SB validated many aspects of elderly trauma research and physiology. Although he had a prolonged length of stay and several complications, he survived multiple injuries and had a positive outcome. Exact causes for his complications and processes cannot be separated into degenerative or injury-related and are thus difficult to identify. With a review of aging physiology and SB's history, it is c...

Deep venous thrombosis prophylaxis is essential to the appropriate management of multisystem trauma patients. Without thromboprophylaxis, the rate of venous thrombosis and subsequent pulmonary embolism is substantial. Three prophylactic modalities are common: pharmacologic anticoagulation, mechanical compression devices, and inferior vena cava filtration. A systematic review was completed using...

Purpose To report indications, outcomes and complications of instrumented cervical spinal fusion in a consecutive series of children at major university hospitals. Methods A retrospective, single surgeon series identified 35 consecutive children with a mean follow-up (FU) of 2.5 years undergoing instrumented cervical spinal fusion between 2005 and 2015. Results The main indications were ske...

Cervical manipulation occasionally causes serious vertebrobasilar complications. The usual cause is vertebral artery dissection, however in some cases there has been no obvious arterial injury. The present paper reviews the mechanisms by which complications occur, particularly when the applied force is trivial or there is no injury to the vertebral arteries, and the factors that increase risk o...

BACKGROUND Alcohol and drug use is known to be a major factor affecting the incidence of traumatic injury. However, the ways in which immediate pre-injury substance use affects patients' clinical care and outcomes remains unclear. The goal of the present study is to determine the associations between pre-injury use of alcohol or drugs and patient injury severity, hospital course, and clinical o...

BACKGROUND A five-year prospective study was conducted in North Iraq and Cambodia to test a model for rural prehospital trauma systems in low-income countries. RESULTS From 1997 to 2001, 135 local paramedics and 5,200 lay First Responders were trained to provide in-field trauma care. The study population comprised 1,061 trauma victims with mean evacuation time 5.7 hours. The trauma mortality ...

Electrical injury can affect any system and organ. Central nervous (CNS) complications are especially well recognised, causing an increased risk of morbidity, while peripheral (PNS) complications, neurourological cognitive psychological abnormalities less predictable after electrical injuries. PubMed was searched for English language clinical observational, retrospective, review case studies pu...

Blood transfusion has a well-documented clinical significance in several medical scenarios for instance severe anemia, massive blood loss caused by trauma, and major surgeries. Nevertheless, been associated with post-transfusion complications, such as mismatch reactions, transfusion-transmitted infections (TTIs).

OBJECTIVE To examine the association between the American College of Surgeons Committee on Trauma (ACSCOT) quality indicators and outcomes. DESIGN Cross-sectional study. SETTING Data from the Pennsylvania Trauma Outcome Study. PATIENTS We studied data from 210,942 patients admitted to 35 trauma centers in Pennsylvania between 2000 and 2009. MAIN OUTCOME MEASURES Regression analyses were...

Patients with acute spinal cord injury (SCI) are at high risk of development of complications such as venous thromboembolism (VTE) and pressure ulcers. Clinical guidelines recommend certain preventative and prophylactic strategies in order to reduce the risk of such complications. We aimed to assess the incidence of VTE and pressure ulcers in patients with SCI presenting to a level I trauma cen...