scholarly journals Albumin And Its Role In Trauma Resuscitation

2005 ◽  
Vol 151 (2) ◽  
pp. 65-68 ◽  
Author(s):  
L. Greasley ◽  
R. Russell
Keyword(s):  
Trauma Resuscitation

Case Report: FAST Ultrasound Interpretation in Trauma Resuscitation

POCUS Journal ◽  
2016 ◽  
Vol 1 (3) ◽  
pp. 13-14
Author(s):  
Stuart Douglas, PGY4 ◽  
Joseph Newbigging, MD ◽  
David Robertson, MD
Keyword(s):  
Case Report ◽  
Negative Predictive Value ◽  
Predictive Value ◽  
Life Support ◽  
Advanced Trauma Life Support ◽  
Trauma Patients ◽  
Ultrasound Probe ◽  
Trauma Resuscitation ◽  
Highly Sensitive ◽  
Pouch Of Douglas

FAST Background: Focused Assessment with Sonography for Trauma (FAST) is an integral adjunct to primary survey in trauma patients (1-4) and is incorporated into Advanced Trauma Life Support (ATLS) algorithms (4). A collection of four discrete ultrasound probe examinations (pericardial sac, hepatorenal fossa (Morison’s pouch), splenorenal fossa, and pelvis/pouch of Douglas), it has been shown to be highly sensitive for detection of as little as 100cm3 of intraabdominal fluid (4,5), with a sensitivity quoted between 60-98%, specificity of 84-98%, and negative predictive value of 97-99% (3).

Complete recovery following transorbital penetrating head injury traversing the brainstem: case report

2019 ◽  
Vol 24 (6) ◽  
pp. 697-701 ◽  
Author(s):  
Mark A. MacLean ◽  
Karim Mukhida ◽  
Jai J. S. Shankar ◽  
Matthias H. Schmidt ◽  
David B. Clarke
Keyword(s):  
Head Injuries ◽  
Relevant Literature ◽  
Subsequent Development ◽  
Complete Recovery ◽  
Endovascular Embolization ◽  
Ophthalmological Examination ◽  
Trauma Resuscitation ◽  
Retained Foreign Body ◽  
First Case ◽  
Initial Injury

Transorbital penetration accounts for one-quarter of the penetrating head injuries (PHIs) in adults and half of those in children. Injuries that traverse (with complete penetration of) the brainstem are often fatal, with survivors rarely seen in clinical practice. Here, the authors describe the case of a 16-year-old male who suffered and recovered from an accidental transorbital PHI traversing the brainstem—the first case of complete neurological recovery following such injury. Neuroimaging captured the trajectory of the initial injury. A delayed-onset carotid cavernous fistula and the subsequent development of internal carotid artery pseudoaneurysms were managed by endovascular embolization.The authors also review the relevant literature. Sixteen cases of imaging-confirmed PHI traversing the brainstem have been reported, 14 involving the pons and 12 penetrating via the transorbital route. Management and outcome of PHI are informed by object velocity, material, entry point, trajectory, relationship to neurovascular structures, and the presence of a retained foreign body. Trauma resuscitation is followed by a careful neurological examination and appropriate neuroimaging. Ophthalmological examination is performed if transorbital penetration is suspected, as injuries may be occult; the potential for neurovascular complications highlights the value of angiography. The featured case shows that complete recovery is possible following injury that traverses the brainstem.

Association of Ventilation during Initial Trauma Resuscitation for Traumatic Brain Injury and Post-Traumatic Outcomes: A Systematic Review

2021 ◽  
pp. 1-6
Author(s):  
Mary Beth Howard ◽  
Nichole McCollum ◽  
Emily C. Alberto ◽  
Hannah Kotler ◽  
Mary E. Mottla ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Trauma Resuscitation ◽  
Cerebral Herniation ◽  
Full Text Review ◽  
Post Traumatic ◽  
Ventilation Strategies ◽  
End Tidal

Abstract Objectives: In the absence of evidence of acute cerebral herniation, normal ventilation is recommended for patients with traumatic brain injury (TBI). Despite this recommendation, ventilation strategies vary during the initial management of patients with TBI and may impact outcome. The goal of this systematic review was to define the best evidence-based practice of ventilation management during the initial resuscitation period. Methods: A literature search of PubMed, CINAHL, and SCOPUS identified studies from 2009 through 2019 addressing the effects of ventilation during the initial post-trauma resuscitation on patient outcomes. Results: The initial search yielded 899 articles, from which 13 were relevant and selected for full-text review. Six of the 13 articles met the inclusion criteria, all of which reported on patients with TBI. Either end-tidal carbon dioxide (ETCO2) or partial pressure carbon dioxide (PCO2) were the independent variables associated with mortality. Decreased rates of mortality were reported in patients with normal PCO2 or ETCO2. Conclusions: Normoventilation, as measured by ETCO2 or PCO2, is associated with decreased mortality in patients with TBI. Preventing hyperventilation or hypoventilation in patients with TBI during the early resuscitation phase could improve outcome after TBI.

Seismology and Advances in Trauma Resuscitation

2018 ◽  
Vol 36 (1) ◽  
pp. xvii-xviii
Author(s):  
Christopher Hicks ◽  
Andrew Petrosoniak
Keyword(s):  
Trauma Resuscitation

Development of Team Coordination and Performance Measures in a Trauma Setting

2007 ◽  
Vol 51 (11) ◽  
pp. 717-721 ◽  
Author(s):  
Stuart Marshall ◽  
Anne Miller ◽  
Yan Xiao
Keyword(s):  
Team Performance ◽  
Decision Support Tool ◽  
Stage Model ◽  
Trauma Resuscitation ◽  
Team Coordination ◽  
Support Tool ◽  
University Of Maryland ◽  
Performance Metric ◽  
And Performance ◽  
The University

The paucity of reliable measures of team coordination and performance significantly obstructs the assessment of the effects of any technology on teams to improve decision making in health care. A pilot study was conducted to determine if measures of coordination and performance could be developed for teams involved in trauma resuscitation. A video assisted review of cases enabled evaluation of the use of the tools. Descriptors of coordination were derived from Klein's five-stage model of team coordination. A scoring system of team performance was developed from the University of Maryland Team Observable Performance Metric (UMTOP). After some modification both coordination and performance could be described. However, four defined stages of resuscitation were observed which greatly improved coding. More rigorous assessments of these tools will be required before firm conclusions can be drawn about the effects of a decision support tool recently introduced into the environment.

Qualitative assessment of simulation-based training for pediatric trauma resuscitation

Surgery ◽  
2017 ◽  
Vol 161 (5) ◽  
pp. 1357-1366 ◽  
Author(s):  
Rita V. Burke ◽  
Natalie E. Demeter ◽  
Catherine J. Goodhue ◽  
Heather Roesly ◽  
Alyssa Rake ◽  
...  
Keyword(s):  
Pediatric Trauma ◽  
Qualitative Assessment ◽  
Trauma Resuscitation ◽  
Simulation Based
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