Panamerican journal of trauma, critical care & emergency surgery最新文献

{"title":"Pneumomediastinum after Blunt Trauma—Incidence and Patient Selection for Aerodigestive Injuries Investigation: A Narrative Review","authors":"Fernando Spencer Netto, Ahmed F Ramzee Abdul Aziz, Sandro Rizoli, Talat Chughtai, Ruben Peralta","doi":"10.5005/jp-journals-10030-1465","DOIUrl":"https://doi.org/10.5005/jp-journals-10030-1465","url":null,"abstract":"Trauma to the chest is associated with a high risk of significant morbidity and mortality.Thoracic aerodigestive injuries (ADI) may present immediately or remain occult and lead to serious consequences as they evolve. [1][2]2][3] Subtle clues, such as the presence of pneumomediastinum (PNM), 1-3 may guide 1-","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"14 3","pages":"157-162"},"PeriodicalIF":0.0,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://doi.org/10.5005/jp-journals-10030-1465","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147881135","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":"Mental Health Disparities Following Violent Injury: A Prospective Comparison of Survivors of Violent and Nonviolent Mechanisms of Injury.","authors":"Sydney C Timmer-Murillo, Carissa W Tomas, Timothy J Geier, Sarah Melin, Amber Brandolino, Andrew T Schramm, Christine L Larson, Terri A deRoon-Cassini","doi":"10.5005/jp-journals-10030-1445","DOIUrl":"10.5005/jp-journals-10030-1445","url":null,"abstract":"<p><strong>Aim and background: </strong>Violence is a global crisis causing deleterious effects on survivors and the health of communities. Yet, there is limited prospective research examining the mental health of violence-related injury survivors. Longitudinally assessing differences in mental health outcomes following violence-related and nonviolent injuries can inform what comprehensive approaches to recovery are needed to reduce disparities following violence.</p><p><strong>Materials and methods: </strong>Participants (<i>N</i> = 245) presenting to a midwestern level 1 trauma center following injury completed measures of posttraumatic stress disorder [PTSD symptom checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)], depression, anxiety, stress, [Depression, Anxiety, and Stress Scale (DASS-21)] posttrauma and 6 months later.</p><p><strong>Results: </strong>Analyses of variance revealed that violence-related injury patients experienced chronic or worsening symptoms of PTSD, depression, anxiety, and stress levels, whereas nonviolently injured patients had less severe symptoms that diminished over time.</p><p><strong>Conclusion: </strong>Compared with nonviolent injury patients, patients with violence-related injuries have poorer mental health, regardless of injury severity. Further, this disparity appears to grow by 6 months, which has significant implications regarding individual and community health. Screening and effective treatment of mental health issues among violence survivors is necessary to address comprehensive needs and reduce the overall impact of violence.</p><p><strong>Clinical significance: </strong>Violence-related injury survivors are at risk for psychopathology, which impacts recovery, quality of life and limits, and reengagement with society. Tertiary prevention efforts must account for the role of mental health when supporting survivors.</p>","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"13 1","pages":"36-41"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146168312","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":"Choledocholithiasis: Easy and Early Diagnosis","authors":"Doris Sarmiento, Amber N Himmler, Antonella Gallegos, Mateo Pacurucu, Rafael Valdivieso, Catherine Cabrera","doi":"10.5005/jp-journals-10030-1418","DOIUrl":"https://doi.org/10.5005/jp-journals-10030-1418","url":null,"abstract":"","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"302 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135936951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Panamerican Journal of Trauma, Critical Care &amp; Emergency Surgery","authors":"","doi":"10.5005/pajt-12-1-vii","DOIUrl":"https://doi.org/10.5005/pajt-12-1-vii","url":null,"abstract":"The scope of this special issue covers recent trends in neurotrauma research in different regions of the world, including studies in cranial and spinal trauma from epidemiological studies to clinical studies. Cross sectional and transversal studies, systematic reviews and meta-analysis are also welcome in order to present the different approaches that experts in the field are actually using for generating science at global level, filling gaps in knowledge independent of the level of available resources. This topic is urgently needed due to the actual background were neurotrauma care guidelines and protocols are required in order to decrease heterogeneity of care and the related mortality and disability associated with this disease independent of the level of resources available for care.","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135847772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Done Delivery Network for Acute Traumatic Brain Injury Management in the Caribbean: A Commentary","authors":"Ashley Williams, Myron L. Rolle","doi":"10.5005/jp-journals-10030-1361","DOIUrl":"https://doi.org/10.5005/jp-journals-10030-1361","url":null,"abstract":"bstrAct Medical products transportation has become an important research topic requiring multidisciplinary collaboration among experts in surgery, public health, and health economics. Drones can be a promising tool to increase access to stabilizing neurotrauma care following a pediatric traumatic brain injury in the Caribbean. This commentary describes how the use of drones and neurotrauma education can increase health outcomes of neurosurgical emergencies on remote islands of low-and middle-income nations in the developing world.","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85961958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advances and Updates in Acute Biliary Disease for Surgeons","authors":"S. Rizoli, M. D. de Moya","doi":"10.5005/pajt-10-3-i","DOIUrl":"https://doi.org/10.5005/pajt-10-3-i","url":null,"abstract":"","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85435701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patterns of Traumatic Injury Volume during First Year of COVID-19 Pandemic","authors":"J. Duchesne, S. Ninokawa, K. Nordham","doi":"10.5005/jp-journals-10030-1351","DOIUrl":"https://doi.org/10.5005/jp-journals-10030-1351","url":null,"abstract":"Background: Here, we investigate the incidence of traumatic injuries during the COVID-19 pandemic over a year-long period which includes the first documented COVID-19 case in the US as well as rollout of vaccines. The study period includes the months of strictest lockdowns which early reports have focused on, as well as reopening. Methods: This retrospective analysis was performed with all records of trauma patients from our level 1 trauma center’s trauma registry. Mean weekly and total yearly patient counts from 2017–2019 and 2020 were compared using independent samples t-test or Mann-Whitney U test. Shapiro-Wilk and Levene’s tests were used to assess normality and variances, respectively. Results: There were more trauma patients in 2020 than the 2017–2019 average. In 2020, there were significantly higher weekly counts of penetrating injuries vs the 2017–2019 average [mean (SD)] [22.5 (7.2) vs 17.5 (3.1), p < 0.000], specifically gunshot wounds (GSWs) [15.8 (6.0) vs 11.3 (2.7), p < 0.0000] and more assaults [23.3 (6.7) vs 19.4 (3.2), p < 0.0003]. In 2020, fewer falls [11.9 (4.3) vs 13.4 (2.6), p < 0.03], pedestrian/bicycle accidents [5.5 (3.1) vs 7.5 (2.1), p < 0.0002], and accidents in general [45.9 (17.1) vs 50.9 (5.6), p < 0.05] presented to our hospital compared to previous years. Overall, weekly totals were higher than average in 2020, but were lower than average during the strictest shutdowns from March 18 to May 15. Conclusion: During the first 3 months and strictest lockdown of the pandemic, the number of traumatic injuries was significantly lower than average. Once restaurants reopened at 50% capacity, bars reopened, and gatherings of <50 people were allowed, weekly counts of trauma patients were above average in most (26/32, 81%) weeks through the end of the year. Increased GSWs and assaults this year may suggest increased interpersonal conflict. Increased violent and traumatic injury necessitating medical care is concerning for emergency departments and hospitals already overloaded with patient volume and facing staffing shortages due to the COVID-19 pandemic.","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76405006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Double Oxymoron Crisis: Posterior Circulation Intracranial Bleeding with Anterior Circulation Ischemic Stroke—A Management Dilemma","authors":"Tariq Janjua, L. Moscote-Salazar","doi":"10.5005/jp-journals-10030-1356","DOIUrl":"https://doi.org/10.5005/jp-journals-10030-1356","url":null,"abstract":"Blood flow to the brain is mainly through anterior circulation via bilateral internal carotid arteries and through posterior circulation via bilateral vertebral arteries. The anterior circulation is for the respective side with the communication with the anterior communicating artery. The posterior flow is with the single basilar artery formed from vertebral arteries. There are collaterals present but the main vasculature determines most of the flow. This dynamic is normally balanced except in pathological conditions where flow is compensated from other vessels through the circle of Willis. It is rare to see a competing flow on each side and further, it is more complex when one region has a restricted flow and while another region has hyperdynamic","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"128 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86589480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Descriptive Study of Malnutrition in Traumatic Brain Injury Patients","authors":"Lauren Ford, J. Ouma","doi":"10.5005/jp-journals-10030-1359","DOIUrl":"https://doi.org/10.5005/jp-journals-10030-1359","url":null,"abstract":"Nutrition The World Health Organization (WHO) defines nutrition as the intake of food in relation to the body’s dietary needs: however, if the body’s nutritional needs are not met, either overnourishment or undernourishment/malnutrition develops.6 Malnutrition is defined as a body mass index (BMI) of <18.5 kg/m2, or unintentional weight loss (mandatory) with an associated reduction in BMI or a low-fat free mass index (FFMI). Weight loss can be defined as either >10% of habitual weight loss over an indefinite period or >5% over 3 months.7 An all-encompassing In t r o d u c t I o n","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87753212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chest Computed Tomography for Screening Suspected Cases of SARS-CoV-2 Infection in Trauma Patients","authors":"C. R. Guetter, Rebeca T Iurkiewiecz, M. S. Evangelista, G. M. Nogueira, L. K. Rafael, S. Pimentel, Fábio Henrique de Carvalho","doi":"10.5005/jp-journals-10030-1358","DOIUrl":"https://doi.org/10.5005/jp-journals-10030-1358","url":null,"abstract":"On March 11, 2020, the World Health Organization (WHO) characterized COVID-19 as a pandemic.1 Most patients infected with SARS-CoV-2, the etiologic agent of COVID-19, may initially be oligosymptomatic, even those individuals presenting the pulmonary form of the disease. As a result, many trauma patients can arrive at the emergency department without signs or symptoms compatible with COVID-19 and, even so, be active agents for disease transmission.2,3 Pandemics generate socioeconomic crises and may overload the healthcare system, similarly to what might be seen in periods of war. This leads to the need for adjustments in the previously established forms of care, aiming at the rational use of material, physical, and human resources so as to reserve them for a future 1Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States 2,3,6,7Department of Surgery, Hospital Do Trabalhador, Curitiba, Brazil 4,5School of Medicine, Universidade Federal Do Paraná, Curitiba, Brazil Corresponding Author: Camila R Guetter, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States, e-mail: camilaguetter@gmail.com How to cite this article: Guetter CR, Iurkiewiecz RT, Evangelista MS, et al. Chest Computed Tomography for Screening Suspected Cases of SARS-CoV-2 Infection in Trauma Patients. Panam J Trauma Crit Care Emerg Surg 2021;10(3):101–106. Source of support: Nil Conflict of interest: None Chest Computed Tomography for Screening Suspected Cases of SARS-CoV-2 Infection in Trauma Patients Camila R Guetter1 , Rebeca T Iurkiewiecz2 , Matheus S Evangelista3 , Gabriel M Nogueira4 , Leonardo K Rafael5, Silvania K Pimentel6 , Fabio Henrique De Carvalho7","PeriodicalId":74395,"journal":{"name":"Panamerican journal of trauma, critical care & emergency surgery","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84954699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}