Trauma Centers

Publication Title: 
Journal of Trauma Nursing: The Official Journal of the Society of Trauma Nurses

Challenges with opioids (e.g., adverse events, misuse and abuse with long-term administration) have led to a renewed emphasis on opioid-sparing multimodal management of trauma pain. To assess the extent to which currently available evidence supports the efficacy and safety of various nonopioid analgesics and techniques to manage trauma pain, a literature search of recently published references was performed. Additional citations were included on the basis of authors' knowledge of the literature.

Author(s): 
Sullivan, Denise
Lyons, Mary
Montgomery, Robert
Quinlan-Colwell, Ann
Publication Title: 
Journal of Health and Human Services Administration

Urban trauma centers have been shown in the medical literature to be effective resources for dealing with traumatic injury in a manner which results in demonstrated increases in survival rates. Given that much debate exists over the relative efficacy of various technological medical interventions, the acceptance and diffusion of a "proven" technology, such as trauma centers, should be assured.

Author(s): 
Culbertson, R. A.
Publication Title: 
Journal of Health and Human Services Administration

Urban trauma centers have been shown in the medical literature to be effective resources for dealing with traumatic injury in a manner which results in demonstrated increases in survival rates. Given that much debate exists over the relative efficacy of various technological medical interventions, the acceptance and diffusion of a "proven" technology, such as trauma centers, should be assured.

Author(s): 
Culbertson, R. A.
Publication Title: 
The American Journal of Nursing

OVERVIEW: Hospitalized patients who are suffering from cognitive impairment, delirium, suicidal ideation, traumatic brain injury, or another behavior-altering condition are often placed under continuous observation by designated "sitters." These patients may become agitated, which can jeopardize their safety even when a sitter is present. This quality improvement project was based on the hypothesis that agitation can be decreased by engaging these patients in individualized therapeutic activities.

Author(s): 
Waszynski, Christine
Veronneau, Patricia
Therrien, Karyn
Brousseau, Melissa
Massa, Angela
Levick, Sarah
Publication Title: 
The American Journal of Clinical Hypnosis

This case series evaluated the use of virtual reality hypnosis (VRH) for the treatment of pain associated with multiple fractures from traumatic injuries. VRH treatment was administered on 2 consecutive days, and pain and anxiety were assessed each day before and after VRH treatment as well as on Day 3, which was 24 hours after the second treatment session. Pain reduction from baseline to Day 3 was from 70% to 30%, despite opioid analgesic use remaining stable.

Author(s): 
Teeley, Aubriana M.
Soltani, Maryam
Wiechman, Shelley A.
Jensen, Mark P.
Sharar, Sam R.
Patterson, David R.
Publication Title: 
Pediatric Emergency Care

The aim of this study was to determine the effect of music alone, aromatherapy alone, and music in addition to aromatherapy on anxiety levels of adults accompanying children to a pediatricemergency department waiting area. METHODS: The study was conducted over 28 consecutive days, assigned to 1 of 4 groups: no intervention, music, aromatherapy, and both music and aromatherapy.

Author(s): 
Holm, Lydia
Fitzmaurice, Laura
Publication Title: 
The American Journal of Emergency Medicine

This study examined the frequency of patients using alternative medicine to treat their condition before presenting to an emergency department (ED). This was a prospective randomized, consecutive survey conducted at a level I 24-bed inner-city trauma center. Patients were eligible for enrollment if they were at least 18 years old and able to consent. Exclusion criteria included patients delivered by an ambulance and patients unable or unwilling to consent.

Author(s): 
Zun, Leslie S.
Gossman, William
Lilienstein, David
Downey, LaVonne
Publication Title: 
The American Journal of Emergency Medicine

This study examined the frequency of patients using alternative medicine to treat their condition before presenting to an emergency department (ED). This was a prospective randomized, consecutive survey conducted at a level I 24-bed inner-city trauma center. Patients were eligible for enrollment if they were at least 18 years old and able to consent. Exclusion criteria included patients delivered by an ambulance and patients unable or unwilling to consent.

Author(s): 
Zun, Leslie S.
Gossman, William
Lilienstein, David
Downey, LaVonne
Publication Title: 
The American Surgeon

Research has shown that religious affiliation is associated with reduced all cause mortality. The aim of this study was to determine if religious affiliation predicts trauma-specific mortality and length of stay. Patients admitted to our urban Level I trauma center in 2008 were examined; the main study categorization was based on endorsement of a specific religious affiliation during a standard intake procedure.

Author(s): 
Khoury, Amal
Oyetunji, Tolulope A.
Bolorunduro, Oluwaseyi
Harbour, Leia
Cornwell, Edward E.
Siram, Suryanarayana M.
Mellman, Thomas
Greene, Wendy R.
Publication Title: 
The American Surgeon

Research has shown that religious affiliation is associated with reduced all cause mortality. The aim of this study was to determine if religious affiliation predicts trauma-specific mortality and length of stay. Patients admitted to our urban Level I trauma center in 2008 were examined; the main study categorization was based on endorsement of a specific religious affiliation during a standard intake procedure.

Author(s): 
Khoury, Amal
Oyetunji, Tolulope A.
Bolorunduro, Oluwaseyi
Harbour, Leia
Cornwell, Edward E.
Siram, Suryanarayana M.
Mellman, Thomas
Greene, Wendy R.

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