Journal of Trauma and Acute Care Surgery
@jtraumacutesurg.bsky.social
#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
https://JTrauma.com
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
https://journals.lww.com/jtrauma/abstract/2025/11000/surgical_management_of_incarcerated_and.18.aspx
November 18, 2025 at 8:00 PM
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
https://journals.lww.com/jtrauma/abstract/2025/11000/surgical_management_of_incarcerated_and.18.aspx
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
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
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
https://journals.lww.com/jtrauma/abstract/2025/11000/the_use_of_tranexamic_acid_in_the_management_of.17.aspx
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
https://journals.lww.com/jtrauma/abstract/2025/11000/sex_related_differences_in_cognition_after_severe.15.aspx
November 18, 2025 at 4:00 PM
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
https://journals.lww.com/jtrauma/abstract/2025/11000/sex_related_differences_in_cognition_after_severe.15.aspx
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
https://journals.lww.com/jtrauma/abstract/2025/11000/examining_air_medical_transport_in_interfacility.14.aspx
November 17, 2025 at 8:00 PM
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
https://journals.lww.com/jtrauma/abstract/2025/11000/examining_air_medical_transport_in_interfacility.14.aspx
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
https://journals.lww.com/jtrauma/fulltext/2025/11000/efficacy_of_a_novel_smartphone_based.13.aspx
November 17, 2025 at 6:00 PM
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
https://journals.lww.com/jtrauma/fulltext/2025/11000/efficacy_of_a_novel_smartphone_based.13.aspx
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
https://journals.lww.com/jtrauma/abstract/2025/11000/an_analysis_of_potential_cervical_spine_clearance.11.aspx
November 17, 2025 at 4:00 PM
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
https://journals.lww.com/jtrauma/abstract/2025/11000/an_analysis_of_potential_cervical_spine_clearance.11.aspx
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
https://journals.lww.com/jtrauma/abstract/2025/11000/treatment_with_mg53_ameliorates_traumatic_brain.10.aspx
November 16, 2025 at 8:00 PM
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
https://journals.lww.com/jtrauma/abstract/2025/11000/treatment_with_mg53_ameliorates_traumatic_brain.10.aspx
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
https://journals.lww.com/jtrauma/abstract/2025/10000/risk_factors_for_deep_venous_thrombosis_in.6.aspx
November 16, 2025 at 6:00 PM
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
https://journals.lww.com/jtrauma/abstract/2025/10000/risk_factors_for_deep_venous_thrombosis_in.6.aspx
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
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
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
https://journals.lww.com/jtrauma/abstract/2025/11000/look_me_in_the_face_and_tell_me_that_i_needed_to.8.aspx
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
https://journals.lww.com/jtrauma/citation/2025/11000/in_reply__survival_advantages_of_damage_control.26.aspx
November 15, 2025 at 9:00 PM
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
https://journals.lww.com/jtrauma/citation/2025/11000/in_reply__survival_advantages_of_damage_control.26.aspx
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
https://journals.lww.com/jtrauma/citation/2025/11000/survival_advantages_of_damage_control_orthopedics.25.aspx
November 15, 2025 at 8:00 PM
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
https://journals.lww.com/jtrauma/citation/2025/11000/survival_advantages_of_damage_control_orthopedics.25.aspx
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
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
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
https://journals.lww.com/jtrauma/citation/2025/11000/trauma_care_and_its_financing_around_the_world_.24.aspx
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
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
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
https://journals.lww.com/jtrauma/citation/2025/11000/letter_to_the_editor__trauma_care_and_its.23.aspx
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
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
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
https://journals.lww.com/jtrauma/citation/2025/11000/author_response_to_letter_to_the_editor___re_.22.aspx
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
https://journals.lww.com/jtrauma/fulltext/2025/10000/chest_wall_injury_society_guidelines_for_surgical.5.aspx
November 14, 2025 at 6:00 PM
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
https://journals.lww.com/jtrauma/fulltext/2025/10000/chest_wall_injury_society_guidelines_for_surgical.5.aspx
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
https://journals.lww.com/jtrauma/abstract/2025/11000/the_effect_of_prehospital_blood_products_on.5.aspx
November 14, 2025 at 4:00 PM
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
https://journals.lww.com/jtrauma/abstract/2025/11000/the_effect_of_prehospital_blood_products_on.5.aspx
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
https://journals.lww.com/jtrauma/citation/2025/11000/it_is_all_about_the_journey__finding_connections.4.aspx
November 13, 2025 at 8:00 PM
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
https://journals.lww.com/jtrauma/citation/2025/11000/it_is_all_about_the_journey__finding_connections.4.aspx
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
https://journals.lww.com/jtrauma/fulltext/2025/11000/prioritizing_circulation_over_airway_in_trauma.2.aspx
November 13, 2025 at 6:00 PM
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
https://journals.lww.com/jtrauma/fulltext/2025/11000/prioritizing_circulation_over_airway_in_trauma.2.aspx
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
https://journals.lww.com/jtrauma/fulltext/2025/11000/source_control_in_intra_abdominal_infections__what.1.aspx
November 13, 2025 at 4:00 PM
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
https://journals.lww.com/jtrauma/fulltext/2025/11000/source_control_in_intra_abdominal_infections__what.1.aspx
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
https://journals.lww.com/jtrauma/abstract/2025/11000/hypocaloric_feeding_in_critically_ill_trauma.19.aspx
November 12, 2025 at 4:01 PM
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
https://journals.lww.com/jtrauma/abstract/2025/11000/hypocaloric_feeding_in_critically_ill_trauma.19.aspx
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
https://journals.lww.com/jtrauma/abstract/2025/11000/surgical_management_of_incarcerated_and.18.aspx
November 11, 2025 at 8:01 PM
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
https://journals.lww.com/jtrauma/abstract/2025/11000/surgical_management_of_incarcerated_and.18.aspx
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
https://journals.lww.com/jtrauma/abstract/2025/11000/the_use_of_tranexamic_acid_in_the_management_of.17.aspx
November 11, 2025 at 6:01 PM
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
https://journals.lww.com/jtrauma/abstract/2025/11000/the_use_of_tranexamic_acid_in_the_management_of.17.aspx
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
https://journals.lww.com/jtrauma/abstract/2025/11000/sex_related_differences_in_cognition_after_severe.15.aspx
November 11, 2025 at 4:03 PM
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
https://journals.lww.com/jtrauma/abstract/2025/11000/sex_related_differences_in_cognition_after_severe.15.aspx
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
https://journals.lww.com/jtrauma/abstract/2025/11000/examining_air_medical_transport_in_interfacility.14.aspx
November 10, 2025 at 8:00 PM
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
https://journals.lww.com/jtrauma/abstract/2025/11000/examining_air_medical_transport_in_interfacility.14.aspx
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
https://journals.lww.com/jtrauma/fulltext/2025/11000/efficacy_of_a_novel_smartphone_based.13.aspx
November 10, 2025 at 6:01 PM
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
https://journals.lww.com/jtrauma/fulltext/2025/11000/efficacy_of_a_novel_smartphone_based.13.aspx