Publications by authors named "T Talmy"
Posttraumatic stress disorder (PTSD) often occurs following mass casualty events, yet the connection between the number of individuals injured in an event and PTSD risk in smaller-scale events (i.e., involving one or several injured persons) remains unclear.
View Article and Find Full Text PDFPurpose: Prompt vascular access is crucial for resuscitating bleeding trauma casualties in prehospital settings but achieving peripheral intravenous (PIV) access can be challenging during hemorrhagic shock due to peripheral vessel collapse. Early intraosseous (IO) device use is suggested as an alternative. This study examines injury characteristics and factors linked to IO access requirements.
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- Intraosseous devices are being explored as an alternative to traditional IV methods in prehospital military care, but real-world data on their effectiveness is lacking.
- The study analyzed data from 172 trauma patients in the Israel Defense Forces from 2010 to 2023, finding a first pass success rate of 67.4% and an overall success rate of 80.8% after multiple attempts.
- The type of intraosseous device used impacted success rates, with the NIO Adult showing the best results; however, increased attempts at peripheral IV access negatively influenced the success of intraosseous access.
Background: Traumatic spinal injuries (TSI) pose a significant life-long burden, impacting both military and civilian populations. Assessing long-term outcomes is crucial for comprehending the enduring consequences of the initial insult and informing effective prevention and management strategies. Most existing studies have narrowly focused on subsets of traumatic cord injuries, leaving a gap in understanding the broader impact of severe spinal trauma.
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- Cervical spine (C-spine) trauma is often caused by blunt injuries, typically managed with prehospital spinal immobilization using a cervical collar, but the effectiveness of this method is unclear.
- A study analyzed data from 220 blunt trauma patients treated by Israeli Defense Force medical teams, finding that only 8% had actual C-spine injuries and that cervical collars were not linked to better outcomes.
- The use of cervical collars was more related to other factors like backboard immobilization and oxygen use, highlighting the need for clear clinical guidelines for medical providers dealing with C-spine injuries.