Level 2 Trauma Units

Full title: The confusion continues: results from an American Association for the Surgery of Trauma (AAST) survey on massive transfusion practices among United States trauma centers. Short title: Survey results on massive transfusion practices University of Pittsburgh Medical Center Department of Surgery Authors: Eric W. Etchill MPH1 etchille@upmc.edu Jason L. Sperry MD MPH1 sperryjl@upmc.edu Brian S. Zuckerbraun MD1 zuckerbraunbs@upmc.edu Louis H. Alarcon MD1 alarconl@upmc.edu

Unit 9 Project: Final Research Proposal A Multiple Regression Analysis of Insulin Usage Versus Non-treatment of Hyperglycemia in Non-diabetic Trauma Patients Jeana Santostefano Kaplan University NU 310-01: Nursing Research March 5, 2008 Title A Multiple Regression Analysis of Insulin Usage Versus Non-treatment of Hyperglycemia in Non-diabetic Trauma Patients Abstract Purpose: The goal of this study is to explore the relationship between insulin administration in non-diabetic

Uncontrolled haemorrhage in patients with multi-trauma is the most common cause of shock and preventable death (Sweeney, 2013). Optimisation of haemoglobin concentration by blood transfusion remains a treatment priority in these patients (Mitra et al., 2007) and subsequently, a massive blood transfusion is the most effective treatment. A massive blood transfusion is defined as the replacement of a patient’s entire blood volume or transfusion of 10 or more blood units within a 24-hour period (Hess, 2013). Similarly

Aviance Carlisle Professor ( ) Benchmark Essay 8-28-15 (Due Date) Why aren’t there any Trauma Units How would you feel if your race represented a sigma- one of such that is viewed negatively upon-causing government officials to provide the bare minimum of resources for you to function just below the poverty threshold? Chicago, the 3rd largest populated city in the U.S followed by it having the 3rd largest black population in the U.S according to the 2010

consistent culture of safety and quality in an intensive care unit can be a major challenge. Many healthcare organizations are embracing the Six Sigma strategy to reduce variability and decrease risk for central line-associated bloodstream infections. This process is known as the Define-Measure-Analyze-Improve-Control (DMAIC) process. The five steps required are as follows: 1) define the project goal and identify issues to address; 2) measure the current trends to obtain baseline data; 3) Analyze

Introduction All paramedic cases are broken down into two basic categories, medical and trauma. Treating trauma patients is an integral part of a paramedic’s job. Many trauma cases such as motor vehicle accidents, assaults, and work place injuries can involve moderate to severe blood loss. There is a lot of research being done in the field of fluid resuscitation for trauma patients, but what is the most appropriate fluid? A current, cost effective solution is the use of basic crystalloid fluid.

Acute Care Nurse Practitioners Interviews A day in the life of a trauma intensive care nurse practitioner. This particular nurse practitioner (NP), Diana Hayes, seems like somebody who has done this job for decades; in reality she obtained her acute care NP (ACNP) degree in 2014, less than 2 years ago and got her advanced practice license in Tennessee the same year. Her current role working as an intensivist NP in the trauma unit at Vanderbilt Medical Center is part of a recently launched program

Trauma patients transferred from the field often receive crystalloid infusion. In an analysis of 8700 patients of the German Trauma Registry in 2006, 34% were overtly coagulopathic at the time of presentation; the degree of derangement was proportional to the degree of prior crystalloid resuscitation4. Specifically, 10% of patients were coagulopathic after receiving 500 mL or less of crystalloid, which has been shown to be a product of both acute trauma response and factor dilution4

Vignette Discussion This is a not an uncommon scenario on an acute crisis stabilization unit. One should have a high index of suspicion for trauma. Some clues that one may be dealing with posttraumatic stress disorder are 1) re-experiencing, which can manifest itself as nightmares, flashbacks, or reactivity; 2) avoidance, which can present itself as denial, refusal to answer questions, social withdrawal, and even substance abuse; and 3) hyperarousal, which can take the form of irritability, insomnia

Both victims are flown via helicopter to the nearest level 2 trauma center where 2 teams of emergency room doctors, trauma surgeons, respiratory therapists, x-ray technologists, phlebotomists, chaplains, social workers, and of course, trauma nurses, are waiting to assess the patients and provide life-saving care. This scenario is not the exception in a level 2 trauma care center of the emergency-room, it is the average situation that a trauma nurse will find his or herself in every day. Because of