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Prospective Screening for Blunt Cerebrovascular Injuries: Analysis of Diagnostic Modalities and Outcomes
TLDR
Aggressive screening of patients with blunt head and neck trauma identified an incidence of BCVI in 1.03% of blunt admissions, and early identification, which led to early treatment, significantly reduced stroke rates in patients with VAI, but provided no outcome improvement with CAI.
Prospective study of blunt aortic injury: Multicenter Trial of the American Association for the Surgery of Trauma.
TLDR
Although newer diagnostic techniques are being applied, at this time aortography remains the diagnostic standard; bypass techniques, which provide distal aortic perfusion, produced significantly lower paraplegia rates than the clamp and sew approach.
Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial.
TLDR
Among patients with severe trauma and major bleeding, early administration of plasma, platelets, and red blood cells in a 1:1:1 ratio compared with a 1-1:2 ratio did not result in significant differences in mortality at 24 hours or at 30 days, but more patients in the 1:2:2 group achieved hemostasis and fewer experienced death due to exsanguination by 24 hours.
Blunt carotid injury. Importance of early diagnosis and anticoagulant therapy.
TLDR
Heparin therapy, when instituted before onset of symptoms, ameliorates neurologic deterioration and therapy with heparin is highly efficacious, significantly reducing neurologic morbidity and mortality.
ARDS after pulmonary contusion: accurate measurement of contusion volume identifies high-risk patients.
TLDR
Extent of contusion volumes measured using three-dimensional reconstruction allows identification of patients at high risk of pulmonary dysfunction as characterized by development of ARDS.
Blunt cerebrovascular injuries: diagnosis and treatment.
TLDR
Increased awareness and aggressive screening have resulted in significantly increased incidence of diagnosis of CAI, with associated lower stroke-related mortality, and anticoagulation therapy is effective for both varieties of BCVI.
Efficacy and safety of epoetin alfa in critically ill patients.
TLDR
The use of epoetin alfa does not reduce the incidence of red-cell transfusion among critically ill patients, but it may reduce mortality in patients with trauma and is associated with an increase in the rate of thrombotic events.
Prospective study of blunt aortic injury: helical CT is diagnostic and antihypertensive therapy reduces rupture.
TLDR
HCTT is sensitive for diagnosing intimal injuries and pseudoaneurysms and early diagnosis with HCTT and presumptive treatment with the antihypertensive regimen eliminated in-hospital aortic rupture.
Enteral versus parenteral feeding. Effects on septic morbidity after blunt and penetrating abdominal trauma.
TLDR
There is a significantly lower incidence of septic morbidity in patients fed enterally after blunt and penetrating trauma, with most of the significant changes occurring in the more severely injured patients.
Improved success in nonoperative management of blunt splenic injuries: embolization of splenic artery pseudoaneurysms.
TLDR
Aggressive surveillance for and embolization of posttraumatic splenic artery pseudoaneurysms improved the rate of successful nonoperative management of blunt splenic trauma to 61%, with a nonoperative failure rate of only 6%.
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