Pub Date : 2024-09-06DOI: 10.1097/jtn.0000000000000808
Gabriel E Vazquez,John R Calhoun,Elizabeth A Fuchsen,Jeannette M Capella,Cory C Vaudt,Richard A Sidwell,Hayden L Smith,Carlos A Pelaez
BACKGROUNDNeedle thoracostomy is a potentially life-saving intervention for tension pneumothorax but may be overused, potentially leading to unnecessary morbidity.OBJECTIVETo review prehospital needle thoracostomy indications, effectiveness, and adverse outcomes.METHODSA retrospective cohort study was conducted based on registry data for a United States Midwestern Level I trauma center for a 7.5-year period (January 2015 to May 2022). Included were patients who received prehospital needle thoracostomy and trauma activation before hospital arrival. The primary outcomes were correct indications and improvement in vital signs. Secondary outcomes were the need for chest tubes, correct needle placement, complications, and survival.RESULTSA total of n = 67 patients were reviewed, of which n = 63 (94%) received a prehospital thoracostomy. Of the 63 prehospital thoracostomies, 54 (86%) survived to arrival. Of these 54, 44 (n = 81%) had documented reduced/absent breath sounds, 15 (28%) hypotension, and 19 (35%) with difficulty breathing/ventilating. Only four patients met all three prehospital trauma life support criteria: hypotension, difficulty ventilating, and absent breath sounds. There were no significant changes in prehospital vitals before and after receiving needle thoracostomy. In patients receiving imaging (n = 54), there was evidence of 15 (28%) lung lacerations, 6 (11%) of which had a pneumothorax and 3 (5%) near misses of important structures. Review of needle catheters visible on computer tomography imaging found 11 outside the chest and 1 in the abdominal cavity.CONCLUSIONThe study presents evidence of potential needle thoracostomy overuse and morbidity. Adherence to specific guidelines for needle decompression is needed.
{"title":"Needlessly Treated: Evaluation of Prehospital Needle Thoracostomy.","authors":"Gabriel E Vazquez,John R Calhoun,Elizabeth A Fuchsen,Jeannette M Capella,Cory C Vaudt,Richard A Sidwell,Hayden L Smith,Carlos A Pelaez","doi":"10.1097/jtn.0000000000000808","DOIUrl":"https://doi.org/10.1097/jtn.0000000000000808","url":null,"abstract":"BACKGROUNDNeedle thoracostomy is a potentially life-saving intervention for tension pneumothorax but may be overused, potentially leading to unnecessary morbidity.OBJECTIVETo review prehospital needle thoracostomy indications, effectiveness, and adverse outcomes.METHODSA retrospective cohort study was conducted based on registry data for a United States Midwestern Level I trauma center for a 7.5-year period (January 2015 to May 2022). Included were patients who received prehospital needle thoracostomy and trauma activation before hospital arrival. The primary outcomes were correct indications and improvement in vital signs. Secondary outcomes were the need for chest tubes, correct needle placement, complications, and survival.RESULTSA total of n = 67 patients were reviewed, of which n = 63 (94%) received a prehospital thoracostomy. Of the 63 prehospital thoracostomies, 54 (86%) survived to arrival. Of these 54, 44 (n = 81%) had documented reduced/absent breath sounds, 15 (28%) hypotension, and 19 (35%) with difficulty breathing/ventilating. Only four patients met all three prehospital trauma life support criteria: hypotension, difficulty ventilating, and absent breath sounds. There were no significant changes in prehospital vitals before and after receiving needle thoracostomy. In patients receiving imaging (n = 54), there was evidence of 15 (28%) lung lacerations, 6 (11%) of which had a pneumothorax and 3 (5%) near misses of important structures. Review of needle catheters visible on computer tomography imaging found 11 outside the chest and 1 in the abdominal cavity.CONCLUSIONThe study presents evidence of potential needle thoracostomy overuse and morbidity. Adherence to specific guidelines for needle decompression is needed.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"293 1","pages":"242-248"},"PeriodicalIF":1.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142217474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-06DOI: 10.1097/jtn.0000000000000811
Elizabeth Jay Renaud,Julie R Bromberg,Christina McRoberts,Geraldine Almonte,Timmy R Lin,Emily Hensler,Michael J Mello
BACKGROUNDChildren experiencing trauma are at risk of developing acute and chronic stress disorders. In 2022, the American College of Surgeons Committee on Trauma required verified pediatric trauma centers to screen at-risk patients and provide mental health provider referrals as needed.OBJECTIVEThe study objective is to assess the current readiness of pediatric trauma centers to meet the new American College of Surgeons requirements.METHODSThis study used an exploratory, electronic, cross-sectional survey design. The Pediatric Trauma Society distributed a survey on mental health screening practices to its members in February 2023. Results were summarized with descriptive statistics. Chi-square test was used to compare responses of Levels I and II pediatric trauma centers.RESULTSThere were 91 survey responses from the PTS membership of 1247 (response rate of 7.3%). Fifty-nine participants were from Level I and 27 from Level II pediatric trauma centers. 63.8% of Level I and 51.9% of Level II center respondents currently screened for acute stress (χ2(1) = 1.09, p = .30). Of these, 75.7% of Level I and 57.1% of Level II center respondents routinely screened all admitted trauma patients (χ2(1) = 1.68, p = .19). However, only 32.4% of Level I and 21.4% of Level II respondents reported having outpatient acute stress referral protocols. For pediatric trauma centers currently without screening, 65% of Level I and 46.2% of Level II pediatric trauma center respondents felt they needed more than six months to establish a program (χ2(1) = 1.15, p = .28). Most respondents (68.9%) reported staff shortages as a barrier to the delivery of acute stress services.CONCLUSIONSPediatric trauma center compliance with acute stress screening requirements for verification is variable. Pediatric trauma centers may benefit from technical assistance with acute stress screening.
背景经历创伤的儿童有患急性和慢性应激障碍的风险。2022 年，美国外科学院创伤委员会要求经核实的儿科创伤中心筛查高危患者，并根据需要提供心理健康服务提供者转介服务。方法本研究采用探索性、电子、横断面调查设计。儿科创伤学会于 2023 年 2 月向其会员发放了一份关于心理健康筛查实践的调查问卷。调查结果通过描述性统计进行总结。结果：在 1247 名儿科创伤学会会员中，有 91 人回复了调查问卷（回复率为 7.3%）。其中 59 人来自一级儿科创伤中心，27 人来自二级儿科创伤中心。63.8%的一级和51.9%的二级中心受访者目前正在进行急性应激反应筛查（χ2(1) = 1.09, p = .30）。其中，75.7% 的 I 级中心和 57.1% 的 II 级中心受访者对所有入院的创伤患者进行常规筛查（χ2(1) = 1.68，P = .19）。然而，仅有 32.4% 的一级和 21.4% 的二级受访者表示制定了门诊急性应激转诊协议。对于目前尚未进行筛查的儿科创伤中心，65%的一级和46.2%的二级儿科创伤中心受访者认为他们需要6个月以上的时间来制定计划（χ2(1) = 1.15, p = .28）。大多数受访者（68.9%）表示，人员短缺是提供急性应激反应服务的障碍。儿科创伤中心可能会从急性应激筛查的技术援助中受益。
{"title":"Stressing the System: Pediatric Trauma Centers May Be Unready to Implement Comprehensive Acute Stress Screening Programs for Pediatric Trauma Patients.","authors":"Elizabeth Jay Renaud,Julie R Bromberg,Christina McRoberts,Geraldine Almonte,Timmy R Lin,Emily Hensler,Michael J Mello","doi":"10.1097/jtn.0000000000000811","DOIUrl":"https://doi.org/10.1097/jtn.0000000000000811","url":null,"abstract":"BACKGROUNDChildren experiencing trauma are at risk of developing acute and chronic stress disorders. In 2022, the American College of Surgeons Committee on Trauma required verified pediatric trauma centers to screen at-risk patients and provide mental health provider referrals as needed.OBJECTIVEThe study objective is to assess the current readiness of pediatric trauma centers to meet the new American College of Surgeons requirements.METHODSThis study used an exploratory, electronic, cross-sectional survey design. The Pediatric Trauma Society distributed a survey on mental health screening practices to its members in February 2023. Results were summarized with descriptive statistics. Chi-square test was used to compare responses of Levels I and II pediatric trauma centers.RESULTSThere were 91 survey responses from the PTS membership of 1247 (response rate of 7.3%). Fifty-nine participants were from Level I and 27 from Level II pediatric trauma centers. 63.8% of Level I and 51.9% of Level II center respondents currently screened for acute stress (χ2(1) = 1.09, p = .30). Of these, 75.7% of Level I and 57.1% of Level II center respondents routinely screened all admitted trauma patients (χ2(1) = 1.68, p = .19). However, only 32.4% of Level I and 21.4% of Level II respondents reported having outpatient acute stress referral protocols. For pediatric trauma centers currently without screening, 65% of Level I and 46.2% of Level II pediatric trauma center respondents felt they needed more than six months to establish a program (χ2(1) = 1.15, p = .28). Most respondents (68.9%) reported staff shortages as a barrier to the delivery of acute stress services.CONCLUSIONSPediatric trauma center compliance with acute stress screening requirements for verification is variable. Pediatric trauma centers may benefit from technical assistance with acute stress screening.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"59 1","pages":"266-271"},"PeriodicalIF":1.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142217475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUNDThere is a need for activation criteria that reflect the different factors affecting rural trauma patients.OBJECTIVETo develop effective activation criteria for a rural trauma center among adults, incorporating variables specific to the geography, mechanisms of injury, and population served.METHODSThis is a single-center, retrospective cohort study conducted from (23 years) January 1, 2000, to July 31, 2023. The data collected patient demographics, injury details, morbidity, and preexisting comorbidity. This research included all adult (≥15 years) true Level I trauma activations defined as an injury severity score > 25 and met the need for trauma intervention criteria. The patients were grouped into adult and elderly categories. The analysis utilized a logistic regression model with the outcome of a true Level I trauma activation.RESULTSA total of 19,480 patients were included in the sample; 2,858 (14.6%) met the Level I activation criteria. Elderly Level I activation included assault, pedestrian struck, multiple pelvic fractures, traumatic pneumo/hemothorax, mediastinal fracture, sternum fracture, and flail rib fracture.CONCLUSIONUsing the findings of the logistic regression model, this center has made more robust activation guidelines adapted to its rural population.
{"title":"Optimizing Trauma Activation Criteria for a Rural Trauma Center.","authors":"Erin Klarr,Heather Xenia Rhodes-Lyons,Rachel Symons","doi":"10.1097/jtn.0000000000000809","DOIUrl":"https://doi.org/10.1097/jtn.0000000000000809","url":null,"abstract":"BACKGROUNDThere is a need for activation criteria that reflect the different factors affecting rural trauma patients.OBJECTIVETo develop effective activation criteria for a rural trauma center among adults, incorporating variables specific to the geography, mechanisms of injury, and population served.METHODSThis is a single-center, retrospective cohort study conducted from (23 years) January 1, 2000, to July 31, 2023. The data collected patient demographics, injury details, morbidity, and preexisting comorbidity. This research included all adult (≥15 years) true Level I trauma activations defined as an injury severity score > 25 and met the need for trauma intervention criteria. The patients were grouped into adult and elderly categories. The analysis utilized a logistic regression model with the outcome of a true Level I trauma activation.RESULTSA total of 19,480 patients were included in the sample; 2,858 (14.6%) met the Level I activation criteria. Elderly Level I activation included assault, pedestrian struck, multiple pelvic fractures, traumatic pneumo/hemothorax, mediastinal fracture, sternum fracture, and flail rib fracture.CONCLUSIONUsing the findings of the logistic regression model, this center has made more robust activation guidelines adapted to its rural population.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"22 1","pages":"249-257"},"PeriodicalIF":1.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142217478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-06DOI: 10.1097/jtn.0000000000000803
Xixi Li,Nan Xie,Tong Zhou,Bo Yang
BACKGROUNDThe widespread use of agricultural machinery in China has increased the incidence of agricultural machinery-related injuries, posing challenges to on-site medical rescue. This study explores resuscitative endovascular balloon occlusion of the aorta (REBOA) as a life-saving intervention for a patient with severe trauma from agricultural machinery.CASEPRESENTATIONThis study reviews the emergency medical response for a 70-year-old male who suffered machinery entanglement injuries in an agricultural field in western China. The intervention involved a tiered multidisciplinary medical response, including the implementation of REBOA.CONCLUSIONThis case demonstrates the successful use of REBOA in the prehospital setting in China. While prehospital REBOA use is rare, it is increasingly reported in both military and civilian contexts in austere environments in different countries. Further research is required to validate the feasibility and efficacy of REBOA as a prehospital resuscitation strategy.
{"title":"Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the Field Setting: A Case Report From China.","authors":"Xixi Li,Nan Xie,Tong Zhou,Bo Yang","doi":"10.1097/jtn.0000000000000803","DOIUrl":"https://doi.org/10.1097/jtn.0000000000000803","url":null,"abstract":"BACKGROUNDThe widespread use of agricultural machinery in China has increased the incidence of agricultural machinery-related injuries, posing challenges to on-site medical rescue. This study explores resuscitative endovascular balloon occlusion of the aorta (REBOA) as a life-saving intervention for a patient with severe trauma from agricultural machinery.CASEPRESENTATIONThis study reviews the emergency medical response for a 70-year-old male who suffered machinery entanglement injuries in an agricultural field in western China. The intervention involved a tiered multidisciplinary medical response, including the implementation of REBOA.CONCLUSIONThis case demonstrates the successful use of REBOA in the prehospital setting in China. While prehospital REBOA use is rare, it is increasingly reported in both military and civilian contexts in austere environments in different countries. Further research is required to validate the feasibility and efficacy of REBOA as a prehospital resuscitation strategy.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"29 1","pages":"272-277"},"PeriodicalIF":1.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142217473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUNDThe lifestyle differences of Anabaptists and their views on health care may yield different injury patterns than standard populations and require a customized approach to injury prevention and health care delivery.OBJECTIVETo identify differences in injury patterns and delays in care-seeking behaviors among the Anabaptists in Wisconsin.METHODSThis single-center retrospective cohort study was conducted from (23 years) January 1, 2000, to December 31, 2023. Local Trauma Registry data collected patient demographics, injury details, morbidity outcomes, in-hospital mortality, and preexisting comorbidity. Anabaptist trauma patients were isolated by confirmed identification in the Trauma Registry. The analysis utilized both descriptive statistics and a logistic regression model with the outcome of Anabaptist.RESULTSA total of 14,431 patients were included in the analysis; 81 (0.4%) were confirmed as Anabaptist. The Anabaptist population showed a higher likelihood of helicopter transportation (odds ratio [OR] 4.64, p < .01) and an activation of Pediatric Level I (OR 4.07, p < .01). As the emergency department shock index increased by one unit, the odds of being Anabaptist increased by 9.87 (p < .01). The injury mechanisms that were associated with the Anabaptist population included buggy collisions (OR 312.58, p < .01), caught or crushed (OR 5.21, p = .01), machinery (OR 5.38, p < .01), near drowning (OR 14.09, p < .01), scooter (OR 13.93, p = .04), and woodworking (OR 12.81, p = .01).CONCLUSIONSThis study identified differences in injury patterns and delays in care-seeking behaviors in the Anabaptist population.
{"title":"Differences in Injury Patterns and Delays in Care-Seeking Behaviors in the Anabaptist Population.","authors":"Marsha Salzwedel,Heather Xenia Rhodes-Lyons,Elizabeth Kracht","doi":"10.1097/jtn.0000000000000807","DOIUrl":"https://doi.org/10.1097/jtn.0000000000000807","url":null,"abstract":"BACKGROUNDThe lifestyle differences of Anabaptists and their views on health care may yield different injury patterns than standard populations and require a customized approach to injury prevention and health care delivery.OBJECTIVETo identify differences in injury patterns and delays in care-seeking behaviors among the Anabaptists in Wisconsin.METHODSThis single-center retrospective cohort study was conducted from (23 years) January 1, 2000, to December 31, 2023. Local Trauma Registry data collected patient demographics, injury details, morbidity outcomes, in-hospital mortality, and preexisting comorbidity. Anabaptist trauma patients were isolated by confirmed identification in the Trauma Registry. The analysis utilized both descriptive statistics and a logistic regression model with the outcome of Anabaptist.RESULTSA total of 14,431 patients were included in the analysis; 81 (0.4%) were confirmed as Anabaptist. The Anabaptist population showed a higher likelihood of helicopter transportation (odds ratio [OR] 4.64, p < .01) and an activation of Pediatric Level I (OR 4.07, p < .01). As the emergency department shock index increased by one unit, the odds of being Anabaptist increased by 9.87 (p < .01). The injury mechanisms that were associated with the Anabaptist population included buggy collisions (OR 312.58, p < .01), caught or crushed (OR 5.21, p = .01), machinery (OR 5.38, p < .01), near drowning (OR 14.09, p < .01), scooter (OR 13.93, p = .04), and woodworking (OR 12.81, p = .01).CONCLUSIONSThis study identified differences in injury patterns and delays in care-seeking behaviors in the Anabaptist population.","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"9 1","pages":"233-241"},"PeriodicalIF":1.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142217479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01Epub Date: 2024-09-06DOI: 10.1097/JTN.0000000000000806
LeAnne Young
{"title":"Lessons in Running and Nursing.","authors":"LeAnne Young","doi":"10.1097/JTN.0000000000000806","DOIUrl":"https://doi.org/10.1097/JTN.0000000000000806","url":null,"abstract":"","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 5","pages":"231-232"},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01Epub Date: 2024-07-04DOI: 10.1097/JTN.0000000000000800
Nicholas Fraser Mudry, Linda Nancy Roney
Background: High acuity trauma and patients in cardiopulmonary arrest are not frequently seen in all pediatric Level I trauma centers. Yet, nurses are required to manage these patients in fast-paced, high-pressure environments.
Objective: This project aims to develop and evaluate an education program for high-risk, low-volume equipment and skills in the pediatric emergency department setting.
Methods: This is a pre- and post-quality improvement study conducted in a Northeastern United States pediatric Level I trauma center. Emergency department nurses were invited to view videos detailing high-risk, low-volume equipment use. For the convenience of access, Quick Response (QR) codes linked to the videos were placed on each piece of equipment reviewed. General self-efficacy and levels of self-efficacy in using the equipment were assessed before the intervention and again after 4 weeks from January to February 2023.
Results: A total of 43 pediatric emergency nurses participated in the education. The mean aggregate general self-efficacy score was 32.93. Mean scores in all areas (Level 1 rapid infuser, fluid warmer, blood administration, and securing an endotracheal tube) improved after the intervention.
Conclusions: Easily accessible, brief refresher videos linked to QR codes in the pediatric emergency department can help empower nurses who need to use high-risk, low-volume equipment.
{"title":"Just-in-Time Video Using QR Codes: An Approach to Pediatric Trauma Nursing Education.","authors":"Nicholas Fraser Mudry, Linda Nancy Roney","doi":"10.1097/JTN.0000000000000800","DOIUrl":"10.1097/JTN.0000000000000800","url":null,"abstract":"<p><strong>Background: </strong>High acuity trauma and patients in cardiopulmonary arrest are not frequently seen in all pediatric Level I trauma centers. Yet, nurses are required to manage these patients in fast-paced, high-pressure environments.</p><p><strong>Objective: </strong>This project aims to develop and evaluate an education program for high-risk, low-volume equipment and skills in the pediatric emergency department setting.</p><p><strong>Methods: </strong>This is a pre- and post-quality improvement study conducted in a Northeastern United States pediatric Level I trauma center. Emergency department nurses were invited to view videos detailing high-risk, low-volume equipment use. For the convenience of access, Quick Response (QR) codes linked to the videos were placed on each piece of equipment reviewed. General self-efficacy and levels of self-efficacy in using the equipment were assessed before the intervention and again after 4 weeks from January to February 2023.</p><p><strong>Results: </strong>A total of 43 pediatric emergency nurses participated in the education. The mean aggregate general self-efficacy score was 32.93. Mean scores in all areas (Level 1 rapid infuser, fluid warmer, blood administration, and securing an endotracheal tube) improved after the intervention.</p><p><strong>Conclusions: </strong>Easily accessible, brief refresher videos linked to QR codes in the pediatric emergency department can help empower nurses who need to use high-risk, low-volume equipment.</p>","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 4","pages":"211-217"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01Epub Date: 2024-07-04DOI: 10.1097/JTN.0000000000000804
{"title":"Factors Influencing Time to Definitive Care in Hip Fracture Patients ina Rural Health System.","authors":"","doi":"10.1097/JTN.0000000000000804","DOIUrl":"10.1097/JTN.0000000000000804","url":null,"abstract":"","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 4","pages":"E7"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01Epub Date: 2024-07-04DOI: 10.1097/JTN.0000000000000795
Michael A Glenn
{"title":"Advanced Trauma Care for Nurses New International Collaboration: ATCN Sister Sites Program.","authors":"Michael A Glenn","doi":"10.1097/JTN.0000000000000795","DOIUrl":"10.1097/JTN.0000000000000795","url":null,"abstract":"","PeriodicalId":51329,"journal":{"name":"Journal of Trauma Nursing","volume":"31 4","pages":"181"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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