Takaaki Maruhashi, Keita Saku, Hideo Maruki, Marina Oi, Yasushi Asari
{"title":"Potential new treatment for inferior vena cava injury using extracorporeal membrane oxygenation applying flow diversion effect.","authors":"Takaaki Maruhashi, Keita Saku, Hideo Maruki, Marina Oi, Yasushi Asari","doi":"10.1136/tsaco-2024-001618","DOIUrl":"10.1136/tsaco-2024-001618","url":null,"abstract":"<p><strong>Background: </strong>Retrohepatic inferior vena cava (IVC) injuries remain among the most lethal and serious liver injuries. Gauze packing is currently the first choice for IVC injuries; however, laparotomy itself poses the risk of circulatory collapse. Thus, less invasive treatment strategies are needed.</p><p><strong>Methods: </strong>In this study, we conducted an animal experiment to replicate and validate successful treatments for an actual case of retrohepatic IVC injury that we had encountered.</p><p><strong>Results: </strong>A woman in her 80s presented to our hospital due to cardiac arrest caused by a pulmonary artery embolism. Venoarterial extracorporeal membrane oxygenation (ECMO) was introduced, and the patient was resuscitated. After resuscitation, contrast-enhanced CT revealed liver and retrohepatic IVC injuries, possibly caused by chest compressions. Liver injury was treated using transarterial embolization of the left hepatic artery. To treat the retrohepatic IVC injury, ECMO flow was increased to enhance the negative drainage pressure. The extravasation of the contrast medium had resolved in IVC angiography, and we opted for nonoperative management. The patient's hemodynamic status gradually stabilized, and ECMO was withdrawn on day 6. We confirmed these findings in a dog model of retrohepatic IVC injury.</p><p><strong>Conclusions: </strong>Our findings from the patient and the animal model suggest that the flow diversion effect of ECMO can effectively manage active bleeding from the IVC by inserting a drainage cannula across the injured lesion. We think this procedure represents a novel treatment option for retrohepatic IVC injuries.</p>","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"9 1","pages":"e001618"},"PeriodicalIF":2.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676952","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}
{"title":"We do it the same way every time! Eliminating disparities in trauma care.","authors":"Laura N Haines, Brandon M Harris","doi":"10.1136/tsaco-2024-001639","DOIUrl":"10.1136/tsaco-2024-001639","url":null,"abstract":"","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"9 1","pages":"e001639"},"PeriodicalIF":2.1,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676953","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}
Terry R Schaid, William Aaron Marshall, Clay Cothren Burlew, Kristy Lynn Hawley
{"title":"Endovascular control of ongoing pelvic hemorrhage after intraoperative arterial shunting and venous ligation in peripheral vascular trauma.","authors":"Terry R Schaid, William Aaron Marshall, Clay Cothren Burlew, Kristy Lynn Hawley","doi":"10.1136/tsaco-2024-001595","DOIUrl":"10.1136/tsaco-2024-001595","url":null,"abstract":"","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"9 1","pages":"e001595"},"PeriodicalIF":2.1,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676951","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}
Arden Aron L Asuncion, Aireen Patricia M Madrid, Joseph T Juico, Ivan Burke M Tan, Ernest Stephen F Co, Charles Arthur M Sydiongco
{"title":"Vape grenade: a patient with maxillofacial injuries with C1-C2 fracture secondary to electronic cigarette blast injury.","authors":"Arden Aron L Asuncion, Aireen Patricia M Madrid, Joseph T Juico, Ivan Burke M Tan, Ernest Stephen F Co, Charles Arthur M Sydiongco","doi":"10.1136/tsaco-2024-001652","DOIUrl":"https://doi.org/10.1136/tsaco-2024-001652","url":null,"abstract":"","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"9 1","pages":"e001652"},"PeriodicalIF":2.1,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11552576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628783","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}
{"title":"Early identification of respiratory decompensation among older adults with rib fractures: a sound solution for fragile ribs.","authors":"W Preston Hewgley, Adam Lucy, Rondi Gelbard","doi":"10.1136/tsaco-2024-001632","DOIUrl":"10.1136/tsaco-2024-001632","url":null,"abstract":"","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"9 1","pages":"e001632"},"PeriodicalIF":2.1,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11529760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569384","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}
{"title":"Damage control surgery in a patient with cardiac arrest from necrotizing soft tissue infection.","authors":"Jianshe Shi, Jialong Zheng, Yong Zhang, Yijie Chen, Chenghua Zhang","doi":"10.1136/tsaco-2024-001428","DOIUrl":"10.1136/tsaco-2024-001428","url":null,"abstract":"","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"9 1","pages":"e001428"},"PeriodicalIF":2.1,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11529746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569364","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}
{"title":"Do not fear the open abdomen.","authors":"Hector Mejia Morales, David A Hampton","doi":"10.1136/tsaco-2024-001647","DOIUrl":"https://doi.org/10.1136/tsaco-2024-001647","url":null,"abstract":"","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"9 1","pages":"e001647"},"PeriodicalIF":2.1,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11499748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508762","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}
Caitlin Anne Fitzgerald, Sejul Chaudhary, Mary Noory
{"title":"Bridging the gap: a robotic approach to the repair of a traumatic diaphragmatic intercostal hernia.","authors":"Caitlin Anne Fitzgerald, Sejul Chaudhary, Mary Noory","doi":"10.1136/tsaco-2024-001604","DOIUrl":"10.1136/tsaco-2024-001604","url":null,"abstract":"","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"9 1","pages":"e001604"},"PeriodicalIF":2.1,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475732","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}
Jordan Michael Kirsch, Samir M Fakhry, Andrew Bernard, Gail T Tominaga
{"title":"Documentation and coding for trauma and surgical critical care: updates and tips.","authors":"Jordan Michael Kirsch, Samir M Fakhry, Andrew Bernard, Gail T Tominaga","doi":"10.1136/tsaco-2024-001532","DOIUrl":"10.1136/tsaco-2024-001532","url":null,"abstract":"<p><p>Clinical documentation is an essential part of medical practice. Medical records serve as a durable testament of care provided and are fundamental to communication among providers. Medical records provide justification and support for healthcare coding and billing for providers and hospitals and also provide evidence in regulatory and legal proceedings. Here, the authors emphasize the importance of clinical documentation in support of both professional and hospital billing and address two areas of recent regulatory changes: Operative coding for hernia operation and professional coding for critical care. The important role of provider documentation in supporting organizational revenue and quality is also discussed.</p>","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"9 1","pages":"e001532"},"PeriodicalIF":2.1,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475733","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}
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":"<p><p>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.</p>","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"9 1","pages":"e001494"},"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}