Articles Tagged With: trauma
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Traumatic Amputations
Traumatic amputations can be extremely debilitating injuries that have long-term functional and psychological outcomes. The authors review traumatic amputations, diagnostic evaluation, and management.
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Tranexamic Acid in Trauma
Tranexamic acid or TXA is a potent antifibrinolytic that has the potential to decrease clot breakdown and reduce bleeding in trauma patients. Studies have shown that the use of TXA in trauma patients improves overall survival, although these studies have been discounted as not being relevant to trauma care as practiced in well-resourced countries. Thus, the adoption of TXA into trauma protocols in U.S. centers has been slow and controversial. Further studies are needed to answer questions about which patient populations can benefit most from TXA and how it should be used in highly developed and well-resourced trauma systems and centers.
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Tactical Emergency Medicine
Mass casualty shooting events in the United States, although rare, appear to be increasing in frequency. Active shooter attacks have become a favored means of inflicting terror attacks. This article has the purpose of speeding the transition of military medical lessons learned from the battlefield to civilian medical response to high-risk situations.
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Anticoagulation in the Trauma Patient
The number and variety of anticoagulants have expanded greatly during the past decade. Because of the large number of individuals on anticoagulation for various conditions, anticoagulated patients assuredly will present as trauma patients.
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Spinal Cord Injury
The spinal cord, although well protected, can be injured in a variety of ways, including motor vehicle collisions and sporting events. The inability of the neurons to regenerate, and their sensitivity to anoxia and hypoperfusion, makes the timely diagnosis and treatment of spinal cord injury imperative to preserve as much function as possible. This article will cover the basic epidemiology, physiology, and treatments for spinal cord injury in an attempt to prepare the reader to manage these complex injuries.
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Advances in Pediatric Abdominal Trauma: What’s New in Assessment and Management
This article will cover major points the provider needs to know to appropriately manage a child with potential abdominal trauma, including the acute resuscitation and specific organ injury management.
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Pediatric Visceral Trauma
Trauma patients are often very difficult to assess, particularly young children.This article reviews trauma in children. It reminds us that children are not little adults. Their injury pattern and their response to injury are unique.
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The Initial Evaluation and Clearance of Spinal Injuries in Emergency Medical Practice
The initial evaluation and management of patients with potential spinal injuries in emergency medicine practice is in evolution. The authors thoughtfully explore the evidence available and its limitations.
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Emergency Airway Management: A Targeted Review of Difficult Trauma Situations
Airway management is one of the cornerstones of emergency medicine practice and resuscitation. An emergency clinician must have a strategy for these situations based on clinical skills, available devices, urgency of the situation, and potential consultants.
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Electrical and Lightning Injuries
Although electrical injuries are rare, patients who present with these injuries to emergency departments pose particular challenges to emergency physicians and trauma surgeons.