RSS | Trauma / politrauma

Raccolta automatica degli articoli più recenti da PubMed su traumi maggiori, gestione del politrauma, emorragie massive, trauma cranico, toracico e addominale, triage e trattamento iniziale nei dipartimenti di emergenza. Una risorsa aggiornata per approfondire le evidenze scientifiche e migliorare l’approccio clinico ai pazienti traumatizzati.

Trauma / politrauma

Predicting the Prehospital Blood Transfusion Need in a Large Metropolitan Center 3 Settembre 2026
CONCLUSIONS: The PHBT criteria of SBP < 90 mmHg and HR ≥ 110 bpm had the greatest PPV for transfusion within four hours of ED arrival. This information may be used to further optimize criteria for PHBT and identify patients most likely to benefit.
Jonathan Warren
Delayed Hemopneumothorax and Multiple Rib Fractures Following Blunt Chest Trauma 3 Settembre 2026
Delayed hemopneumothorax is a surgical emergency, particularly following multiple rib fractures. We report the case of a middle-aged male presenting with chest pain due to a rare, late-onset development of traumatic hemopneumothorax. The patient initially presented following a motor vehicle collision (MVC) and was discharged from the emergency department (ED) with analgesics against medical advice. […]
Moawiah M Abdalrahman
Predictors of procedural intervention in otolaryngology consultations: a retrospective multivariable analysis of 1,366 cases 3 Settembre 2026
CONCLUSION: Consultation indication was the main determinant of intervention. Epistaxis, trauma-related conditions, and suspected foreign bodies were significantly independently associated with intervention requirements. Early identification of these high-risk indications may assist in the optimization of ear, nose, and throat emergency resource planning and consultation triage.
Serkan Altıparmak
Sustained War-Related Emergency Department Presentations and Evolving Civilian Injury Patterns During Recurrent Missile-Related Conflict 2 Settembre 2026
CONCLUSIONS: Civilian wartime injury profiles evolved across recurrent missile-related conflicts despite relatively stable injury severity after adjustment for local mass casualty incidents. Preparedness strategies should consider both acute mass casualty events and the continuing occurrence of predominantly low-acuity war-related emergency department presentations during prolonged conflict conditions.
Yuval Dadon
Association of Whole Blood Transfusion With Survival Among Patients Achieving ROSC After Prehospital Traumatic Cardiac Arrest 2 Settembre 2026
CONCLUSIONS: Among selected early survivors of blunt traumatic PHCA with restored circulation during initial hospital assessment, WB transfusion was associated with lower 30-day in-hospital mortality and greater calculated plasma and platelet delivery than component-only therapy. Residual confounding and survivor selection remain possible, and prospective confirmation is needed.
Hui Li
Outcomes of Ankle Fractures in Patients With Solid Organ Transplant 2 Settembre 2026
CONCLUSION: Patients with a history of SOT undergoing ankle procedures after injury did not show a significant difference in readmissions, ED visits, or overall complication rate after surgery compared with non-SOT patients. However, SOT patients did show a higher rate of delayed/nonunion after surgery. Close monitoring for union in SOT patients and a lower threshold […]
Thomas R Yetter
Presentation and management of epistaxis at a tertiary care center: A retrospective review 2 Settembre 2026
CONCLUSIONS: Though epistaxis was predominantly anterior and self-limited, several patients required specialist consultation. Risk-stratified management approaches may improve care delivery and resource allocation, particularly in resource-limited settings, though this warrants further investigation.
Ghena Lababidi
Integration of GFAP/UCH-L1 Testing into an Emergency Department Concussion Pathway and Calculator to Model TBI Biomarker Impact on Time 1 Settembre 2026
Mild traumatic brain injury (mTBI) accounts for 70-90% of all TBI cases and represents a significant burden on emergency departments (EDs) across the United States. Despite its prevalence, mTBI evaluation remains heavily dependent on head computed tomography (CT), contributing to imaging overuse, increased health care costs, and unnecessary radiation exposure. The Food and Drug Administration-cleared […]
Jason W Wilson
A 20-Y Analysis of Motorcycle Trauma After Helmet Law Repeal 1 Settembre 2026
CONCLUSIONS: Motorcycle fatalities and severe head injuries increased during the postrepeal period and were associated with helmet nonuse and severe head trauma. Clinical and statewide data show consistent associations among helmet nonuse, severe head injury, and prehospital and in-hospital mortality, highlighting helmet use as a target for injury prevention policy.
Lawrence VanDyke
Epidemiology and Mechanisms of Cervical Spine Injuries Caused by Non-Traditional Vehicles in the United States: An Analysis of National Emergency Department Data 1 Settembre 2026
CONCLUSIONS: Non-traditional vehicles were associated with a substantial estimated burden of cervical spine injuries treated in United States emergency departments, particularly among adolescent and young adult males. ATVs and dirt bikes accounted for the largest shares of the weighted national estimate, and non-contact mechanisms predominated across demographic groups. These findings identify opportunities for targeted injury-prevention […]
Hagop Klachian
Epidemiological And Clinical Aspects Of Head Injuries In Children In The Emergency Department (Edd) Of The Gabriel Toure Chu In Bamako 1 Settembre 2026
OBJECTIVE: To study the epidemiological and clinical aspects of head trauma in children in the emergency reception department of the Gabriel Touré University Hospital.
A Soumaré
Eye injuries associated with desk supplies presenting to United States emergency departments, 2005-2024 1 Settembre 2026
CONCLUSIONS: DSEI are a frequent cause of emergency department visits. While injury incidence has declined in recent years, potentially due to classroom digitization, these findings highlight the need for improved prevention strategies and ongoing surveillance.
Jane Zhou
Craniofacial Injuries Associated With Off-Road Motorbike Use in the United States: A Retrospective NEISS Study 31 Agosto 2026
Dirt-bike and trail-bike riding are increasingly popular recreational activities in the United States and are associated with a substantial risk of injury. Craniofacial trauma represents an important but understudied subset of these injuries, particularly given the potential for neurological, functional, and cosmetic consequences. This study aimed to characterize national patterns of craniofacial injuries associated with […]
Joshua Ortega
Beyond the Fairway: Golf-Related Craniofacial Injuries in the United States From 2015 to 2024, A NEISS Analysis 31 Agosto 2026
Golf is often perceived as low-contact, yet clubs, balls, and carts can cause clinically significant craniofacial injury. Youth participation rose during the COVID-19 era, raising concern for shifting injury patterns among children. This study used the National Electronic Injury Surveillance System (NEISS) to characterize golf-related craniofacial injuries in the United States from 2015 to 2024 […]
Maxim Narduzzi
Early departures from the emergency department in a high-volume tertiary center: the first report from Croatia 31 Agosto 2026
CONCLUSION: Early ED departure rate was low. The patients were mostly young, male, low-acuity, and self-referred with trauma-related conditions, presenting during tourist surges and evening hours. These findings underscore the need for dynamic staffing, enhanced triage communication, targeted patient education, and seasonal preparedness to sustain efficient ED performance.
Josip Krnić
Missing triage pain-score documentation and analgesic administration in adult trauma patients 31 Agosto 2026
CONCLUSION: Missing triage activity pain-score documentation was associated with substantially lower emergency department analgesic receipt among adult trauma patients. The observational design does not establish causation.
Barry Hahn
Decadal Trends in Emergency Department Head and Neck CTA Utilization: A Comprehensive Analysis of Volume, Trauma, and Clinical Severity 31 Agosto 2026
CONCLUSIONS: Over a decade at a tertiary academic center, ED CTA head and neck volumes rose sharply, outpacing ED throughput, overall neuro-ED imaging growth, and CTP utilization. CTA demand increased similarly across regular and on-call periods, underscoring escalating after-hours operational burden and implications for neuroradiology coverage models.
Yu Sakai
Intentional injuries in newcomers to Alberta, 2016-2023 31 Agosto 2026
CONCLUSIONS: While immigrant status appears protective overall, refugees face elevated risks of assault-related injuries. These findings underscore the need for targeted, trauma-informed and culturally safe violence prevention strategies for refugee populations and other high-risk newcomer groups in Alberta.
Chitvi Mahajan
Comparative performance of CRAMS, RTS, NISS, and ESI scores in predicting 24-hour mortality in adult multi-trauma patients: A prospective study 31 Agosto 2026
CONCLUSION: All four scoring systems demonstrated significant ability to predict 24-hour mortality in multi-trauma patients. Among the evaluated tools, NISS showed the highest discriminatory performance in this cohort, followed by CRAMS and RTS. Trauma-specific scoring systems generally demonstrated better predictive performance than ESI for early mortality assessment. These findings support the use of trauma-specific assessment […]
Fatemeh Hemati Saznaghi
Validation of a Turkish Translation of the Stress in Emergency Healthcare Professionals: The Stress Factors and Manifestations Scale 30 Agosto 2026
CONCLUSIONS: SEHP:SFMS is a valid and reliable tool to assess stress factors and symptoms of Turkish emergency healthcare professionals. Its use improves the quality of emergency care.
Halil Alsancak