History of trauma treatment at The Center of Excellence

2006 ◽  
Author(s):  
Colette Anderson

This chapter is a brief history of the military developments leading to the creation of the Military Advanced Regional Anesthesia and Analgesia Initiative (MARAA) and eventually the Department of Defense Center of Excellence for Pain the Defense and Veterans Center for Integrative Pain Management.


2019 ◽  
pp. 365-368

This chapter is a brief history of the military developments leading to the creation of the Military Advanced Regional Anesthesia and Analgesia Initiative (MARAA) and eventually the Department of Defense Center of Excellence for Pain the Defense and Veterans Center for Integrative Pain Management.


PEDIATRICS ◽  
1979 ◽  
Vol 63 (2) ◽  
pp. 337-339
Author(s):  
Ashok P. Sarnaik ◽  
Kenneth D. Stringer ◽  
Patrick F. Jewell ◽  
Sharada A. Sarnaik ◽  
Y. Ravindranath

Disseminated intravascular coagulation (DIC) may complicate hypovolemic shock secondary to trauma.1 Treatment with heparin in such cases is contraindicated because of the risk of bleeding at the site of trauma. Replacement therapy with clotting factors and platelets alone may be inadequate2 or result in volume overload in the presence of compromised renal function. We describe here a patient with multiple intraabdominal traumatic injuries whose severe bleeding diathesis secondary to DIC was successfully treated with exchange transfusion. CASE REPORT A 10-month-old black boy weighing 10 kg was brought to Children's Hospital of Michigan, Detroit with a history of grunting for three hours and "not feeling well" for three weeks.


2009 ◽  
Vol 34 (6) ◽  
pp. 792-796 ◽  
Author(s):  
C. J. LINCOSKI ◽  
D. C. BUSH ◽  
S. J. MILLON

This study details our series of epidermoid cysts in the hand, characterising the incidence, clinical characteristics and recurrence rate after marginal excision. A historical cohort of 101 epidermoid cysts that were excised from a soft tissue or intraosseous location in the hand over a 27 year period were reviewed. The incidence of epidermoid cysts, patient age, sex, occupation, anatomic location, history of trauma, treatment complications and cyst recurrence rate were noted. Key findings of the study were as follows. Epidermoid cysts represented a significant portion of our relatively large series of hand tumours. The majority occurred in male patients, most often involving the soft tissues on the palmar aspect of the hand. Four percent were intraosseous epidermoid cysts. After excision with a marginal tumour margin we found that 11 cysts (11%) recurred.


2020 ◽  
pp. 1-19
Author(s):  
Danielle Voestermans ◽  
Merijn Eikelenboom ◽  
Jitske Rullmann ◽  
Maryke Wolters-Geerdink ◽  
Nel Draijer ◽  
...  

Attachment (mal)functioning and a history of childhood trauma (CT) are both considered psychological determinants of personality disorders (PDs). Their interaction, however, remains largely uninvestigated. In this study, the authors assessed adult and childhood attachment style in a sample of patients with diverse PDs (N = 75) and determined the relation with both occurrence and severity of CT. The authors found that the sample was characterized by severe attachment malfunctioning and high levels of CT. Using cross-tabulations and analysis of variance, the authors showed that patients with a fearful or dismissive attachment style experienced more severe CT than patients with a preoccupied attachment style. Patients reporting an affectionless control bonding style to either parent suffered frequent and severe CT. Although temporal causality cannot be determined, these findings stress the necessity to screen for CT in PDs and suggest that attachment-centered psychotherapy for these patients may benefit from preceding or concurrent trauma treatment.


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