Tag: trauma

1. Among trauma patients aged 10 to 17, the use of low molecular weight heparin as compared with unfractionated heparin was associated with fewer episodes of venous thromboembolism as well as a reduction in mortality. Evidence Level Rating: 2 (Good) Low molecular weight heparin (LMWH) and unfractionated heparin (UFH) are the...

1. Among trauma patients aged 10 to 17, the use of low molecular weight heparin as compared with unfractionated heparin was associated with fewer episodes of venous thromboembolism as well as a reduction in mortality. Evidence Level Rating: 2 (Good) Low molecular weight heparin (LMWH) and unfractionated heparin (UFH) are the...

Timing of Oral P2Y12 Inhibitor Administration in Non-ST Elevation Acute Coronary Syndrome 1. There does not appear to be any difference in outcome between pre- and post-treatment administration of P2Y12 inhibitors among patients experiencing a non-ST elevation acute coronary syndrome with planned invasive intervention. 2. Prasugrel and ticagrelor showed similar outcomes...

1. In this randomized controlled trial, the incidence of secondary procedures within 2 years did not differ significantly between patients that received a total hip arthroplasty versus a hemiarthroplasty. 2. There was a minimal clinically significant difference in function among the total hip arthroplasty group, but also a higher incidence...

Stab wounds are managed operatively and, in select cases, non-operatively, depending on a patient’s hemodynamic stability, the anatomic location of the stabbing, and whether the patient demonstrates peritoneal signs. While some studies have demonstrated that patients with injuries associated with high mortality are more likely to achieve better survival...

Planned early delivery or expectant management for late preterm pre-eclampsia (PHOENIX): a randomised controlled trial Preeclampsia is associated with increased morbidity and mortality for both mother and infant. In addition to maternal and fetal assessment, timely delivery after 37 weeks’ gestation is recommended to minimize maternal and perinatal morbidity. In...

While the early recognition of severe traumatic injury is associated with improved morbidity and mortality, undertriage has been associated with poorer patient outcomes. Previous research has shown that tachypnea and blunt thoracic injury are associated with undertriage. In this retrospective cohort study, researchers reviewed 3123 lower-level adult activations (2014-2016)...

Venous thromboembolism (VTE) is common following major trauma. While delay in thromboprophylaxis initiation by more than 1 to 3 days is associated with a significantly increased risk of VTE and mortality, prophylaxis is also associated with an increased risk of progressive hematoma enlargement in the setting of traumatic brain...

Massive hemorrhage secondary to traumatic injury continues to be a leading cause of morbidity and mortality. While the use of temporary hemostatic measures including aortic occlusion is not novel, resuscitative endovascular balloon occlusion of the aorta (REBOA) is not routinely used in trauma settings. Prior studies have shown mixed...

1. Pediatric eye injuries related to nonpowder guns (BB, pellet guns, paintball, etc.) increased by over 150% during the study period, while the overall rate of eye injuries related to sports and recreation decreased slightly. 2. Three quarters of sports- and recreation-related eye injuries occurred in boys. Evidence Rating Level: 2...