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The Journal of Trauma and Acute Care Surgery® is designed to provide the scientific basis to optimize care of the severely injured and critically ill surgical patient. Thus, the Journal has a high priority for basic and translation research to fulfill this objectives. Additionally, the Journal is enthusiastic to publish randomized prospective clinical studies to establish care predicated on a mechanistic foundation. Finally, the Journal is seeking systematic reviews, guidelines and algorithm ...
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The first is by Dr. Clay Burlew and colleagues from Denver Health/University of Colorado who review their 11 years’ experience with preperitoneal pelvic packing for patients arriving in shock from pelvic fracture bleeding. The ensuing paper is by Dr. Andrea Lubitz et al from Temple University who report the compelling results of a sheep model in wh…
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The lead article is Dr. Grace Rozycki’s Presidential Address entitled “A legacy of caring”. Dr. Rozycki provides a unique resource of fundamental concepts that summarize what the older generation; aka, the dinosaurs, would convey to the newer generation for their success in pursuing a fulfilling career. The ensuing paper is the Fitts Oration by Dr.…
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The lead paper is by Dr. Junichi Inoue and colleagues from the Tokyo Medical University who analyze the Japan Trauma Data Bank to determine the impact of REBOA. The next paper is by Dr. Vicente Undurraga and colleagues from the PROPPR group. In this subgroup the authors selected patients requiring emergency laparotomy, defined as within 90 minutes …
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The issue begins with highlighting the National Academics of Sciences, Engineering, and Medicine (NASEM), formerly the National Academy of Sciences Institute of Medicine, report published in June 2016. This massive document is entitled “A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Death…
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The lead article is by Dr. Bryan Morse with present or former colleagues at Grady Memorial Hospital who reviewed their experience with penetrating cardiac wounds over a 36 years period. Dr. Adrian Maung et al from the Yale School of Medicine analyzed the impact of new oral anticoagulation agents versus warfarin on postinjury mortality. Dr. Jonathan…
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The lead paper is by Dr. Joe DuBose and the AAST AORTA Study Group who maintain a registry representing eight Level I Trauma Centers. Dr. Howard Champion and associates from Sim Quest and colleagues from the University of Texas in Houston evaluated the US Department of Transportation Fatality Analysis Reporting System (FARS) database from 1978-2013…
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The lead article is by Dr. Naveen Sangji and colleagues from the Massachusetts General Hospital who propose an Emergency Surgery Acuity Score. Dr. Nakul Valsangkar et al from the Indiana University analyze the academic productivity of trauma/acute surgery faculty compared to general surgery and other specialty faculty. Dr. Martha Ingram and colleag…
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Dr. Ernest Moore discusses a roundup of papers first showcased at this year’s Eastern Association for the Surgery of Trauma annual meeting and published in the July 2016 issue of the Journal. The lead paper appropriately, is the presidential address by Dr. Stanley Kurek. Dr. Kurek provides a timely reflection on the challenges trauma surgeons face …
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The lead article is the presidential address by Dr. Richard Falcone from the Cincinnati Children’s Hospital. Dr. Falcone’s central theme was the critical role of teamwork and team communication in caring for the injured child. The ensuing paper is the keynote lecture by Dr. Joe Tepas from the University of Florida at Jacksonville. Dr. Tepas provide…
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Welcome to the April issue of the Journal. The lead paper is by Dr. Junichi Inoue and colleagues from the Tokyo Medical University who analyze the Japan Trauma Data Bank to determine the impact of REBOA. REBOA has been used in Japan since 1990 and the national data bank was established in 2003. The next paper is by Dr. Vicente Undurraga and colleag…
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The lead paper is by Dr. Kenji Inaba and colleagues from the AAST who performed a multicenter review of temporary intravascular shunts in civilian trauma centers from 2005-2013. Next, we have Dr. Rachel Russo and colleagues from the Air Force conducted studies in a swine model of controlled hemorrhage that demonstrated the concept of partial REBOA …
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The lead article is an AAST presentation by Dr. Fred Pieracci and colleagues from Denver Health/University of Colorado who report a prospective, controlled clinical study of rib fracture stabilization. Another timely AAST presentation was by Dr. Jennifer Hubbard et al from Fresno Community/University of California who report a retrospective review …
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As you know, we begin the year with some of the AAST presentations. Dr. L.D. Britt presented the AAST Fitz Lecture entitled acute care surgery. Is it time for a victory lap? Dr. Tom Scalea’s presidential address touched on these topics nostalgically. Dr. Josh Brown and colleagues from the University of Pittsburgh detail their AAST presentation on t…
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The lead article is the Presidential Address of Dr. Chris Cocanour from the UC Davis Medical Center in Sacramento. The Earl Young Awardee was Hunter Moore from the University of Colorado Denver who, with his colleagues, has shown in a rodent model of severe hemorrhagic shock that plasma versus crystalloid resuscitation attenuates systemic hyperfibr…
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In the wake of the American College of Surgeons Committee on Trauma suggesting patient outcome is the same for Level I and Level II trauma centers, I believe a timely message is report by Dr. Jan Jansen from the Aberdeen Royal Infirmary and colleagues throughout Scotland who describe their comprehensive geospatial analysis of greater than 80,000 tr…
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