Publications by authors named "Jihun Gwak"
Purpose: Recent advancements in interventional radiology have made angioembolization an invaluable modality in trauma care. Angioembolization is typically performed by interventional radiologists. In this study, we aimed to investigate the safety and efficacy of emergency angioembolization performed by trauma surgeons.
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- Severe abdominal injuries often require quick surgical responses, and a study at Jeju Regional Trauma Center evaluated the effectiveness and outcomes of emergency department (ED) versus operating room (OR) laparotomies from 2020 to 2022.
- Out of 105 trauma patients who had laparotomies, only 6 underwent ED laparotomies, which showed a high mortality rate of 66.7%, compared to 17.1% for OR laparotomies; however, those in the ED group received quicker treatment.
- Despite the higher mortality, the significantly shorter time to surgery in the ED (28.5 minutes) versus the OR (104 minutes) highlights the urgent nature of these cases, particularly for patients with severe
Article Synopsis
- Patients with penetrating torso injuries face high mortality rates and urgent surgical needs, making effective triage and transfer to emergency departments critical for survival.
- A study analyzed data from 2014 to 2018, involving 752 patients with torso injuries, revealing that nearly half were admitted to the ICU, and operative management had a 5.8% mortality rate.
- The findings highlight the importance of improving triage protocols to ensure quicker transfers to trauma centers, potentially reducing treatment delays and enhancing patient outcomes.
In certain circumstances, invasive procedures such as creation of a surgical airway, insertion of a chest drain, intraosseous puncture, or amputation in the field are necessary. These invasive procedures can save lives. However, emergency medical service teams cannot perform such procedures according to the law in Korea.
View Article and Find Full Text PDFPurpose: The aim of this study was to determine whether the outcomes of patients with hemodynamically unstable pelvic bone fractures changed after the introduction of a protocol including extraperitoneal pelvic packing (EPP) and the establishment of a trauma center.
Methods: We analyzed data of adult patients (≥ 18 years old) with hemodynamically unstable pelvic bone fractures who visited a single trauma center from February 2009 to October 2016. In July 2014, a new protocol for pelvic fractures was implemented, and a trauma center was established.
Background: The Acute Physiology and Chronic Health Evaluation (APACHE) II scoring system and the Sequential Organ Failure Assessment (SOFA) scoring system are widely used for critically ill patients. We evaluated whether APACHE II score and SOFA score predict the outcome for trauma patients in the intensive care unit (ICU).
Methods: We retrospectively analyzed trauma patients admitted to the ICU in a single trauma center between January 2014 and December 2015.