Current Trauma Reports
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Performance Improvement in Combat Casualty Care
Current Trauma Reports - Tập 4 - Trang 71-76 - 2018
The purpose of this review is to examine the necessity for performance improvement and its application in combat casualty care. The review looks at this from the perspectives of local and system-wide efforts. Performance improvement efforts contributed to the overall improvement in mortality seen during the past 15 years of combat operations in Iraq and Afghanistan. While many efforts started at a......
Laparoscopy in Blunt Abdominal Trauma: for Whom? When?and Why?
Current Trauma Reports - Tập 3 - Trang 43-50 - 2017
The management of blunt abdominal trauma has evolved over time. While laparotomy is the standard of care in hemodynamically unstable patients, stable patients are usually treated by non-operative management (NOM), incorporating adjuncts such as interventional radiology. However, although NOM has shown good results in solid organ injuries, other lesions, namely those involving the hollow viscus, di......
The Worldwide Approach to Vision Zero: Implementing Road Safety Strategies to Eliminate Traffic-Related Fatalities
Current Trauma Reports - Tập 3 - Trang 104-110 - 2017
This review describes the principle of Vision Zero in traffic safety and its adoption into the worldwide community. The Vision Zero policy seeks to reduce fatalities and serious injuries from road traffic accidents to zero. This review aims to show how this philosophy has affected policies and prevention strategies throughout the world. The Vision Zero policy has been adopted throughout Europe as ......
Frailty in the Geriatric Trauma Patient: a Review on Assessments, Interventions, and Lessons from Other Surgical Subspecialties
Current Trauma Reports -
Rehabilitation of Lower Extremity Trauma: a Review of Principles and Military Perspective on Future Directions
Current Trauma Reports - Tập 1 - Trang 50-60 - 2015
The rehabilitation of individuals with lower extremity injury is a common but complex problem for the surgical and rehabilitative teams. Basic science tenets of fracture and soft tissue reconstruction and healing guide postoperative weight-bearing and range of motion protocols. In addition to the physiological complications associated with the injury severity, patient outcomes are often influenced......
Damage Control Orthopedics
Current Trauma Reports - Tập 4 - Trang 183-186 - 2018
This review focuses on the concept of damage control orthopedics (DCO), the staged procedure to prevent the multiple injury patients from additional unnecessary trauma by postponable extensive surgery. The principles of damage control orthopedics are staged procedures and, in the first surgical step, the main principles are to stop the bleeding, to restore perfusion with a limited surgical burden,......
Mechanical Prophylaxis for Post-Traumatic VTE: Stockings and Pumps
Current Trauma Reports - Tập 2 - Trang 35-41 - 2016
Trauma patients pose unique challenges when it comes to the decision for optimal thromboprophylaxis. Risk reduction of venous thromboembolic (VTE) events is paramount in the modern management of trauma patients. The choice of pharmacologic prophylaxis is standard for most hospitalized patients. However, the potential for bleeding complications with this therapy, in a subset of major trauma patient......
Thoracoscopic Management of Traumatic Sequelae
Current Trauma Reports - - 2016
Video-assisted thoracoscopic surgery can be beneficial for patients with penetrating and blunt thoracic trauma. It has utility in the initial assessment as well as the management of sequelae of traumatic injuries, especially retained hemothorax, and should be part of any trauma surgeon’s skill set. This review intends to emphasize the best-supported indications and timing for the use of this surgi......
Damage Control Resuscitation: Restarting the Machinery of Life
Current Trauma Reports - Tập 4 - Trang 199-204 - 2018
Resuscitation of the patients suffering major haemorrhage has seen a marked change in mind-set in the current millennium. This article contains a perspective on the history of shock, the detrimental effects of the traditional sequential resuscitation reactive approach of using clear fluids for volume expansion followed by blood and component therapy, and the current philosophy of the early proacti......
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