Pub Date : 2023-01-01DOI: 10.1007/s40719-023-00253-9
Hermona Abera, Maya Hunt, Jeremy H Levin
Purpose of review: To define what sleep deprivation is, how it relates to the growing problem of burnout within surgeons, and what can be done to mitigate its effects.
Recent findings: There is a growing awareness that sleep deprivation, in both its acute and chronic manifestations, plays an immense role in burnout. The physical and mental manifestations of sleep deprivation are manifold, effecting nearly every physiologic system. Studies evaluating strategies at mitigating the effects of sleep deprivation are promising, including work done with napping, stimulant use, and service restructuring, but are fundamentally limited by generalizability, scale, and scope.
Summary: The overwhelming majority of data published on sleep deprivation is limited by size, scope, and generalizability. Within acute care surgery, there is a dearth of studies that adequately define and describe sleep deprivation as it pertains to high-performance professions. Given the growing issue of burnout amongst surgeons paired with a growing patient population that is older and more complex, strategies to combat sleep deprivation are paramount for surgeon retention and wellbeing.
{"title":"Sleep Deprivation, Burnout, and Acute Care Surgery.","authors":"Hermona Abera, Maya Hunt, Jeremy H Levin","doi":"10.1007/s40719-023-00253-9","DOIUrl":"https://doi.org/10.1007/s40719-023-00253-9","url":null,"abstract":"<p><strong>Purpose of review: </strong>To define what sleep deprivation is, how it relates to the growing problem of burnout within surgeons, and what can be done to mitigate its effects.</p><p><strong>Recent findings: </strong>There is a growing awareness that sleep deprivation, in both its acute and chronic manifestations, plays an immense role in burnout. The physical and mental manifestations of sleep deprivation are manifold, effecting nearly every physiologic system. Studies evaluating strategies at mitigating the effects of sleep deprivation are promising, including work done with napping, stimulant use, and service restructuring, but are fundamentally limited by generalizability, scale, and scope.</p><p><strong>Summary: </strong>The overwhelming majority of data published on sleep deprivation is limited by size, scope, and generalizability. Within acute care surgery, there is a dearth of studies that adequately define and describe sleep deprivation as it pertains to high-performance professions. Given the growing issue of burnout amongst surgeons paired with a growing patient population that is older and more complex, strategies to combat sleep deprivation are paramount for surgeon retention and wellbeing.</p>","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"9 2","pages":"40-46"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9880369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10295261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01Epub Date: 2023-01-23DOI: 10.1007/s40719-023-00251-x
Stephen Trinidad, Meera Kotagal
Purpose of review: The goal of this review is to describe how socioeconomic status (SES) is evaluated in the pediatric trauma literature and further consider how differences in SES can lead to inequities in pediatric injury.
Recent findings: Insurance status, area-level income, and indices of socioeconomic deprivation are the most common assessments of socioeconomic status. Children from socioeconomically disadvantaged backgrounds experience higher rates of firearm-related injuries, motor vehicle-related injuries, and violence-related injuries, contributing to inequities in morbidity and mortality after pediatric injury. Differences in SES may also lead to inequities in post-injury care and recovery, with higher rates of readmission, recidivism, and PTSD for children from socioeconomically disadvantaged backgrounds.
Summary: Additional research looking at family-level measures of SES and more granular measures of neighborhood deprivation are needed. SES can serve as an upstream target for interventions to reduce pediatric injury and narrow the equity gap.
{"title":"Socioeconomic Factors and Pediatric Injury.","authors":"Stephen Trinidad, Meera Kotagal","doi":"10.1007/s40719-023-00251-x","DOIUrl":"10.1007/s40719-023-00251-x","url":null,"abstract":"<p><strong>Purpose of review: </strong>The goal of this review is to describe how socioeconomic status (SES) is evaluated in the pediatric trauma literature and further consider how differences in SES can lead to inequities in pediatric injury.</p><p><strong>Recent findings: </strong>Insurance status, area-level income, and indices of socioeconomic deprivation are the most common assessments of socioeconomic status. Children from socioeconomically disadvantaged backgrounds experience higher rates of firearm-related injuries, motor vehicle-related injuries, and violence-related injuries, contributing to inequities in morbidity and mortality after pediatric injury. Differences in SES may also lead to inequities in post-injury care and recovery, with higher rates of readmission, recidivism, and PTSD for children from socioeconomically disadvantaged backgrounds.</p><p><strong>Summary: </strong>Additional research looking at family-level measures of SES and more granular measures of neighborhood deprivation are needed. SES can serve as an upstream target for interventions to reduce pediatric injury and narrow the equity gap.</p>","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"9 2","pages":"47-55"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9868497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10287563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-20DOI: 10.1007/s40719-022-00245-1
V. Sams, Jess T Anderson, J. Hunninghake, Michael Gonzales
{"title":"Adult ECMO in the En Route Care Environment: Overview and Practical Considerations of Managing ECMO Patients During Transport","authors":"V. Sams, Jess T Anderson, J. Hunninghake, Michael Gonzales","doi":"10.1007/s40719-022-00245-1","DOIUrl":"https://doi.org/10.1007/s40719-022-00245-1","url":null,"abstract":"","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"8 1","pages":"246 - 258"},"PeriodicalIF":0.7,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46266092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-10DOI: 10.1007/s40719-022-00244-2
J. Dimick, J. Matthews, D. Wood
{"title":"Department of Surgery Leadership Towards Diversity, Equity, and Inclusion","authors":"J. Dimick, J. Matthews, D. Wood","doi":"10.1007/s40719-022-00244-2","DOIUrl":"https://doi.org/10.1007/s40719-022-00244-2","url":null,"abstract":"","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"8 1","pages":"227 - 236"},"PeriodicalIF":0.7,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41431787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-20DOI: 10.1007/s40719-022-00239-z
M. Reppucci, J. Stevens, S. Moulton, S. Acker
{"title":"The Recognition of Shock in Pediatric Trauma Patients","authors":"M. Reppucci, J. Stevens, S. Moulton, S. Acker","doi":"10.1007/s40719-022-00239-z","DOIUrl":"https://doi.org/10.1007/s40719-022-00239-z","url":null,"abstract":"","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"8 1","pages":"202 - 213"},"PeriodicalIF":0.7,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46362398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-12DOI: 10.1007/s40719-022-00241-5
H. Kregel, T. Puzio, Sasha D. Adams
{"title":"Frailty in the Geriatric Trauma Patient: a Review on Assessments, Interventions, and Lessons from Other Surgical Subspecialties","authors":"H. Kregel, T. Puzio, Sasha D. Adams","doi":"10.1007/s40719-022-00241-5","DOIUrl":"https://doi.org/10.1007/s40719-022-00241-5","url":null,"abstract":"","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"8 1","pages":"237 - 245"},"PeriodicalIF":0.7,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47586542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-31DOI: 10.1007/s40719-022-00242-4
Christina Georgeades, Alexis N. Bowder, Arielle Thomas, J. Marquart, Amanda L. Witte, D. Gourlay, K. Flynn-O’Brien
{"title":"Violent Trauma Reinjury and Preventive Interventions in Youth: a Literature Review","authors":"Christina Georgeades, Alexis N. Bowder, Arielle Thomas, J. Marquart, Amanda L. Witte, D. Gourlay, K. Flynn-O’Brien","doi":"10.1007/s40719-022-00242-4","DOIUrl":"https://doi.org/10.1007/s40719-022-00242-4","url":null,"abstract":"","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"8 1","pages":"185 - 195"},"PeriodicalIF":0.7,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"52809077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-10DOI: 10.1007/s40719-022-00233-5
H. Cortero, W. McCullom, Matthew P. Kochuba
{"title":"Increased Suicide Risk Among Older White Males","authors":"H. Cortero, W. McCullom, Matthew P. Kochuba","doi":"10.1007/s40719-022-00233-5","DOIUrl":"https://doi.org/10.1007/s40719-022-00233-5","url":null,"abstract":"","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"8 1","pages":"179-184"},"PeriodicalIF":0.7,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44048613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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