Articles Tagged With: trauma
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Venomous Bites
Humans increasingly invade the environments of venomous creatures. The authors provide a review of venomous creatures and what acute care providers need to manage the patients affected by them.
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‘STRAUMA’ Protocol Activates Care for Patients with Concurrent Symptoms of Stroke, Trauma
Researchers designed STRAUMA specifically for patients who exhibit symptoms of stroke and show visible signs of trauma. Typically, EMS activates the protocol, but other emergency providers can call for it after an appropriate patient has presented to the ED. An activation pages stroke and trauma teams to respond so they can evaluate the patient jointly.
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Simple Techniques for Talking with Patients About Advance Directives
It is challenging for case managers and healthcare providers to discuss end-of-life issues with patients, particularly when they are facing a life-threatening injury or illness. But it is useful to make advance directives a part of a palliative care service as well as a general part of case management with geriatric patients after a traumatic injury. -
Geriatric Patients Need Advance Directives and Transdisciplinary Care Across Continuum
Millions of older Americans visit emergency departments each year, often for traumatic injuries, including falls that can lead to death. Case managers and health systems should consider how to improve end-of-life care discussions and advance directive documentation in this population. -
Medicaid Expansion Helped Young Adults with Traumatic Injuries
Better insurance coverage led to wider access to rehab resources, chipped away at certain racial, socioeconomic disparities.
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Approaches to the Hemorrhaging Pediatric Trauma Patient
Clinicians might be surprised to learn that after central nervous system injury, hemorrhage/hemorrhagic shock is the second most common injury complex resulting in death for pediatric trauma patients. A thorough understanding of subtle presentations and management is essential to improve the outcome for these children.
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Certain Recovery Activities Can Protect First Responders’ Well-Being
Considering the effects of stress on well-being, first responders are at higher risk of suffering from emotional fallout from their work. The good news is there are some straightforward solutions that could mitigate the harmful effects of stress and reduce their risk of developing depression, PTSD, or other mental health problems. -
Drugs of Abuse in Trauma Patients Part II: Central Nervous System Depressants
Drugs of abuse are commonly encountered in the trauma setting. Patient care may be affected by acute intoxication and chronic use of these substances. Central nervous system depressants can result in coma and respiratory depression in severe toxicity. The authors discuss common presentations, potential complications, and management of central nervous system depressants in the context of a trauma patient. -
Stimulant-Based Drugs of Abuse in the Trauma Patient
Substance abuse is a major healthcare issue with effects on all aspects of patient care, including trauma. A large percentage of trauma patients have a positive drug screen, and acute and chronic abuse have impacts both on the acute and long-term management of these patients. This report is the first of a two-part series and focuses on stimulants and substances with sympathomimetic properties, with particular attention to the impact on the trauma patient.
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Management of Pediatric Shock
Pediatric shock carries a high morbidity and mortality, making early recognition key. Recently, pediatric critical care and resuscitation has been the focus of emergency department care improvement.