A5048556496- Trauma Management and Diagnosis
- Trauma and Emergency Care Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Abdominal Trauma and Injuries
- Cardiac Arrest and Resuscitation
- Respiratory Support and Mechanisms
- Pelvic and Acetabular Injuries
- Traumatic Brain Injury and Neurovascular Disturbances
- Aortic Disease and Treatment Approaches
- Airway Management and Intubation Techniques
- Thermal Regulation in Medicine
- Cardiac Structural Anomalies and Repair
- Hip and Femur Fractures
- Pleural and Pulmonary Diseases
- Hemodynamic Monitoring and Therapy
- Appendicitis Diagnosis and Management
- Congenital Diaphragmatic Hernia Studies
- Tracheal and airway disorders
- Sepsis Diagnosis and Treatment
- Ultrasound in Clinical Applications
- Urological Disorders and Treatments
- Anesthesia and Pain Management
- Case Reports on Hematomas
- Restraint-Related Deaths
- Pericarditis and Cardiac Tamponade
Hospital Universitario de Gran Canaria Doctor Negrín
2016-2025
Universidad de Las Palmas de Gran Canaria
2017-2025
University of Maryland, College Park
1992-2024
University of California, San Diego
2024
Institute for High Energy Physics
2020
Complejo Hospitalario de Salamanca
2016-2019
Orthopaedic Trauma Association
2019
Allegheny General Hospital
2001-2018
University of Maryland, Baltimore
1992-2017
Drexel University
2008-2017
A retrospective analysis of 515 cases blunt chest trauma is presented. The overall thoracic morbidity rate was 36% and mortality 15.5%. Atelectasis the most common complication. Severe can be present in absence rib or other bony fractures. Emergency thoracotomies for resuscitation patient with absent vital signs proved unsuccessful 39 patients. high index suspicion injury occurring trauma, coupled an aggressive diagnostic therapeutic approach, remains cornerstone treatment to minimize such injuries.
This study aimed to analyze the relation of hyperglycemia outcome in cases severe traumatic brain injury, and examine factors that may be responsible for hyperglycemic state.A retrospective analysis an intensive care unit a level 1 trauma center investigated 77 patients with injury. Patients Glasgow Coma Scale (GCS) 8 or lower who survived more than 5 days were reviewed. Serum glucose, base deficit, GCS, use steroids, amounts insulin carbohydrates recorded days, along age. The Injury...
Despite the prevalence and recognized association of pulmonary contusion flail chest (PC-FC) as a combined, complex injury pattern with interrelated pathophysiology, mortality morbidity this entity have not improved during last three decades. The purpose updated EAST practice management guideline was to present evidence-based recommendations for treatment PC-FC.A query conducted MEDLINE, Embase, PubMed Cochrane databases period from January 1966 through June 30, 2011. All evidence reviewed...
Traumatic brain injury (TBI) can be compounded by physiologic derangements that produce secondary injury. The purpose of this study is to elucidate the frequency with which factors are associated occur in patients severe closed head injuries and determine impact these on outcome.The records 81 adult blunt trauma Glasgow Coma Scale scores < or = 8 transport times 2 hours a Level I center were retrospectively reviewed searching for following 11 (SBIFs) first 24 postinjury: hypotension,...
Background The management of colon injuries that require resection is an unresolved issue because the existing practices are derived mainly from class III evidence. Because inability any single trauma center to accumulate enough cases for meaningful statistical analysis, a multicenter prospective study was performed compare primary anastomosis with diversion and identify risk factors colon-related abdominal complications. Methods This 19 centers included patients penetrating trauma, who...
Evaluation of blunt abdominal trauma is clinically challenging. Diagnostic peritoneal lavage (DPL) and computed tomographic (CT) scanning have become primary diagnostic modalities. We examined the efficacy role ultrasonographic (US) studies in initial evaluation patients. Over an 8-month period, patients whose work-up indicated need for DPL or CT were evaluated sonographically within first hour after admission by fellows (PGY-6) with at least 1 theoretical training practical training....
Focused abdominal sonography for trauma (FAST) relies on hemoperitoneum to identify patients with injury. Blunt victims (BTVs) injury, but without hemoperitoneum, admission are at risk missed injury.Clinical, radiologic, and FAST data were collected prospectively BTVs over a 12-month period. All FAST-negative further analyzed. Examination findings associated injuries evaluated association lesions.Of 772 undergoing FAST, 52 (7%) had Fifteen of (29%) no by computed tomographic scan, all...
The diagnosis of acute acalculous cholecystitis: a comparison sonography, scintigraphy, and CTSE Mirvis, Vainright, JR, AW Nelson, GS Johnston, R Shorr, A Rodriguez NO WhitleyAudio Available | Share
Improvement in trauma management requires a better understanding of the effect patient's preinjury health status on outcome. Specific historical findings and laboratory criteria were used to define pre-existing disease (PED) states determine if they independent predictors fate victims. Of 7,798 adult patients admitted level I center from July 1986 through June 1990, 16.0% (1,246) had greater than or equal 1 PED. The PED+ PED- no significant difference Injury Severity Scores (ISSs) (15.7...
The natural history of cytomegalovirus (CMV) disease associated with solid organ transplantation has been modified as a result the widespread use antiviral prophylaxis. Anecdotal reports have indicated reduction CMV at expense its later occurrence after completion ganciclovir present study investigated and risk factors among 37 liver kidney transplant recipients D+/R− status who received oral during first 100 days posttransplantation. occurred in 9 patients (24.3%) median 144...
Blunt traumatic rupture of the heart and pericardium, rarely diagnosed preoperatively, carries a high mortality rate. From 1979 to 1989, more than 20,000 patients were admitted Level I trauma center. A retrospective review identified 59 requiring emergency surgery for this condition. Injuries resulted from vehicular accidents (68%), motorcycle crashes (10%), pedestrians being struck by vehicles (7%), falls (5%), crushing horse (2%) or crane (2%). Seventeen (29%) had isolated pericardium; 37...
During a 9-year period, 60 patients with acutely ruptured diaphragms following blunt trauma were treated in our institution. Diaphragmatic injury was detected within 24 hours of hospital admission all but two patients. The diagnosis suggested by upright chest X-ray 40% the tears discovered at laparotomy for hemoperitoneum remaining At initial evaluation hypotension present 67% patients, and respiratory distress evident 52%. In contrast to traditional teaching, there 30% incidence right...
Background Focused Assessment with Sonography for Trauma (FAST) is rapidly establishing its place in the evaluation of blunt abdominal trauma. However, no prospective study specifically evaluates role penetrating Methods Data were collected prospectively 75 consecutive stable patients trauma to abdomen, flank, or back, from December 1998 June 1999. Those an obvious need emergent laparotomy excluded. FAST was performed as initial diagnostic on all patients. Wound location, type weapon, and...
Since right blunt traumatic diaphragmatic rupture (BTDR) is reported with increasing frequency, BTDR may be a disease in evolution. Data were collected on 59 left, 16 right, and five bilateral BTDRs at level 1 trauma center. Patients had lower Glasgow Coma Scale (GCS) scores (p < 0.05), more likely to initially hypovolemic shock, admitted directly from the field 0.01). Left diagnosed chest films 37% 0% of cases, respectively 0.05). Diagnostic peritoneal lavage results negative 16% left...
The records of obese and nonobese victims blunt trauma were compared to determine if individuals are predisposed a specific injury pattern. Prospectively collected data on 6368 adults admitted level I center over 4-year period analyzed. Twelve percent (743 patients) met Body Mass Index (weight/height2) criteria for obesity (greater than or equal 30 kg/m2). group was older (p less 0.01) had lower ISSs 0.05) higher GCS scores 0.01). More patients injured in vehicular crashes (62.7% vs. 54.1%...
Blunt traumatic cardiac rupture is associated with a high rate of mortality. A review the computerized trauma registry (1983 to 1988) identified 32 patients this injury (ages 19 65 years; mean age, 39.5 21 men and 11 women). Twenty-one (65.6%) were injured in vehicular crashes, 3 (9.4%) pedestrian accidents, motorcycle accidents; sustained crush injury; 1 (3.1%) was by fall; kicked chest horse. Anatomic injuries included right atrial (13[40.6%]), left (8 [25%]), ventricular (10[31.3%]),...
The aims of this study were to assess the risk relapse after discontinuation anti-tumor necrosis factor (anti-TNF) drugs in patients with inflammatory bowel disease (IBD), identify factors associated relapse, and evaluate overcome retreatment same anti-TNF those who relapsed.This was a retrospective, observational, multicenter study. IBD had been treated anti-TNFs whom these discontinued clinical remission achieved included.A total 1,055 included. incidence rate 19% 17% per patient-year...
To determine, at screening ultrasonography, the prevalence, severity, and clinical outcome of clinically important abdominal visceral injuries, without associated hemoperitoneum, that result from blunt trauma.Computed tomography (CT) was performed admission in 466 patients with injury. A retrospective review findings surgery contrast material-enhanced spiral conventional CT to verify injuries 467 (4%) 11,188 trauma. These were admitted a level 1 trauma center over 33 months determine...
The purpose of this study was to prospectively examine the accuracy contrast-enhanced spiral thoracic computed tomography (CEST-CT) for direct detection traumatic aortic injury resulting from blunt trauma.During a 25-month period, all trauma patients who had abnormal mediastinal contours on admission chest radiographs underwent CEST-CT. presence and location blood any signs injury, such as pseudoaneurysm, were recorded. Computed tomographic results compared with aortography, when performed,...
STATEMENT OF THE PROBLEM Blunt injury to the aorta (BAI) is responsible for approximately 8,000 deaths each year in United States. This most commonly results from motor vehicle collisions but may also result pedestrian mishaps, falls height, and crushing thoracic injuries. The majority of patients who sustain BAI die at scene. reach hospital alive have a reasonably good expectation survival, providing their diagnosed treated timely manner. These often multiple injuries, condition that...
Abstract Pseudotumor is an infrequent manifestation of bleeding diathesis seen in hemophiliacs, the management which still controversial. To ascertain effectiveness main therapies choice, we have reviewed 1,831 patients affected by hemophillas A (1,108) and B (172), von Willebrand's disease (329), other miscellaneous coagulopathles (222) diagnosed between 1965 1990 a multicentric, retrospective study. was proven 21 patients. Replacement therapy given 15 cases as first therapeutic approach,...