Publications by authors named "Jennifer Mull"
Article Synopsis
- The COVID-19 pandemic increased social media usage for support, leading to a study on its impact on adults in Florida's willingness to participate in COVID-19 research.
- The research analyzed 587 participants and found no significant link between social media use and willingness to join treatment or vaccine studies, though racial and ethnic differences were notable.
- Specifically, Hispanic/Latino and "Other" racial group participants showed a higher likelihood of participating, and females were more inclined to engage in vaccine research, indicating the need for culturally sensitive recruitment strategies.
Introduction: Little research has focused on assessing the mortality for fall height based on field-relevant categories like falls from greater than standing (FFGS), falls from standing (FFS), and falls from less than standing.
Methods: This retrospective observational study included patients evaluated for a fall incident at an urban Level I Trauma Center or included in Medical Examiner's log from January 1, 2015, to June 31, 2017. Descriptive statistics characterized the sample based on demographic variables such as age, race, sex, and insurance type, as well as injury characteristics like relative fall height, Glasgow Coma Scale (GCS), Injury Severity Score (ISS), traumatic brain injury, intensive care unit length of stay, and mortality.
Background: Tiered trauma team activation (TTA) allows systems to optimally allocate resources to an injured patient. Target undertriage and overtriage rates of <5% and <35% are difficult for centers to achieve, and performance variability exists. The objective of this study was to optimize and externally validate a previously developed hospital trauma triage prediction model to predict the need for emergent intervention in 6 hours (NEI-6), an indicator of need for a full TTA.
View Article and Find Full Text PDFArticle Synopsis
- This study investigates the effects of high ratio fresh frozen plasma (FFP) to red blood cell (RBC) transfusions in children experiencing shock due to trauma, aiming to clarify their outcomes compared to low ratio transfusions.
- An analysis of data from 135 injured children showed that while more severe injuries were present in the high ratio group, there was no significant difference in mortality rates or extended hospital stays between those receiving high and low ratios of FFP/RBC.
- The findings indicate that high ratio FFP/RBC transfusion does not lead to worse outcomes, highlighting variability in massive transfusion protocols across different medical institutions.
Article Synopsis
- This study analyzed injured children to compare those with severe traumatic brain injury (sTBI) to those without, focusing on clinical and resuscitation differences.
- Results revealed that children with sTBI had lower initial hemoglobin levels, higher injury severity, and required more intensive medical support, including ventilation and ICU care.
- It was found that sTBI patients received more resuscitation fluids, and those getting crystalloid boluses had longer hospital stays and more complications compared to those who didn’t.
Background: Death from noncompressible torso hemorrhage (NCTH) may be preventable with improved prehospital care and shorter in-hospital times to hemorrhage control. We hypothesized that shorter times to surgical intervention for hemorrhage control would decrease mortality in hypotensive patients with NCTH.
Methods: This was an AAST-sponsored multicenter, prospective analysis of hypotensive patients aged 15+ years who presented with NCTH from May 2018 to December 2020.
Diaphragm pacing decreases hospital charges for patients with acute cervical spinal cord injury.
Trauma Surg Acute Care Open
December 2020
Background: Cervical spinal cord injury (CSCI) is devastating and costly. Previous research has demonstrated that diaphragm pacing (DPS) is safe and improves respiratory mechanics. This may decrease hospital stays, vent days, and costs.
View Article and Find Full Text PDFBackground: The American Association for the Surgery of Trauma (AAST) patient assessment committee has created grading systems for emergency general surgery diseases to assist with clinical decision making and risk adjustment during research. Single-institution studies have validated the cholecystitis grading system as associated with patient outcomes. Our aim was to validate the grading system in a multi-institutional fashion and compare it with the Parkland grade and Tokyo Guidelines for acute cholecystitis.
View Article and Find Full Text PDFDiaphragm pacing improves respiratory mechanics in acute cervical spinal cord injury.
J Trauma Acute Care Surg
September 2020
Background: Cervical spinal cord injury (CSCI) is devastating with ventilator-associated pneumonia being a main driver of morbidity and mortality. Laparoscopic diaphragm pacing implantation (DPS) has been used for earlier liberation from mechanical ventilation. We hypothesized that DPS would improve respiratory mechanics and facilitate liberation.
View Article and Find Full Text PDFArticle Synopsis
- - The study aimed to explore how the timing and volume of crystalloid fluids administered prior to blood transfusion affects mortality rates in pediatric trauma patients, proposing that earlier blood transfusions with less crystalloid would lead to better outcomes.
- - Conducted across 24 trauma centers, the study involved 712 children under 18 years with a focus on prehospital and emergency department resuscitation methods, finding that 43.7% received crystalloid boluses and 20.9% received blood products, including significant instances of massive transfusion.
- - Results showed no significant impact on mortality related to transfusion timing or volume; however, receiving multiple crystalloid boluses was linked to longer recovery times in terms of ventilator support, intensive