Assessment of the electronic medical record in documenting trauma resuscitations in the pediatric ED Laura E. McLean, Sean Elwell, Andrew DePiero
DOI: http://dx.doi.org/10.1016/j.ajem.2015.01.020
The American Journal of Emergency Medicine , Vol. 33 , Issue 4 ,
Published online: January 20 2015
x Utilization of electronic medical records (EMRs) has resulted in a corresponding decline in the use of paper records in many patient care areas. Evidence suggests that EMRs improve patient safety, increase information accessibility, increase workflow efficiency, and minimize documentation time
[1]. However, despite the advantages, very few hospitals have implemented the EMR during pediatric trauma resuscitations
[2,3].
The Effect of Ethanol on Lactate and Base Deficit as Predictors of Morbidity and Mortality in Trauma Mark L. Gustafson, Steve Hollosi, Julton Tomanguillo Chumbe, Damayanti Samanta, Asmita Modak, Audis Bethea
DOI: http://dx.doi.org/10.1016/j.ajem.2015.01.030
The American Journal of Emergency Medicine , Vol. 33 , Issue 5 ,
Published online: January 22 2015
x The objective of this study was to assess the predictive value of lactate and base deficit in determining outcomes in trauma patients who are positive for ethanol.
Hot asphalt burns: a review of injuries and management options George M. Bosse, Shernaz A. Wadia, Pradeep Padmanabhan
DOI: http://dx.doi.org/10.1016/j.ajem.2014.01.007
The American Journal of Emergency Medicine , Vol. 32 , Issue 7 ,
Published online: January 21 2014
x Hot asphalt burns to human tissue can increase the likelihood of infection and potential conversion of partial thickness to full-thickness injuries. Successful intervention for hot asphalt burns requires immediate and effective cooling of the asphalt on the tissue followed by subsequent gradual removal of the cooled asphalt.
Do-not-resuscitate orders among trauma patients Catherine A. Marco, Scarlett Michael, Jamie Bleyer, Alina Post
DOI: http://dx.doi.org/10.1016/j.ajem.2015.08.026
The American Journal of Emergency Medicine , Vol. 33 , Issue 12 ,
Published online: August 17 2015
x Do-not-resuscitate (DNR) orders are an important means to communicate end-of-life wishes. Previous studies have demonstrated variable prevalence of DNR orders among hospitalized trauma patients.
Epidemiology of injuries to wildland firefighters Carla Britton, Charles F. Lynch, Marizen Ramirez, James Torner, Christopher Buresh, Corinne Peek-Asa
DOI: http://dx.doi.org/10.1016/j.ajem.2012.08.032
The American Journal of Emergency Medicine , Vol. 31 , Issue 2 ,
Published online: November 19 2012
x Wildland fires have significant ecologic and economic impact in the United States. Despite the number of firefighters involved in controlling them, little is known about the injuries that they sustain. We hypothesized that the mechanism of injury would predict injury characteristics and severity of fire-related injuries.
A proposed novel algorithmic approach to the evaluation of the acutely injured trauma patient: should advanced trauma life support incorporate biomarkers? Nicholas D. Caputo, Marc Kanter
DOI: http://dx.doi.org/10.1016/j.ajem.2013.11.048
The American Journal of Emergency Medicine , Vol. 32 , Issue 3 ,
Published online: December 9 2013
x The “Golden Hour” is a concept developed by Cowley and taught in advanced trauma life support (ATLS), which states that traumatically injured patients who receive resuscitation within the first hour of injury will have increased chance of survivability [1]. Patients with trauma generally died of injuries because of hemorrhagic shock leading to sepsis, multiorgans dysfunction syndrome, or other physiologic abnormalities that are not correctable in the late stages. To help determine the presence of major injury, ATLS teaches a classification of hemorrhagic shock that is heavily dependent on vital signs and other clinical signs (see Table 1).
Cost savings associated with transfer of trauma patients within an accountable care organization Brian C. Geyer, David A. Peak, George C. Velmahos, Jonathan D. Gates, Yvonne Michaud, Laurie Petrovick, Jarone Lee, Brian J. Yun, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.11.067
The American Journal of Emergency Medicine , Vol. 34 , Issue 3 ,
Published online: December 4 2015
x The Patient Protection and Affordable Care Act supports the establishment of accountable care organizations (ACOs) as care delivery models designed to save costs. The potential for these cost savings has been demonstrated in the primary care and inpatient populations, but not for patients with emergency conditions or traumatic injuries.
Detection of acute myocardial ischemic injury by gender using a novel cardiac electrical biomarker David M. Schreck, Robert D. Fishberg
DOI: http://dx.doi.org/10.1016/j.ajem.2014.12.029
The American Journal of Emergency Medicine , Vol. 33 , Issue 3 ,
Published online: December 20 2014
x The objective of this study us to stratify by gender a new cardiac electrical biomarker (CEB) diagnostic accuracy for detection of acute myocardial ischemic injury (AMII).
Communication with patients with trauma who were in spinal immobilization Catherine A. Marco, Steven Nelson, Matthew Jolly, Stephanie Ritter, Andrew Rudawsky
DOI: http://dx.doi.org/10.1016/j.ajem.2013.10.041
The American Journal of Emergency Medicine , Vol. 32 , Issue 2 ,
Published online: November 27 2013
x Motor vehicle accidents comprise approximately 1.3% of emergency department (ED) visits annually in the United States [1]. A previous study demonstrated that successful communication with patients regarding reasons for hospital admission was correlated with increased patient satisfaction [2]. Emergency department patients have reported a perceived need for improved communication with health care providers [3]. Another recent study demonstrated that the satisfaction of patients with trauma is improved when health care providers provide both instrumental and attentive care [4].
The traditional vs “1:1:1” approach debate on massive transfusion in trauma should not be treated as a dichotomy Anthony M.-H. Ho, John B. Holcomb, Calvin S.H. Ng, Jorge E. Zamora, Manoj K. Karmakar, Peter W. Dion
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.065
The American Journal of Emergency Medicine , Vol. 33 , Issue 10 ,
Published online: June 26 2015
x Traditional transfusion guidelines suggest that fresh frozen plasma (FFP) should be given based on laboratory or clinical evidence of coagulopathy or acute loss of 1 blood volume. This approach tends to result in a significant lag time between the first units of erythrocytes and FFP in trauma requiring massive transfusion. In severe trauma, observational studies have found an association between increased survival and aggressive use of FFP and platelets such that FFP:platelet:erythrocyte ratio approaches 1:1:1 to 2 from the first units of erythrocytes given.
Chest tube insertion direction: is it always necessary to insert a chest tube posteriorly in primary trauma care? Shokei Matsumoto, Kazuhiko Sekine, Tomohiro Funabiki, Motoyasu Yamazaki, Tomohiko Orita, Masayuki Shimizu, Kei Hayashida, Masanobu Kishikawa, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2014.10.042
The American Journal of Emergency Medicine , Vol. 33 , Issue 1 ,
Published online: October 29 2014
x The advanced trauma life support guidelines suggest that, in primary care, the chest tube should be placed posteriorly along the inside of the chest wall. A chest tube located in the posterior pleural cavity is of use in monitoring the volume of hemothoraces. However, posterior chest tubes have a tendency to act as nonfunctional drains for the evacuation of pneumothoraces, and additional chest tube may be required. Thus, it is not always necessary to insert chest tubes posteriorly. The purpose of this study was to determine whether posterior chest tubes are unnecessary in trauma care.
Lumbar Morel-Lavallee lesion after trauma: a report of 2 cases Ayla Buyukkaya, Harun Güneş, Mehmet Ali Özel, Ramazan Buyukkaya, Ömer Onbas, Ayhan Sarıtas
DOI: http://dx.doi.org/10.1016/j.ajem.2015.01.043
The American Journal of Emergency Medicine , Vol. 33 , Issue 8 ,
Published online: February 2 2015
x Morel-Lavallee syndrome is a posttraumatic soft tissue injury in which the subcutaneous tissue is broken off from the underlying fascia, creating a cavity filled with hematoma and liquefied fat. It commonly occurs over the greater trochanter and, rarely, may also occur in the lumbal region. Morel-Lavallee syndrome can be often diagnosed late because of ommitted diagnosis in emergency services. The emergency physician and radiologist must keep this syndrome in mind because early diagnosis can enable conservative management, whereas delayed diagnosis may lead to surgical exploration.
Angiographic embolization in chest wall hematoma due to handlebar injury—a rare case report Po-Chin Yu, Tzu-Hsien Yang, Abhishek Katakwar, Yu-Jen Cheng, Po-Chih Chang
DOI: http://dx.doi.org/10.1016/j.ajem.2015.02.054
The American Journal of Emergency Medicine , Vol. 33 , Issue 9 ,
Published online: March 6 2015
x We report a woman presenting with an expanding chest wall hematoma after handlebar injury. Computed tomography identified a right anterior-upper chest wall hematoma with extension to right shoulder and upper extremity. Moreover, an enhancing spot within the hematoma was identified, favoring a pseudoaneurysm. The right axillary arterial angiography revealed a pseudoaneurysm at the branch of right anterior humeral circumflex artery. Patient underwent angiographic embolization with subsequent surgical drainage and made a full recovery.
Right coronary artery dissection and aneurysm presented as acute inferior myocardial infarction from an automobile airbag trauma Chunlai Zeng, Wuming Hu, Ning Zhu, Xuyong Zhao, Jian Xu, Shiyong Ye, Yijia Xiang, Linchun Lv
DOI: http://dx.doi.org/10.1016/j.ajem.2015.07.074
The American Journal of Emergency Medicine , Vol. 33 , Issue 10 ,
Published online: July 29 2015
x Coronary artery dissection and aneurysm culminating in acute myocardial infarction are rare after blunt chest trauma. We are reporting a case of a previously healthy 52-year-old man who presented with right inferior lobe contusion, pleural effusion, right interlobar fissure effusion, bone fracture of right fourth rib, and acute inferior wall myocardial infarction and who experienced blunt trauma in his right chest wall by an airbag deployment in a car accident. Coronary angiography showed an aneurysm in the middle of right coronary artery with 70% afferent narrowing just distal to the aneurysm with no visible atherosclerotic lesion.
Does the Venner A.P. Advance video laryngoscope improve success of first intubation attempt of trauma patient? Zenon Truszewski, Łukasz Bogdanski, Andrzej Kurowski, Łukasz Czyzewski, Wieslawa Stepniewska, Iwona Stawicka, Dariusz Timler, Piotr Zasko, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.10.058
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: November 3 2015
x Out-of-hospital endotracheal intubation (ETI) is still considered as a criterion standard for emergency airway management in severely injured trauma patients in the prehospital setting; moreover, effective ETI is the cornerstone of major trauma management [1]. Endotracheal intubation becomes particularly important in the case of patients with respiratory distress or depressed mentation, or for whom there is concern about protecting the airway [1–3]. During standard nontraumatic patient ETI, we can performed “sniffing position,” which is used for head extension to obtain a line of sight between the intubator's eye and the patient's glottis [4].
Are young physicians prepared to perform focused assessment with sonography in trauma examination? Zenon Truszewski, Lukasz Szarpak, Andrzej Kurowski, Piotr Adamczyk, Silvia Samarin, Lukasz Czyzewski
DOI: http://dx.doi.org/10.1016/j.ajem.2015.10.045
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: October 30 2015
x In a recent article, O'Dochartaigh and Douma [1] present a systematic review of prehospital ultrasound of the abdomen and thorax, which changes trauma patient management. This article prompted us to conduct a study on young physicians preparing for performing focused assessment with sonography for trauma (FAST).
Alcohol and trauma—in every age group Terry Kowalenko, Bradford Burgess, Susanna M. Szpunar, Charlene B. Irvin-Babcock
DOI: http://dx.doi.org/10.1016/j.ajem.2012.12.032
The American Journal of Emergency Medicine , Vol. 31 , Issue 4 ,
Published online: February 4 2013
x The purpose was to determine the proportion of alcohol-positive (AlcPos) trauma patients in different age groups and any association with mortality using the National Trauma Data Bank.
Epidemiology of strain/sprain injuries among cheerleaders in the United States Brenda J. Shields, Gary A. Smith
DOI: http://dx.doi.org/10.1016/j.ajem.2010.05.014
The American Journal of Emergency Medicine , Vol. 29 , Issue 9 ,
Published online: August 16 2010
x The aim of this study is to describe the epidemiology of cheerleading-related strain/sprain injuries by type of cheerleading team and type of event.
Delayed diagnosis of injuries in pediatric trauma: the role of radiographic ordering practices Emily L. Willner, Hollie A. Jackson, Alan L. Nager
DOI: http://dx.doi.org/10.1016/j.ajem.2010.10.033
The American Journal of Emergency Medicine , Vol. 30 , Issue 1 ,
Published online: February 7 2011
x We sought to describe the use of radiographic studies in pediatric major trauma patients and determine the extent to which a selective, clinically guided use of imaging contributes to delayed diagnosis of injury (DDI).
Efficacy and safety of nebulized morphine given at 2 different doses compared to IV titrated morphine in trauma pain Mohamed Habib Grissa, Hamdi Boubaker, Asma Zorgati, Kaouthar Beltaïef, Wafa Zhani, Mohamed Amine Msolli, Nasri Bzeouich, Wahid Bouida, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.014
The American Journal of Emergency Medicine , Vol. 33 , Issue 11 ,
Published online: June 13 2015
x Our aim was to compare the efficacy and safety of intravenous (IV) titrated morphine with nebulized morphine given at 2 different doses in severe traumatic pain.
