All news from Trauma and Critical Care Medicine

TBI in children

New Treatment Guidelines for TBI In Children

Each year in the United States, more than 600,000 children are seen in emergency rooms due to traumatic brain injury, a disruption to the normal function of the brain caused by a bump, blow or jolt to the head. Severe TBI results in approximately 7,000 childhood deaths annually; while survivors of the condition may suffer…

Wounds

Skin Bioprinting System Treats Large Wounds, Burns

Imagine a day when a bioprinter filled with a patient’s own cells can be wheeled right; to the bedside to treat large wounds or burns by printing skin, layer by layer, to begin the healing process. That day is not far off. Wake Forest Institute for Regenerative Medicine (WFIRM) scientists have created such a mobile…

Sepsis

Move to Take CMS Sepsis Mandates Nationwide Debated

The case for the large-scale adoption of the Centers for Medicare and Medicaid (CMS) SEP-1 Early Management Bundle for sepsis is “compelling,” according to Laura Evans, MD, director of critical care at Bellevue Hospital Center in New York City. The need for bundles is not because physicians lack skills or motivation to implement quality-control measures.…

Cancer

Cancers Of The Heart Are Rare And Here's Why

“The fatigue I was experiencing was unreal,” said Mitchell, 62, of Paris, Tennessee. “It was beyond feeling tired; I would come home from work and had no energy to do anything.” Mitchell saw doctor after doctor. After a stress test, a sleep apnea assessment and other evaluations, one doctor sent her for a CT scan of…

Hypoxemia

Bag-Mask Ventilation Helps Prevent Hypoxemia

Critically ill adults who underwent tracheal intubation with bag-mask ventilation had higher oxygen saturations; than those who received no ventilation, and were less likely to experience severe hypoxemia; in the randomized PreVent trial (NCT03026322). These results should change practice, said Jonathan Casey, MD, from the Vanderbilt University Medical Center in Nashville; Tennessee, noting that he…

Sepsis Death

Sepsis Death Common, Often Unpreventable

Sepsis remains one of the leading causes of hospital death in the United States; but there may not be much doctors can do to prevent them, a study has found. The findings were published online February 15, 2019, in JAMA Network Open. The study found that 88% of sepsis deaths were not preventable. “Although the…

Dermatologic Emergencies

Five Dermatologic Emergencies Physicians Should Recognize

Recognizing the signs of deadly skin emergencies and knowing when to call for a dermatology consult can save lives, said Steven Chen, MD, a dermatologist at Massachusetts General Hospital in Boston. Hospitalists and other physicians might see these conditions only rarely; but they “are the ones that, if you miss the diagnosis, you end up…

Stroke

No Loss of Thrombectomy Benefit in Late Stroke

For patients with a large-vessel ischemic stroke in the late window who were founding to have salvageable brain tissue on imaging; transfer from a primary stroke center to a thrombectomy-capable hospital did not affect the benefit of thrombectomy; latest results from the DEFUSE 3 trial show. The new subgroup analysis found that for patients who…

Syncope Monitoring

Syncope Monitoring in ED: 2 Hours Okay for Low-Risk Patients

A 2-hour period of electrocardiogram (ECG) monitoring appears to be sufficient for low-risk patients who present to the emergency department (ED) with syncope, a study published online January 21 in Circulation shows. “In this large multicenter prospective study, among ED patients presenting with syncope who did not have an obvious serious condition identified on arrival, underlying arrhythmia is most often identified in…

Medicare

Medicare 911 Patients to Be Triaged by EMS in 5-Year Pilot

The Center for Medicare and Medicaid Innovation (CMMI) on February 14 announced it will launch a 5-year demonstration project that will allow ambulance teams to triage fee-for-service Medicare beneficiaries and take them to a doctor’s office or an urgent care center rather than to an emergency department (ED). Scheduled to begin in January 2020, the voluntary program…

Opioid-related car crashes

Fatal Opioid-Related Car Crashes In Maryland

A new approach to defining opioid-related auto fatalities provides insight into the nature and distribution of opioid-involved deaths in the state of Maryland, say the authors of a new study led by researchers at the Johns Hopkins Bloomberg School of Public Health. In their study, which appeared online Jan. 24 in the journal Accident Analysis and…

Thrombectomy

Late-Stroke Thrombectomy Benefits All Subgroups

Endovascular therapy is not held due to old age, mild symptoms; or late presentation in patients with large-vessel strokes; and salvageable tissue on perfusion imaging, subgroup analysis of the DEFUSE 3 trial suggests. The DEFUSE 3 randomized trial, presented last year at the International Stroke Conference (ISC) 2018; and published in the New England Journal of Medicineat that time;…