Publications by authors named "Jennifer Achay"
Article Synopsis
- Pneumothorax (PTX) is a significant concern in trauma centers, with up to 20% of patients presenting with it, and about 5% of combat casualties dying from tension PTX (tPTX), making rapid diagnosis and treatment critical.
- The Donaldson Decompression Needle (DDN) is designed to improve safety during decompression by preventing over-insertion and reducing the risk of causing new injuries while still effectively alleviating pressure in the chest.
- A study comparing the DDN to a standard needle found that while setup times were similar, the DDN had a significantly longer decompression time, highlighting a trade-off between safety and speed in handling PTX.
Background: Obtaining intravenous access in hypotensive patients is challenging and may critically delay resuscitation. The Graduated Vascular Access for Hypotensive Patient (GAHP) protocol leverages intraosseous fluid boluses to specifically dilate proximal veins. This study aims to evaluate the efficacy of GAHP in maximizing venous targets through early distal intraosseous access and a small fluid bolus.
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- The study investigates the anatomy of the false ribs (ninth and tenth) to explore the incidence of slipped rib syndrome, which involves rib subluxation causing nerve impingement.
- Results show that the ninth rib is consistently attached to the eighth rib, while the tenth rib frequently appears as a "floating" rib and exhibits notable mobility and subluxation in a significant number of cases.
- The findings suggest that the anatomical variations, particularly the internal subluxation and hooked rib tips, may increase the risk for developing slipped rib syndrome among individuals.
Objective: To compare the exposure of the coronoid process, anteromedial facet, and anterior band of the medial collateral ligament using the flexor carpi ulnaris (FCU)-splitting approach with the Taylor-Scham approach modified with an ulnar nerve transposition.
Methods: Thirty approaches were performed on 15 fresh cadavers using a randomized cross-over design and standardized incision. Access to key anatomic landmarks was assessed, and a calibrated digital image was taken from the surgeon's best perspective of each approach.
Background: Intramedullary implants are an increasingly common method for fixation of metacarpal fractures. Numerous techniques for instrumentation have been described with varied consideration for the risk of extensor tendon injury. The current cadaveric study evaluates the prevalence and degree of extensor tendon injury and compares percutaneous approaches with different drilling techniques.
View Article and Find Full Text PDFPurpose: To compare the semitendinosus and gracilis tendon lengths and diameters to the palmaris longus, plantaris, flexor digitorum profundus, and flexor pollicis longus (FPL) tendons in a cadaveric model to evaluate the feasibility of hamstring autograft use for staged flexor tendon reconstruction.
Methods: Fifteen fresh cadavers were evaluated for surgical incisions about the knee, forearm, and hand. All flexor digitorum profundus (FDP), FPL, palmaris longus, plantaris, semitendinosus, and gracilis tendons were harvested from each specimen.
Study Objective: Resuscitative thoracotomy is a time-sensitive, lifesaving procedure that may be performed by emergency physicians. The left anterolateral thoracotomy (LAT) is the standard technique commonly used in the United States to gain rapid access to critical intrathoracic structures. However, the smaller incision and subsequent limited exposure may not be optimal for the nonsurgical specialist to complete time-sensitive interventions.
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