Journal of Trauma and Acute Care Surgery
@JTraumAcuteSurg
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#JOTACS focuses on trauma, critical care, and emergency general surgery, providing top science and content for the fast-growing specialty of Acute Care Surgery
Worldwide
Joined June 2011
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Among 9,667patients that underwent hemorrhage control surgery ED vs OR intubation was associated w/ increased risk of death & major complications. Trauma centers w/high-tendency for ED intubation were associated w/higher risk of in-hospital cardiac arrest
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Welcome! Announcing the new
@JTraumAcuteSurg
Social Media Team, and 3 new Ed Board members -
@pferrada1
,
@JosephSakran
, and
@rwinfield11
19
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Rest In Peace, Dr. Basil Pruitt, whose contributions to the fields of Trauma, Burn, & Surgical Critical Care inspired a generation of surgeon-scientists & saved the lives of countless injured. Dr. Pruitt served as our Associate Editor for 20 years & Editor-in-Chief for 17 years.
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Happy holidays to all, and especially to those who are working on Christmas at our trauma centers across the country. 🎅 🎅 🎄 🎄
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Whole Blood Mitigates the Acute Coagulopathy of Trauma and Avoids the Coagulopathy of Crystalloid Resuscitation.
#TraumaSurg
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Damage control resuscitation in patients with severe traumatic hemorrhage: A practice management guideline from EAST
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Most Popular: The trauma ecosystem: The impact and economics of new trauma centers on a mature statewide trauma…
1
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Cervical spine eval & clearance in the intoxicated pt: a prospective WTA MIT & survey.
#VisualAbstract
#TraumaSurg
1
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Would you give tranexamic acid in the prehospital setting? What benefits would it have?
Find out by reading this great paper:
@TopKniFe_B
@APDEEB
@macky_neal
@docmartin22
@UofAZSurgery
@pitttrauma
#JOTACS
#SoMe4Trauma
#SoMe4Surgery
11
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VTE and DVT rates are decreased(with no increase in bleeding complications)in trauma patients after implementation of a VTE prophylaxis protocol utilizing enoxaparin 40mg BID with titration by anti-Xa levels.
@JakeGillenMD
@CarilionClinic
#SurgTwitter
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A picture is worth 1000 tweets. With much appreciation to our staff, editorial board, authors, & readers for a new high Impact Factor!
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Ketamine Infusion for Pain Control in Adult Patients with Multiple Rib Fractures.
#TraumaSurg
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❇️Best of Trauma❇️
Increasing time to early resuscitative intervention in hemorrhagic shock after injury assoc w/ increasing 30d & 24h mortality–suggests early resuscitation initiation is key & crucial to start in the field if prehospital time prolonged
0
41
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Observing Pneumothoraces: The 35 Millimeter Rule Is Safe for Both Blunt and Penetrating Chest Trauma.
#TraumaSurg
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SEVERITY OF HEMORRHAGE AND THE SURVIVAL BENEFIT ASSOCIATED WITH PLASMA: RESULTS FROM A RANDOMIZED PREHOSPITAL PLASMA TRIAL.
#TraumaSurg
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25
83
Sensitivity of CXR was 78% compared to 65% with US in CT-confirmed cases of traumatic pneumothorax. Use of chest US as the primary imaging modality in the initial evaluation of thoracic trauma should be used with caution.
@JE_Santorelli
#UCSDhealth
#MedEd
7
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Most Popular: Damage control resuscitation in patients with severe traumatic hemorrhage: A practice management guideline from the Eastern Association for the Surgery of Trauma
0
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ROTEM based Trauma Resuscitation with Fibrinogen obviates the use of plasma. Less transfusion. Improved outcomes. Towards a new paradigm?
@Aleejandro_MV
5
27
80
Frailty screening and a frailty pathway decrease length of stay, loss of independence, and 30-day readmission rates in frail geriatric trauma and emergency general surgery patients
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Updated guidelines to reduce venous thromboembolism in trauma patients: A Western Trauma Association critical decisions algorithm
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Congratulations to Dr Eileen Bulger as the new Chair of the ACS Committee on Trauma!
@ACSTrauma
@AmCollSurgeons
0
27
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New Visual Abstract! Management of Duodenal Trauma: A Retrospective Review from
@Panamtrauma
.
#TraumaSurg
2
50
77
Thromboelastography and rotational thromboelastometry in bleeding patients with coagulopathy: Practice management guideline from the Eastern Association for the Surgery of Trauma
0
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The 35-mm rule to guide pneumothorax management: Increases appropriate observation and decreases unnecessary chest tubes
0
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Practice Management Guidelines for Selective Nonoperative Management of Penetrating Abdominal Trauma
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Valproic Acid used to assist in hemorrhage control. What adjuncts do you use during massive transfusions?
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Ketamine Infusion for Pain Control in Elderly Patients with Multiple Rib Fractures: Results of a Randomized Controlled Trial.
#TraumaSurg
#SurgCritCare
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Dr. Moore: "Our mission is to provide the scientific basis to optimize the care of the critically injured patient"
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What can your department do to help reduce burnout of acute care surgeons?
Burnout reduction in acute care surgeons: impact of faculty schedule change at a level 1 trauma and tertiary care center
#JOTACS
#SoMe4Trauma
#SoMe4Surgery
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Prehospital combo of blood transfusion+TXA associated with reduced 30-day mortality, while prehospital blood associated with reduced 24-hour mortality in secondary analysis of the
#STAAMP
trial
#JoTACS
@JoshuaB31473697
@pitttrauma
@PittTTMRC
@PittEMSDocs
1
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Four-factor prothrombin complex concentrate is associated with improved survival in trauma-related hemorrhage: A nationwide propensity-matched analysis
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The small (14 Fr) percutaneous catheter (P-CAT) versus large (28–32 Fr) open chest tube for traumatic hemothorax: A multicenter randomized clinical trial
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Tranexamic acid (TXA) does not increase the risk of thrombotic-related technical failure following major vascular injury repair
#JoTACS
#TranexamicAcid
#VascularInjuries
#PROOVITStudy
#TraumaSurg
#SurgTwitter
#MedEd
#SoMe4Surgery
#MedTwitter
#MedStudent
0
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Most Popular: Management of adult pancreatic injuries: A practice management guideline from the Eastern Association for the Surgery of Trauma
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The profile of wounding in civilian public mass shooting... full text free access at
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Check out the newest 3 Minute Expert Consult Video: Gunshot Wound to EVERY Quadrant: Where do I start, and how will it end? Presented by
@macky_neal
&
@NakulRaykar
, with Dr. David Feliciano providing expert advice.
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Mortality for trauma patients ≥70 years who undergo closed chest compressions reaches 100%, significantly higher than younger patients, who die 91% of the time, despite older patients presenting less severely injured and achieving ROSC at similar rates
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Trauma patients are safe to fly 72 hours after tube thoracostomy removal
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ROTEM significantly optimizes transfusion practices for damage control resuscitation in combat casualties.
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Are you familiar with the Brain Injury Guidelines (BIG)? How do you use neurosurgical resources wisely at your institution?
Read this prospective multi-institutional trial in the
#JOTACS
August issue:
@TopKniFe_B
@djskarupa
@rwinfield11
@tak42796
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The Acute Inflammatory Response after Trauma is heightened by Frailty: A Prospective Evaluation of Inflammatory and Endocrine System Alterations in Frailty.
#TraumaSurg
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We are so proud of our outstanding Editorial Board member and Social Media Editor, Professor Paula Ferrada
@pferrada1
@JosephSakran
@rwinfield11
#ILookLikeASurgeon
Congrats to
@pferrada1
on promotion to full Professor! She exemplifies the true “quadruple threat” academic surgeon and teacher. So well deserved
@EAST_TRAUMA
@traumadoctors
@ACSTrauma
@JTraumAcuteSurg
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❇️Best Of Trauma❇️
This review provides a comprehensive description of pediatric damage control principles based on the best available and current literature. In addition, this include a practical guide for implementation of damage control resuscitation for pediatric trauma…
1
29
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❇️Best Of Trauma❇️
Hemorrhage as a cause of injury death represents the leading preventable condition. Based on experience from the recent wars, and two decades of military and civilian research, damage control resuscitation (DCR) is the standard of care. This paper describes…
1
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Major limb trauma without a pre-hospital tourniquet has increased death from hemorrhagic shock.
#TraumaSurg
0
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Surgical Critical Care is more than ICU management of operative patients. It’s critical care applied with a surgical mindset, synergizing technical expertise, anatomy, & physiology. This White Paper from
@traumadoctors
SCC Committee explores the specialty
1
29
60
Can police transport save lives?🚨
A study of 1300 patients with firearm injuries in Philadelphia suggests that police transport is faster than ambulance-based systems, & is associated with better survival of critically-injured individuals
@DctrJByrne
1
25
59
❇️Best of Trauma❇️Fibrinogen supplementation for bleeding trauma patients using fibrinogen concentrate instead of cryoprecipitate is associated with earlier fibrinogen administration and improved outcomes
@TopKniFe_B
@AZTraumaCats
#JoTACS
#SoMe4Surgery
1
19
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Lessons from 395 deaths with an opportunity for improvement in trauma: centers continue to focus on improving people, not systems. System-level strategies (standardization, automation, etc.) could help prevent recurrent errors & patient harm
@Doulia_Hamad
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Trauma and Emergency General Surgery Patients Should Be Extubated With an Open Abdomen.
#TraumaSurg
#EmergSurg
#SurgCritCare
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Correction of platelet inhibition may prevent hemorrhagic progression in TBI. In this study, we characterize patterns of platelet inhibition and show that the administration of platelets reduces platelet inhibition as measured by TEG with platelet mapping
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Direct to operating room trauma resuscitation decreases mortality among severely injured children
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Tourniquet use is not associated with limb loss following military lower extremity arterial trauma
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Announcing the NEW Journal of Trauma and Acute Care Surgery (JTACS) Website💻The January issue of JTACS is now live! Check out the new site at !
#TraumaSurg
#SurgTwitter
4
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Subtotal cholecystectomy as an effective and safe option for complicated cholecystitis: A 2018 EAST Master Class Video Presentation
0
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Preperitoneal pelvic packing reduces mortality... life-threatening hemorrhage due to unstable pelvic fractures
1
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Direct to Operating Room Trauma Resuscitation Decreases Mortality Among Severely Injured Children.
#TraumaSurg
0
39
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ROTEM based Trauma Resuscitation with Fibrinogen obviates the use of plasma. Less transfusion. Improved outcomes. Towards a new paradigm?
@Aleejandro_MV
1
25
55
❇️'Best Of' Trauma Article❇️This is a treatment algorithm based on current evidence and expert opinion from
@WesternTrauma
. It highlights how to objectively guide management and when one is able to safely observe
@mademoya
#TraumaSurg
#SurgTwitter
#MedEd
1
30
55
The Rib Injury Guidelines scoring system are safe and effectively guide
#RibFracture
patient triage, reducing ICU admissions and hospital length of stay.
@AZTraumaCats
@AdamcitoDos
#SurgTwitter
#SoMe4Surgery
#MedED
#MedTwitter
1
33
54
❇️Best of EGS❇️
Acute care surgeons are commonly faced with managing post-bariatric surgery patients who require urgent or emergent surgical intervention. This practical review provides an overview of bariatric anatomy, complications, and optimal management approaches for the…
4
7
51
Pre Hospital Administration of Freeze Dried Plasma, is it the solution for Trauma Casualties?
1
40
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Check out the latest "JOTACS 3-Minute Expert Consult Video" -
@JosephSakran
and invited expert
@mademoya
take us through management and decision making for penetrating injury to the "surgical soul"
0
27
51
Can police transport save lives?🚨
A study of 1300 patients with firearm injuries in Philadelphia suggests that police transport is faster than ambulance-based systems, & is associated with better survival of critically-injured individuals
@DctrJByrne
1
25
52
ROTEM based Trauma Resuscitation with Fibrinogen obviates the use of plasma. Less transfusion. Improved outcomes. Towards a new paradigm?
@Aleejandro_MV
1
20
53
Can acute care surgeons perform while fatigued? An EAST multicenter study
3
30
50
❇️Best of Basic Science❇️
#BetaBlockade
in severe traumatic brain injury has shown improvements in survival & recovery after injury. This paper demonstrates in a series of in vivo & ex vivo experiments a potential mechanism for this benefit using a live rodent
#TBI
model
#MedEd
0
22
53
Early
#TranexamicAcid
administration protects against trauma hemorrhagic shock. There was a concentration & temporal effect of
#TXA
administration on endothelial glycocalyx degradation. TXA given in patients w/ trauma hemorrhagic shock should be done early
2
25
52
Liberal primary anastomosis should be considered in almost all patients with destructive colon injuries requiring resection, irrespective of risk factors. Colon discontinuity at the index operation may be an independent risk factor for mortality
#JoTACS
5
33
52
Hot off the presses! Is there a role for TPA as a treatment for COVID-associated ARDS? Open access download at: or view online at:
1
28
51
The Rib Injury Guidelines scoring system are safe and effectively guide
#RibFracture
patient triage, reducing ICU admissions and hospital length of stay.
@AZTraumaCats
@AdamcitoDos
#SurgTwitter
#SoMe4Surgery
#MedED
#MedTwitter
2
24
52
Among 9,667patients that underwent hemorrhage control surgery ED vs OR intubation was associated w/ increased risk of death & major complications. Trauma centers w/high-tendency for ED intubation were associated w/higher risk of in-hospital cardiac arrest
2
21
50
Review of facial trauma management
2
24
52
Guidelines for Prehospital Fluid Resuscitation in the Injured Patient
1
40
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View
@RaulCoimbraMD
's "Editor-in-Chief Editorial" to see the exciting changes that are planned for JTACS, including an aggressive social media strategy to offer content to every ACS surgeon in the world!
#SurgTwitter
#MedTwitter
1
16
48
The workload of a full-time trauma & ACS surgeon is nuanced & requires consideration of local volume, acuity & culture. A 1.0 clinical FTE is approximately 24-28 service weeks per year & 4-5 in-house call per month at a Level 1 Trauma Center
@pbatesmurphy
2
23
49
Glad to partner with
@traumadoctors
to share
#VisualAbstracts
for
#AAST2019PAP
articles from
#AAST2019
- check out the first of the meeting from
@TweetAtNina
!
2
20
49
Hypertonic saline resuscitation following emergent laparotomy and temporary abdominal closure.
#TraumaSurg
2
45
49
Optimal timing of initial debridement for necrotizing soft tissue infection: A Practice Management Guideline from the Eastern Association for the Surgery of Trauma
2
35
48
High-dose Factor XIII administration induces effective hemostasis for trauma-associated coagulopathy (TAC) both in vitro and in rat hemorrhagic shock in vivo models
0
31
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Among trauma patients on pre-injury antithrombotic therapy, warfarin increased overall mortality. Warfain +/-ASA increased TBI severity. Reversal attempts for Xa inhibitors or antiplatelet agents did not improve mortality.
@DrBYork
#SurgTwitter
#MedEd
2
20
49
Implementation of a CT scan practice guideline for pediatric trauma patients reduces unnecessary scans without impacting outcomes
0
34
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Our study of 3 tranexamic acid dosing regimens in major traumatic haemorrhage showed no significant differences in clinical outcomes. This provides evidence to support the use of 2 pragmatic alternative dosing strategies to that used in the CRASH-II trail
2
22
49
Early
#TranexamicAcid
administration protects against trauma hemorrhagic shock. There was a concentration & temporal effect of
#TXA
administration on endothelial glycocalyx degradation. TXA given in patients w/ trauma hemorrhagic shock should be done early
0
23
49
Preperitoneal pelvic packing: A 2018 EAST Master Class Video Presentation
2
24
48
Intercostal Liposomal Bupivacaine Injection For Rib Fractures; A Prospective Randomized Controlled Trial.
#TraumaSurg
1
15
48
Surgical Critical Care is more than ICU management of operative patients. It’s critical care applied with a surgical mindset, synergizing technical expertise, anatomy, & physiology. This White Paper from
@traumadoctors
SCC Committee explores the specialty
0
19
46
This is a practical review of how to identify patients with cardiac injuries in the trauma bay, what maneuvers to perform, choice of surgical incisions, repair of specific injuries, and stabilization of electrical rhythm
@pgkhaitan
#JoTACS
#TraumaSurg
0
20
46
Outcome measures used in clinical research evaluating pre-hospital blood component transfusion in traumatically injured bleeding patients: A systematic review.
@karimbrohi
#TraumaSurg
1
14
48
AAST prospective multicenter study of tourniquets for extremity trauma showed 3-fold decreased risk of arrival to trauma center in shock with no difference in limb complications.
@BeccaSchroll
@TraumaTulane
#JoTACS
#SurgTwitter
#SoMe4Surgery
#MedEd
1
17
47
Open abdomen with vacuum-assisted wound closure and mesh-mediated fascial traction...
5
44
46
The Small 14-French (Fr) Percutaneous Catheter vs. Large (28-32Fr) Open Chest Tube for Traumatic Hemothorax (P-CAT): A Multi-center Randomized Clinical Trial.
#TraumaSurg
4
27
48
Editor's Choice: Substituting systolic blood pressure with shock index in the National Trauma Triage Protocol
0
36
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❇️Best of Trauma❇️
Increasing time to early resuscitative intervention in hemorrhagic shock after injury assoc w/ increasing 30d & 24h mortality–suggests early resuscitation initiation is key & crucial to start in the field if prehospital time prolonged
0
27
44
We are thrilled to announce Jeremy Cannon, MD, as the Journal of Trauma and Acute Care Surgery Reviewer of the Year for 2023!
Dr. Cannon's dedication, expertise, and invaluable contributions have significantly enhanced the quality and impact of our journal. Join us in…
0
8
46
In this
@EAST_TRAUMA
trial we used trauma video review to evaluate vascular access in hypotensive trauma patients.Time to resuscitation initiation was shorter in patients whose initial access attempt was IO access. IO had higher success rates vs PIV or CVC
0
20
45
In a post hoc analysis of the MUSTANG study, appendicitis patients undergoing appendectomy had lower odds of developing clinically important unfavorable outcomes at one year compared to non-operative management using a novel hierarchical ordinal scale
0
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