Publications by authors named "David Gerhardt"

Background: Optimization of the electronic medical record (EMR) is essential to support the clinician and to improve the quality and efficiency of patient care. The present report describes the development and implementation of a standardized template that is embedded in the EMR and is focused on a comprehensive physical examination during the evaluation of pediatric supracondylar humeral fractures. We compared the completeness of physical examinations as well as the timing of detection and documentation of neurovascular injuries before and after implementation of the template.

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Background: In contrast to the established principles of "damage-control orthopedics" for temporary external fixation of long bone or pelvic fractures, the "ideal" timing and modality of fixation of unstable spine fractures in severely injured patients remains controversial.

Methods: A prospective cohort study was designed to evaluate the safety and efficacy of a standardized "spine damage-control" (SDC) protocol for the acute management of unstable thoracic and lumbar spine fractures in severely injured patients. A total of 112 consecutive patients with unstable thoracic or lumbar spine fractures and Injury Severity Score (ISS) of greater than 15 were prospectively enrolled in this study from October 1, 2008, to December 31, 2011.

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Article Synopsis
  • The study aimed to investigate how 10 minutes of cyclic twisting affects abdominal and back muscle activity, focusing on muscle engagement during such motion.
  • Repetitive twisting is linked to musculoskeletal disorders, but previous studies lacked solid biomechanical and physiological evidence.
  • Results showed changes in muscle activity that may indicate neuromuscular compensation for potential soft tissue damage in the lumbar spine, highlighting risks for low back disorders in repetitive labor jobs.*
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