Publications by authors named "Lashonda Williams"
Background: Early identification of patients with pelvic fractures at risk of severe bleeding requiring intervention is critical. We performed a multi-institutional study to test our hypothesis that pelvic fracture patterns predict the need for a pelvic hemorrhage control intervention.
Methods: This prospective, observational, multicenter study enrolled patients with pelvic fracture due to blunt trauma.
Current management of hemorrhage from severe pelvic fractures: Results of an American Association for the Surgery of Trauma multi-institutional trial.
J Trauma Acute Care Surg
May 2016
Article Synopsis
- This study investigates current hemorrhage control methods for patients with severe pelvic fractures, highlighting a lack of consensus in treatment practices among trauma centers.
- The study included 1,339 patients from 11 trauma centers, revealing a high mortality rate of 9% overall, and even higher at 32% for patients admitted in shock.
- Common treatment methods included angioembolization and external fixation, with notable variations in their application and effectiveness across different institutions.
Background: Unlike the cervical spine (C-spine), where National Emergency X-Radiography Utilization Study (NEXUS) and the Canadian C-spine Rules can be used, evidence-based thoracolumbar spine (TL-spine) clearance guidelines do not exist. The aim of this study was to develop a clinical decision rule for evaluating the TL-spine after injury.
Methods: Adult (≥15 years) blunt trauma patients were prospectively enrolled at 13 US trauma centers (January 2012 to January 2014).