Discover and read the best of Twitter Threads about #penetrating

Most recents (2)

1/🧵 This #Trauma #MorningPaper is a retrospective study of 284 cases of traumatic cardiac arrest (TCA) in Sweden, mostly men with mean age of 38. Are our attempts always futile? @SMHMajorTrauma @nottsurgeon @ShehanHett @karimbrohi @londonsdrcosmo @e1v1m1

sjtrem.biomedcentral.com/articles/10.11…
2/ The study region has no #REBOA or prehospital resus thoracotomy services. 90.1% of TCA were prehospital with 64.8% from blunt injuries. Only 6.7% had shockable rhythm.

29.9% survived to ICU with mean days on ventilator of 3d. Only 10% survived to 30 days (GOS 3 or 4 mostly).
3/ In-hospital TCA had a much higher chance of survival (42.9% vs 7.0%) - but remember there is no prehospital thoracotomy/aortic compression/REBOA services, therefore I'm not sure how applicable this data is if setup were different. @viseshsankaran @traumakhan @WilsonMSJ
Read 6 tweets
1/
How does a city's trauma system come together to both prepare for the expected surge of the #COVIDー19 #pandemic & manage the ongoing #epidemic of #gunviolence & other trauma?

Through a great collaborative effort, we published the #Philadelphia experience in @JTraumAcuteSurg
2/

The full paper is published ahead of print here: journals.lww.com/jtrauma/Citati…

It represents the importance of #teamwork in ensuring a robust, rapid, coordinated effort to manage an evolving threat
3/

Our publication timing coincides with a brutal #July4th weekend where #Philadelphia saw over 30 people shot including several children

But how did the #pandemic and #socialdistancing mandate affect trauma volume in our centers?
Read 15 tweets

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