Introduction: A devastating injury to the liver from a gunshot wound (GSW) challenges the most seasoned trauma surgeon. This challenge is intensified when patients develop severe shock with a high-grade injury. We present the case of a patient with a grade 5 liver injury after a GSW treated with operative and interventional radiology (IR) treatment simultaneously.
View Article and Find Full Text PDFIntroduction: Delayed splenic rupture is an often unpredictable event with high mortality. In this report, we discuss the successful management of delayed splenic rupture, presenting days after index injury, with no commonly associated injuries or blunt abdominal trauma.
Case Presentation: A 50 year old male, not on anticoagulants, presented with blunt trauma after driving his motorcycle into a tree.
J Trauma Acute Care Surg
July 2021
The opportunity to compose this essay for the Eastern Association for the Surgery Trauma's Oriens Award has been the most terrific privilege of my training thus far. This award gave my passion a voice. It helped me better understand myself and my need to be a part of this world, this universe that selflessly dedicates every moment of themselves to the care of the critically ill and injured patient.
View Article and Find Full Text PDFVisceral vascular injuries are relatively uncommon even in busy urban trauma centers. The inferior vena cava (IVC) is the most frequently injured visceral vein and can be a complex operative challenge. Despite advances in early volume resuscitation, improved transport times, prompt operative intervention, and hemorrhage control, mortality rates have remained largely unchanged.
View Article and Find Full Text PDFBackground: Frailty has been studied extensively in trauma, but there is minimal research detailing its impact on traumatic brain injury (TBI). We hypothesized that the 11-item modified frailty index (mFI-11) would predict complications and discharge outcomes in patients with TBI.
Methods: A retrospective review of our trauma quality improvement program (TQIP) registry was conducted for all patients with TBI.
Mass casualty events (MCE) are an infrequent occurrence to most daily healthcare systems however these incidents are the causation for new hospital preparedness and the development of coordinated emergency services. The broad support and operational plans outside the hospital include emergency medical services, local law enforcement, government agencies, and city officials. Modern-day hospital disaster preparedness goals include scheduled training for healthcare personnel to ensure effective and accurate triage for a high-volume of injured patients.
View Article and Find Full Text PDFBackground: Inferior vena cava filters (IVCF) for venous thromboembolic prophylaxis in high-risk trauma patients is a controversial practice. Utilization of IVCF prophylaxis was evaluated at a level 1 trauma center. Daily cost of IVCF prophylaxis, time to IVCF, duration between IVCF and chemoprophylaxis, and number of patients needed to treat (NNT) to prevent pulmonary embolism (PE) was calculated.
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