Brian G. Cornelius

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Traumatic injury is a significant cause of morbidity and mortality in the United States. Massive hemorrhage is responsible for the vast majority of deaths. Evolution in trauma treatment has resulted in major improvements to emergency care. Tranexamic acid (TXA), an antifibrinolytic agent, is synthetically derived from amino acids. The CRASH-2 study(More)
Background Because of their arduous schedules, residents are susceptible to burnout, fatigue, and depression. In 2015, the Accreditation Council for Graduate Medical Education (ACGME) launched a campaign to foster physician wellness, in response to the suicides of three residents during the previous year. The campaign calls for strategies to developing(More)
Air medical transport of high-risk obstetric and postpartum patients accounts for a low number of flights nationwide. Although reflecting a low percentage, they pose potential for increased challenge because of high acuity and increased liability. High-risk obstetrical flight crew education is typically focused on care of the gestational mother and newborn(More)
Trauma is a leading cause of mortality for pediatric patients worldwide. An increase in pediatric trauma cases occurs during summer because of a change in schedule and an increased risk with recreational activities. This case report presents the anesthetic care and management of a 15-year-old female who was involved in a high-speed rollover motor vehicle(More)
Traumatic hemorrhage has been identified as the leading cause of battlefield death in recent conflicts. Although injury patterns are not directly reproducible to the civilian world, treatment advancements can be used to provide care to patients worldwide. Long-standing dogma regarding the use of tourniquets has been disproved, and there is now recognition(More)
Emergency medical personnel were summoned to the home of a 47-year-old male with altered mental status. Upon arrival in the emergency department he was increasingly agitated and unable to provide a medical history. Because a dialysis fistula was found on his left forearm, a history of end stage renal disease (ESRD) was presumed. A home health worker arrived(More)
Traumatic bladder laceration commonly occurs because of blunt trauma with associated pelvic fracture. The incidence of bladder laceration without pelvic fracture is less than 10%. Although high mortality (44%) existed in the past, a timely diagnosis with appropriate medical and surgical management now offers an excellent outcome. Early clinical suspicion,(More)
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