Publications by authors named "Schauer S"

Background: Airway management is a critical component of the care of patients experiencing cardiac arrest, but data from randomized trials on the use of video vs direct laryngoscopy for intubation in the setting of cardiac arrest are limited. Current AHA guidelines recommend placement of an endotracheal tube either during CPR or shortly after return of spontaneous circulation but do not provide guidance around intubation methods, including the choice of laryngoscope.

Research Question: Does use of video laryngoscopy improve the incidence of successful intubation on the first attempt, compared to use of direct laryngoscopy, among adults undergoing tracheal intubation after experiencing cardiac arrest?

Study Design And Methods: This secondary analysis of the Direct versus Video Laryngoscope (DEVICE) trial compared video laryngoscopy versus direct laryngoscopy in the subgroup of patients who were intubated following cardiac arrest.

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: Acute stent thrombosis (ST) is a rare yet severe complication following percutaneous coronary intervention (PCI). Herein, we investigated the possible association between routinely available coagulation and fibrinolysis markers with early ST. : Within a single-center registry, we investigated the association between the preprocedural platelet count, plasma levels of fibrinogen and D-Dimer, and the incidence of early ST in the first 30 days after PCI.

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Objectives: To determine the association of whole blood and other blood products (components, prothrombin complex concentrate, and fibrinogen concentrate) with the development of acute respiratory distress syndrome (ARDS) among blood recipients.

Design: Retrospective cohort study.

Setting: American College of Surgeons Trauma Quality Improvement Program (TQIP) database between 2020 and 2021.

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Respiratory syncytial virus (RSV) is the leading cause of hospitalizations among infants in the United States. New strategies to prevent RSV among infants and high-risk young children include the maternal RSVpreF vaccine (Abrysvo, Pfizer Inc.) and nirsevimab (Beyfortus, Sanofi and AstraZeneca), a long-acting monoclonal antibody.

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Background: Junctional hemorrhage is a leading cause of battlefield death. Multiple FDA-approved junctional tourniquet (JTQ) models demonstrate effective hemorrhage control in laboratory settings. However, there are few real-world use cases within the literature.

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Objectives: Studies comparing police, privately owned vehicle (POV), and ground Emergency Medical Services (GEMS) trauma transports reveal mixed results. It remains unclear whether using nonstandard transport methods may be beneficial in the setting of certain injuries. We sought to determine 24-h survival after transport by police or POV when compared to GEMS.

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Background: Treatment for large burn injuries relies on adequate fluid resuscitation secondary to the severe systemic inflammatory response. With improved critical care and better understanding of the complications of over and under resuscitation, morbidity and mortality rates are decreasing. Neurologic complications are not often considered as an over-resuscitation complication after burn injury but may be considered an additional form of compartment syndrome-intracranial compartment syndrome; however, it has not been evaluated for a possible threshold similar to the Ivy Index for abdominal compartment syndrome.

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Introduction: Semorinemab, an anti-tau monoclonal antibody, was assessed in two Phase II trials for Alzheimer's disease (AD). Plasma and cerebrospinal fluid (CSF) biomarkers provided insights into the drug's potential mechanism of action.

Methods: Qualified assays were used to measure biomarkers of tau, amyloidosis, glial activity, neuroinflammation, synaptic function, and neurodegeneration from participant samples in Tauriel (NCT03289143) and Lauriet (NCT03828747) Phase II trials.

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Background Trauma is a leading cause of death and disability in low-resource settings, yet trauma severity scores are seldom validated in these contexts. There is a pressing need to better characterize and compare trauma scoring tools, especially within research frameworks. This study aimed to evaluate the performance of various trauma scoring tools in predicting in-hospital mortality among trauma patients in South Africa.

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Study Objective: To examine the association between the neuromuscular blocking agent received (succinylcholine versus rocuronium) and the incidences of successful intubation on the first attempt and severe complications during tracheal intubation of critically ill adults in an emergency department (ED) or ICU.

Methods: We performed a secondary analysis of data from 2 multicenter randomized trials in critically ill adults undergoing tracheal intubation in an ED or ICU. Using a generalized linear mixed-effects model with prespecified baseline covariates, we examined the association between the neuromuscular blocking agent received (succinylcholine versus rocuronium) and the incidences of successful intubation on the first attempt (primary outcome) and severe complications during tracheal intubation (secondary outcome).

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Article Synopsis
  • Growing evidence points to neuroinflammation's role in Alzheimer's disease (AD), with specific focus on increased levels of complement proteins in the cerebrospinal fluid (CSF) of AD patients compared to cognitively unimpaired individuals.
  • The study found significantly higher concentrations of complement proteins C4, C3, and their fragments in AD patients, particularly noting a substantial rise in C4a.
  • Despite semorinemab, an anti-tau antibody, reducing soluble tau species in CSF, it did not affect the complement protein levels or activity, indicating a need for more research into these proteins as potential neuroinflammation biomarkers in AD.
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Short- and medium-chain fatty acids (SMCFA) are monocarboxylic acids with a carbon chain length of 1-12 carbon atoms. They are mainly produced in humans by the gut microbiota, play crucial metabolic roles, are vital for intestinal health, and have multifaceted impact on immune and neurological functions. Accurate detection and quantification of SMCFA in different human biofluids is achieved using 3-nitro phenylhydrazine (3-NPH) derivatization of the free fatty acids followed by reverse phase liquid chromatography (RPLC) separation and detection by tandem mass spectrometry (MS/MS).

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  • Acute pain management is important in emergency medical care, and low-dose ketamine (LDK) is being used instead of opioids to reduce risks and side effects.
  • A research review looked at many studies to see how well LDK works for treating pain, both before patients reach the hospital and in the emergency department.
  • The results showed that LDK works well without dangerous side effects, and it can even help reduce the need for opioids when combined with them.
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  • The study investigates calcium imbalances in soldiers injured during combat, focusing on their occurrence in emergency departments and their relation to other health issues and mortality within 24 hours.
  • Out of 941 military casualties, 26% exhibited calcium abnormalities, with hypocalcemia being more common (22%) than hypercalcemia (5%).
  • Patients with calcium derangements had lower injury severity scores and a higher survival rate in the hospital compared to those without derangements, although 24-hour survival rates were similar.
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  • Topical wound care after burns has changed how injuries are treated by using dressings that help prevent infections and promote healing while considering factors like pain and dressing change frequency.
  • This study looked at pain levels and opioid use related to different wound dressings, such as silver sulfadiazine, manuka honey, and negative-pressure wound therapy.
  • Results showed silver sulfadiazine typically resulted in lower pain scores and less opioid use compared to other dressings, suggesting the need for more detailed studies to better understand their impacts on pain management.
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  • The study aimed to assess how multiple attempts at emergency airway intubation in the emergency department (ED) increase the risk of complications.
  • An analysis of data from a multicenter registry showed that out of 15,079 intubation cases, complications occurred in 14% of patients, with hypoxia being the most common major issue.
  • The results indicated that the odds of major complications significantly increased with each additional intubation attempt, emphasizing the need for effective airway management strategies.
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Objectives: We seek to describe the current practice pattern use of prothrombin complex concentrate (PCC) and fibrinogen concentrate (FC) in trauma patients.

Background: Trauma-induced coagulopathy (TIC) and endotheliopathy of trauma (EOT) contribute significantly to mortality from traumatic haemorrhage. FC, and 4-factor PCC are potential treatments for EOT and TIC, respectively.

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  • Airway management is crucial for critically ill trauma patients, and the study examines the use of emergency surgical airway (ESA) as a backup method when endotracheal intubation (ETI) fails.
  • The research analyzed data from 2017 to 2022, finding that out of over 6 million cases, 2264 ESAs were performed, primarily in patients with more severe injuries, especially to the head/neck and face.
  • The study showed higher survival rates for ETI-only patients over those who received an ESA, and specific types of injuries (like firearms and stabbings) increased the likelihood of needing an ESA.
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Introduction: Emergency resuscitative thoracotomy (ERT) is a resource-intensive procedure that can deplete a combat surgical team's supply and divert attention from casualties with more survivable injuries. An understanding of survival after ERT in the combat trauma population will inform surgical decision-making.

Methods: We requested all encounters from 2007 to 2023 from the Department of Defense Trauma Registry (DoDTR).

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  • A study investigated the use of resuscitative endovascular balloon occlusion of the aorta (REBOA) for managing severe torso trauma in emergency departments, highlighting its controversial role and limited data on patient outcomes.
  • The analysis included 3,398 REBOA procedures from 2017 to 2022, mostly involving male patients with an average age of 40, primarily stemming from collision injuries.
  • The findings showed that while survival rates were high (85%) shortly after REBOA placement, they declined significantly to 42% by discharge, indicating room for improvement in patient selection and outcomes.
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  • Hemorrhage is a major cause of death, and blood products, particularly low titer group O whole blood (LTOWB), are increasingly used to treat patients with hemorrhagic shock.
  • A study analyzed data from over 12,000 trauma patients, finding that 30% received LTOWB within the first 4 hours after hospital arrival.
  • Results indicated that while LTOWB did not show a survival difference at 6 hours, patients receiving at least 10% of LTOWB relative to total blood products had a higher chance of surviving for 24 hours.
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