Category: trauma

Lit of the Week- 5/17/16

“NEXUS Chest – Validation of a Decision Instrument for Selective Chest Imaging in Blunt Trauma” Clinical question / background: Low yield radiology is costly and exposes patients to unnecessary radiation. Can the previously described NEXUS Chest Imaging rules be validated for clinical use in cases of blunt chest trauma? Very low risk for chest trauma …

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Lit of the Week: Prehospital hypoxia in TBI

Chi et al. “Prehospital Hypoxia Affects Outcome in Patients With Traumatic Brain Injury: A Prospective Multicenter Study.” J. Trauma. 2006;61:1134-1141 Clinical question / background: The goals of this study were to determine the incidence and duration of hypotension (SBP <90) and hypoxia (SpO2<92%) in the prehospital setting in patients with potentially survivable brain injuries, and …

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Lit of the Week — Ottawa Ankle and Foot Rules

Lit of the Week – 3/01/16   Stiell IG, Greenberg GH, McKnight RD, Nair RC, McDowell I, Reardon M, Stewart JP, Maloney J. Decision rules for the use of radiography in acute ankle injuries. Refinement and prospective validation. JAMA. 1993 Mar 3;269(9):1127-32.   Clinical question / background: Can decision rules based on history and simple …

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