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Trauma Care, Volume 4, Issue 2

June 2024 - 7 articles

Cover Story: Firearm violence in the United States has risen over 40% in the last 15 years, with nearly half of gunshot wound (GSW) injuries involving the extremities. However, initial antibiotic prophylaxis management of extremity GSWs is highly variable. This study evaluated adherence to a single-dose cephalosporin prophylaxis protocol for uncomplicated extremity GSWs and the impact on infection rates. The rate of adherence increased from 15% to 39% after the protocol was implemented. Infection rates were not different before and after protocol implementation or between patients who did and did not follow the protocol. Implementation of a single-dose cephalosporin antibiotic protocol increased adherence without increasing infection rates for extremity GSWs which could decrease healthcare costs without compromising infection risk. View this paper

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Articles (7)

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Article

1 Citations

2,459 Views

9 Pages

Demographic and Geographic Trends in Gunshot Wound-Associated Orthopedic Injuries among Children, Adolescents, and Young Adults in New York State from 2016–2020

Charles C. Lin,
Dhruv S. Shankar,
Utkarsh Anil and
Cordelia W. Carter

Trauma Care2024, 4(2), 189-197;https://doi.org/10.3390/traumacare4020015

14 June 2024

Background: The purpose of this study was to investigate temporal trends in gunshot wound (GSW)-associated orthopedic injuries among children, adolescents, and young adults in New York State, and to determine the impact of the onset of the COVID-19 p...

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Article

2,168 Views

15 Pages

Community Participation Trajectories over the 5 Years after Traumatic Brain Injury in Older Veterans: A U.S. Veterans Affairs Model Systems Study

Stefan Vasic,
Bridget Xia,
Mia E. Dini,
Daniel W. Klyce,
Carmen M. Tyler,
Shannon B. Juengst,
Victoria Liou-Johnson,
Kelli G. Talley,
Kristen Dams-O’Connor and
Raj G. Kumar
+ 3 authors

Trauma Care2024, 4(2), 174-188;https://doi.org/10.3390/traumacare4020014

14 May 2024

Background: Given the aging of the overall U.S. population, the resulting changes in healthcare needs especially among veterans, and the high prevalence of traumatic brain injury (TBI) among older adults, additional research is needed on community pa...

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Communication

2 Citations

2,689 Views

7 Pages

A Network Analysis of Symptoms of Post-Traumatic Stress Disorder and Facets of Mindfulness

Mikael Rubin

Trauma Care2024, 4(2), 167-173;https://doi.org/10.3390/traumacare4020013

8 May 2024

Post-traumatic Stress Disorder (PTSD) is a mental health concern impacting a large proportion of the population. There is a growing interest in mindfulness-based treatments for PTSD. However, some individuals with PTSD do not respond to treatment. Id...

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Review

2 Citations

5,739 Views

19 Pages

Skin Substitutes: Filling the Gap in the Reconstructive Algorithm

Pedro Fuenmayor,
Gustavo Huaman,
Karla Maita,
Kelly Schwemmer,
Wes Soliman,
Sahar Abdelmoneim,
Stephanie Pintos,
Mark Dickinson,
Edward Gonzalez and
Ricardo Castrellon

Trauma Care2024, 4(2), 148-166;https://doi.org/10.3390/traumacare4020012

3 May 2024

Background: Skin substitutes play a crucial role in wound care by actively modulating the wound healing process, promoting angiogenesis, and protecting the integrity of the native extracellular matrix. Consequently, surgeons have increasingly recogni...

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Feature Paper
Article

4,806 Views

28 Pages

Legal Interpretations of Trauma: The U.S. Circuit Court of Appeals and Gender-Based Asylum Claims

Connie Oxford

Trauma Care2024, 4(2), 120-147;https://doi.org/10.3390/traumacare4020011

16 April 2024

This article is based on exploratory research on how the U.S. Circuit Court of Appeals uses the language of trauma in gender-based asylum claims. Gender-based asylum claims include female genital mutilation (FGM), coercive population control (CPC) in...

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Review

1 Citations

5,196 Views

13 Pages

The Role of Language Barriers on Hospital Outcomes in Culturally and Linguistically Diverse Patients following Trauma Admission

Khang Duy Ricky Le,
Kelvin Le,
Abdullah Shahzad and
Su Jin Lee

Trauma Care2024, 4(2), 107-119;https://doi.org/10.3390/traumacare4020010

6 April 2024

(1) Background: Patients who experience acute traumatic injury requiring hospitalisation represent a vulnerable population. The trauma patient often experiences multi-system injuries and complex physiology. Additionally, there are complex socio-ecolo...

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Article

5,327 Views

9 Pages

Single-Dose First-Generation Cephalosporin for Extremity Gunshot Wounds Offers Sufficient Infection Prophylaxis

Shefali R. Bijwadia,
Ilexa R. Flagstad,
Margaret A. Sinkler,
Samuel T. Davidson,
Sandy Vang,
Heather A. Vallier and
Mai P. Nguyen

Trauma Care2024, 4(2), 98-106;https://doi.org/10.3390/traumacare4020009

3 April 2024

Antibiotic prophylaxis for extremity gunshot wounds (GSWs) is highly variable. The objective of the present study is to quantify the adherence rate to a protocol for single-dose cephalosporin prophylaxis for extremity GSWs and the impacts on post-inj...

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