Trauma Surgery & Acute Care Open最新文献_第6页

Improving care and equity in the American trauma system: past, present and future. 改善美国创伤系统的护理和公平：过去、现在和未来。

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2025-05-14 eCollection Date: 2025-01-01 DOI: 10.1136/tsaco-2024-001729

Sophia Smith, Dane R Scantling

{"title":"Improving care and equity in the American trauma system: past, present and future.","authors":"Sophia Smith, Dane R Scantling","doi":"10.1136/tsaco-2024-001729","DOIUrl":"10.1136/tsaco-2024-001729","url":null,"abstract":"Trauma care in the USA is fragmented, unequal, and millions of people lack adequate access to a trauma center. These inequities are the result of historic precedent, racial and socioeconomic discrimination, and the economics of trauma care. The fixed location of trauma centers may also fail to meet the needs of moving and changing populations. Further, the current methods of trauma center formation perpetuate existing inequity by leaving the pursuit of trauma center creation up to hospitals, resulting in verification and designation processes that are mostly reliant on financial capability rather than community need. This particularly impacts those who are socioeconomically vulnerable, as existing trauma centers may not be accessible to their communities and new centers may not seek to serve them. On the contrary, already well-resourced communities increasingly receive duplicative care. A thorough understanding of the interplay between trauma center designation, socioeconomic and geographic disparities in trauma care-and potential levers for change-is crucial in trauma systems planning for more equitable trauma care.","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"10 2","pages":"e001729"},"PeriodicalIF":2.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12083362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095048","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

Who will be the bastions of pediatric trauma care? 谁将成为儿科创伤护理的堡垒？

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2025-05-10 eCollection Date: 2025-01-01 DOI: 10.1136/tsaco-2024-001573

Melike Harfouche, Kelsey Higgins, Elizabeth Waibel, Mark B Slidell, Isam Nasr, Gary W Nace, David Efron

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Are the life-saving interventions really life-saving? 这些拯救生命的干预措施真的能拯救生命吗？

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2025-05-10 eCollection Date: 2025-01-01 DOI: 10.1136/tsaco-2024-001545

Anthony J DeSantis, Melike Harfouche, Nicholas Namias

{"title":"Are the life-saving interventions really life-saving?","authors":"Anthony J DeSantis, Melike Harfouche, Nicholas Namias","doi":"10.1136/tsaco-2024-001545","DOIUrl":"10.1136/tsaco-2024-001545","url":null,"abstract":"Several interventions are generally thought to be 'life-saving' in the management and care of traumatically injured patients. The evidence supporting the utility of some interventions, however, is tenuous, if not outright contradictory to what occurs in the modern practice of trauma care. This was the topic of the Point Counterpoint 2024 Charles C. Wolferth lecture given by Nicholas Namias. This article will summarize his talk by highlighting multiple examples of interventions felt to be critical to the preservation of life in the trauma patient that, upon closer inspection, are not as well supported by evidence as one might think. These interventions include the expansion of trauma systems, sternotomy for hemopericardium, resuscitative endovascular balloon occlusion of the aorta (REBOA), prehospital intubation, and needle decompression of traumatic pneumothorax. By discussing the controversy surrounding these interventions, we hope to prompt the reader to question not only the nature and utility of their continued use but also what other closely held ideas and interventions deserve renewed scrutiny.","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"10 Suppl 3","pages":"e001545"},"PeriodicalIF":2.1,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016102","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

Evolution of global surgery: lessons learned and a look toward the future. 全球外科手术的发展：经验教训和展望未来。

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2025-05-10 eCollection Date: 2025-01-01 DOI: 10.1136/tsaco-2024-001541

Seema Anandalwar, Ziad Sifri, Mary Ann Hopkins, Daniel Whitley, Melike Harfouche, Mayur Narayan

引用次数: 0

Crossing the thin RED line: where have we been and where should we go with whole blood? 越过那条细细的红线：我们去过哪里，我们应该带着完整的血液去哪里？

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2025-05-10 eCollection Date: 2025-01-01 DOI: 10.1136/tsaco-2024-001594

Amanda Marsh, Rebecca Schwartz, Melike Harfouche, Jennifer M Gurney

{"title":"Crossing the thin RED line: where have we been and where should we go with whole blood?","authors":"Amanda Marsh, Rebecca Schwartz, Melike Harfouche, Jennifer M Gurney","doi":"10.1136/tsaco-2024-001594","DOIUrl":"10.1136/tsaco-2024-001594","url":null,"abstract":"Dr. Jennifer M. Gurney is an active-duty military surgeon who has been deployed seven times and serves as the Chief of the Joint Trauma System and the Chief of the Defense Committee on Trauma. Additionally, she is an accomplished researcher having authored over 100 peer-reviewed publications, the majority of which are aimed at improving combat casualty care. As the keynote speaker for this year's \"Sharon M. Henry Maryland Committee on Trauma State-of-the-Art Lecture,\" no one is more qualified to discuss the use of whole blood and its history in both military and civilian trauma resuscitation than JMG. However, her message ran deeper as she brought the audience on a journey through the history and future of trauma surgery across the \"thin RED line,\" urging us to continue to build R esilience, use our E xperience, and foster D edication to improve the care of the injured patient in an effort to be R eady E very D ay. The following is a review of JMG's lecture.","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"10 Suppl 3","pages":"e001594"},"PeriodicalIF":2.1,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038636","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

What we do matters. 我们所做的很重要。

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2025-04-30 eCollection Date: 2025-01-01 DOI: 10.1136/tsaco-2024-001578

John B Holcomb, Patrick Lee

引用次数: 0

Cutting without a knife: reflections of a surgeon in healing. 不用刀切割：外科医生在治疗中的反映。

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2025-04-30 eCollection Date: 2025-01-01 DOI: 10.1136/tsaco-2024-001581

L J Punch, Patrick Lee

引用次数: 0

Can heroic roadside care save lives? 英勇的路边护理能拯救生命吗？

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2025-04-30 eCollection Date: 2025-01-01 DOI: 10.1136/tsaco-2024-001504

Patrick Lee, Melike Harfouche, Samuel M Galvagno, Benjamin Lawner

引用次数: 0

Principles of humanitarian and disaster response for healthcare systems in the modern era. 现代医疗系统的人道主义和灾难应对原则。

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2025-04-29 eCollection Date: 2025-01-01 DOI: 10.1136/tsaco-2024-001552

Appajosula Rao, Patrick Lee, Melike Harfouche, Susan Briggs, Adam Fox, Kiersten Henry, John B Holcomb, Thomas Kirsch, Janelle Martin

{"title":"Principles of humanitarian and disaster response for healthcare systems in the modern era.","authors":"Appajosula Rao, Patrick Lee, Melike Harfouche, Susan Briggs, Adam Fox, Kiersten Henry, John B Holcomb, Thomas Kirsch, Janelle Martin","doi":"10.1136/tsaco-2024-001552","DOIUrl":"https://doi.org/10.1136/tsaco-2024-001552","url":null,"abstract":"The following manuscript is a condensed review of discussion points raised by a panel of experts at the 2023 American College of Surgeons Point Counterpoint conference on humanitarian and disaster response. The field of disaster management and humanitarian response has evolved significantly in the past several decades, as the scale and type of events, the scope of medical care, and the field of operations have changed. Limiting the extent of the injury and providing the greatest care to most individuals remains paramount. For teams to be successful, key principles include effective preparation and planning, adhering to ethical principles, and providing damage control surgical care. Within the hospital setting, trauma surgeons are well-equipped to triage patients while also providing essential surgical care. Humanitarian and disaster response teams must work closely with local government and other organizations to address shortages in staff, supplies, and other constraints.","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"10 Suppl 2","pages":"e001552"},"PeriodicalIF":2.1,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053128","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

Trauma Survivors Network: how does it really work? 创伤幸存者网络：它是如何运作的？

IF 2.1

Trauma Surgery & Acute Care Open Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI: 10.1136/tsaco-2024-001584

Thomas K Duncan, Glen H Tinkoff, Anastasia Kunac, Anna Newcomb, Katherine Joseph, Peter Anziano

{"title":"Trauma Survivors Network: how does it really work?","authors":"Thomas K Duncan, Glen H Tinkoff, Anastasia Kunac, Anna Newcomb, Katherine Joseph, Peter Anziano","doi":"10.1136/tsaco-2024-001584","DOIUrl":"https://doi.org/10.1136/tsaco-2024-001584","url":null,"abstract":"Trauma centers have the important task of navigating a patient through the complex process of obtaining services and tools for success and addressing important social determinants / drivers of health. This summary from the American Association for the Surgery of Trauma (AAST) Prevention and Geriatric Committees focuses on the history, development, and patient empowerment of the Trauma Survivors Network (TSN), its importance in collaboration with palliative care teams, and the value of Trauma-informed Care. Palliative Care and Trauma-iInformed Care are principles thought to be important enough to include in the upcoming updated Advanced Trauma Life Support 11th edition course as stand-alone chapters. This publication provides a history of the TSN and how it developed from the grass roots, the core elements of the TSN, a patient experience with the program, a basic toolkit on implementation of the TSN, and the importance of the TSN working together with palliative care. It was presented as a lunch session at the AAST's 83rd Annual Meeting in Las Vegas, 2024. None of the authors have any financial relationships or conflicts of interest to any of the products discussed.","PeriodicalId":23307,"journal":{"name":"Trauma Surgery & Acute Care Open","volume":"10 2","pages":"e001584"},"PeriodicalIF":2.1,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983526","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