Publications by authors named "Daniel J Baldor"
Background: Cardiopulmonary Resuscitation (CPR) causes significant injuries and increased cost among transiently resuscitated patients that do not survive their hospitalizations. Descriptive studies show zero and near-zero percent survival for CPR recipients with high Apache II scores. Despite these factors, no controlled studies exist in CPR to guide patient selection for CPR candidacy.
View Article and Find Full Text PDFAfter traumatic brain injury, decompressive craniectomy (DC) is a second-tier, late therapy for refractory intracranial hypertension. We hypothesize that early DC, based on CT evidence of intracranial hypertension, improves intracranial pressure (ICP) and cerebral perfusion pressure (CPP). From September 2008 to January 2015, 286 traumatic brain injury patients requiring invasive ICP monitoring at a single Level I trauma center were reviewed.
View Article and Find Full Text PDFArticle Synopsis
- Florida uses the International Classification Injury Severity Score (ICISS) to decide where trauma patients should be taken, but many with scores indicating a need for trauma centers (ICISS <0.85) end up in emergency departments (EDs).
- A study from 2011 to 2013 analyzed over 39,000 injury admissions, finding that 83% were sent to the ED while 17% went to trauma centers (TCs), with those sent to TCs generally needing hospital admission.
- Results showed that ED patients had better outcomes than those taken to TCs, indicating that EMS providers are more effective at triaging patients than the ICISS score suggests, as many patients with ICISS <0.85 were appropriately triaged
Objectives: Injury severity scoring tools allow systematic comparison of outcomes in trauma research and quality improvement by indexing an expected mortality risk for certain injuries. This study investigated the predictive value of the empirically derived ICD9-derived Injury Severity Score (ICISS) compared to expert consensus-derived scoring systems for trauma mortality in a pediatric population.
Methods: 1935 consecutive trauma patients aged <18 years from 1/2000 to 12/2012 were reviewed.