A5042520144- Trauma Management and Diagnosis
- Trauma and Emergency Care Studies
- Ultrasound in Clinical Applications
- Pleural and Pulmonary Diseases
- Venous Thromboembolism Diagnosis and Management
- Airway Management and Intubation Techniques
- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Pelvic and Acetabular Injuries
- Cardiac, Anesthesia and Surgical Outcomes
- Sepsis Diagnosis and Treatment
- Traumatic Brain Injury and Neurovascular Disturbances
- Hemodynamic Monitoring and Therapy
- Hernia repair and management
- Respiratory Support and Mechanisms
- Tracheal and airway disorders
- Head and Neck Surgical Oncology
- Spinal Fractures and Fixation Techniques
- Facial Trauma and Fracture Management
- Orthopedic Infections and Treatments
- Surgical site infection prevention
- Appendicitis Diagnosis and Management
- Nosocomial Infections in ICU
- Traumatic Ocular and Foreign Body Injuries
- Palliative Care and End-of-Life Issues
Medical College of Wisconsin
2016-2025
Froedtert Hospital
2017-2025
Regions Hospital
2024
UC San Diego Health System
2024
Mission Health
2024
Innovital Systems (United States)
2024
Mercy Hospital
2024
University of Cincinnati
2023
Lutheran Hospital
2018-2019
American Association for Thoracic Surgery
2019
RATIONALE: Critical care ultrasonography (CCUS) is rapidly evolving with new evidence being published since the prior 2016 guideline. OBJECTIVES: To identify and assess best regarding clinical outcomes associated five CCUS applications in adult patients publication of previous guidelines. PANEL DESIGN: An interprofessional, multidisciplinary, diverse expert panel 36 individuals including two patient/family representatives was assembled via an intentional approach. Conflict-of-interest...
BACKGROUND Rib fractures occur in up to 40% of trauma patients and are associated with increased mortality. Opiate-based pain regimens remain the cornerstone rib fracture management; however, concerns around opioids have fostered interest alternative analgesics. Ketamine is currently being used lieu opioids, but little evidence exists supporting its use within population. METHODS A prospective, randomized, double-blind placebo-controlled trial adult three or more admitted a Level I center...
Traumatic rib fractures are associated with significant morbidity. Vital capacity (VC) assesses pulmonary function; however, limited data link VC to patient outcomes. Our objective was determine if predicted complications and disposition in patients fractures.This is a retrospective chart review of all fractured ribs admitted Level 1 trauma center during 4-year period. Patients were excluded no performed within 48 hours admission. Data collected included demographics, hospital/intensive care...
As more pneumothoraxes (PTX) are being identified on chest computed tomography (CT), the empiric trigger for tube thoracostomy (TT) versus observation remains unclear. We hypothesized that PTX measuring 35 mm or less CT can be safely observed in both penetrating and blunt trauma mechanisms.A retrospective review was conducted of all patients diagnosed with by between January 2011 December 2016. Patients were excluded if they had an associated hemothorax, immediate TT (TT placed before...
Appendectomy is the most common nongynecologic surgery performed during pregnancy. Although many surgeons offer laparoscopic appendectomy (LA) as an alternative to open (OA) early pregnancy, few studies have compared effects of LA versus OA on fetus and outcome Twenty-eight consecutive females undergoing for presumed appendicitis in first two trimesters pregnancy between January 2000 December 2002 were identified retrospectively. Demographic information, weeks at operation, surgical approach...
BACKGROUND Rib fractures are associated with increased mortality, particularly in the elderly. While opiate-based pain regimens remain cornerstone of rib fracture management, issues related to opioids have driven research into alternative analgesics. Adjunctive ketamine use lieu continues increase but little evidence exists support its efficacy or safety within elderly trauma population. METHODS A prospective, randomized, double-blind placebo-controlled trial patients (age, ≥65 years) three...
ABSTRACT Introduction Retained hemothorax (HTX) is a common complication following thoracic trauma. Small studies demonstrate the benefit of cavity irrigation at time tube thoracostomy for prevention retained HTX. We sought to assess effectiveness chest in preventing HTX leading secondary surgical intervention. Methods performed single-center retrospective study from 2017-2021 Level I trauma center comparing bedside via (TT) versus no irrigation. Using registry, patients with traumatic were...
Thoracic trauma resulting in hemothorax (HTx) is typically managed with thoracostomy tube (TT) placement; however, up to 20% of patients develop retained HTx which may necessitate further intervention for definitive management. Although optimal management has been extensively researched, little known about prevention this complication. We hypothesized that thoracic irrigation at the time TT placement would significantly decrease rate necessitating secondary intervention.A prospective,...
Among patients receiving mechanical ventilation, tidal volumes with each breath are often constant or similar. This may lead to ventilator-induced lung injury by altering depleting surfactant. The role of sigh breaths in reducing among trauma at risk poor outcomes is unknown.
The evaluation and workup of fever the use antibiotics to treat infections is part daily practice in surgical intensive care unit (ICU). Fever can be infectious or non-infectious; it important distinguish between two entities wherever possible. evidence growing for shortening duration antibiotic treatment common infections. purpose this clinical consensus document, created by American Association Surgery Trauma Critical Care Committee, synthesize available evidence, provide practical...
Traumatic bladder injuries, although rare, may result in significant patient morbidity. Operative management is recommended for intraperitoneal (IP), mixed, and select extraperitoneal (EP) injuries. Current guidelines lack recommendations on catheter duration following operative repair suggest follow-up cystography be unnecessary simple, repaired This has led to practice variation postoperative at our institution. We hypothesized that the trauma surgery service would have a shorter obtain...
BACKGROUND Opiate-based pain regimens remain the cornerstone of management following traumatic injury, but issues related to opioids have driven research into alternative analgesics. Adjunctive ketamine has been increasingly used decrease opioid use, little evidence exists support its efficacy within trauma population. METHODS A prospective, randomized, double-blind placebo-controlled trial severely injured (Injury Severity Score [ISS], ≥15) adult patients (aged 18–64 years) admitted a Level...
Background: Opioids are utilized for acute pain in hospitalized patients and carry the risk of unintentional toxicity. The relationship between toxicity within a hospital setting genetic polymorphisms has not been fully evaluated literature to date. Assessment utilization pharmacogenetic data may be way prevent reduce need naloxone administration. Objective: This study aimed provide proof concept comparison allele frequencies who received opioid reversal with lab control identify variations...