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  • Article
  • Open Access
106 Views
13 Pages

13 September 2026

Background/Objectives: Opioid requirements among patients with spine trauma vary widely, yet the patient- and injury-level factors associated with high morphine milligram equivalent (MME) dosing at discharge remain unclear. This study aimed to charac...

  • Article
  • Open Access
231 Views
9 Pages

Assessment of IV Contrast Utilization and Utility in the MRI Evaluation of Acute Spine Trauma

  • Ali R. Satchmei,
  • Karina F. Irani,
  • Raghav Agarwal,
  • Emily C. Sparks,
  • Colton J. Smith,
  • Carol P. Geer,
  • Thomas G. West and
  • Kevin D. Hiatt

Purpose: MRI is a valuable tool in evaluating select acute spine trauma cases, offering superior assessment of soft tissue, ligament, and spinal cord injuries compared to CT and radiographs. Although the ACR Appropriateness Criteria advises MRIs be p...

  • Article
  • Open Access
276 Views
8 Pages

Identifying Barriers to Pediatric Trauma Resuscitation: A Cross-Disciplinary Needs Assessment and Evidence-Informed Quality Improvement Framework

  • Ryan Thomas Davis,
  • Erica Surman,
  • Begum Akay,
  • Nathan M. Novotny,
  • Anthony Stallion and
  • Pavan Brahmamdam

Background/Objectives: Pediatric trauma resuscitation requires rapid, coordinated interdisciplinary teamwork; however, communication and organizational challenges frequently impede effective performance. This study aimed to characterize cross-discipl...

  • Article
  • Open Access
464 Views
10 Pages

Background: Non-operative management (NOM) is the standard of care for haemodynamically stable patients with blunt splenic injury; however, failure of NOM remains clinically significant, particularly in settings where adjunctive interventions such as...

  • Article
  • Open Access
665 Views
11 Pages

Incidence and Predictors of Early Postoperative Complications in Operative Management of Ankle Fractures: A Multivariable Approach

  • Corinna Schnelle,
  • Mohamad Assaf,
  • Firas Souleiman,
  • Christoph Engel,
  • Dmitry Notov,
  • Christian Kleber,
  • Anette Ahrberg-Spiegl and
  • Robert Hennings

Background: Despite standardization of treatment for ankle fractures, postoperative complications continue to pose a challenge. Previous studies focused on the association between patient-specific factors and early complications; less is known about...

  • Review
  • Open Access
1,007 Views
14 Pages

The Safety and Efficacy of Ibuprofen in Acute Burn Pain Management—A Scoping Review

  • Iris Y. Brammer,
  • Abigail L. Heilenman,
  • Brandon A. Casas,
  • Cassandra R. Driscoll and
  • Scott A. Sylvester

Background: While ibuprofen is a widely used non-opioid analgesic with growing evidence in surgical settings, its safety and efficacy in acute burn care remain poorly characterized. This review aims to address this gap. Methods: A systematic search w...

  • Article
  • Open Access
880 Views
14 Pages

Management Outcomes of Trauma Patients Presenting with Renal Injuries: A Three-Year Retrospective Audit at a South African Tertiary Trauma Centre

  • Zoé Otto,
  • Alexia Hill,
  • Catherine Roberg,
  • Vongani Hobyani,
  • Tekano Motholo,
  • Marc Lipshitz,
  • Faheemah Moola,
  • Shumani Makhadi,
  • Estelle Laney and
  • Maeyane Stephens Moeng

Background: Renal trauma is a major cause of morbidity and mortality among trauma patients, especially in low- and middle-income countries (LMICs) where penetrating injuries are common. Although international evidence increasingly supports selective...

  • Article
  • Open Access
733 Views
9 Pages

Pediatric Recreational Motorized Vehicle Trauma in Alberta: Injury Patterns, Resource Utilization, and Opportunities for Prevention

  • Jessica Zapata,
  • Domhnall O’Dochartaigh,
  • Kym Boyko,
  • Daniel Garros,
  • Fadi Hammal and
  • Ruth Bird

Background: Recreational motorized vehicles, including all-terrain vehicles (ATVs), dirt and motor bikes, snowmobiles, and e-scooters, are an increasingly recognized source of severe trauma among children. Adult provincial data from Alberta demonstra...

  • Article
  • Open Access
894 Views
9 Pages

Background: The management of persistent post-concussive symptoms (PPCS) is limited by the absence of objective biomarkers to guide treatment. We examined the early effects of a mild hyperbaric oxygen protocol on serum biomarkers of neuronal injury (...

  • Review
  • Open Access
993 Views
13 Pages

Effect of Enhanced Physical Rehabilitation on Functional Outcomes After Traumatic Injury: A Narrative Review

  • Bianca Lai,
  • Georgia Lockett,
  • Aislinn Lalor,
  • Christina Ekegren,
  • Mitchell Sarkies,
  • Sandra Reeder,
  • Prue Morgan,
  • Belinda Gabbe and
  • Carol Hodgson

Background/Objectives: Traumatic injury in adults can result in decreased physical function, reduced health-related quality of life, and persisting mental health problems. Enhanced rehabilitation in the acute setting may support recovery. Although pr...

  • Article
  • Open Access
1,059 Views
11 Pages

Background: Firearm injuries are the leading cause of mortality among youth in the United States and legislation is a key strategy in reducing youth firearm injuries and deaths. Maryland recently enacted a stronger child access prevention (CAP) law k...

  • Article
  • Open Access
1,183 Views
22 Pages

Predictive Traumatic Brain Injury Model for Determining Discharge Disposition and Infection Outcomes: A Machine Learning Approach Developed from the National Trauma Data Bank

  • Asher Ralphs,
  • Constana Gracia,
  • Devesh Sarda,
  • Subhajit Chakrabarty,
  • Navdeep Samra,
  • Bharat Guthikonda,
  • Deepak Kumbhare and
  • Julie Schwertfeger

Background/Objectives: Traumatic brain injury (TBI) affects more than 50 million people annually worldwide. Challenges in managing moderate-to-severe TBI include high rates of hospital-acquired infections and substantial variability in discharge disp...

  • Review
  • Open Access
3,900 Views
16 Pages

Perioperative Anesthetic Strategies in Emergent Neurosurgery During Severe Traumatic Brain Injury

  • Denise Baloi,
  • Clayton Rawson,
  • Deondra Montgomery,
  • Michael Karsy and
  • Mehrdad Pahlevani

Introduction: Severe traumatic brain injury (sTBI) frequently coexists with polytrauma and often necessitates damage control neurosurgery (DCNS), where rapid decompression and temporary stabilization take precedence over definitive reconstruction. Wi...

  • Article
  • Open Access
1,497 Views
13 Pages

Halo Vest Usage Trend, Past and Present: Is It Still a Choice of Treatment?

  • Teleale Fikru Gebeyehu,
  • Michael Vo,
  • Adam Leibold,
  • Shaan Patel,
  • Jack Jallo,
  • Alexander R. Vaccaro and
  • James S. Harrop

Background/Objectives: In the past few decades, there have been advancements in surgical techniques, improved understanding of spinal biomechanics, and awareness of complications associated with halo vest (HV) use with resultant surgical treatment of...

  • Article
  • Open Access
3 Citations
1,594 Views
10 Pages

The Effect of Antithrombotic Agents on the Incidence of Intracranial Hemorrhage in Elderly Patients with Traumatic Brain Injury

  • Zoe Kee Hui Wong,
  • Tesfaye S. Mengistu,
  • Eamon Raith,
  • Neale Thornton and
  • Matthew Hiskens

Background/Objectives: Traumatic brain injury in elderly patients is a significant public health concern, particularly for those on antithrombotic therapy. A clearer understanding of how different antithrombotic agents affect the likelihood of intrac...

  • Case Report
  • Open Access
2,549 Views
17 Pages

Analysis of the Psychophysiological Effect of a Bull Horn Wound in a Professional Bullfighter: A Case Report

  • Luis Teba-del-Pino,
  • Luis Suárez-Arrones and
  • Eduardo Sáez de Villarreal

Goring during bullfights represents a penetrating trauma with a high risk of muscular, vascular, and vital injuries. Despite its frequency and severity, limited information is available on the immediate physiological response of the bullfighter at th...

  • Article
  • Open Access
1,351 Views
9 Pages

Evaluating Three Techniques for Coronoid Process and Anterior Capsule Fixation: A Biomechanical Study

  • Arsh N. Patel,
  • Briana M. Pompa-Hogan,
  • Tori N. Kinamon,
  • Arsalaan Sayyed,
  • Natalia A. Pluta,
  • James K. Aden and
  • Taylor J. Bates

Background: To compare the biomechanical strength of three fixation techniques for the elbow anterior capsule and coronoid process using a synthetic ulna model. We hypothesize that a cortical suture button would be equivalent to the bone tunnel model...

  • Article
  • Open Access
1,604 Views
7 Pages

Clinical Characteristics of Patients Undergoing Upper Extremity Fasciotomies for Compartment Syndrome at a Level I Trauma Center

  • Stephanie H. Vu,
  • Brandon J. De Ruiter,
  • Samantha J. King,
  • Jeffrey B. Friedrich,
  • Christopher S. Crowe and
  • Yusha Katie Liu

Background/Objectives: Early diagnosis and surgical intervention are critical in upper extremity (UE) compartment syndrome to prevent irreversible muscle necrosis or amputation. Despite its prevalence, there remains limited literature guiding surgica...

  • Review
  • Open Access
3 Citations
2,170 Views
10 Pages

Psychological Impact of External Fixator Devices on Patients with Traumatic Injury: A Scoping Review

  • Meghana V. Nair,
  • Ekrem M. Ayhan,
  • Bohdanna Zazulak,
  • Cara Tomaso and
  • Michael J. Medvecky

External fixation is widely used in trauma care for managing bone and soft tissue injuries. These devices are often associated with psychological challenges and are often not followed up with sufficient psychological support for the patient. The spec...

  • Article
  • Open Access
2,323 Views
13 Pages

The Impact of Acupuncture on Health-Related Quality of Life in Veterans with Combat Post-Traumatic Stress Disorder: A Secondary Analysis of a Randomized Control Trial

  • Andrea Munoz,
  • Jennifer Lai-Trzebiatowski,
  • Tyler Smith,
  • Nikki N. Frousakis,
  • An-Fu Hsiao,
  • Seth D. Norrholm,
  • Chelsea Aden,
  • Teresa Calloway,
  • Megan Jung and
  • Michael Hollifield
  • + 4 authors

Background: Quality of life is a foundational component of overall health and is negatively impacted by post-traumatic stress disorder (PTSD). In the last decade, acupuncture treatment has become a popularized treatment option for PTSD, especially fo...

  • Article
  • Open Access
1,168 Views
7 Pages

Aim: This study aims to assess the relationship between the time-to-CT and outcomes in trauma patients presenting to a regional Australian hospital. Method: This study is a retrospective analysis of prospectively collected data to review the relation...

  • Article
  • Open Access
2 Citations
3,945 Views
9 Pages

Rib Fractures: A Review of Presenting Factors, Associated Injuries and Outcomes at a Level 1 Trauma Facility

  • Estelle Laney,
  • Shumani Makhadi,
  • Ekene Emmanuel Nweke,
  • Nnenna Elebo and
  • Maeyane Stephens Moeng

Background: Fractured ribs remain a significant cause of morbidity and are associated with severe injuries requiring several healthcare resources and may be associated with prolonged hospital stays that may require an ICU facility. In our facility, w...

  • Article
  • Open Access
1,903 Views
10 Pages

The Epidemiology of Radial Head Fractures: A Registry-Based Cohort Study

  • Narinder Kumar,
  • Joanna F. Dipnall,
  • Belinda Gabbe,
  • Richard S. Page and
  • Ilana N. Ackerman

Objective: There is scarce reporting of radial head fracture epidemiology and patient characteristics beyond age and sex. This study aimed to describe demographic, socioeconomic, and injury pattern characteristics for people sustaining a radial head...

  • Article
  • Open Access
1,756 Views
11 Pages

13 September 2025

Background: In recent years, endovascular repair has outpaced open repair of blunt traumatic aortic injury (TAI), calling for updated evaluation of severity grading systems to ensure continued efficacy in guiding clinical decision-making. Methods: A...

  • Article
  • Open Access
4,244 Views
6 Pages

Objective: Traumatic anterior skull base fractures can be associated with significant morbidity and are managed based on the method of injury, presence of cerebrospinal leak, clinical stability and other factors. Our objective is to determine factors...

  • Article
  • Open Access
2,270 Views
10 Pages

Background: Trauma injury scoring systems are essential for standardized assessment, treatment decisions, and outcome prediction in trauma patients. The mechanism, Glasgow Coma Scale (GCS), age, and arterial pressure (MGAP) score offers a simplified...

  • Review
  • Open Access
5 Citations
10,244 Views
13 Pages

Background: Rib fractures are among the most common thoracic injuries following blunt trauma and are associated with significant morbidity, particularly in elderly and polytrauma populations. Historically managed non-operatively, recent advances have...

  • Article
  • Open Access
3,533 Views
15 Pages

Topic Modeling the Academic Discourse on Critical Incident Stress Debriefing and Management (CISD/M) for First Responders

  • Robert Lundblad,
  • Saul Jaeger,
  • Jennifer Moreno,
  • Charles Silber,
  • Matthew Rensi and
  • Cass Dykeman

Background/Objectives: This study examines the academic discourse surrounding Critical Incident Stress Debriefing (CISD) and Critical Incident Stress Management (CISM) for first responders using Latent Dirichlet Allocation (LDA) topic modeling. It ai...

  • Case Report
  • Open Access
1,594 Views
9 Pages

Hit and Miss: Trauma Pancreatoduodenectomy in the Setting of Penetrating Vascular Injury

  • Jessica Falon,
  • Krishna Kotecha,
  • Wafa Araz Mokari,
  • Anubhav Mittal and
  • Jaswinder Samra

This case report describes index pancreatoduodenectomy in a 32-year-old male following a close-range gunshot wound to the abdomen, with consequent 4 cm pancreatic head defect, duodenal and common bile duct perforation, right kidney laceration, and th...

  • Article
  • Open Access
2,552 Views
11 Pages

The Burden of Liver Trauma in an Urban Trauma Centre in Johannesburg, South Africa

  • Isabella Margaretha Joubert,
  • Zoé Otto,
  • Nnenna Elebo and
  • Maeyane Stephens Moeng

Background: Liver trauma is prevalent following blunt and penetrating injuries. This study examined liver trauma in a South African urban trauma centre, focusing on the unique prevalence of penetrating injuries and surgical interventions. Methods: A...

  • Article
  • Open Access
4,705 Views
17 Pages

Background: Occupational therapists assess cognitive function in patients with traumatic brain injury (TBI) to determine the impact of impairments on occupational performance. In acute care settings, occupational therapists’ decision-making reg...

  • Article
  • Open Access
3,195 Views
21 Pages

The Lived Experiences of NCAA Athletes with One or Multiple Concussions

  • Jocelyn Schwegler,
  • Kristin Mauldin,
  • Kerri Racin-Anderson,
  • Alexandra Hotetz,
  • Jaimee Stutz-Johnson,
  • Laiyatu Manya,
  • Kamonie Davis and
  • Melanie Estrada

Background/Objectives: Concussions, their physical presentation, and patients’ recovery have been researched and documented numerous times, but the experiences of surviving and recovering from a concussion need to be explored further. The purpo...

  • Article
  • Open Access
3,043 Views
16 Pages

Background/Objectives: Hurricane exposure is a growing public health concern that frequently results in posttraumatic stress symptoms (PTSS) in families. Research suggests that contextual factors, including whether or not individuals evacuate, evacua...

  • Case Report
  • Open Access
3,257 Views
7 Pages

Innovative Treatment of Combat-Related Extraperitoneal Penetrating Rectal Injury with Intraluminal Vacuum Therapy: A Case Report

  • Yafa Shani Parnasa,
  • Oded Cohen-Arazi,
  • Gad Marom,
  • Mahmoud Abu-Gazala,
  • Noam Shussman and
  • Miklosh Bala

The management of penetrating rectal trauma has evolved from a historic 4-D algorithm (Divert, Drain, Direct repair, and Distal washout) to a more selective approach. This case report describes a patient with multiple wounds, including a high-grade e...

  • Systematic Review
  • Open Access
6,191 Views
21 Pages

Incisional Negative Pressure Wound Therapy Use on Orthopaedic Lower Extremity Trauma: An Updated Systematic Global Review

  • Kennedy Nkachukwu,
  • Emily R. Arellano,
  • Amanda Alejo,
  • Anna Cmolik,
  • Jeffrey W. Toman,
  • Jalal S. Jwayyed,
  • Nicholas Ventigan,
  • Justin E. Iwuagwu and
  • Andrew L. Alejo

Background: Advancements in surgical wound management have led to improved healing and reduced complications. Incisional negative pressure wound therapy (iNPWT) is a technique that applies sub-atmospheric pressure to closed surgical wounds, enhancing...

  • Article
  • Open Access
1,518 Views
12 Pages

Impact of Distal Tibiofibular Joint Anatomy on Reduction Outcome in Dynamic Suture Button Stabilization of the Distal Syndesmosis—A CT Analysis

  • Robert Hennings,
  • Carolin Fuchs,
  • Firas Souleiman,
  • Henkelmann Jeanette,
  • Ullrich Joseph Spiegl,
  • Christian Kleber and
  • Annette B. Ahrberg-Spiegl

Introduction: The anatomy of the distal tibiofibular joint (DTFJ) has been demonstrated to influence the radiological outcome of reduction with syndesmotic screw fixation in the course of ankle fracture treatment. The objective of this study was to d...

  • Review
  • Open Access
1 Citations
7,614 Views
23 Pages

Trauma-Informed Care as a Promising Avenue for Supporting the Transition to Adulthood Among Trauma-Exposed Youth: A Scoping Review

  • Alexandra Matte-Landry,
  • Annabelle Lemire-Harvey,
  • Amélie de Serres-Lafontaine and
  • Vanessa Fournier

Background/Objectives: Childhood trauma has a documented impact on development, and may also affect functioning and well-being in transition-age youth (TAY). There is a need to explore approaches, such as trauma-informed care (TIC), to enhance the se...

  • Article
  • Open Access
1 Citations
5,406 Views
12 Pages

Race-Based Social Rejection and Mental Health: The Role of Racial Identity

  • Dorothy Chin,
  • Tamra B. Loeb,
  • Muyu Zhang,
  • Michele Cooley-Strickland,
  • Jennifer V. Pemberton and
  • Gail E. Wyatt

Background and Introduction: Race-based social rejection has been found to predict post-traumatic stress and depression symptoms, consistent with previous studies that have shown the negative mental health effects of racism, as well as social rejecti...

  • Article
  • Open Access
1,862 Views
14 Pages

Objectives: this study aimed to compare the admission volume and characteristics of patients with traumatic orthopaedic injuries before, during, between, and after the COVID-19 lockdowns in metropolitan Victoria, Australia. Methods: A multi-centre, r...

  • Article
  • Open Access
4 Citations
5,325 Views
20 Pages

Assessment of Cultural and Contextual Factors in Trauma-Informed Interventions for Internally Displaced People in Ethiopia: A Community-Based Participatory Action Research

  • Waganesh A. Zeleke,
  • Mengistu Dagnew,
  • Yemataw Wondie,
  • Tewodros Hailu,
  • Courtney Holmes,
  • Mekdes Melesse Mekonen,
  • Birtukan Taye Eshete and
  • Goshu Nenko

Background: Internal displacement is a global crisis, with Ethiopia being among the most affected countries due to conflict, violence, and natural disasters. Internally displaced people (IDPs) face multifaceted trauma at the individual, family, and c...

  • Article
  • Open Access
3,392 Views
14 Pages

Trauma Exposure Posttraumatic Stress Disorder and Depression Symptoms in Hispanic American College Students

  • Andrea Argueta,
  • Yesenia L. Zetino,
  • Marcel A. de Dios,
  • Norma Olvera,
  • Weihua Fan and
  • Consuelo Arbona

Background: Exposure to traumatic experiences has been positively associated with college students’ academic difficulties and psychological distress. However, little is known about the traumatic events experienced by Hispanic college students....

  • Article
  • Open Access
1 Citations
3,442 Views
8 Pages

Epidemiology and Risk Factors for Intentional Traumatic Brain Injury

  • Shameeke Taylor,
  • Tirth Patel,
  • Yukti Desai,
  • Connor Welsh and
  • Eric Legome

Background/Objectives: Intentional injury due to violent acts is associated with significant morbidity and mortality. However, intentional traumatic brain injury (TBI) has received little attention and there is limited research on the relationship of...

  • Systematic Review
  • Open Access
1 Citations
6,975 Views
16 Pages

Background/Objectives: This systematic review aimed to investigate the efficacy of methylphenidate medication in the treatment of cognitive problems, such as attention, following pediatric traumatic brain injury. Previous reviews have focused on a br...

  • Systematic Review
  • Open Access
2 Citations
7,232 Views
17 Pages

5 November 2024

Background/Objectives: Hypothermia can affect multiple organ systems and reduce patient comfort and is an independent predictor of mortality in trauma patients. Early prevention and management prehospitally is critical and can be approached by &ldquo...

  • Review
  • Open Access
1 Citations
4,379 Views
18 Pages

1 November 2024

Classical medical education teaches history and physical skills using scenarios wherein the criticality of a patient is predefined. This educational approach creates a gap in medical knowledge for students, who do not regularly define or establish pa...

  • Article
  • Open Access
3,359 Views
12 Pages

25 October 2024

Traumatic brain injury (TBI) is a significant public health issue among Medicare beneficiaries, with many specialties reporting consistent annual decreases in utilization and reimbursement. This study investigates the trends in Medicare utilization a...

  • Article
  • Open Access
1 Citations
3,652 Views
16 Pages

Spatial Cluster Analysis of the Social Determinants of Health and Fatal Crashes Involving US Geriatric and Non-Geriatric Road Users

  • Oluwaseun Adeyemi,
  • Charles DiMaggio,
  • Corita Grudzen,
  • Sanjit Konda,
  • Erin Rogers,
  • Saul Blecker,
  • JohnRoss Rizzo and
  • Joshua Chodosh

17 October 2024

Social determinants of health (SDoH) are nonmedical factors impacting health outcomes. We evaluated the relationship between the county-level measure of SDoH and county-level fatal crash counts among geriatric and non-geriatric road users. We pooled...

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