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Role of Serial Phlebotomy in the Management of Blunt Solid Organ Injury in Adults J. Trauma Nurs. (IF 1.0) Pub Date : 2023-05-01 Mohammad A. Frotan, Philip Edmundson, Christopher Cooper, Brian Tibbs, Laura Garlow, Kaeli Vandertulip, Amy Miller, Subhash Aryal, Jacob W. Roden-Foreman, G. Tom III Shires
Background: The management of blunt spleen and liver trauma has become increasingly nonoperative. There is no consensus on timing or duration of serial hemoglobin and hematocrit monitoring in this patient population. Objective: This study examined the clinical utility of serial hemoglobin and hematocrit monitoring. We hypothesized that most interventions occur early in the hospital course, based
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Identification of Seniors at Risk Score to Determine Geriatric Evaluations on Trauma Patients With Hip Fractures J. Trauma Nurs. (IF 1.0) Pub Date : 2023-05-01 Taylor K. Long, Stephanie D. Booza, Lauren N. Turner
BACKGROUND: Trauma centers are confronted with rising numbers of geriatric trauma patients at high risk for adverse outcomes. Geriatric screening is advocated but not standardized within trauma centers. OBJECTIVE: This study aims to describe the impact of Identification of Seniors at Risk (ISAR) screening on patient outcomes and geriatric evaluations. METHODS: This study used a pre-/postdesign to
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Predicting Complicated Mild Traumatic Brain Injury in Adolescent Trauma to Enhance Clinical Decisions in Imaging J. Trauma Nurs. (IF 1.0) Pub Date : 2023-05-01 Heather X. Rhodes, Gina Berg, Anthony L. Shadiack, Kevin D. Thomas, Jennifer L. Horawski, Geoff Boyer, Sara M. Kleist, Aaron I. Worthley, David I. Rosenberg, Scott B. Gutovitz, George A. Helmrich, Saptarshi Biswas, Antonio P. Pepe
BACKGROUND: The Pediatric Emergency Care Applied Research Network (PECARN) traumatic brain injury algorithm is used to identify children at low risk of clinically significant traumatic brain injuries to reduce computed tomography (CT) exposure. Adapting PECARN rules based on population-specific risk stratification has been suggested to improve diagnostic accuracy. OBJECTIVE: This study sought to
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Evaluating the Effect of a Dosing and Titration Protocol on Dexmedetomidine-Induced Hypotension in Trauma Patients J. Trauma Nurs. (IF 1.0) Pub Date : 2023-05-01 Peyton M. Kurtz, Jason VanLandingham, Michael Cormican, Kyle Gibson, Leslie Roebuck
BACKGROUND: Dexmedetomidine is an α-2 receptor agonist commonly used as a continuous infusion for sedation and analgesia; however, dose-dependent hypotension may limit its utility. Despite its widespread use, there is no consensus on appropriate dosing and titration. OBJECTIVE: The objective of this study was to determine whether a dexmedetomidine dosing and titration protocol is associated with
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Massive Transfusion Protocol Adherence: Relationship to Trauma Patient Outcomes J. Trauma Nurs. (IF 1.0) Pub Date : 2023-05-01 Alexander M. Margolin, Susan G. Silva, Kasey E. T. McLaughlin, Katherine C. Pereira, Adam M. Flowe, Jessica L. Poisson
BACKGROUND: Ongoing evaluation of massive transfusion protocol adherence is critical to ensure better trauma patient outcomes. OBJECTIVE: This quality improvement initiative aimed to determine provider adherence to a recently revised massive transfusion protocol and its relationship to clinical outcomes among trauma patients requiring massive transfusion. METHODS: A retrospective, descriptive, correlational
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Under the Lens: Team Perception of Trauma Video Review J. Trauma Nurs. (IF 1.0) Pub Date : 2023-05-01 Marinda G. Scrushy, Madhuri Nagaraj, Kristen Burke, Kali Kuhlenschmidt, Shannon Jeter, Della Johnson, Kristie Brown, Courtney Edwards, Alexander Marinica, Michael A. Vella, Daniel N. Holena, Caroline Park, Ryan P. Dumas
BACKGROUND: Video-based assessment and review are becoming increasingly common, and trauma video review (TVR) has been shown to be an effective educational, quality improvement, and research tool. Yet, trauma team perception of TVR remains incompletely understood. OBJECTIVE: We evaluated positive and negative perceptions of TVR across multiple team member groups. We hypothesized that members of the
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Standardizing Child Passenger Safety Screening in the Emergency Department: A Quality Improvement Study J. Trauma Nurs. (IF 1.0) Pub Date : 2023-05-01 Heidi L. Almodovar, Chad M. Thorson, Christina R. Cardy
Background: Motor vehicle collisions remain a leading cause of death and injury in children in the United States. Our Level I trauma center found that 53% of children ages 1–19 years are improperly restrained or unrestrained. Our center employs a Pediatric Injury Prevention Coalition with nationally certified child passenger safety technicians who are active in the community yet remain underutilized
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Virtual Rural Trauma Team Development Course: Trying to Zoom in on a Solution J. Trauma Nurs. (IF 1.0) Pub Date : 2023-05-01 Jennifer Koontz, Thomas Causer, Jami Zipf, Jill Dillman-Stull, Russell Dumire
BACKGROUND: The COVID-19 pandemic prevented centers from providing in-person interactive training programs such as the Rural Trauma Team Development Course. Adapting the course to a virtual platform is an option, yet little is known regarding the feasibility of using this format. OBJECTIVE: This study aimed to evaluate the feasibility of providing a virtual rural trauma development course during
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Predictors of Hospital Readmission After Motor Vehicle Crash: Prospective Cohort Study. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-03-08
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Early Quality-of-Life Changes in Mild Traumatic Brain Injury: A Prospective Study J. Trauma Nurs. (IF 1.0) Pub Date : 2023-03-01 Mulyadi Mulyadi, Susilo Harianto, Santo Imanuel Tonapa, Bih-O Lee
BACKGROUND: Postinjury symptoms and decreased quality of life are common after mild traumatic brain injury. However, few studies have examined how soon, after injury, these changes dissipate. OBJECTIVES: This study aimed to compare changes in postconcussion symptoms, posttraumatic stress, and illness representations and identify predictors of health-related quality of life before and 1 month after
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Predictors of Hospital Readmission After Motor Vehicle Crash: Prospective Cohort Study J. Trauma Nurs. (IF 1.0) Pub Date : 2023-03-01 Érica Assunção Carmo, Adriana Alves Nery, Jefferson Paixão Cardoso, Juliana da Silva Oliveira, Marcela Andrade Rios, Tatiane Oliveira de Souza Constâncio, Luciano Nery Ferreira, Edilene Curvelo Hora Mota
BACKGROUND: Motor vehicle crash (MVC) is a major public health problem worldwide and contributes to a large burden of death, disability, and economic loss. OBJECTIVE: To identify the predictors of hospital readmission in victims of MVC within 1 year after discharge. METHODS: A prospective cohort study conducted with individuals who suffered MVC admitted to a regional hospital and who were followed
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Efficacy of Animal-Assisted Therapy in Treatment of Patients With Traumatic Brain Injury: A Randomized Trial J. Trauma Nurs. (IF 1.0) Pub Date : 2023-03-01 Leslie Horton, Margaret Griffen, Lui Chang, Anna B. Newcomb
BACKGROUND: Severe traumatic brain injury carries major public health consequences, with patients suffering long-term disability with physiological, cognitive, and behavioral changes. Animal-assisted therapy, the use of human and animal bonds in goal-directed interventions, has been a suggested therapy, but its efficacy in acute brain injury outcomes remains unknown. OBJECTIVE: This study aimed to
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Perceptions of an Interactive Trauma Recovery Information Booklet J. Trauma Nurs. (IF 1.0) Pub Date : 2023-03-01 Sandra C. Reeder, Christina L. Ekegren, Anne M. Mather, Lara A. Kimmel, Melissa J. Webb, Michael Pellegrini, Peter A. Cameron, Belinda J. Gabbe
BACKGROUND: Previous research has shown that people with traumatic injuries have unmet information needs with respect to their injuries, management, and recovery. An interactive trauma recovery information booklet was developed and implemented to address these information needs at a major trauma center in Victoria, Australia. OBJECTIVE: The aim of this quality improvement project was to explore patient
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Trauma Team High-Fidelity Simulation Training in a Rural Level III Trauma Center: An Interprofessional Experience J. Trauma Nurs. (IF 1.0) Pub Date : 2023-03-01 Ginger M. Knapp
BACKGROUND: Emergency department trauma resuscitation requires teamwork and high-stakes clinical decision-making. Rural trauma centers with low trauma activation volumes must ensure that resuscitations are efficient and safe. OBJECTIVE: The purpose of this article is to describe the implementation of high-fidelity, interprofessional simulation training to foster trauma teamwork and role identification
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Acute Kidney Injury: Iterative Development of an Audit Tool for Trauma Patients J. Trauma Nurs. (IF 1.0) Pub Date : 2023-03-01 Andrew Holt, Jordan Rahm, H. Andrew Hopper, Darrell L. Hunt
BACKGROUND: Acute kidney injury is a low-volume, high-risk complication in trauma patients and is associated with prolonged hospital length of stay and increased mortality. Yet, no audit tools exist to evaluate acute kidney injury in trauma patients. OBJECTIVE: This study aimed to describe the iterative development of an audit tool to evaluate acute kidney injury following trauma. METHODS: Our performance
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ATTAC! Development of a Novel Advanced Trauma Team Application Course J. Trauma Nurs. (IF 1.0) Pub Date : 2023-03-01 Lanny Orr, Lisa Stevens, Elizabeth McCotter, Alexa Peterson, Jeannine M. Brant, Simon J. Thompson
BACKGROUND: Although existing trauma nurse courses provide basic education, advanced courses with simulation experiences that enhance team leadership, communication, and workflows are lacking. OBJECTIVE: To design and implement the Advanced Trauma Team Application Course (ATTAC) to promote advanced skills for nurses and respiratory therapists with varied experience and skill levels. METHODS: Trauma
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Forum Theater: An Innovative Strategy to Enhance Clinician Communication With Marginalized Trauma Patients J. Trauma Nurs. (IF 1.0) Pub Date : 2023-03-01 Michele Schombs, Shahenda Khedr, Francesca Sullivan, Abdulaziz Alkattan, Candace Brown, Liz Morgan, Allison A. Norful, Jason Sample, Chun-Cheng Chen
BACKGROUND: Marginalized groups experience a higher frequency of traumatic injury and are more likely to report negative experiences in the health care setting. Trauma center staff are prone to compassion fatigue, which impairs patient and clinician interactions for these groups. Forum theater (a form of interactive theater designed for addressing social issues) is proposed as an innovative method
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Patient Outcomes Based on the 2011 CDC Guidelines for Field Triage of Injured Patients. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-13
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Celebrating JTN's 30th Anniversary and Grit. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-13 Judy N Mikhail
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Ketamine for Traumatic Assault-Induced Depression: A Case Report. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Caitlyn B Coffelt,Kyle Gibson,Jason VanLandingham
BACKGROUND This case report describes the use of ketamine as a rapid, effective treatment of depression in a 68-year-old female patient with no significant medical history of psychiatric disorders. Patients who experience intentional or unintentional traumas are at an increased risk for developing depression or posttraumatic stress disorder, and emerging evidence has supported the use of ketamine as
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Impact of a Rounding Tool and Clinical Champion on Trauma Patient Screening, Brief Intervention, and Referral to Treatment for Alcohol Use Disorder. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Brandon Todd,Jordan Rahm,David Kerley,Darrell L Hunt
BACKGROUND Early identification and treatment of alcohol misuse among trauma patients is the standard of care for trauma centers. Yet, trauma programs face significant barriers in adherence to sustained alcohol misuse screening. OBJECTIVE This study aims to evaluate the impact of a rounding tool and clinical champion on screening, brief intervention, and referral to treatment compliance rates for alcohol
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COVID-19 Pandemic Effects on Clinical Outcomes of Hip Fractures Among Pediatric and Adult Patients. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Justin S Roskam,Kristine M Hauser,Louis T DiFazio,Rolando H Rolandelli,Amanda K Nemecz,Zoltan H Nemeth
BACKGROUND Little is known about the distribution and outcomes of hip fractures in pediatric patients during the COVID-19 pandemic. OBJECTIVE To study the clinical outcomes of both pediatric and adult patients who underwent hip fracture surgeries and determine the effects of changes surrounding the COVID-19 pandemic. METHODS Both pediatric and adult surgical hip fracture cases were analyzed from the
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Geospatial Mapping to Target Injury Prevention for Older Adult Ground-Level Falls: A Feasibility Study. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Sara Cardozo-Stolberg,Elisa Szydziak,L D George Angus,Rodrigo Blake,Daniel Marsden,Sinchana Venkatesh,Nwe Oo Mon
BACKGROUND Trauma centers target injury prevention efforts based on trauma registry and local epidemiological data. Identifying geographic patterns of injury through geospatial mapping has emerged as a technology to help identify at-risk individuals. Yet, the feasibility of using spatial analysis to target injury prevention efforts remains unknown. OBJECTIVE This study aims to demonstrate the use of
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A Fast-Track Respiratory Protocol for High Cervical Spine Injury: A Case Report. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Caixue Pan,Yao Chen,Yongfang Zhou
BACKGROUND Cervical spinal cord injury can greatly affect pulmonary function, resulting in complications, including respiratory failure with prolonged mechanical ventilation, ultimately leading to increased mortality and high health care costs. Weaning from mechanical ventilation is particularly challenging in patients with complete high spinal cord injury. CASE PRESENTATION We present the case of
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Measuring Emergency Department Staff Perceptions of Causes and Management of Violence. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Julia Ewen,Lisa Gaeta,Karen A Fitzgerald,Barbara L Ragione,Deborah A Feil,Christopher C Raio,Abenamar Arrillaga,Lauren R Klein,Patricia A Eckardt
BACKGROUND Half of all reported violent incidents in health care settings occur in the emergency department (ED) placing all staff members at risk. However, research typically does not include all ED work groups or validated measures beyond nurses and physicians. OBJECTIVE The aims of this study were to (a) validate an established instrument measuring perceptions of causes of violence and attitudes
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Escaping the Silos: Utilization of a Pediatric Trauma Escape Room to Promote Interprofessional Education and Collaboration. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Ashley Hudson,Kelli Franklin,Thomas R Edwards,Andrea Slivinski
BACKGROUND Millions of children are treated annually for trauma-related injuries but comprise a smaller proportion of emergency department visits than adults. As a result, emergency department teams may not have the knowledge, skills, and confidence to care for pediatric patients, and specialty teams may not interact enough as an interprofessional team to provide high-quality patient care. OBJECTIVE
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Trauma Patient Transitions From Critical Care: A Survey of U.S. Trauma Centers. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Jason A Saucier,Mary S Dietrich,Cathy Maxwell,Meghan Brooks Lane-Fall,Ann Minnick
BACKGROUND Transitions between clinical units are vulnerable periods for patients. A significant body of evidence describes the importance of structured transitions, but there is limited reporting of what happens. Describing transitions within a conceptual model will characterize the salient forces that interact during a patient transition and, perhaps, lead to improved outcomes. OBJECTIVE To describe
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Trauma Patient Transitions From Critical Care: A Survey of U.S. Trauma Centers. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01
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Quality Improvement Practices and Resources Targeting Firearm Injuries: A Survey of U.S. Pediatric Trauma Centers. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Lee Ann Wurster,Michele Herndon,David Seastrom,Jennifer Fritzeen,Kara Mitchell,Moe Schmid,Kelley Rumsey
BACKGROUND The increase in firearm injuries at U.S. pediatric trauma centers is a national public health crisis. This spike in penetrating trauma has challenged even the most mature pediatric trauma centers. OBJECTIVE This project aims to identify U.S. pediatric trauma center best practices for the evaluation and resources dedicated to pediatric firearm injuries. METHODS This study used an exploratory
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Measuring Emergency Department Staff Perceptions of Causes and Management of Violence. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01
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Standardized Calcium Replacement in Massive Transfusion: A Quality Improvement Project. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Marisa L Laing,Kimberly Burtch,Angie Storrer,Cameron McCoy
BACKGROUND Hypocalcemia is common in trauma patients receiving massive transfusion protocol and often leads to worsening coagulopathies. Despite the identified problem and recommendations for replacement, few institutions have implemented a standardized calcium replacement protocol. OBJECTIVE This study aims to assess whether a revised massive transfusion protocol, including standardized calcium replacement
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Direct to Operating Room for Decompressive Craniotomy/Craniectomy in Patients With Traumatic Brain Injury. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Jesse K Kelley,Katie E Jaje,Chase W Smitterberg,Charles R Reed,Steffen J Pounders,Laura A Krech,Ryan S Groseclose,Chelsea S Fisk,Alistair J Chapman,Amanda Y Yang
BACKGROUND Emergent decompressive craniotomy/craniectomy can be a lifesaving surgical intervention for select patients with traumatic brain injury. Prompt management is critical as early decompression can impact traumatic brain injury outcomes. OBJECTIVE This study aims to describe the feasibility and clinical impact of a new pathway for transporting patients with severe traumatic brain injury directly
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Effect of Enhanced Recovery After Surgery on the Prognosis of Patients With Hip Fractures: A Systematic Review and Meta-Analysis. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Ruiqi Zhu,Fengqiao Yang,Caiying Li,Hongxia Zhu,Lu Lin,Xin Zhao
BACKGROUND Hip fractures, predominantly occurring in the elderly, are a significant public health concern due to associated morbidity, disability, and mortality. Prolonged bed rest following the fracture often leads to complications, further threatening patient health. Enhanced recovery after surgery, a modern approach to postoperative care, is being explored for its potential to improve outcomes and
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Probiotics for Infection Prevention in Critically Ill and Trauma Patients: A Concise Review. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Heather A Vitko,Jordan J Troxell,Paula R Sherwood
BACKGROUND Critically ill trauma patients are at an increased risk for infection, which can increase morbidity and mortality. The use of probiotic preparations for infection prevention is promising, yet the results of their effectiveness are mixed. OBJECTIVES To synthesize current research regarding the use of probiotics to prevent and possibly treat infection in the critically ill adult trauma population
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Suicide Data in Trauma Centers: Implications of Imprecision. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Susan E Cronn,Jacey M Kant,Amber Brandolino,Sara Kohlbeck,Terri deRoon-Cassini,Nathan Emerson,Andrew Schramm
BACKGROUND Trauma registries exist to provide data for evaluating the quality of care of trauma patients. These data facilitate research and can be used for outreach, planning, and improvement in trauma patient outcomes. However, the accuracy of registry data related to suicide has not been well studied. OBJECTIVE This study sought to evaluate the accuracy of current trauma registry coding practices
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Impact of Trauma-Informed Care Training on Attitudes Among Emergency Department Personnel, Staff Advocates, and Nursing Students. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Melissa Wholeben,Yessenia Castro,Gloria Salazar,Craig Field
BACKGROUND Health care providers may risk retraumatizing patients and intensifying patient distress unless they practice trauma-informed care. As the first line of defense in assisting trauma survivors' physical and emotional recovery, health care providers must use a strengths-based framework that promotes resilience and expands on the trauma survivor's existing resources. OBJECTIVE This study aimed
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Bringing Trauma Education to the Frontier: Overcoming Distance Barriers Utilizing a Virtual Platform. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Elizabeth L McCotter,Alexa L Peterson,Tessa C Savell,Lanny C Orr,Jamie M Besel,Simon J Thompson
BACKGROUND The American College of Surgeons and state regulations mandate that trauma facilities offer trauma-specific continuing education throughout the region they serve. These requirements come with unique challenges when serving a rural and sparsely populated state. A novel approach to providing education was necessitated by the coronavirus disease 2019 pandemic, travel distance, and limited local
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Impact of Trauma Resuscitation Emergency Care Nurse Deployment in Trauma Activations in a Rural Trauma Center. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Michael W Holder,Matthew A Leonard,Hannah W Collins,Allison A Brogan,J Bracken Burns
BACKGROUND Although the role of a dedicated trauma nurse has been implemented in an urban setting, it has not been studied in the rural trauma setting. We instituted a trauma resuscitation emergency care (TREC) nurse role to respond to trauma activations at our rural trauma center. OBJECTIVE This study aims to determine the impact of TREC nurse deployment on the timeliness of resuscitation interventions
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Postintensive Care Syndrome: Feasibly Bridging Care at a Tertiary Trauma Center. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Timothy J Stevens,Donna B Lee
BACKGROUND Advancements in critical care management have improved mortality rates of trauma patients; however, research has identified physical and psychological impairments that remain with patients for an extended time. Cognitive impairments, anxiety, stress, depression, and weakness in the postintensive care phase are an impetus for trauma centers to examine their ability to improve patient outcomes
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Postintensive Care Syndrome: Feasibly Bridging Care at a Tertiary Trauma Center. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01
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Effects of Case Management in Trauma Patients in Taiwan: A Randomized, Longitudinal Study. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Chang-Chiao Hung,Hsueh-Fen S Kao,Sarah Y Jimenez,Santo Imanuel Tonapa,Bih-O Lee
BACKGROUND Case management can improve trauma patient outcomes from the acute to rehabilitation phases. However, a lack of evidence on the effects of case management in trauma patients makes it difficult to translate research findings into clinical practice. OBJECTIVE To examine the effects of case management on illness perception, coping strategies, and quality of life in trauma patients followed
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Concomitant Mental Illnesses Diagnoses and Likelihood of Trauma Recidivism. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01
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Inpatient Rehabilitation Falls: Comparing Patients With Traumatic Brain Injury Versus Patients With Stroke. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Alejandro García-Rudolph,Mark Andrew Wright,Emilien Amar Devilleneuve,Eulalia Castillo,Eloy Opisso,Josep María Tormos,Elena Hernandez
BACKGROUND Cognitively impaired neurological rehabilitation inpatients are at an increased risk for falls; yet, little is known regarding fall risk of different groups, such as stroke versus traumatic brain injury. OBJECTIVES To determine if rehabilitation patients' fall characteristics differ for patients with stroke versus patients with traumatic brain injury. METHODS This retrospective observational
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Injury and Sociodemographic Characteristics of Intimate Partner Violence in Women in Israel: A Single-Center Retrospective Cohort Study. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Merav Ben Natan,Rawan Masarwa,Yaniv Steinfeld,Yaniv Yonai,Yaron Berkovich
BACKGROUND Intimate partner violence is a growing public health concern worldwide, and nurses are uniquely positioned to help identify and refer patients for services. Yet, intimate partner violence injury patterns and characteristics often go unrecognized. OBJECTIVE The purpose of this study is to explore injury and sociodemographic characteristics associated with intimate partner violence in women
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Concomitant Mental Illnesses Diagnoses and Likelihood of Trauma Recidivism. J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Molly A Bauer,Ann M Mayo,Ruth A Bush
BACKGROUND Trauma is the leading cause of death among persons aged 1-44 years. Trauma recidivism occurs when an individual experiences more than one significant injury in a 5-year period. The relationship between a trauma recidivist's perception of recurrent injury has been unclear. OBJECTIVE To describe the association between select sociodemographic and clinical variables, threat orientation, and
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Navigating Trauma Patients and Families Through Unfamiliar Territory J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Donna B. Lee
Background: Trauma teams work diligently to manage the complex medical needs of trauma patients. In addition to medical care, there is also a need to assist patients and their families as they navigate the emotional and physical journey of trauma. The role of trauma nurse navigator was developed to address these holistic needs. Objective: This article aims to describe the implementation of a trauma
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Feasibility of Risk Factor–Based Screening for Posttraumatic Stress Disorder in Trauma J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Karen Petersen-Pugmire, Brian Jimenez, Raquiah Carter, Naqeeb Faroqui, Madeline Parks, John Bliton
Background: Posttraumatic stress disorder (PTSD) following traumatic injury can have severe psychiatric consequences. Current recommendations from the American College of Surgeons Committee on Trauma require implementing PTSD screening but specify neither who should be screened nor how. It is unknown whether narrowed screening selection criteria could identify an acceptable proportion of patients
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Frailty Screening in Geriatric Trauma: A Pilot Feasibility Study J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Megan Keiser, Roxanne Buterakos, Samantha Gillespie, Stephanie Musil, Jessica S. Herek, Gul Sachwani-Daswani
Background: Frailty in older adult trauma patients is associated with increased complications and worsened outcomes. Frailty screening can help guide care. Yet, trauma center assessment of frailty is relatively new, can be challenging to implement, and is not yet standard practice. Objectives: The purpose of this pilot feasibility study is to assess the impact of implementing frailty screening for
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Development and Evaluation of a Web-Based Application for Trauma Nursing Documentation in Thailand: A Feasibility Study J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Chatkhane Pearkao, Tawatchai Impool, Porntipa Tantibundit, Somporn Hongveang, Wiphawadee Potisopha, Tanakorn Sampaothong
Background: Electronic nursing documentation has advantages for monitoring and improving the quality of trauma nursing documentation. However, electronic nursing documentation has rarely been implemented in Thailand. Objectives: This study aimed to assess the feasibility and nursing satisfaction of a web-based trauma nursing documentation application. Methods: A descriptive cross-sectional survey
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Impact of Transfusing Packed Red Blood Cells Through a Rapid Infuser on Potassium Levels J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Ashley Metcalf, Debra Kitchens, John Reddic, Wesley Liao, John Whitcomb, Grace Wallenborn, John Cull
Background: Hyperkalemia is associated with the rapid transfusion of packed red blood cells in trauma patients. Rapid infusers can infuse blood up to 500 ml/min. Objective: This study aimed to determine whether infusing packed red blood cells through a rapid infuser impacts the potassium levels of the infused blood. Methods: Two baseline samples were obtained to measure potassium and hemolysis scores
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Developing a Trauma Intermediate Care Unit J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Morgan A. Krause, Jessica L. Mantooth, Jesse E. Gibson
Background: Trauma-specific nursing units are integral to providing quality trauma care. Yet, little has been published on intermediate care units for the trauma population. Objective: This article aims to describe one trauma center's journey to develop and implement a trauma intermediate care unit. Methods: The need for a trauma intermediate care unit was identified during the review of patient
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Application of a Thoracic CT Decision Rule in the Evaluation of Injured Children: A Quality Improvement Initiative J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Katie Downie, Alicia McIntire, Joseph Tobias, Sanjay Krishnaswami, Mubeen Jafri
Background: Differences in injury patterns in children suggest that life-threatening chest injuries are rare. Radiation exposure from computed tomography increases cancer risk in children. Two large retrospective pediatric studies have demonstrated that thoracic computed tomography can be reserved for patients based on mechanism of injury and abnormal findings on chest radiography. Objective: Implement
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Impact of COVID-19 on U.S. Hospital-Based Injury Prevention Professionals: A National Survey J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Courtney Edwards, Sandra Strack Arabian, Paige Colburn-Hargis, Gina Duchossois, Christy Adams
Background: COVID-19 challenged U.S. trauma centers to grapple with demands for expanded services with finite resources while also experiencing a concurrent increase in violent injuries. Objective: The purpose of this study was to describe the impact of COVID-19 on the roles and duties of U.S. hospital-based injury prevention professionals. Methods: This descriptive cross-sectional survey study
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Patient Outcomes Based on the 2011 CDC Guidelines for Field Triage of Injured Patients J. Trauma Nurs. (IF 1.0) Pub Date : 2023-01-01 Antonio R. Fernandez, Scott S. Bourn, Garrett D. Hall, Remle P. Crowe, J. Brent Myers
Background: The Centers for Disease Control and Prevention Guidelines for Field Triage of Injured Patients drive the destination decision for millions of emergency medical services (EMS)-transported trauma patients annually, yet limited information exists regarding performance and relationship with patient outcomes as a whole. Objective: To evaluate the association of positive findings on Centers
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Authors Deserve Credit: Get an ORCID ID. J. Trauma Nurs. (IF 1.0) Pub Date : 2022-11-10 Judy N Mikhail