Comparing Firearm and Stabbing Injuries in the Pediatric Trauma Population Using Propensity Matching.

Objectives: The objective of this study was to compare differences in mortality and nonhome discharge in pediatric patients with firearm and stab injuries, while minimizing bias. Our secondary objective was to assess the influence of insurance on these same outcomes.

Methods: Patients aged 0 to 17 years included in the National Trauma Data Bank (2007-2015) with firearm and stabbing injury were matched by propensity score.

Use of Chest Computed Tomography for Blunt Pediatric Chest Trauma: Does It Change Clinical Course?

Introduction: Given the concern for radiation-induced malignancy in children and the fact that risk of severe chest injury in children is low, the risk/benefit ratio must be considered in each child when ordering a computed tomography (CT) scan after blunt chest trauma.

Methods: The study included pediatric blunt trauma patients (age, <15 years) with chest radiograph (CR) before chest CT on admission to our adult and pediatric level I trauma center. Surgeons were asked to view the blinded images and reads and indicate if they felt CT was warranted based on CR findings, if their clinical management change based on additional findings on chest CT, and how they might change management.

Incidence and Profile of Severe Cycling Injuries After Bikeway Infrastructure Changes.

The objective of this study was to evaluate whether bicycling infrastructure changes in the city of Minneapolis effectively reduced the incidence or severity of traumatic bicycling related injuries sustained by patients admitted to our Level 1 Trauma Center. Data for this retrospective cohort study was obtained from the trauma database at our institution and retrospective chart review. The total number of miles of bikeway in the city on a yearly basis was used to demonstrate the change in cycling infrastructure.

The association between objectively-measured activity, sleep, call responsibilities, and burnout in a resident cohort.

Background: When compared to the general US working population, physicians are more likely to experience burnout and dissatisfaction with work-life balance. Our aim was to examine the association of objectively-measured sleep, activity, call load, and gender with reported resident burnout and wellness factors.

Methods: Residents were recruited to wear activity tracker bands and complete interval blinded surveys.

The Affordable Care Act's Effect on Discharge Disposition of Racial Minority Trauma Patients in the United States.

Background: Our aim was to examine the US trauma population before and after the Affordable Care Act (ACA), specifically examining racial disparities in insurance status as well as access to post-hospitalization care in the trauma population.

Materials And Methods: The National Trauma Data Bank was queried for all non-burn patients age 18 to 64. The patient data was grouped into pre-ACA (2012-2013) and post-ACA (2014-2015).

Impostor Phenomenon and Burnout in General Surgeons and General Surgery Residents.

Objective: Impostor phenomenon (IP) characterizes feelings of self-doubt coupled with feelings that achievements were based on luck and a fear of being discovered as an intellectual fraud. Recently, studies have focused on IP in medical trainees and its association with burnout; however, this research has not yet been conducted on surgeons. This study addresses that gap by investigating the prevalence of IP and burnout in general surgeons and surgery residents.

Rural versus urban pediatric non-accidental trauma: different patients, similar outcomes.

Objective: Our aim was to compare urban and rural non-accidental trauma for trends and characterize where injury prevention efforts can be focused. Pediatric trauma patients (age 0-14 years) at two level I adult and pediatric trauma centers, one rural and one urban, were included and data from the trauma registries at each center was abstracted.

Results: Of 857 pediatric admissions, 10% of injuries were considered non-accidental.

Long-Term Functional Outcomes after Traumatic Thoracic and Lumbar Spine Fractures.

The incidence of thoracolumbar spine fractures in blunt trauma is 4 to 5 per cent. These fractures may lead to neurologic injury, chronic back pain, and disability. Most studies from United States trauma centers focus on neurologic sequelae and/or compare treatment modalities.

CT scan-detected pneumoperitoneum: an unreliable predictor of intra-abdominal injury in blunt trauma.

Introduction: Free intra-peritoneal air in blunt trauma is a classic sign associated with hollow viscus injury, traditionally mandating laparotomy. In blunt abdominal trauma, the CT scan has become the diagnostic modality of choice. The increased sensitivity of CT scans may lead to detection of free intra-peritoneal air that is not clinically significant.