Effective Goal-Directed Therapy in TBI Patients May Improve Outcomes

Effective Goal-Directed Therapy in TBI Patients May Improve Outcomes

The purpose of this study was to estimate the impact of goal-directed therapy on outcome after traumatic brain injury (TBI). Goal-directed therapy was applied to standardize care in patients with moderate to severe traumatic... read more

Risk Factors for Avoidable Transfer to a Pediatric Trauma Center Among Patients Age Two Years and Older

Risk Factors for Avoidable Transfer to a Pediatric Trauma Center Among Patients Age Two Years and Older

Among injured children age two years and older, those with minor head injuries were at greatest risk for avoidable transfer. Many were transferred because of a perceived need for evaluation by a pediatric neurosurgeon. Future... read more

Predictive Utility of DNI in Patients with MOF After Severe Traumatic Injury

Predictive Utility of DNI in Patients with MOF After Severe Traumatic Injury

Post-injury multiple organ failure (MOF) is the result of a systemic uncontrolled inflammatory response and it is the one of leading cause of late post-injury mortality. Delta neutrophil index (DNI) may serve useful marker... read more

A Multidisciplinary Idea to STEP UP Resuscitation Effectiveness

A Multidisciplinary Idea to STEP UP Resuscitation Effectiveness

Non-technical skills and human factors are increasingly recognized as critical ingredients in the success or failure of acute care delivery in a number of high stakes clinical domains. This is reflected in the evolution of... read more

Withdraw Life-Sustaining Treatments for Patients with Severe TBI

The decision to withdraw life support from patients with severe brain injuries is very difficult. In a study conducted in Canadian Medical Association Journal, critical care physicians were asked about the decision-making... read more

What Happens After a Positive Screen for Depression and PTSD in the Outpatient Burn Clinic?

Multiple reports have demonstrated a wide prevalence of both depression and post traumatic stress disorder (PTSD) within 1 year of burn injury. The purpose of this study is to determine outcomes of burn patients after a positive... read more

Low-value Clinical Practices in Acute Injury Care

Low-value Clinical Practices in Acute Injury Care

This study fills a major knowledge gap on medical procedure overuse in acute injury care. Results will inform research priorities and the development of metrics to measure overuse. This knowledge will provide a solid basis... read more

Holographic Telepresence  – Taking Trauma Care to the Next Level

Holographic Telepresence  – Taking Trauma Care to the Next Level

Advancing technology is all set to bring in a new era of highly-realistic holographic Telepresence. Throughout the history of science fiction and video gaming, we've seen holograms come in various shapes and sizes. Today,... read more

The Glutamine Debate in Surgery and Critical Care

The Glutamine Debate in Surgery and Critical Care

Three recent meta-analyses have confirmed traditional glutamine (GLN)-supplemented (or "GLN-Complemented" – providing GLN for completeness of amino acid content) TPN is safe, reduces mortality and improves outcome in surgical... read more

Psychological and Cognitive Impact of Critical Illness

Psychological and Cognitive Impact of Critical Illness

Hot off the presses. Concise book on PICS, PICS-F and FICUS. Neuropsychiatric problems after critical illness are receiving increasing attention, particularly in the critical care medicine literature, but mental health and... read more

Driving Pressure in Airway Pressure Release Ventilation: a fool’s errand?

Driving Pressure in Airway Pressure Release Ventilation: a fool’s errand?

In this post I will briefly explain and critique their mathematical approach, propose a simpler equation for estimating PEEPi in APRV [based on far fewer physiological assumptions] and finally reaffirm why, in my opinion,... read more

Early Protocolized Versus Usual Care Rehabilitation for Pediatric Neurocritical Care Patients

Early Protocolized Versus Usual Care Rehabilitation for Pediatric Neurocritical Care Patients

A protocol for early personalized rehabilitation by physical therapy, occupational therapy, and speech and language therapy in pediatric neurocritical care patients could be safely implemented and led to more ICU-based treatment... read more

Evaluation of a Safer Opioid Prescribing Protocol (SOPP) for Patients Being Discharged From a Trauma Service

Evaluation of a Safer Opioid Prescribing Protocol (SOPP) for Patients Being Discharged From a Trauma Service

The aims of this study were to evaluate the effects on opioid medication prescribing, patient opioid safety education, and prescribing of naloxone following implementation of a Safer Opioid Prescribing Protocol (SOPP) as... read more

Closed Chest Compressions in Traumatic Cardiac Arrest

Closed Chest Compressions in Traumatic Cardiac Arrest

This study demonstrated that fluid resuscitation with whole blood is significantly better than resuscitation with compressions alone or with normal saline. It further showed that there was no difference between whole blood... read more