There is no standardized treatment catastrophic brain injury (CBI), a fatal injury. Giving dopamine, DDAVP, vasopressin, levothyroxine, or steroids alone: ↑ odds of organ donation after CBI. DDAVP and steroids together have the highest odds of successful donation. @KristenNordham @STaghaviMD ovid.com/jnls/jtrauma/abstra…

Invited commentary by the editor. ovid.com/jnls/jtrauma/abstra…

❇️Best of Trauma❇️ Watch an overview of “Kinetics and Dynamics of Ionized Calcium in a Porcine Major Truama Model” In a porcine major trauma model, iCa²⁺ changed dynamically during trauma and resuscitation through a multifactorial interaction of acid–base status, ion interactions, and endocrine responses. Adequate resuscitation restored iCa²⁺ to baseline without supplementation. #JTACS #traumasurg #meded #surgery #emergencymedicine

Survey of military trauma/critical care surgeons found strong confidence in clinical “inside-the-tent” skills but significant gaps in leadership and operational “outside-the-tent” training. Civilian-based fellowships inadequately prepare surgeons for deployed leadership demands. ovid.com/jnls/jtrauma/abstra…

Our network meta-analysis shows that noninvasive ventilation outperforms high-flow nasal cannula and conventional oxygen therapy for hypoxemic respiratory failure after chest trauma, reducing escalation of support and improving outcomes. ovid.com/jnls/jtrauma/abstra…

Filling the tank: A multicenter investigation of trauma survival after ultramassive transfusion dlvr.it/TTbQrN

CT-measured appendiceal stump length < 2cm in complicated appendicitis is associated with higher odds of extended resection (OR 20.2) and conversion to open (OR 5.9). Pre-op imaging may guide surgical planning and optimize patient selection. #ComplicatedAppendicits #StumpLength journals.lww.com/jtrauma/abs…

This is pioneer research from LMIC in which effectiveness of pre-emptive TMR in acutely injured patients to mitigate the primary cause of post amputation pain (PAP) was assessed. journals.lww.com/jtrauma/abs…

A Bayesian meta-analysis of 8,553 lower extremity vascular injuries identifies prolonged ischaemia, nerve injury, and soft tissue damage as key predictors of secondary amputation. Findings highlight differences between civilian and military trauma. #LEVT #TraumaSurgery journals.lww.com/jtrauma/abs…

Appropriate redosing intervals for prophylactic antibiotics in a hemorrhaging patient is not established. Our swine model showed that at 4 units of blood loss, more frequent antibiotic redosing should be considered. journals.lww.com/jtrauma/abs…