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Base Deficit Is Superior to Lactate in Trauma.
Posted Date: 7/17/2018 3:20:00 PM
Issue: General Surgery - July 30, 2018 - Vol. 47 - No. 12
Author(s): Raminder Nirula, MD, MPH
Base deficit is superior to lactate for predicting the need of transfusion in high-risk trauma patients.
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Preperitoneal Pelvic Packing Is Effective for Hemorrhage Control in Open Pelvic Fractures.
Posted Date: 7/17/2018 3:20:00 PM
Issue: General Surgery - July 30, 2018 - Vol. 47 - No. 12
Author(s): Raminder Nirula, MD, MPH
Patients with an open pelvic fracture may have a mortality rate of only 7% following a protocol that used early preperitoneal pelvic packing.
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Vomiting With Head Trauma and Risk of Traumatic Brain Injury.
Posted Date: 7/11/2018 2:39:00 AM
Issue: Pediatrics - July 30, 2018 - Vol. 45 - No. 8
Author(s): Khoon-Yen Tay, MD
Head trauma patients with signs of skull fracture and vomiting have a much higher likelihood of having a clinically important traumatic brain injury compared to those with vomiting alone.
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Airway Management Practice in Adults With an Unstable Cervical Spine: The Harborview Medical Center Experience.
Posted Date: 7/10/2018 3:50:00 AM
Issue: Neurosurgery - July 30, 2018 - Vol. 19 - No. 5
Author(s): Steven B. Abrams, MD
With precautions to limit movement of the acutely injured cervical spine, clinicians should use the intubation technique with which they are most proficient.
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How Do Oral and Maxillofacial Surgeons Manage Concussion?
Posted Date: 7/10/2018 3:50:00 AM
Issue: Neurosurgery - July 30, 2018 - Vol. 19 - No. 5
Author(s): Jeffrey D. Bennett, DMD
More than one-third of patients referred to maxillofacial surgery with craniofacial trauma have a simultaneous concussion. Given the broad range of potentially serious complications, these patients should be identified and managed appropriately.
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Nonsurgical Treatment of Posttraumatic Complete Facial Nerve Paralysis.
Posted Date: 7/10/2018 3:50:00 AM
Issue: Neurosurgery - July 30, 2018 - Vol. 19 - No. 5
Author(s): Mike Trowbridge, MD
Facial nerve paralysis in nondisplaced temporal bone fractures should be treated conservatively.
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Outcomes in Nursing Home Patients With Traumatic Brain Injury.
Posted Date: 7/10/2018 3:50:00 AM
Issue: Neurosurgery - July 30, 2018 - Vol. 19 - No. 5
Author(s): N. Scott Litofsky, MD, FACS
In patients with traumatic brain injury who are admitted to skilled nursing facility after acute hospitalization, cognitive and communication impairments do not facilitate good outcome.
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Vomiting With Head Trauma and Risk of Traumatic Brain Injury.
Posted Date: 7/10/2018 3:50:00 AM
Issue: Neurosurgery - July 30, 2018 - Vol. 19 - No. 5
Author(s): Paul Rega, MD, FACEP
Traumatic brain injury in children, either diagnosed clinically or by CT, is unlikely if the patient is having isolated vomiting episodes.
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A Proposed Mechanism for Development of CTE Following Concussive Events: Head Impact, Water Hammer Injury, Neurofilament Release, and Autoimmune Processes.
Posted Date: 6/27/2018 8:54:00 PM
Issue: Neurology - June 30, 2018 - Vol. 24 - No. 11
Author(s): Karl E. Misulis, MD, PhD
Athletes can show signs of brain damage even without clinically significant concussions.
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Mild TBI and Risk of Parkinson Disease: A Chronic Effects of Neurotrauma Consortium Study.
Posted Date: 6/27/2018 8:54:00 PM
Issue: Neurology - June 30, 2018 - Vol. 24 - No. 11
Author(s): John Schwankhaus, MD

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Manchester Arena Bombing: Lessons Learnt From a Mass Casualty Incident.
Posted Date: 6/25/2018 4:04:00 PM
Issue: Emergency Medicine - June 30, 2018 - Vol. 46 - No. 9
Author(s): Paul Rega, MD, FACEP
In May 2017, an improvised explosive device was detonated in Manchester Arena, in which, 20 people died at the scene and 3 more died on arrival at hospital.
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Epidemiology and Predictors of Orbital Fractures in Children.
Posted Date: 6/25/2018 2:13:00 PM
Issue: Family Practice - June 30, 2018 - Vol. 47 - No. 8
Author(s): Amy Klein-Zimmerman, MD, FAAP
A study identifying signs and symptoms of orbital fractures in children shows that patients with limitations of extraocular muscles on examination have the highest likelihood of requiring surgical repair.
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Firearm Storage in Homes With Children With Self-Harm Risk Factors.
Posted Date: 6/22/2018 5:14:00 PM
Issue: Pediatrics - June 30, 2018 - Vol. 45 - No. 7
Author(s): Alyssa Siegel, MD

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De Novo Overactive Bladder Following Midurethral Sling Procedures: A Systematic Review of the Literature and Meta-Analysis.
Posted Date: 6/22/2018 4:22:00 PM
Issue: Urology - June 30, 2018 - Vol. 36 - No. 9
Author(s): Karl J. Kreder Jr, MD, MBA
The overall incidence of de novo overactive bladder following midurethral sling procedures is approximately 9%. This information should help inform women prior to midurethral sling surgery for the treatment of stress urinary incontinence.
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Accuracy of Outside Radiologists' Reports of Computed Tomography Exams of Emergently Transferred Patients.
Posted Date: 6/22/2018 3:15:00 PM
Issue: Neurosurgery - June 30, 2018 - Vol. 19 - No. 4
Author(s): Steven B. Abrams, MD
Trauma center reinterpretations of community-hospital CT scans accompanying transferred patients provide valuable additional information.
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Head CT Before Transfer Does Not Decrease Time to Craniotomy for TBI Patients.
Posted Date: 6/22/2018 3:15:00 PM
Issue: Neurosurgery - June 30, 2018 - Vol. 19 - No. 4
Author(s): N. Scott Litofsky, MD, FACS
Outside hospital imaging prior to transfer does not facilitate time to the operating room for neurosurgical intervention.
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Isolated Traumatic Subarachnoid Hemorrhage: An Evaluation of Critical Care Unit Admission Practices and Outcomes From a North American Perspective.
Posted Date: 6/22/2018 3:15:00 PM
Issue: Neurosurgery - June 30, 2018 - Vol. 19 - No. 4
Author(s): Thomas Metkus, MD
Patients with isolated traumatic subarachnoid hemorrhage and mild traumatic brain injury have variable rates of ICU admission but low rates of neurosurgical intervention.
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Prognosis of Diffuse Axonal Injury With Traumatic Brain Injury.
Posted Date: 6/22/2018 3:15:00 PM
Issue: Neurosurgery - June 30, 2018 - Vol. 19 - No. 4
Author(s): N. Scott Litofsky, MD, FACS
Diffuse axonal injury defined on MRI has not been found to be associated with long-term outcome measures of mortality, functional status, or quality of life after traumatic brain injury.
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Conservative Management in Traumatic Pneumothoraces: An Observational Study.
Posted Date: 6/19/2018 7:35:00 PM
Issue: Critical Care Medicine - June 30, 2018 - Vol. 25 - No. 4
Author(s): Thomas Metkus, MD
A substantial percentage of patients with traumatic pneumothorax can be managed conservatively without requiring a chest drain.
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Beta Blockers in Critically Ill Patients With Traumatic Brain Injury: Results From a Multicenter, Prospective, Observational American Association for the Surgery Trauma Study.
Posted Date: 6/18/2018 1:40:00 PM
Issue: General Surgery - June 30, 2018 - Vol. 47 - No. 10
Author(s): Raminder Nirula, MD, MPH
Propranolol has been found to be associated with a greater survival benefit compared to other β blockers in traumatic brain injury patients.
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