Quick Literature Updates Episode 6

Teodoro et al. studied pediatric trauma patients presenting to a level one trauma center with gunshot wounds or MVCs between 2009 and 2019.

Teodoro et al. examined California Department of Public Health data on pediatric gunshot wounds and MVCs from 2006 to 2015.

Gunshot wound victims were more likely to require immediate surgery and had increased mortality compared to MVC victims.

Gunshot wound victims were 7.8 times more likely to die than MVC victims.

In California statewide data, the case fatality rate for gunshot wound victims was higher than that for motor vehicle collisions.

The case fatality rate for pediatric gunshot wounds increased from 2006 to 2015.

Petterson et al. examined 10 years of data comprising approximately 8800 pediatric trauma patients transported by helicopter or ground to pediatric trauma centers.

Children transported via helicopter had a higher injury severity score than those transported by ground.

1.3% of children transported by helicopter required an emergency operation, compared to 0.2% of those transported by ground.

98.7% of children transported by helicopter did not require an emergency intervention.

Helicopter transport may be over-utilized in pediatric trauma.

Miyata et al. used the Canadian Association of Pediatric Surgery Network to study pediatric patients with gastroschisis who underwent bedside reduction and closure.

There was no significant difference in the rate of successful primary closure between intubated and non-intubated neonates with gastroschisis.

Philips et al. conducted a retrospective study from 2015 to 2018 evaluating 117 patients from two trauma centers.

Patients receiving massive transfusions had shortened alpha angles on TEG analysis.

Patients receiving massive transfusions had lower maximum amplitude values on TEG analysis.

Patients receiving massive transfusions had lower platelet counts.

TEG may help identify hemorrhagic trauma patients who will benefit from cryoprecipitate or platelet transfusions.