SIPA Poorly Predicts Outcomes in Young Pediatric Trauma Patients.

Introduction: The shock index pediatric adjusted score (SIPA) predicts the need for blood transfusion (BT), hemorrhage control interventions (HCI), morbidity/mortality among older pediatric trauma patients but is less predictive in younger patients. We hypothesize that SIPA will be predictive among older pediatric patients for BT, HCI, mortality, and need for trauma intervention (NFTI), however we aim to further delineate the gap in utilizing SIPA in younger patients.

Methods: Using the ACS NTDB for 2017-2021 we evaluated patients 1-14 years old who were transported by EMS from the scene for definitive care.

Impact of Medicaid expansion on kidney transplantation in the State Oklahoma.

Background: There is no data evaluating the impact of Medicaid expansion on kidney transplants (KT) in Oklahoma.

Aim: To investigate the impact of Medicaid expansion on KT patients in Oklahoma.

Methods: The UNOS database was utilized to evaluate data pertaining to adult KT recipients in Oklahoma in the pre-and post-Medicaid eras.

Transoral diode laser-assisted resection of a tongue base schwannoma.

Schwannomas are benign peripheral nerve sheath tumours with a low risk of malignant transformation. About 25%-40% are in the head and neck region with the posterior third of the tongue being a rather rare site of its growth, and a lesion at this site is understandably difficult to approach and treat. Being benign and encapsulated, surgical excision is in the mainstay of treatment.

Propofol administration for induction is associated with peri-intubation instability in trauma critical care unit patients.

Introduction: Peri-intubation hypotension is associated with increased hospital length of stay and morbidity. Propofol is associated with alterations in hemodynamics. We hypothesize that using propofol for induction leads to peri-intubation hypotension in trauma critical care patients.