
2013-2024
University of Arizona
2023
Washington University in St. Louis
2018-2022
Detroit Medical Center
2022
Cadila Healthcare (India)
2022
University Physicians
2022
Allegheny Health Network
2022
University of Washington
2021
During the last century, management of blunt force trauma to spleen has changed from observation and expectant in early part 1900s mainly operative intervention, current practice selective nonoperative management. These issues were first addressed by Eastern Association for Surgery Trauma (EAST) Practice Management Guidelines Non-operative Blunt Injury Liver Spleen published online 2003. Since that time, a large volume literature on these topics been requiring reevaluation EAST guideline.The...
During the last century, management of blunt force trauma to liver has changed from observation and expectant in early part 1900s mainly operative intervention, current practice selective nonoperative management. These issues were first addressed by Eastern Association for Surgery Trauma Practice Management Guidelines Nonoperative Blunt Injury Liver Spleen published online 2003. Since that time, a large volume literature on these topics been requiring reevaluation previous guideline.The...
Small-bowel obstruction (SBO) represents as many 16% of surgical admissions and more than 300,000 operations annually in the United States. The optimal strategies for diagnosis management SBO continue to evolve secondary advances imaging techniques, critical care, techniques. This updated systematic literature review was developed by Eastern Association Surgery Trauma provide up-to-date evidence-based recommendations SBO.A search National Library Medicine MEDLINE database performed using...
Background The purpose of this study was to evaluate the roles cervical spine radiographs (CSR) and computed tomography (CTC) in exclusion injury for adult blunt trauma patients. Methods At authors’ institution, all patients with physical findings posterior midline neck tenderness, altered mental status, or neurologic deficit are considered at risk undergo both CSR CTC evaluation spine. TRACS database level 1 center institution queried from November 2000 October 2001. Patient severity score...
Extremity arterial injury after penetrating trauma is common in military conflict or urban centers. Most peripheral injuries occur the femoral and popliteal vessels of lower extremity. The Eastern Association for Surgery Trauma first published practice management guidelines evaluation treatment extremity 2002. Since that time, there have been advancements trauma. As a result, Practice Management Guidelines Committee set out to develop updated guidelines.A MEDLINE computer search was...
BACKGROUND: To determine whether angioembolization (AE) in hemodynamically stable adult patients with blunt splenic trauma (BST) at high risk for failure of nonoperative management (NOM) (contrast blush [CB] on computed tomography, high-grade IV–V injuries, or decreasing hemoglobin) results lower rates than reported. METHODS: The records BST from July 2000 to December 2010 a Level I center were retrospectively reviewed using National Trauma Registry the American College Surgeons. Failure NOM...
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...
Background Current literature suggests that blunt carotid injuries (BCIs) and vertebral artery (BVIs) are more common than once appreciated. Screening criteria have been suggested, but only one previous study has attempted to identify factors predict the presence of BCI/BVI. This current was conducted for two reasons. First, we wanted determine incidence BCI/BVI in our institution. Second, abnormal four-vessel cerebral angiograms ordered signs believed be associated with thus whether...
Background: Oncotic agents are a therapeutic mainstay for the management of intracranial hypertension. Both mannitol and varied concentrations hypertonic saline (HTS) have been shown to be effective at reducing elevated pressure (ICP). We compared safety efficacy 23.4% HTS acute ICP after traumatic brain injury (TBI). Methods: After approval from our institutional review board, records patients admitted with severe TBI who received or were reviewed. Demographic physiologic data recorded....
It has been shown that spinal fracture fixation within 3 days can reduce the incidence of pneumonia, length stay, number ventilator days, and hospital charges. Our institutional protocol calls for surgical stabilization fractures admission. We hypothesized compliance with an early (within admission) would improve non-neurologic outcome in patients fractures.The trauma registry was queried period January 1988 through October 2001 to identify requiring stabilization. Patients were analyzed...
Ventilator-dependent spinal cord-injured (SCI) patients require significant resources related to ventilator dependence. Diaphragm pacing (DP) has been shown successfully replace mechanical ventilators for chronic ventilator-dependent tetraplegics. Early use of DP following SCI not described. Here, we report our multicenter review experience with the in initial hospitalization after SCI.Under institutional board approval humanitarian device, retrospectively reviewed nonrandomized...
BACKGROUND An estimated 1.1 million people sustain a mild traumatic brain injury (MTBI) annually in the United States. The natural history of MTBI remains poorly characterized, and its optimal clinical management is unclear. Eastern Association for Surgery Trauma had previously published set practice guidelines 2001. purpose this review was to update these reflect literature since that time. METHODS PubMed Cochrane Library databases were searched articles related between 1998 2011. Selected...
To clarify the role, indications, and outcomes for angioembolization (AE) of nonoperatively managed (NOM) splenic trauma, implications absent contrast blush (CB) on computed tomography high-grade (IV-V) blunt trauma (BST) in adults were analyzed.All BST patients presenting at a single institution from July 2000 to December 2011 retrospectively reviewed. Grade injury (American Association Surgery Trauma scale), CB initial tomography, numbers NOM undergoing AE, failures analyzed. Statistical...
The Eastern Association for the Surgery of Trauma (EAST) is a leader in evidence-based medicine and development practice management guidelines (PMGs) trauma acute care surgery. previous primer describing EAST's approach assessing quality available evidence making recommendations developing PMGs was published 2000. Since that time, many new systems have been developed an attempt to overcome shortcomings devise methodologically rigorous transparent assessment guidelines. One these Grading...
THE surgical relief of both congenital and acquired valvular obstruction has been one the major advances in recent history cardiac surgery. Because technical difficulties involved repair incompetent valves made much slower progress. In this situation a blind procedure is obviously unsatisfactory. The surgeon therefore requires direct visualization valve sufficient time to evaluate nature problem. An open necessarily involves maintenance circulation by heart-lung machine, with its attendant...
Brain Injury Guidelines (BIG) was developed to effectively use health care resources including repeat head computed tomography (RHCT) scan and neurosurgical consultation in traumatic brain injury (TBI) patients. The aim of this study prospectively validate BIG at a multi-institutional level.This is prospective, observational, trial across nine Levels I II trauma centers. Adult (16 years or older) blunt TBI patients with positive initial (CT) were identified categorized into 1, 2, 3 based on...
Background: There are many reasons for hypotension in trauma patients with multiple injuries; one uncommon source is facial fractures. The treatment algorithm volume replacement and local control of the bleeding. A retrospective study was undertaken to evaluate life-threatening hemorrhage secondary fractures, develop a algorithm. Methods: chart review determine incidence hemorrhagic shock fractures exclusive others sources, use transcatheter arterial embolization bleeding evaluated. Results:...
Objective: To determine whether presumptive antibiotics reduce the risk of empyema or pneumonia following tube thoracostomy for traumatic hemopneumothorax. Methods: A prospective, randomized, double-blind trial was performed comparing use cefazolin duration placement (Group A) versus 24 hours B) placebo C). Results: total 224 patients received 229 thoracostomies. Logistic regression analysis revealed that and thoracic acute injury score were predictive (p < 0.05). Empyema tended to occur...
The purposes of this study were to examine the current Brain Trauma Foundation recommendation for antiseizure prophylaxis with phenytoin during first 7 days after traumatic brain injury (TBI) in preventing seizures and determine if medication affects functional recovery at discharge.The records adult (age ≥ 18 years) patients blunt severe TBI who remained hospital least retrospectively reviewed from January 2008 2010. Clinical seizure rates outcome discharge compared two groups based on...
Pulmonary clots are seen frequently on chest computed tomography performed after trauma, but recent studies suggest that pulmonary thrombosis (PT) and embolism (PE) trauma independent clinical events.To assess whether posttraumatic PT represents a distinct entity associated with the nature of injury, different from traditional venous thromboembolic paradigm deep (DVT) PE.This prospective, observational, multicenter cohort study was conducted by Consortium Leaders in Study Traumatic...
Fiberoptic bronchoscopy (FB) plays an important role in making the diagnosis of nosocomial pneumonia and resolving lobar atelectasis critically injured trauma patients. It has been shown to be a safe procedure with only occasional complications. However, patients head injuries, FB can lead intracranial hypertension. Sustained increases pressure (ICP) leads poor outcome these Because this, prospective study was done not assess effect on ICP cerebral perfusion (CPP) brain but also identify...
Background: Respiratory complications can undermine outcome from low cervical spinal cord injury (SCI) (C5-T1). Most devastating of these is catastrophic loss airway control. This study sought to determine the incidence and effect (CLA) define need for elective intubation with subsequent tracheostomy prevent potentially fatal outcomes. Methods: A database 54,838 consecutive patients treated in a level I trauma center between January 1988 December 2004 was queried identify SCI, without...