Journal of Trauma and Acute Care Surgery
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jtraumacutesurg.bsky.social
Journal of Trauma and Acute Care Surgery
@jtraumacutesurg.bsky.social
400 followers 13 following 450 posts
#JOTACS focuses on trauma, critical care, and emergency general surgery, providing top science and content for the fast-growing specialty of Acute Care Surgery

https://JTrauma.com
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jtraumacutesurg.bsky.social
Response to a letter to the editor regarding a recent publication about trauma-induced hemolysis

https://journals.lww.com/jtrauma/citation/2025/11000/author_response_to_letter_to_the_editor___re_.22.aspx
November 21, 2025 at 8:00 PM
jtraumacutesurg.bsky.social
Our findings demonstrate that 28 fr chest tubes that are irrigated have smaller amounts of retained hemothorax when compared to irrigated pigtail catheters in this swine model. Read more...

https://journals.lww.com/jtrauma/fulltext/2025/10000/chest_wall_injury_society_guidelines_for_surgical.5.aspx
November 21, 2025 at 6:00 PM
jtraumacutesurg.bsky.social
Mortality prediction models use vital signs to help benchmark hospital performance. The use of prehospital blood can improve vital signs on presentation and affect mortality prediction.

https://journals.lww.com/jtrauma/abstract/2025/11000/the_effect_of_prehospital_blood_products_on.5.aspx
November 21, 2025 at 4:00 PM
jtraumacutesurg.bsky.social
We do not sleep enough, we are chronically stressed, psychologically strained. In my Presidential Address, I addressed these problems and proposed 6 solutions to change our direction.

https://journals.lww.com/jtrauma/citation/2025/11000/it_is_all_about_the_journey__finding_connections.4.aspx
November 20, 2025 at 8:00 PM
jtraumacutesurg.bsky.social
Our review demonstrates that in exsanguinating trauma, delaying intubation to focus on rapid hemorrhage control and balanced transfusion improves survival. #TraumaCare #CAB #HemorrhageControl

https://journals.lww.com/jtrauma/fulltext/2025/11000/prioritizing_circulation_over_airway_in_trauma.2.aspx
November 20, 2025 at 6:00 PM
jtraumacutesurg.bsky.social
Read the article "Source control in intra-abdominal infections: What you need to know"

https://journals.lww.com/jtrauma/fulltext/2025/11000/source_control_in_intra_abdominal_infections__what.1.aspx
November 20, 2025 at 4:00 PM
jtraumacutesurg.bsky.social
We acknowledge the conclusion that endogenous hemolysis occurs early after trauma. We would like to note an additional mechanism that could lead to high CFH levels in the setting of trauma.

https://journals.lww.com/jtrauma/citation/2025/11000/re__elevated_cell_free_hemoglobin__a_novel_early.21.aspx
November 19, 2025 at 8:00 PM
jtraumacutesurg.bsky.social
This case report from the TQIP Mortality Reporting System highlights opportunities for improvement and provides strategies to mitigate complications related to imaging-related delays in care.

https://journals.lww.com/jtrauma/abstract/2025/11000/trauma_quality_improvement_program_mortality.20.aspx
November 19, 2025 at 6:00 PM
jtraumacutesurg.bsky.social
Hypocaloric feeding remains a debated ICU nutrition strategy. This review examines the evidence on its role in critically ill trauma patients.

https://journals.lww.com/jtrauma/abstract/2025/11000/hypocaloric_feeding_in_critically_ill_trauma.19.aspx
November 19, 2025 at 4:00 PM
jtraumacutesurg.bsky.social
New EAST guideline for management of acute incarcerate or strangulated inguinal hernias! #EAST #Hernia #AcuteCareSurgery

https://journals.lww.com/jtrauma/abstract/2025/11000/surgical_management_of_incarcerated_and.18.aspx
November 18, 2025 at 8:00 PM
jtraumacutesurg.bsky.social
In this Systematic Review & Meta-analysis and an EAST Practice Management Guideline, we provide four evidence-based recommendations on the use of TXA in patients at risk of hemorrhage.

https://journals.lww.com/jtrauma/abstract/2025/11000/the_use_of_tranexamic_acid_in_the_management_of.17.aspx
November 18, 2025 at 6:00 PM
jtraumacutesurg.bsky.social
Male and female mice respond differently to severe TBI in a rodent model with significantly worsened cued and spatial learning after TBI in males only but worsened memory in females only.

https://journals.lww.com/jtrauma/abstract/2025/11000/sex_related_differences_in_cognition_after_severe.15.aspx
November 18, 2025 at 4:00 PM
jtraumacutesurg.bsky.social
This defines distance thresholds where air transport beats ground for Emergency General Surgery patients. Weather & traffic affect transfer times highlighting the need for data-driven triage
https://journals.lww.com/jtrauma/abstract/2025/11000/examining_air_medical_transport_in_interfacility.14.aspx
November 17, 2025 at 8:00 PM
jtraumacutesurg.bsky.social
Only 4% of injured patients in Cameroon receive imaging for hemorrhage. A novel 5-hour smartphone-based ultrasound course enables providers to achieve eFAST competence and train others effectively.

https://journals.lww.com/jtrauma/fulltext/2025/11000/efficacy_of_a_novel_smartphone_based.13.aspx
November 17, 2025 at 6:00 PM
jtraumacutesurg.bsky.social
The sensitivity of CT in detecting clinically significant injuries that required an operative intervention is high (96%). In patients with a normal CT, routine MRI may be unnecessary.

https://journals.lww.com/jtrauma/abstract/2025/11000/an_analysis_of_potential_cervical_spine_clearance.11.aspx
November 17, 2025 at 4:00 PM
jtraumacutesurg.bsky.social
Traumatic Brain Injury (TBI) affects more than just the brain. Exciting new research in a swine model of severe TBI demonstrates TBI-associated kidney injury that is mitigated by MG53.

https://journals.lww.com/jtrauma/abstract/2025/11000/treatment_with_mg53_ameliorates_traumatic_brain.10.aspx
November 16, 2025 at 8:00 PM
jtraumacutesurg.bsky.social
Severe trauma results in alteration in immunity. One key alteration is the expression of mediators, such as interferon-gamma. Read more with the link below...

https://journals.lww.com/jtrauma/abstract/2025/10000/risk_factors_for_deep_venous_thrombosis_in.6.aspx
November 16, 2025 at 6:00 PM
jtraumacutesurg.bsky.social
Facial Injury Guidelines aim to reduce unnecessary transfers of patients w/isolated facial fractures. Over 5 years 49% of transfers were inappropriate, significantly increasing health costs.

https://journals.lww.com/jtrauma/abstract/2025/11000/look_me_in_the_face_and_tell_me_that_i_needed_to.8.aspx
November 16, 2025 at 4:00 PM
jtraumacutesurg.bsky.social
Data shows that surgical rib fixation reduces mortality in patients with multiple rib fractures, especially flail chest & that early surgery lowers complications and shortens hospital stay.

https://journals.lww.com/jtrauma/citation/2025/11000/in_reply__survival_advantages_of_damage_control.26.aspx
November 15, 2025 at 9:00 PM
jtraumacutesurg.bsky.social
We advocate careful consideration of the unique tactical and logistical indications of DCO in military and counter-terrorism contexts.

https://journals.lww.com/jtrauma/citation/2025/11000/survival_advantages_of_damage_control_orthopedics.25.aspx
November 15, 2025 at 8:00 PM
jtraumacutesurg.bsky.social
This is a solicited response to "Letter to the Editor: Trauma care and its financing around the world"

https://journals.lww.com/jtrauma/citation/2025/11000/trauma_care_and_its_financing_around_the_world_.24.aspx
November 15, 2025 at 6:00 PM
jtraumacutesurg.bsky.social
This covers the previously published article regarding Trauma Care & its financing around the world. Authors discuss the need to understand healthcare financing to improve trauma care globally.

https://journals.lww.com/jtrauma/citation/2025/11000/letter_to_the_editor__trauma_care_and_its.23.aspx
November 15, 2025 at 4:00 PM
jtraumacutesurg.bsky.social
Response to a letter to the editor regarding a recent publication about trauma-induced hemolysis

https://journals.lww.com/jtrauma/citation/2025/11000/author_response_to_letter_to_the_editor___re_.22.aspx
November 14, 2025 at 8:00 PM
jtraumacutesurg.bsky.social
Our findings demonstrate that 28 fr chest tubes that are irrigated have smaller amounts of retained hemothorax when compared to irrigated pigtail catheters in this swine model. Read more...

https://journals.lww.com/jtrauma/fulltext/2025/10000/chest_wall_injury_society_guidelines_for_surgical.5.aspx
November 14, 2025 at 6:00 PM
jtraumacutesurg.bsky.social
Mortality prediction models use vital signs to help benchmark hospital performance. The use of prehospital blood can improve vital signs on presentation and affect mortality prediction.

https://journals.lww.com/jtrauma/abstract/2025/11000/the_effect_of_prehospital_blood_products_on.5.aspx
November 14, 2025 at 4:00 PM