Trauma Surgery & Acute Care Open最新文献

Early identification of respiratory decompensation among older adults with rib fractures: a sound solution for fragile ribs. 肋骨骨折老年人呼吸衰竭的早期识别：脆弱肋骨的合理解决方案。

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2024-10-26 eCollection Date: 2024-01-01 DOI: 10.1136/tsaco-2024-001632

W Preston Hewgley, Adam Lucy, Rondi Gelbard

引用次数: 0

Damage control surgery in a patient with cardiac arrest from necrotizing soft tissue infection. 对一名因软组织坏死性感染而心跳骤停的患者实施损伤控制手术。

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2024-10-24 eCollection Date: 2024-01-01 DOI: 10.1136/tsaco-2024-001428

Jianshe Shi, Jialong Zheng, Yong Zhang, Yijie Chen, Chenghua Zhang

引用次数: 0

Do not fear the open abdomen. 不要害怕开腹。

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI: 10.1136/tsaco-2024-001647

Hector Mejia Morales, David A Hampton

引用次数: 0

Bridging the gap: a robotic approach to the repair of a traumatic diaphragmatic intercostal hernia. 缩小差距：用机器人修复外伤性膈肋间疝。

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI: 10.1136/tsaco-2024-001604

Caitlin Anne Fitzgerald, Sejul Chaudhary, Mary Noory

引用次数: 0

Documentation and coding for trauma and surgical critical care: updates and tips. 创伤和外科重症护理的文档和编码：更新和提示。

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI: 10.1136/tsaco-2024-001532

Jordan Michael Kirsch, Samir M Fakhry, Andrew Bernard, Gail T Tominaga

引用次数: 0

Taking action to achieve health equity and eliminate healthcare disparities within acute care surgery. 采取行动，在急诊外科实现健康公平，消除医疗差距。

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2024-10-15 eCollection Date: 2024-01-01 DOI: 10.1136/tsaco-2024-001494

Marta L McCrum, Tanya L Zakrison, Lisa Marie Knowlton, Brandon Bruns, Lillian S Kao, Kathie-Ann Joseph, Cherisse Berry

{"title":"Taking action to achieve health equity and eliminate healthcare disparities within acute care surgery.","authors":"Marta L McCrum, Tanya L Zakrison, Lisa Marie Knowlton, Brandon Bruns, Lillian S Kao, Kathie-Ann Joseph, Cherisse Berry","doi":"10.1136/tsaco-2024-001494","DOIUrl":"https://doi.org/10.1136/tsaco-2024-001494","url":null,"abstract":"Addressing disparities is crucial for enhancing population health, ensuring health security, and fostering resilient health systems. Disparities in acute care surgery (trauma, emergency general surgery, and surgical critical care) have been well documented and the magnitude of inequities demand an intentional, organized, and effective response. As part of its commitment to achieve high-quality, equitable care in all aspects of acute care surgery, the American Association for the Surgery of Trauma convened an expert panel at its eigty-second annual meeting in September 2023 to discuss how to take action to work towards health equity in acute care surgery practice. The panel discussion framed contemporary disparities in the context of historic and political injustices, then identified targets for interventions and potential action items in health system structure, health policy, the surgical workforce, institutional operations and quality efforts. We offer a four-pronged approach to address health inequities: identify, reduce, eliminate, and heal disparities, with the goal of building a healthcare system that achieves equity and justice for all.","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11481130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reassessing the economic burden of geriatric falls: a call for preventive action. 重新评估老年人跌倒的经济负担：呼吁采取预防行动。

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2024-10-14 eCollection Date: 2024-01-01 DOI: 10.1136/tsaco-2024-001591

Abdul Tawab Saljuqi, Tanya Anand, Bellal Joseph

引用次数: 0

Supporting early-career military general surgeons: an Eastern Association for the Surgery of Trauma Military Committee position paper. 支持早期职业军事普外科医生：东部创伤外科协会军事委员会立场文件。

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2024-10-12 eCollection Date: 2024-01-01 DOI: 10.1136/tsaco-2024-001555

Christopher B Horn, James E Wiseman, Valerie G Sams, Andrew C Kung, Jason C McCartt, Scott B Armen, Christina M Riojas

{"title":"Supporting early-career military general surgeons: an Eastern Association for the Surgery of Trauma Military Committee position paper.","authors":"Christopher B Horn, James E Wiseman, Valerie G Sams, Andrew C Kung, Jason C McCartt, Scott B Armen, Christina M Riojas","doi":"10.1136/tsaco-2024-001555","DOIUrl":"https://doi.org/10.1136/tsaco-2024-001555","url":null,"abstract":"Early-career surgeons must be exposed to a sufficient number of surgical cases of varying complexity in a mentored environment to allow them to solidify, sustain and build on the skills gained in training. Decreased operative volumes at military treatment facilities and assignments that do not include strong mentoring environments can place military surgeons at a disadvantage relative to their civilian counterparts during this critical time following training. The challenge of lower operative volumes in the current interwar lull has been exacerbated by the decline in beneficiary care conducted within the Military Healthcare System. These challenges must be addressed by ensuring early-career surgeons maintain exposure to a large volume of complex surgical procedures and deliberate mentoring from senior surgeons. The purpose of this position statement is to provide actionable methods to support early-career military surgeons to effectively transition from training to independent practice.","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early placement of a non-invasive, pressure-regulated, fascial reapproximation device improves reduction of the fascial gap in open abdomens: a retrospective cohort study. 早期放置无创、压力可调的筋膜再贴合装置可改善开腹手术筋膜间隙的缩小：一项回顾性队列研究。

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2024-10-12 eCollection Date: 2024-01-01 DOI: 10.1136/tsaco-2024-001529

Asad Naveed, Niels D Martin, Mohammed Bawazeer, Atif Jastaniah, Joao B Rezende-Neto

{"title":"Early placement of a non-invasive, pressure-regulated, fascial reapproximation device improves reduction of the fascial gap in open abdomens: a retrospective cohort study.","authors":"Asad Naveed, Niels D Martin, Mohammed Bawazeer, Atif Jastaniah, Joao B Rezende-Neto","doi":"10.1136/tsaco-2024-001529","DOIUrl":"10.1136/tsaco-2024-001529","url":null,"abstract":"Background: Since current fascial traction methods involve invasive procedures, they are generally employed late in the management of the open abdomen (OA). This study aimed to evaluate early versus late placement of a non-invasive, pressure-regulated device for fascial reapproximation and gap reduction in OA patients.Methods: The study included all patients who had the abdominal fascia intentionally left open after damage control operation for trauma and emergency general surgery and were managed with the device in an academic hospital between January 1, 2020, and December 31, 2023. Time of device placement in relation to the end of index laparotomy was defined as early (≤24 hours) versus late (>24 hours). Time-related mid-incisional width reduction of the fascial gap and fascial closure were assessed using descriptive and linear regression analysis.Results: There was a significantly higher percent reduction in the fascial gap at the midpoint of the laparotomies in the early (≤24 hours) AbClo placement group compared with the late (>24 hours) AbClo placement group, respectively, median 76% versus 43%, p<0.001. Linear regression adjusting for body mass index and the number of takebacks indicated that fascial approximation was 22% higher for early placement (β=0.22; CI 0.12, 0.33, p<0.001). Primary myofascial closure rate with early (≤24 hours) application of the device was 98% versus 85% with late application.Conclusion: Early non-invasive application of the device (≤24 hours) after the initial laparotomy resulted in greater reduction of the fascial gap and higher primary fascial closure rate compared with late placement (>24 hours). Early non-invasive intervention could prevent abdominal wall myofascial retraction in OA patients.Level of evidence: IV.","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Finding and keeping a mentor: a year of reflection. 寻找并留住导师：一年的反思。

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2024-10-08 eCollection Date: 2024-01-01 DOI: 10.1136/tsaco-2024-001642

Sarah Cottrell-Cumber

引用次数: 0