The different impact of trauma and relational stress on physiology, posture, and movement: Implications for treatment Pat Ogden In Press, Corrected Proof, Available online 28 July 2020 The Journal of trauma | Citations: 23,277 | Discontinued. Ligation of injured veins of the neck and upper extremities was well tolerated. Measures of acidosis (admission lactate, time to lactate normalization, and lactate deterioration over the first 24 hours), coagulopathy, age, and injury severity contributed significantly to the risk of cardiac uncoupling (area under receiver operator curve, ROC=0.73). The three factors constitute the most significant determinants of the trauma’s impact. These results were not statistically significant (p > 0.05). In this study, a meta-analysis of 17 published randomized trials was performed to assess the effectiveness of single beta-lactam antimicrobials versus combinations containing aminoglycoside when used for penetrating abdominal trauma. Important observations included the following: there has been no change in the overall incidence of severe injury within our county; the incidence of fatal traumatic injury has significantly decreased; the leading causes of nonfatal injury do not correlate with the rank order of fatal injury; intentional injury was the leading cause of injury deaths; and scene fatalities represent a poorly studied group of patients who may benefit from primary prevention and injury control research. Now published as the Journal of Trauma, Injury, Infection, and Critical Care (1079-6061). After killing, thigh muscle was homogenized, centrifuged, and treated with trichloroacetic acid. The patients' data were collected prospectively for 2 years. Life-threatening injuries associated with facial fractures were those that warranted immediate invasive rescue procedures. Impact Factor: *4.056 *2019 Journal Citation Reports (Clarivate, 2020) CiteScore™: 7.2 The only peer-reviewed journal focused exclusively on traumatic brain and spinal cord injury, with far-reaching coverage ranging from the basic biology of trauma to clinical trials aimed at … Detailed analyses of relationships between AIS-85 and Glasgow Coma Scale score from the entire data base, and between discharge status, functional independence measures (FIM scores), and severity of HI and ECI in a subset of 70,000 surviving patients were performed. Length of stay and disability were statistically significantly decreased post-PHTLS. Hemoglobin concentrations, hematocrit levels, emergency room records, and clinical findings were evaluated and additional injuries were considered. Of the 109 patients admitted to Hospital A, 30 were to the surgical service. Reamputation above the knee was necessary in only one case of wound sepsis. The best chance for fetal survival is to assure maternal survival. New content alerts RSS. Overall mortality rates for Class III, IV, and V injuries were 25%, 46%, and 80%, respectively (p less than 0.01). Demographic data as well as indications for open-abdominal management and complications of open-abdominal management were collected. The Method of Injury was associated with an overtriage rate of 300% in relation to the I.S.S.. Of children admitted following pedal cycle accidents only 9% were wearing helmets. J Trauma 2004;56:1058-1062, Re: Endotracheal intubation in the field does not improve outcome in trauma patients who present without an acutely lethal traumatic brain injury. We fired two types of blunt projectiles over a velocity range from 650 m/sec (2,137 ft/sec) to 2,016 m/sec (6,614 ft/sec). J Trauma44: 1056-1063, Laird AM, Miller PR, Kilgo PD, Meredith JW, Chang MC. California hospital discharge data from 1991 to 1993 were examined to describe causes, lengths of stay, and hospital charges for patients hospitalized for mandibular fractures. Normal skins were incubated with tumor necrosis factor-alpha (TNF-alpha), interleukin-1 alpha (IL-1alpha), IL-1 beta, and IL-6. Journal of Trauma and Acute Care Surgery - Subscription (non-OA) Journal. Now published as the Journal of Trauma, Injury, Infection, and Critical Care (1079-6061). These results, however, were statistically significant (p < 0.05). In this group, LAM greater than or equal to 20 IU/L had a sensitivity of 87%, specificity of 75%, and positive predictive value of 46% for significant intra-abdominal injury. Intensity of the Trauma You Experienced: This is the first of three measures of the “size” of the trauma (intensity, duration, and frequency). Overall survival was 43%. From 1/00-12/01, 516 eligible patients were admitted to the ICU after injury. The Journal Impact of an academic journal is a scientometric Metric that reflects the yearly average number of citations that recent articles published in a given journal received. (ABSTRACT TRUNCATED AT 250 WORDS). AAST grade IV injuries occurred in 51 (47%) and grade V injuries occurred in 52 (53%). The majority of the patients were wounded by exploding mines. H-Index, Except for 14 misalignments and two late infections after new injuries, no other serious complications were detected. Of the 1,561 patients evaluated for TAI, 30 aortic injuries were found. However, aggressive maintenance of levels <110 mg/dL as reported by others may not be necessary. The development of these programs, as well as the unique difficulties encountered, are discussed. Routine peritoneal drainage was used in 94% of patients. Note that 2019 Journal Impact are reported in 2020; they cannot be calculated until all of the 2019 publications have been processed by the indexing agency. Computed tomography was found to have 100% and 100% NPV for TAI. Bochicchio GV, Ilahi O, Joshi M, Bochicchio K, Scalea TM. Certain inadequacies of the code are indicated and suggestions made about ways to modify it and make its applications more informative. Journal of Trauma and Acute Care Surgery - Journal Impact. Sixty-four (6.2%) of the patients with facial fractures required life-saving intervention; 21 patients had cerebral trauma prompting craniotomy, 19 had hemorrhagic shock, 17 had airway compromise, and 7 had pulmonary injury grave enough to necessitate tube thoracostomy. International Perspectives on Stress & Coping. Rates were calculated per 100,000 population. Sao2 was measured before and immediately after ICNB. 42: 1018-1022, Complications of interlocking nailing for lower leg fractures: A 3-year follow up of 102 cases, Surgical experience with 103 truncal shotgun wounds, Operative Management and Outcomes in 103 AAST-OIS Grades IV and V Complex Hepatic Injuries: Trauma Surgeons Still Need to Operate, but Angioembolization Helps, Blunt Maternal Trauma: A Review of 103 Cases, Ocular complications associated with burns: Review of a five-year experience including 104 patients, The acutely burned hand: Management and outcome based on a ten-year experience with 1047 acute hand burns, R.D. It is a long-held belief that TAI is more likely when there is a "major mechanism of injury." Papers focus on theoretical formulations, research, treatment, prevention education/training, and legal and policy concerns. Cytokine levels were measured by enzyme-linked immunosorbent assay. The September 11th, 2001, terrorist attack in New York City, involving two commercial airliners crashing into the World Trade Center, led to 911 patients received at two affiliated hospitals in lower Manhattan. There were 16 deaths in the series, representing 1.4% of all paediatric trauma admissions and 11% of the admissions who were seriously injured. Interlocking nailing can be highly recommended even for open fractures up to the second degree at any level from the second fifth to the fourth fifth of the tibia. Deteriorating measures of physiologic reserve reflected increased risk of death. Plans for receipt and decontamination of casualties, triage, and optimal utilization of the 1,000-bed facility were developed. 2003;54:307-11, Diaphragmatic trauma in Southern Saskatchewan - An 11-year review, Two New York City Hospitals??? Subscribe. Anyone who wants to use the articles in any way must obtain permission from the publishers. To test directly these assumptions, uptake of L-[methyl-14C]methionine in skeletal muscle was measured in control and cycloheximide-treated rats. These findings illustrate the need for prompt identification and proper management of the associated life-threatening injuries in facial fracture patients. Changes of the interleukin-6 levels in skin at different sites after thermal injury. Journal of Trauma and Acute Care Surgery, The. Review Speed, We hypothesized: Deteriorating physiologic reserve correlates with reduced HRV and cardiac uncoupling. Top; About this journal. Our objectives were to review experience and identify predictors of outcome and to evaluate the role of angioembolization in decreasing mortality. Three patients (2.7%) required further explorations after abdominal closure. About this journal. PEFR was measured before and immediately after ICNB. This prospective study was undertaken to evaluate the efficiency of intercostal nerve block (ICNB) with 0.5% bupivacaine (Marcaine) for pain relief in patients with rib fractures and to correlate the degree of pain relief with changes in the peak expiratory flow rate (PEFR) and oxygen saturation (Sao2). The burn increased the IL-6 levels at 30 minutes (p < 0.05) and the IL-1alpha levels at 15 and 60 minutes in the unburned skin. Compared with historical Journal Impact data, the Metric 2019 of Journal of Trauma and Acute Care Surgery dropped by The number of early postoperative complications annually decreased by a factor of 0.8 (p = 0.0042). Fifty-six per cent of victims of truncal venoarterial injuries died. Risk of cardiac uncoupling increases significantly as a patient's physiologic reserve deteriorates and physiologic exhaustion approaches. Two hundred sixteen vacuum packs were performed in 112 trauma patients. Mass casualty drills were conducted, involving all aspects of patient care from the flight deck to the wards. The MTOS was completed recently after data from 174,160 patients submitted from 165 trauma centers from 1982 through 1989 were collated and validated. Samples of CSF were taken using a ventricular catheter. Age, injury severity score, and mechanism of injury were positively correlated with mortality in both periods. In normal rats, approximately 70% of the tissue radioactivity was precipitated with trichloroacetic acid. The remaining patients were evaluated with contrast-enhanced chest CT. Confirmatory aortography was obtained on all positive chest CT scans and on all patients with mechanism scores of 4 or 5 even if the CT was negative. This study identifies the incidence of facial fractures and establishes a management plan. Positron emission tomography with L-[methyl-11C]methionine provides a measure of regional protein synthesis rate (PSR) in skeletal muscle. We describe the surgical response of two affiliated hospitals during the day of, and week following, the September 11th, 2001 terrorist attack at the World Trade Center in New York City. Journal Citation Reports (Clarivate Analytics, 2020) 5-Year Impact Factor: 2.417 ℹ Five-Year Impact Factor: 2019: 2.417 31: 1161-1164, Herniated lumbar intervertebral discs—an analysis of 1176 operated cases, Measurement of muscle protein synthesis by positron emission tomography with L-[methyl-11C]methionine: effects of transamination and transmethylation, Posterior dislocation of the 11th thoracic vertebra: report of a pediatric case, instructions how to enable JavaScript in your web browser. Trauma Surgery & Acute Care Open is the American Association for the Surgery of Trauma’s open access journal dedicated to the rapid publication of peer-reviewed, high-quality trauma and acute care research. Each year research scientists have noticed a rise in the number of congresses being held in this field. Over a 5 1/2 year period, blunt chest trauma patients at two Level I trauma centers were evaluated for potential TAI. If there is an obvious decrease in hematocrit and/or hemoglobin concentration in a child with a femoral fracture, the possibility of additional injuries should be investigated. This was not true at the cutoffs of > or =110 mg/dL or > or =150 mg/dL. Anti-IL-1alpha antibody decreased IL-6 production in the unburned skin (p < 0.05). The sample included 48 patients with Glasgow Coma Scale scores of 8 or below who had been admitted to the authors' emergency service soon after their severe head injury occurred. Seventy-seven percent of these cases involved the small bowel. The assessment of mechanism was imperfect with a reliance on often incomplete and subjective data. 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