Endothelial dysfunction is dampened by early administration of fresh frozen plasma in a rodent burn shock model

This is an analysis of a large nationwide trauma database to identify the characteristics of pediatric trauma patients who presented to US trauma centers and were discharged against medical advice. https://t.co/avvq3ZJoo5

This study compared outcomes for hypotensive pediatric patients with gun shot wounds treated at pediatric trauma centers (PTCs) vs. adult trauma centers (ATCs). Findings showed no difference in mortality or complications between PTCs and ATCs. https://t.co/x2wGxGVtny

In children with traumatic pneumothorax, size of 12.5% or larger is independently associated with failed observation. #traumaticpneumothorax #pediatrictrauma @SSrinivasMD; @katiebergus; @kylevanarendonk; @NCHForDocs https://t.co/YUtuPE2Vl4

TEVAR for pediatric thoracic aortic trauma has lower mortality (3.7%) than open repair (16.7%). Consideration of size for management selection could facilitate increased utilization of TEVAR in pediatric trauma patients and improved patient outcomes. @OU_Surgery

Analysis of risk factors for pediatric blunt cerebrovascular injury resulted in the A+ screening criteria: temporal fractures, sphenoid fractures, orbital roof fractures, fractures of C1-4, and/or ligamentous injuries of the cervical spine. @todd_nickoles; @ralewit;

Study shows pediatric gunshot wounds (GSWs) lead to higher mortality and complications than blunt trauma in major vascular injuries. Gunshot wounds cause more severe injuries due to higher kinetic energy, emphasizing the need for firearm injury prevention. @MaxForsstenMD;

Timing to surgery in elderly patients with small bowel obstruction: An insight on frailty

In our multicenter retrospective study of 11 hospitals and 276 blunt renal #pediatrictrauma patients, there was wide variability in management within injury severity groups. Standardization of care may avoid unnecessary management strategies and benefit patients. @MannavaMD

Earlier VTE prophylaxis initiation is associated with decreased odds of VTE development in pediatric trauma patients with traumatic bleeding, highlighting opportunities for more uniform practice guidelines to optimize VTE prevention https://t.co/924xCwkI4Y

This study found considerable practice variations in the rate and timing of pharmacologic VTE prophylaxis initiation between adult and pediatric trauma center. There were no significant differences in the rate of late neurosurgical interventions across trauma centers.

Relying on transfusion receipt as a surrogate for actionable hemorrhage underestimates and overestimates its presence in pediatric trauma patients. The study supports adjudicating actionable hemorrhage with a structured consensus process to more accurately ascertain this outcome.

Read the article "Systems-based care of the injured child: Policy statement" https://t.co/58u1pXj5kv

Common statistical misinterpretations in clinical research: a concise and practical guide for both beginner and seasoned researchers, from frequentist vs Bayesian statistics to "The Table 2 fallacy" https://t.co/1gz3bR2qy5

This is an algorithm for the diagnosis and management of acute mesenteric ischemia. https://t.co/NrggEXTYCa

An enteroatmospheric fistula (EAF) is a disastrous complication and poses major challenges. The goal is to manage those challenges through a multidisciplinary approach to allow for the surgical take-down of the fistulized bowel at a later stage. https://t.co/huimXT10F4

Bleeding due to pelvic fracture is associated with high mortality. Treatment for pelvic hemorrhage must be tailored to the patient’s physiologic status. This article discusses “What You Need to Know” to provide optimal care for patients with severe pelvic fracture.

Decompressive craniectomy in trauma: What you need to know

This case report from the TQIP Mortality Reporting System highlights opportunities for improvement and provides strategies to mitigate threats posed by limitations in blood product supply at trauma centers. @arjensenmd; @ErinGDawson; @DrJohnScott; @kadtraumamd; @sammyrosstrauma;

Read the article "Systems-based care of the injured child: Technical report" https://t.co/4sgs4yhvmM