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Search for Trauma in Emergency Medicine
Physician-authored summaries on the latest research on trauma, editorials on trauma, and perspectives on trauma - drawn from the top medical journals.
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You searched for: trauma in Emergency Medicine
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Lactate and Poor Lactate Clearance Predict Mortality in Trauma Patients
- April 26, 2013
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
An elevated initial lactate may be an ominous sign, even in patients with normal initial blood pressure.- Reviewing:
- Odom SR et al., J Trauma Acute Care Surg 2013 Apr; 74:999.
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Elevated Lactate Is Associated with Mortality in Trauma Patients
- December 14, 2012
- Cheryl Lynn Horton, MD, and Ron M. Walls, MD, FRCPC, FAAEM
- Emergency Medicine
Initial lactate was a better predictor of mortality than lactate clearance.- Reviewing:
- Régnier M-A et al., Anesthesiology 2012 Dec; 117:1276.
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Reducing Trauma CT Without Missing Injuries
- September 28, 2012
- Daniel J. Pallin, MD, MPH
- Emergency Medicine
Switching from liberal to evidence-based use of computed tomography reduced costs and radiation without missing injuries.- Reviewing:
- Mahoney E et al., J Trauma Acute Care Surg 2012 Sep; 73:573.
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Hypotensive Resuscitation in Trauma Patients Lessens Transfusion Needs Free
- May 6, 2011
- John A. Marx, MD, FAAEM
- Emergency Medicine
. . . and reduces incidence of postoperative coagulopathy and associated death.- Reviewing:
- Morrison CA et al., J Trauma 2011 Mar; 70:652.
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Transthoracic Echo Helps Determine Fluid and Cardiac Status in Trauma Patients
- February 11, 2011
- John A. Marx, MD, FAAEM
- Emergency Medicine
This noninvasive procedure is readily available.- Reviewing:
- Ferrada P et al., J Trauma 2011 Jan; 70:56.
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Advanced Trauma Life Support Training Is Associated with More Trauma Mortality in Greece
- February 11, 2011
- John A. Marx, MD, FAAEM
- Emergency Medicine
A surprising finding at first glance, but several reasons could explain it.- Reviewing:
- Drimousis PG et al., Resuscitation 2011 Feb; 82:180.
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Trauma Admissions and the Weather
- January 14, 2011
- Katherine Bakes, MD
- Emergency Medicine
Both pediatric and adult trauma admissions were linked to weather variables in a U.K. study.- Reviewing:
- Parsons N et al., Emerg Med J 2010 Nov 22;:
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Transfer to Tertiary Trauma Centers Improves Survival
- January 7, 2011
- Diane M. Birnbaumer, MD, FACEP
- Emergency Medicine
At least in a predominantly rural state with a mandatory trauma point-of-entry plan- Reviewing:
- Garwe T et al., Acad Emerg Med 2010 Nov; 17:1223.
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Beware of Even a Single Hypotensive Blood Pressure Measurement in Trauma Patients Free
- July 16, 2010
- John A. Marx, MD, FAAEM
- Emergency Medicine
A single systolic BP reading <105 mm Hg in the emergency department portends serious injury and the potential need for immediate surgical or endovascular intervention.- Reviewing:
- Seamon MJ et al., J Trauma 2010 Jun; 68:1289.
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Tranexamic Acid Reduces Mortality After Major Trauma Free
- June 15, 2010
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
This promising new therapy is inexpensive and easy to administer.- Reviewing:
- CRASH-2 trial collaborators., Lancet 2010 Jun 15;: Levy JH., Lancet 2010 Jun 15;:
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Incidence of PE in Trauma Patients on the Rise?
- January 29, 2010
- John A. Marx, MD, FAAEM
- Emergency Medicine
Increased vigilance and availability of higher resolution CT scanners are likely explanations for an apparent increase in incidence.- Reviewing:
- Menaker J et al., J Trauma 2009 Dec; 67:1244.
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Surprise! Complication Rates in Trauma Patients Are Higher at the Start of the Academic Year
- January 29, 2010
- John A. Marx, MD, FAAEM
- Emergency Medicine
Mortality rates, however, did not differ during the beginning versus the end of the academic year.- Reviewing:
- Inaba K et al., J Trauma 2010 Jan; 68:19.
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Better Outcomes at Level I vs. Level II Trauma Centers
- June 26, 2009
- John A. Marx, MD, FAAEM, FACEP
- Emergency Medicine
Patients initially transported to level I trauma centers had better survival and functional outcomes.- Reviewing:
- Cudnik MT et al., J Trauma 2009 May; 66:1321.
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Access to Pediatric Trauma Centers
An estimated 17 million U.S. children younger than 15 years do not have 60-minute access to a pediatric trauma center.- Reviewing:
- Nance ML et al., Arch Pediatr Adolesc Med 2009 Jun; 163:512.
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Did This Patient Need a Trauma Center?
- November 7, 2008
- Kristi L. Koenig, MD, FACEP
- Emergency Medicine
Although the Injury Severity Score is central to trauma center designation by the American College of Surgeons, it does not correlate well with the need for specialized trauma resources.- Reviewing:
- Newgard CD et al., Prehosp Emerg Care 2008 Oct-Dec; 12:451.
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Transfer of Trauma Patients to Level I Centers Lowers Mortality
- January 18, 2008
- John A. Marx, MD, FAAEM, FACEP
- Emergency Medicine
No benefit was seen in patients transferred to Level II centers.- Reviewing:
- Newgard CD et al., J Trauma 2007 Nov; 63:965.
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Pulmonary Embolism Can Occur Early After Trauma
- October 26, 2007
- John A. Marx, MD, FAAEM, FACEP
- Emergency Medicine
Fifteen percent occurred within 48 hours after injury.- Reviewing:
- Menaker J et al., J Trauma 2007 Sep; 63:620.
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Skip the Rectal Exam in Trauma Patients?
- August 17, 2007
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
The exam had a poor sensitivity for detecting injuries in this retrospective chart review, suggesting that the answer is yes.- Reviewing:
- Shlamovitz GZ et al., Ann Emerg Med 2007 Jul; 50:25-33.
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Who’s Running This Trauma? Does It Matter?
- August 17, 2007
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
Patient outcomes were similar whether resuscitations were led by nonsurgeons or surgeons.- Reviewing:
- Ahmed JM et al., Ann Emerg Med 2007 Jul; 50:7-12.
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NEXUS Rule Is Less Accurate in Patients Evaluated by Trauma Team
- July 20, 2007
- John A. Marx, MD, FAAEM, FACEP
- Emergency Medicine
Inadequate attention to the cervical spine in patients with multiple injuries likely explains the poorer results.- Reviewing:
- Duane TM et al., J Trauma 2007 Jun; 62:1405-8.
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