In this Systematic Review & Meta-analysis and an Eastern Association for the Surgery of Trauma (EAST) Practice Management Guideline, we provide four evidence-based recommendations on the use of TXA in patients at risk of hemorrhage. journals.lww.com/jtrauma/abs…

Patients with >3 isolated rib fractures can be safely and effectively managed at Level IV trauma centers within an establish trauma network. journals.lww.com/jtrauma/abs…

This randomized controlled trial evaluated the impact of ketamine infusion on opioid use within the first 48 hours of admission. The results showed no significant reduction in oral morphine equivalents or pain scores with ketamine use. journals.lww.com/jtrauma/abs…

In this trial, we found that 1/3 of admitted trauma patients had symptoms of depression & 40% of these patients kept a firearm in the home. This demonstrates that depression, suicide, & firearm access screening is feasible for admitted US trauma patients. journals.lww.com/jtrauma/abs…

Among injured patients meeting selected triage criteria, a time-savings of 15-20 minutes for air over ground transport was associated with a survival benefit. #HEMS @PittSurgery @pittTTMRC @PittEMSDocs @stat_medevac @AAMS @ETHOSDatabase journals.lww.com/jtrauma/abs…

eFAST exam shows high specificity, but low sensitivity in most pathologies in penetrating thoracic trauma. Urgent interventions were frequently required in patients w/false negative studies. @lacusctrauma @docmartin22 @kinabamd @Schellenbergmd @nnekooei journals.lww.com/jtrauma/abs…

Rural setting, Patient/Family Hospital Choice, & Falls were strong predictors of undertriage among injured patients meeting high-level triage criteria. Criteria was recognized in >2/3 of rural patients with under triage happening for other system factors. journals.lww.com/jtrauma/abs…

While VV-ECMO support in isolated blunt thoracic trauma patients is associated with higher survival rates even in non-ARDS cases, it is associated with higher incidence of complications. journals.lww.com/jtrauma/abs…

Achievement of hemostasis is associated with coagulation, transfusion volumes and mortality benefits. Early whole blood resuscitation is associated with a greater independent odds of achieving hemostasis & at an earlier time point over the first 4 hours. journals.lww.com/jtrauma/ful…

Learn the indications, operative tips and tricks, and management techniques in damage control thoracic surgery. @ShockTrauma_CC @shocktrauma @GrittyinPink96 #DamageControl #ThoracicTrauma #DCTS journals.lww.com/jtrauma/ful…

This is a review article on the diagnosis and management of blunt cerebrovascular injuries- what you need to know. journals.lww.com/jtrauma/ful…

Changes have occurred in the resuscitation of trauma patients due to a better understanding of trauma-induced coagulopathy. Prehospital, in-hospital transfusions & adjuncts such as TXA, PCC, Calcium, & Fibrinogen/Cryo are now being used. @RaulCoimbraMD journals.lww.com/jtrauma/ful…

🔥The 24 Hottest Articles of 2024🔥 "Adult Emergency Resuscitative Thoracotomy: A Western Trauma Association Clinical Decisions Algorithm" @RonTesoriero journals.lww.com/jtrauma/ful…

❇️Best of SCC❇️ ECMO use in severe TBI patients was not associated with higher mortality and should be considered a potential intervention for impending respiratory failure in this patient population. Systemic anticoagulation showed mortality benefit. journals.lww.com/jtrauma/abs…

❇️Best of Trauma❇️ Whole-blood resuscitation improves survival in penetrating injuries but not blunt trauma, highlighting the need for tailored transfusion strategies based on injury type. journals.lww.com/jtrauma/abs…

🔥The 24 Hottest Articles of 2024🔥 "Early Major Fracture Care in Polytrauma—Priorities in the Context of Concomitant Injuries: A Delphi Consensus Process and Systematic Review" journals.lww.com/jtrauma/ful…

🔥The 24 Hottest Articles of 2024🔥 "Thoracic Irrigation for Prevention of Secondary Intervention After Thoracostomy Tube Drainage for Hemothorax: A Western Trauma Association Multicenter Study" @MCWtraumaacs @MCWsurgery @MCW_Research journals.lww.com/jtrauma/ful…