A5109565659- Trauma and Emergency Care Studies
- Pelvic and Acetabular Injuries
- Trauma Management and Diagnosis
- Emergency and Acute Care Studies
- Abdominal Trauma and Injuries
- Spinal Fractures and Fixation Techniques
- Intimate Partner and Family Violence
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Arrest and Resuscitation
- Pleural and Pulmonary Diseases
- Injury Epidemiology and Prevention
- Sepsis Diagnosis and Treatment
- Abdominal Surgery and Complications
- Traumatic Brain Injury and Neurovascular Disturbances
- Gun Ownership and Violence Research
- Global Health and Surgery
- Hip and Femur Fractures
- Respiratory Support and Mechanisms
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Hernia repair and management
- Appendicitis Diagnosis and Management
- Suicide and Self-Harm Studies
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Surgical Simulation and Training
- Ultrasound in Clinical Applications
Virginia Commonwealth University
2016-2025
Inova Health System
2023-2025
University of Utah
2025
Virginia Commonwealth University Medical Center
2011-2024
University of Pennsylvania
2023
Memorial Healthcare System
2023
New York Medical College
2023
Crozer-Keystone Health System
2023
ProMedica Toledo Hospital
2023
Spartanburg Regional Medical Center
2023
Acute care surgery encompasses trauma, surgical critical care, and emergency general (EGS). While the first two components are well defined, scope of EGS practice remains unclear. This article describes work American Association for Surgery Trauma to define EGS.A total 621 unique International Classification Diseases-9th Rev. (ICD-9) diagnosis codes were identified using billing data (calendar year 2011) from seven large academic medical centers that EGS. A modified Delphi methodology was...
Tominaga, Gail T. MD; Staudenmayer, Kristan L. Shafi, Shahid Schuster, Kevin M. Savage, Stephanie A. Ross, Steven Muskat, Peter Mowery, Nathan Miller, Preston Inaba, Kenji Cohen, Mitchell Jay Ciesla, David Brown, Carlos V.R. Agarwal, Suresh Aboutanos, Michel B. Utter, Garth H. Crandall, Marie MD American Association for the Surgery of Trauma Committee on Patient Assessment Author Information
Currently, there is no established system for assessing disease severity in emergency general surgery (EGS) patients. The purpose of this project was to develop a uniform grading measuring anatomic patient population.The Committee on Patient Assessment and Outcomes the American Association Surgery Trauma developed proposal by consensus experts EGS diseases. It then reviewed approved Board Managers Trauma.A described, with specific grades eight commonly encountered gastrointestinal...
BACKGROUND Early (<8 hours) operative debridement and irrigation (D&I) of open fractures are considered essential to reduce the risk deep infection. With advent powerful antimicrobials, this axiom has been challenged. The current study evaluates rates infections in relation time first D&I. METHODS A list all blunt during a 6-year period was obtained from trauma registry. Patients were evaluated for age, Injury Severity Score (ISS), physiologic derangement (systolic blood pressure, lactate,...
Computed tomographic angiography (CTA) by 16-channel multidetector scanner is increasingly replacing conventional digital subtraction (DSA) for diagnosing or excluding blunt carotid/vertebral injuries (BCVI). To date there has been only 1 study in which all patients received both examinations. That reported a high accuracy 16-detector CTA. The current prospective parallel comparative aims at validating this and examining the rates of evaluability CTA performed with image reconstruction...
Background: Currently there are few data that brief violence intervention (BVI) and community case management services (CCMS) effective for trauma patients admitted interpersonal in terms of recidivism, service utilization, or alcohol abuse. The objective this study is to assess outcomes a cohort young prospective, randomized trial comparing BVI with + CCMS. Methods: Intentionally injured patients, aged 10 years 24 years, Level I center were receive in-hospital psychoeducational alone (Group...
Background: Splenic artery angioembolization (SAE) is increasingly being used as an adjunct to nonoperative management for stable patients with blunt splenic injury (BSI). However, little known about immunocompetence after SAE. This study aims at assessing SAE BSI. Methods: Peripheral blood was obtained from BSI (n = 8) who had >6 months prior. assessed by isolating mononuclear cells and incubating CD4+ CD45RA+ CD45RO+ antibody analyze the proportion of T-cells expressing CD4 receptor, or...
The American Association for the Surgery of Trauma (AAST) has developed a new grading system uniform description anatomic severity emergency general surgery (EGS) diseases, ranging from Grade I (mild) to V (severe). purpose this study was determine relationship AAST grades acute colonic diverticulitis with patient outcomes. A secondary propose an EGS quality improvement program using risk-adjusted center outcomes, similar National Surgical Quality Improvement Program and methodologies.This...
BACKGROUND Current evidence-based screening algorithms for blunt cerebrovascular injury (BCVI) may miss more than 30% of carotid or vertebral artery injuries. We implemented universal BCVI with computed tomography angiography the neck at our level 1 trauma center, hypothesizing that only would identify all clinically relevant BCVIs. METHODS Adult activations from July 2017 to August 2019 underwent full-body scan including a 128-slice scanner. calculated sensitivity, specificity, positive...
Abstract Despite the longstanding discussion around link between psychopathy and fearlessness, few studies have explicitly tested this association, results been mixed. This may be due, in part, to lack of specificity fear assessment. Further, relation better understood using two‐factor model because, theory, has opposing associations with interpersonal‐affective (Factor 1) impulsive‐antisocial 2) traits. The present study aimed test if two factors are deferentially related reactivity. To...
Rib fractures are a common in thoracic trauma. Increasingly, patients with flail chest being treated surgical stabilization of rib (SSRF). We performed retrospective review the Trauma Quality Improvement Program database to determine if there was difference outcomes between undergoing early SSRF (≤3 days) versus late (>3 days).Patients were identified by CPT code, assessing those who underwent 2017 and 2019. excluded younger than 18 years Abbreviated Injury Scale head severity scores greater...
We examined the outcome of elderly trauma patients with pelvic fractures. Patients 65 years age and older (elderly) fractures were retrospectively compared younger than also without fracture. Over study period, 1223 sustained a fracture (younger years, n=1066, 87.2%; elderly, n=157, 12.8%). These 1770 blunt Although equally matched for Injury Severity Score (21.2 +/- 13.4 nonelderly vs. 20.5 13.6 elderly), hospital length stay was increased in (12.5 13.1 days 11.5 14.1 days) they had higher...
Limited transthoracic echocardiogram (LTTE) has been introduced as a technique to direct resuscitation in intensive care unit (ICU) patients. Our hypothesis is that LTTE can provide meaningful information guide therapy for hypotension the trauma bay.LTTE was performed on hypotensive patients bay. Views obtained included parasternal long and short, apical, subxyphoid. Results were reported regarding contractility (good vs. poor), fluid status (flat inferior vena cava [hypovolemia] fat...
Violence is the leading cause of injury and mortality among youth in United States. 1 Violently injured lack sufficient resources support to change their violence-related attitudes behaviors, resulting a heightened risk being both victim perpetrator violence.Youth exposed firearm violence are twice as likely commit serious within 2 years, who violently 88 times more 1,
The Eastern Association for the Surgery of Trauma (EAST) guidelines recommend that cervical spine (c-spine) radiographic evaluation is unnecessary in awake, alert blunt trauma patient who not intoxicated, has no distracting injuries, and demonstrates tenderness over c-spine or neurologic deficits. purpose this study was to compare reliability clinical examination (CE) with computed tomography identifying presence fractures.We prospectively evaluated 534 patients between February 2004 January...
Obesity has proven to be an independent risk factor of mortality in the intensive care unit (ICU) both nontrauma and trauma patients. The purpose this study was determine whether detrimental effect obesity extend morbidity as well nonintensive blunt patients.A retrospective comparison obese (body mass index [BMI] > 30 kg/m2) nonobese (BMI < patients performed between January 2004 December 2005. Patient demographics, morbidity, ventilator, ICU, hospital length stays were analyzed. Continuous...
The advanced trauma life support course is not available or affordable to rural areas in low-income countries. A continuing education was created educate physicians of hospitals the jungles Ecuador.A basic care designed based on local resources and location injury, including rudimentary health posts jungle, hospitals, definitive referral centers. Course effectiveness evaluated by a comparison test scores before after course. multiple choice questionnaire given. Comparison previous also...
BACKGROUND Patients with traumatic brain injury (TBI) are at high risk of venous thromboembolism events (VTE). We hypothesized that early chemical VTE prophylaxis initiation (≤24 hours a stable head CT) in severe TBI would reduce without increasing intracranial hemorrhage expansion (ICHE). METHODS A retrospective review adult patients 18 years or older isolated (Abbreviated Injury Scale score, ≥ 3) who were admitted to 24 Level I and II trauma centers from January 1, 2014 December 31 2020...
Leichtle, Stefan W. MD, MBA, FACS; Jayaraman, Sudha MSc, Rodas, Edgar B. Aboutanos, Michel MPH, FACS Author Information