Trauma Severity Indices

Publication Title: 
AACN clinical issues

Patients with severe traumatic brain injury resulting in increased intracranial pressure refractory to first-tier interventions challenge the critical care team. After exhausting these initial interventions, critical care practitioners may utilize barbiturate-induced coma in an attempt to reduce the intracranial pressure. Titrating appropriate levels of barbiturate is imperative. Underdosing the drug may fail to control the intracranial pressure, whereas overdosing may lead to untoward effects such as hypotension and cardiac compromise.

Author(s): 
Bader, Mary Kay
Arbour, Richard
Palmer, Sylvain
Publication Title: 
AJR. American journal of roentgenology

OBJECTIVE: This study sought to evaluate whether surgical clips affect tissue conductivity and thereby alter the induction of radiofrequency ablation lesions and to determine whether therapy is safe after previous placement of clips in the liver. MATERIALS AND METHODS: An ex vivo porcine hepatic model was used. Three clips were placed around a radiofrequency electrode at 10, 20, and 30 mm from the point of insertion. Clips were arranged in a plane either perpendicular or parallel to the electrode track.

Author(s): 
Boll, Daniel T.
Lewin, Jonathan S.
Duerk, Jeffrey L.
Merkle, Elmar M.
Publication Title: 
AACN clinical issues

Patients with severe traumatic brain injury resulting in increased intracranial pressure refractory to first-tier interventions challenge the critical care team. After exhausting these initial interventions, critical care practitioners may utilize barbiturate-induced coma in an attempt to reduce the intracranial pressure. Titrating appropriate levels of barbiturate is imperative. Underdosing the drug may fail to control the intracranial pressure, whereas overdosing may lead to untoward effects such as hypotension and cardiac compromise.

Author(s): 
Bader, Mary Kay
Arbour, Richard
Palmer, Sylvain
Publication Title: 
Disability and Rehabilitation

PRIMARY OBJECTIVE: To examine the potential efficacy of a mindfulness-based stress reduction approach to improve quality of life in individuals who have suffered traumatic brain injuries. RESEARCH DESIGN: Pre-post design with drop-outs as controls. METHODS AND PROCEDURES: We recruited individuals with mild to moderate brain injuries, at least 1 year post-injury. We measured their quality of life, psychological status, and function. Results of 10 participants who completed the programme were compared to three drop-outs with complete data.

Author(s): 
Bédard, Michel
Felteau, Melissa
Mazmanian, Dwight
Fedyk, Karilyn
Klein, Rupert
Richardson, Julie
Parkinson, William
Minthorn-Biggs, Mary-Beth
Publication Title: 
Archives of Internal Medicine

BACKGROUND: Little is known about the most effective pattern of clinical care for acute whiplash. We designed a cohort study to determine whether patterns of early clinical care (involving visits to general practitioners, chiropractors, or specialists) were associated with different rates of recovery. METHODS: We studied 2486 Saskatchewan adults with whiplash injuries. We defined 8 initial patterns of care that integrated type of provider and number of visits.

Author(s): 
Côté, Pierre
Hogg-Johnson, Sheilah
Cassidy, J. David
Carroll, Linda
Frank, John W.
Bombardier, Claire
Publication Title: 
Archives of Physical Medicine and Rehabilitation

OBJECTIVE: To describe the 1-year course of symptoms following mild traumatic brain injury (MTBI) sustained in a motor vehicle collision as well as patterns of care-seeking. DESIGN: One-year follow-up of a population-based inception cohort. SETTING: The province of Saskatchewan, Canada, with a population of about 1,000,000 inhabitants. PARTICIPANTS: Persons (N=1716) sustaining an MTBI during a car collision between November 1997 and December 1999. INTERVENTIONS: Not applicable.

Author(s): 
Hartvigsen, Jan
Boyle, Eleanor
Cassidy, J. David
Carroll, Linda J.
Publication Title: 
Clinical Rehabilitation

OBJECTIVE: To examine the effects of a brief Tai Chi Chuan Qigong ('Qigong') exercise intervention on individuals with traumatic brain injury. DESIGN: A single-centre randomized controlled trial pilot study. SETTING: A registered charity day centre in the community. SUBJECTS: Twenty individuals with traumatic brain injury. INTERVENTION: Intervention participants attended a Qigong exercise session for one hour per week over eight weeks. Control participants engaged in non-exercise-based social and leisure activities for the same intervention period.

Author(s): 
Blake, H.
Batson, M.
Publication Title: 
Clinical Rehabilitation

OBJECTIVE: To examine the effects of a brief Tai Chi Chuan Qigong ('Qigong') exercise intervention on individuals with traumatic brain injury. DESIGN: A single-centre randomized controlled trial pilot study. SETTING: A registered charity day centre in the community. SUBJECTS: Twenty individuals with traumatic brain injury. INTERVENTION: Intervention participants attended a Qigong exercise session for one hour per week over eight weeks. Control participants engaged in non-exercise-based social and leisure activities for the same intervention period.

Author(s): 
Blake, H.
Batson, M.
Publication Title: 
Clinical Rehabilitation

OBJECTIVE: To examine the effects of a brief Tai Chi Chuan Qigong ('Qigong') exercise intervention on individuals with traumatic brain injury. DESIGN: A single-centre randomized controlled trial pilot study. SETTING: A registered charity day centre in the community. SUBJECTS: Twenty individuals with traumatic brain injury. INTERVENTION: Intervention participants attended a Qigong exercise session for one hour per week over eight weeks. Control participants engaged in non-exercise-based social and leisure activities for the same intervention period.

Author(s): 
Blake, H.
Batson, M.
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