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Latest & greatest articles for trauma
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on trauma or other clinical topics then use Trip today.
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Local cooling for relieving pain from perineal trauma sustained during childbirth. Perineal trauma is common during childbirth and may be painful. Contemporary maternity practice includes offering women numerous forms of pain relief, including the local application of cooling treatments. This Cochrane Review is an update of a review last updated in 2012.To evaluate the effectiveness of localised cooling treatments compared with no treatment, placebo, or other cooling treatments applied (...) to the perineum for pain relief following perineal trauma sustained during childbirth.We searched Cochrane Pregnancy and Childbirth's Trials Register, ClinicalTrials.gov, the WHO International Clinical Trials Registry Platform (ICTRP) (7 October 2019) and reference lists of retrieved studies.Published and unpublished randomised and quasi-randomised trials (RCTs) that compared a localised cooling treatment applied to the perineum with no treatment, placebo, or another cooling treatment applied to relieve pain
Head Trauma Date of origin: 1996 Last review date: 2015 ACR Appropriateness Criteria ® 1 Head Trauma American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Head Trauma Variant 1: Minor or mild acute closed head injury (GCS =13), imaging not indicated by NOC or CCHR or NEXUS-II clinical criteria (see Appendix 1). Initial study. Radiologic Procedure Rating Comments RRL* CT head without IV contrast 2 ??? MRI head without IV contrast 1 O MRA head and neck without IV (...) Appropriateness Criteria ® 2 Head Trauma Clinical Condition: Head Trauma Variant 2: Minor or mild acute closed head injury (GCS =13), imaging indicated by NOC or CCHR or NEXUS-II clinical criteria (see Appendix 1). Initial study. Radiologic Procedure Rating Comments RRL* CT head without IV contrast 9 ??? MRI head without IV contrast 5 This procedure may be appropriate in the outpatient setting, but there was disagreement among panel members on the appropriateness rating as defined by the panel’s median rating
Case Report: Airway Management of Penetrating Neck Trauma in the Game of Thrones Case Report: Airway Management of Penetrating Neck Trauma in the Game of Thrones - CanadiEM Case Report: Airway Management of Penetrating Neck Trauma in the Game of Thrones In , , by Will Wu September 15, 2020 Patient Presentation On a cold winter’s day in Winterfell, a middle-aged man by the name of Lord Baelish was stood in front of the Northern and Vale lords to answer for his crimes. His cunning and deceitful (...) . We’re all liars here – and every one of us is better than you”. Unfortunately for him, his lies led him to suffer a brutal execution in Winterfell with Lady Arya slitting his throat with a dagger. Penetrating neck trauma account for 5-10% of all trauma cases and is the leading cause of death under the age of 46 in the USA. 1 Complex vascular, nervous, and respiratory/GI anatomy in the neck underly the challenges of managing these patients. In this article, we will give a brief overview of clinical
Negative-pressure wound therapy compared with standard dressings following surgical treatment of major trauma to the lower limb: the WHiST RCT Negative-pressure wound therapy compared with standard dressings following surgical treatment of major trauma to the lower limb: the WHiST RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from (...) Madan 3 , Karan Vadher 2 , Melina Dritsaki 2 , James Masters 1 , Louise Spoors 1 , Marta Campolier 1 , Nick Parsons 4 , Miguel Fernandez 1 , Suzanne Jones 5 , Richard Grant 5 , Jagdeep Nanchahal 1 1 Oxford Trauma, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK 2 Oxford Clinical Trials Research Unit, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK 3 Clinical Trials Unit
Chest ultrasonography versus supine chest radiography for diagnosis of pneumothorax in trauma patients in the emergency department. Chest X-ray (CXR) is a longstanding method for the diagnosis of pneumothorax but chest ultrasonography (CUS) may be a safer, more rapid, and more accurate modality in trauma patients at the bedside that does not expose the patient to ionizing radiation. This may lead to improved and expedited management of traumatic pneumothorax and improved patient safety (...) and clinical outcomes.To compare the diagnostic accuracy of chest ultrasonography (CUS) by frontline non-radiologist physicians versus chest X-ray (CXR) for diagnosis of pneumothorax in trauma patients in the emergency department (ED). To investigate the effects of potential sources of heterogeneity such as type of CUS operator (frontline non-radiologist physicians), type of trauma (blunt vs penetrating), and type of US probe on test accuracy.We conducted a comprehensive search of the following electronic
Acute Trauma to the Ankle Date of origin: 1995 Last review date: 2014 ACR Appropriateness Criteria ® 1 Acute Trauma to the Ankle American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Acute Trauma to the Ankle Variant 1: Adult or child >5 years old. Patient meets Ottawa Ankle Rules: 1. Inability to bear weight immediately after the injury, OR 2. Point tenderness over the medial malleolus, the posterior edge or inferior tip of the lateral malleolus, talus, or calcaneus (...) be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Acute Trauma to the Ankle Clinical Condition: Acute Trauma to the Ankle Variant 4: Adult or child >5 years old. Acute injury to the ankle with persistent pain. Radiographs not obtained at time of injury. Initial study. Radiologic Procedure Rating Comments RRL* X-ray ankle 9 Obtain AP, lateral, and mortise views. ? CT ankle without IV contrast 1 ? CT ankle with IV contrast 1 ? CT ankle without and with IV
Blunt Chest Trauma-Suspected Cardiac Injury Date of origin: 2013 ACR Appropriateness Criteria ® 1 Blunt Chest Trauma American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Blunt Chest Trauma Variant 1: First-line evaluation. High-energy mechanism. Radiologic Procedure Rating Comments RRL* X-ray chest 9 Chest x-ray and CT/CTA are complementary examinations. ? CT chest with IV contrast 9 Ideally, this procedure should be performed with CTA. Chest x-ray and CT/CTA (...) status. No high-energy mechanism. Radiologic Procedure Rating Comments RRL* CTA chest with IV contrast 5 ??? CT chest with IV contrast 5 ??? CT chest without IV contrast 4 ??? MRI chest without and with IV contrast 2 O CT chest without and with IV contrast 1 ??? US chest 1 O MRI chest without IV contrast 1 O Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Blunt Chest Trauma Clinical Condition
Selective episiotomy versus no episiotomy for severe perineal trauma: a systematic review with meta-analysis. We hypothesized whether a non-episiotomy protocol or administration of selective episiotomy as an intrapartum intervention would modify the incidence of obstetric anal sphincter injuries (OASIS).We registered this systematic review with the PROSPERO database (CRD42018111018). Prospective randomized controlled trials (RCTs) were included from databases until February 2019. The primary (...) outcome was OASIS, and the secondary outcomes were any perineal trauma, duration of the second stage of labor, instrumental delivery, and post-partum hemorrhage. The risk of bias (Cochrane Handbook) and the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) criteria were used to assess the RCTs.A total of 1,833 results (PubMed 650, SCOPUS 1,144, Cochrane Library 33, LILACS 6) were obtained. However, only 2 studies fulfilled the criteria for quantitative analysis and meta
Perioperative cardiac arrest and mortality in trauma patients: A systematic review of observational studies. Factors that influence the occurrence of perioperative cardiac arrest (CA) and its outcomes in trauma patients are not well known. The novelty of our study lies in the performance of a systematic review conducted worldwide on the occurrence of perioperative CA and/or mortality in trauma patients.A systematic review was performed to identify observational studies that reported (...) the occurrence of CA and/or mortality due to trauma and CA and/or mortality rates in trauma patients up to 24 h postoperatively. We searched the MEDLINE, EMBASE, LILACS and SciELO databases through January 29, 2020.Perioperative period.The primary outcomes evaluated were data on the epidemiology of perioperative CA and/or mortality in trauma patients.Nine studies were selected, with the first study being published in 1994 and the most recent being published in 2019. Trauma was an important factor
Reducing parental trauma and stress in neonatal intensive care: systematic review and meta-analysis of hospital interventions. To classify NICU interventions for parental distress and quantify their effectiveness.We systematically reviewed controlled studies published before 2017 measuring NICU parental distress, defined broad intervention categories, and used random-effects meta-analysis to quantify treatment effectiveness.Among 1643 unique records, 58 eligible trials predominantly studied
A Systematic Review of Trauma Interventions in Native Communities. American Indian/Alaska Native and First Nations communities suffer from health disparities associated with multiple forms of trauma exposure. Culturally appropriate interventions are needed to heal current and historical trauma wounds. Although there are evidence-based trauma interventions for other populations, few have been implemented or evaluated with Native communities. Understanding the extant research on trauma (...) interventions in Native communities is crucial for advancing science and filling gaps in the evidence base, and for meeting the needs of underserved people. In this systematic review of the literature on trauma interventions in Native communities in the United States, Canada, Australia, and New Zealand, we identified 15 studies representing 10 interventions for historical and/or current trauma. These studies involved the community to some extent in developing or culturally adapting the interventions
Transcranial magnetic stimulation in anxiety and trauma-related disorders: A systematic review and meta-analysis. Transcranial magnetic stimulation (TMS) has been evaluated as an effective treatment option for patients with major depressive disorder. However, there are limited studies that have evaluated the efficacy of TMS for other neuropsychiatric disorders such as anxiety and trauma-related disorders. We reviewed the literature that has evaluated TMS as a treatment for anxiety and trauma (...) -related disorders.We searched for articles published up to December 2017 in Embase, Medline, and ISI Web of Science databases, following the Preferred Items for Reporting of Systematic Reviews and Meta-Analyses (PRISMA) statement. Articles (n = 520) evaluating TMS in anxiety and trauma-related disorders were screened and a small subset of these that met the eligibility criteria (n = 17) were included in the systematic review, of which nine evaluated TMS in posttraumatic stress disorder (PTSD), four
Pediatric Trauma Triage: A Pediatric Trauma Society Research Committee Systematic Review. Significant variability exists in the triage of injured children with most systems using mechanism of injury and/or physiologic criteria. It is not well-established if existing triage criteria predict the need for intervention or impact morbidity and mortality. This study evaluated existing evidence for pediatric trauma triage. Questions defined a priori were: 1) Do prehospital trauma triage criteria (...) reduce mortality? 2) Do prehospital trauma scoring systems predict outcomes? 3) Do trauma center activation criteria predict outcomes? 4) Do trauma center activation criteria predict need for procedural or operative interventions? 5) Do trauma bay pediatric trauma scoring systems predict outcomes. 6) What secondary triage criteria for transfer of children exist?A structured, systematic review was conducted, and multiple databases were queried using search terms related to pediatric trauma triage
The socioeconomic impact of orthopaedic trauma: A systematic review and meta-analysis. The overall objective of this study was to determine the patient-level socioeconomic impact resulting from orthopaedic trauma in the available literature. The MEDLINE, Embase, and Scopus databases were searched in December 2019. Studies were eligible for inclusion if more than 75% of the study population sustained an appendicular fracture due to an acute trauma, the mean age was 18 through 65 years
Determination of mis-triage in trauma patients: a systematic review. Mis-triage including undertriage and overtriage is associated with morbidity and mortality. It is not clear what the extent of mis-triage rates among traumatic patients is. The aim of this study is to determine of mis-triage (undertriage and overtriage) in traumatic patients.This study was a systematic review about mis-triage rate among trauma patients. The following electronic databases were searched (Web of Knowledge, Scoups (...) , PubMed, Cochrane library) from conception through February 1, 2018. Search terms included trauma, undertriage, and over-triage. Inclusion criteria were studies which report overtriage or undertriage rate in regard to triage of trauma patients; patients older than 18 years old, English-written papers. Irrelevant papers as well as conference abstract, letter, editorial, thesis and studies on special population were excluded. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses
Prevalence, pattern, magnitude and associated factors of trauma in the Emergency Department at Health Institutes in Ethiopia: A systematic review. Trauma is one of the important public health problems that causes significant economic and social crisis with more than 10% of all disease cases are associated with it. We aimed to identify and describe the prevalence, patterns, magnitude and associated factors of trauma in the Emergency Department at Health Institute in Ethiopia.In this systematic (...) review, we searched for peer-reviewed and grey literature publications reporting the prevalence, pattern, magnitude and associated factors of trauma between 2000 and 2019. The documents which recruited are directly related to trauma and emergency department. In this regard, we searched databases of PubMed, Elsevier, Science directed, MEDLINE, and Google scholar by using Google as searching engine. Furthermore, publication with secondary data and not in English was excluded.A total of 9,768 injured