Sheldon B. Maltz

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OBJECTIVES To determine the hemodynamic responses to blunt trauma with a closed-head injury and to investigate the effect that volume resuscitation has on intracranial pressure. DESIGN Prospective study with retrospective analysis of patient data and hemodynamic responses. SETTING Surgical intensive care unit at an inner-city, Level I trauma center. (More)
INTRODUCTION Traumatic brain injury (TBI) affects nearly 1.4 million Americans annually with an estimated 5.3 million US citizens living with disability. There is no standardized course of treatment for individuals with moderate TBI. This study aims to evaluate the patient demographics and acute care course for those with moderate TBI. METHODS This is a(More)
Injury prevention is an essential part of any trauma program. Trauma Nurses Talk Tough (TNTT) is an injury prevention program utilized at many trauma centers targeting school-aged children from kindergarten through 12th grade. We hypothesized that TNTT would increase knowledge of safety strategies and change behavior with a prospective, correlational study(More)
The records of 98 patients with transpelvic gunshot wounds from 1983 to 1988 were reviewed: 22 patients were admitted in shock and required aggressive resuscitation and immediate exploration, and 76 patients were normotensive and were evaluated with diagnostic peritoneal lavage, angiography, cystography, proctoscopy, CT scan, and contrast-enhanced CT enema(More)
BACKGROUND To describe the thermal injuries related to methamphetamine (METH) production, characterize patients' courses, and compare patients with matched controls and to the previously published series. METHODS Trauma registry data from January 2001 to November 2005 was retrospectively reviewed. METH patients were compared with other burn patients of(More)
UNLABELLED Tumors usually spread by local invasion or by vascular or lymphatic metastases. We report six patients in whom tumor cells were shed into the common bile duct with resulting obstruction. The three men and three women had jaundice and upper abdominal discomfort. Jaundice was intermittent in four patients. Preoperative total serum bilirubin ranged(More)
BACKGROUND Endotracheal intubation is the preferred method of airway control. Current surgical standard of care for the emergent airway when endotracheal intubation cannot be performed is cricothyroidotomy. Percutaneous tracheostomy (PT) is a widely accepted technique for elective long-term airway management in the critical care setting. We describe our(More)
PURPOSE Flying ultralight aircraft is a popular and growing form of recreation. However, there is considerable risk involved in this activity. This study was undertaken to catalogue the injury patterns, surgical procedures, and complications of patients involved in ultralight crashes in southwest Michigan. BASIC PROCEDURES The trauma registry at Bronson(More)