Articles Tagged With: injury
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Intimate Partner Violence
Domestic violence and abuse is a national and global healthcare problem with massive consequences, affecting men, women, and children. Awareness, recognition, and resource allocation, in addition to trauma management, is an important aspect of emergent care of the trauma patient possibly injured in a domestic violence incident.
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Management of Burn Injuries
Burn injuries are complex injuries that the acute care physician must be prepared to assess and manage. In addition, an understanding of potential systemic effects from inhalation of toxic components in fires is critical to guide management. The authors provide a timely review of the critical aspects of assessment and management of burn patients.
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Hypercapnic Acidosis and Clinical Outcomes in Patients With Acute Brain Injury
In this multicenter retrospective study, hypercapnic acidosis was associated with worse clinical outcomes in mechanically ventilated patients with acute brain injury.
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Trauma Mythology: Looking Beyond the ABCD and ATLS
This article examines some commonly held assumptions related to the emergency care and stabilization of trauma patients. It provides the practicing clinician with information needed to inform important clinical decisions about spinal immobilization, thromboelastography, direct oral anticoagulants (DOACs), and the Focused Abdominal Sonography in Trauma (FAST) exam.
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Does This Older Patient Have a Spinal Fracture? Evaluation and Management of Spinal Fractures in Older Adults
Older adults present unique challenges for the clinician. Missing a spinal fracture can have devastating consequences for this more fragile population. The authors review the clinical presentation, injury patterns, and unique considerations for imaging and management of spinal fractures in older adults.
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Cervical Spinal Injury
Although spinal injuries are uncommon, they should be considered when children have sustained head or neck trauma or multiple severe injuries. Children with severe or multisystem trauma are more likely to suffer a spinal injury. Thus, emergency department providers should have a lower threshold to immobilize and image such patients to prevent morbidity and mortality. This article reviews the most common pediatric spinal fractures and injuries and optimal management practices.
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Mammalian Bites
Bites, whether dog, cat, or human, are a common reason for emergency department visits.This article reviews the complexities of different types of bites ED providers may encounter and issues regarding closure and antibiotic prophylaxis, in addition to vaccination concerns.
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Hemorrhage Control: Advances in Trauma Care
Massive hemorrhage is a devastating scenario. Early identification is essential to allow for prompt, potentially lifesaving interventions with the goal of rapid control of exsanguination.
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Optimizing Brain Oxygen in Severe Traumatic Brain Injury
In a Phase II, single-blind, randomized, multicenter trial, the use of intraparenchymal brain tissue oxygenation monitoring reduced brain tissue hypoxia in patients with severe traumatic brain injury.
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Tau as a Biomarker of Acute and Chronic Traumatic Brain Injury
The ongoing search for reliable biomarkers of traumatic brain injury repeatedly has demonstrated the reliability of using plasma phosphor-tau levels to help distinguish injury from normal, and severe injury from mild injury.