Publications by authors named "M Dolich"
J Med Case Rep
October 2024
Article Synopsis
- Leukocytosis and thrombocytosis often occur after splenectomy, complicating the detection of infections in blunt trauma patients; a specific platelet count to white blood cell ratio can aid in this diagnosis but may overlook conditions like leukemia.
- A 53-year-old male developed abdominal issues after being assaulted and was found to have severe blood abnormalities post-surgery, prompting further investigation for a possible hematologic disorder.
- Ultimately, tests confirmed he had chronic myeloid leukemia, and he was treated with hydroxyurea followed by imatinib, highlighting the importance of thorough evaluation of blood counts post-splenectomy.
Article Synopsis
- The study investigates the timing of tube thoracostomy (TT) removal after surgical stabilization of rib fractures (SSRF) and its relation to the need for subsequent thoracic reinterventions in blunt trauma patients.
- Out of 133 patients analyzed between 2018 and 2023, 17.3% required thoracic reinterventions, and these patients had higher injury severity scores and longer TT durations.
- The findings indicate that TT output before removal did not predict the need for reintervention, suggesting that there may not be a specific output threshold to guide the timing of TT removal after SSRF.
Surg Open Sci
August 2024
Article Synopsis
- Obese adolescents who get into car accidents have a higher chance of breaking their legs compared to non-obese teens.
- The most common serious leg fracture found in obese teens is a femur fracture.
- After the accident, obese teens stay in the hospital longer and often need more help when they go home.
Surg Open Sci
August 2024
Article Synopsis
- The COVID-19 pandemic led to increased firearm sales and penetrating trauma cases in the U.S., raising concerns about the preparedness of trauma systems.
- Analysis of data from 2017-2020 revealed that during the pandemic, patients presented with higher rates of stab and gunshot wounds compared to pre-pandemic years.
- Despite the rise in penetrating trauma cases, the risk of complications and mortality did not increase, indicating that trauma systems managed this influx effectively.
J Am Coll Surg
October 2024
Article Synopsis
- Mild traumatic brain injury (mTBI) can lead to early cognitive impairment (ECI), and while many patients are discharged safely from the emergency department, the persistence of ECI after discharge remains uncertain.
- A study with 62 adult trauma patients showed that 33.9% had ECI at presentation, with those affected demonstrating higher rates of subarachnoid hemorrhage and worse CT scores compared to non-ECI patients.
- At a 30-day follow-up, about 26.6% of patients with ECI still showed cognitive difficulties, and 33.3% continued to experience concussion symptoms, emphasizing the need for careful assessment of cognitive health before discharge.
