Publications by authors named "Jill R Streams"
Background: Rapidly localizing and controlling bleeding is central to treating hemorrhagic shock. While REBOA allows temporary control, identifying the source of bleeding remains challenging. CT imaging with REBOA in place may provide information to direct hemorrhage control.
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- Prehospital tourniquets are standard for trauma patients with limb vascular injuries, but their use can lead to vasospasm, which complicates imaging results like computed tomography angiography (CTA).
- A study was conducted on 251 trauma patients with tourniquets in a Level 1 Trauma Center, where it was found that 45% of those who had a CTA showed false positive results for arterial injuries.
- Despite investigating correlations, factors like the timing of tourniquet removal didn't significantly influence false positives, while female patients and vasospasm were noted as contributing factors.
Background: Laparoscopic Subtotal Cholecystectomy (SC) is a technique for performing safe cholecystectomy when excessive inflammation prevents exposure of the Critical View of Safety. Studies have evaluated outcomes and complications of laparoscopic cholecystectomy (LC), with mixed results in terms of surgeon experience. It is unclear if the rate of SC is associated with experience.
View Article and Find Full Text PDFBackground: Trauma patients may present with nonsurvivable injuries, which could be resuscitated for future organ transplantation. Trauma surgeons face an ethical dilemma of deciding whether, when, and how to resuscitate a patient who will not directly benefit from it. As there are no established guidelines to follow, we aimed to describe resuscitation practices for organ transplantation; we hypothesized that resuscitation practices vary regionally.
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