Chris A Sloffer

Learn More
During the first half of the 19th century, warfare did not provide a background for a systematic analysis of spinal cord injury (SCI). Medical officers participating in the Peninsular and Crimean Wars emphasized the dismal prognosis of this injury, although authors of sketchy civil reports persuaded a few surgeons to operate on closed fractures. The(More)
OBJECTIVE A recent multicenter, randomized, prospective study using antimicrobial-impregnated ventricular catheters (AIVCs) has demonstrated a dramatic reduction in the incidence of catheter-related infections. By necessity, such trials are subject to notoriously close and careful monitoring; thus, the results of multicenter, randomized clinical trials do(More)
OBJECT The authors compare the views afforded by the operating microscope and the endoscope in the direct endonasal extended transsphenoidal approach to the sellar, suprasellar, and parasellar regions. METHODS Five formalin-fixed, silicone-injected adult cadaveric heads were studied. A direct endonasal transsphenoidal approach was performed via the right(More)
BACKGROUND The size, speed, and unpredictable nature of horses present a significant risk for injury in all equine-related activities. OBJECTIVE We sought to examine the mechanism, severity, frequency, body regions affected, surgical requirements, rehabilitation needs, safety equipment utilization, and outcomes of equine-related injured patients. (More)
On December 12, 1785, the famous British surgeon John Hunter ligated an artery that was feeding a popliteal aneurysm. During the procedure he ligated only the proximal side of the artery and left the aneurysm sac untouched. This is frequently viewed as a landmark event in the history of surgery. There is considerable evidence, however, that another surgeon,(More)
OBJECT Bicycle accidents are a very important cause of clinically important traumatic brain injury (TBI) in children. One factor that has been shown to mitigate the severity of lesions associated with TBI in such scenarios is the proper use of a helmet. The object of this study was to test and evaluate the protection afforded by a children's bicycle helmet(More)
BACKGROUND Utilization of brain tissue oxygenation (pBtO(2)) is an important but controversial variable in the treatment of traumatic brain injury. We hypothesize that pBtO(2) values over the first 72 hours of monitoring are predictive of mortality. METHODS Consecutive, adult patients with severe traumatic brain injury and pBtO(2) monitors were(More)
War-related head injury, indeed neurological injury in general, has been a part of the history of humankind for as long as there has been warfare. Such injuries can result in the removal of the individual from combat, thus eliminating any subsequent contribution that he or she might have made to the battle. However, at times, the injuries can have more(More)