John J Como

Summary

Affiliation: Case Western Reserve University
Country: USA

Publications

  1. doi request reprint The misapplication of the term spinal cord injury without radiographic abnormality (SCIWORA) in adults
    John J Como
    Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio 44109, USA
    J Trauma Acute Care Surg 73:1261-6. 2012
  2. doi request reprint Practice management guidelines for identification of cervical spine injuries following trauma: update from the eastern association for the surgery of trauma practice management guidelines committee
    John J Como
    Division of Trauma, Critical Care, and Burns, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA
    J Trauma 67:651-9. 2009
  3. doi request reprint Computed tomography alone may clear the cervical spine in obtunded blunt trauma patients: a prospective evaluation of a revised protocol
    John J Como
    Division of Trauma, Critical Care, and Burns, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio 44109, USA
    J Trauma 70:345-9; discussion 349-51. 2011
  4. ncbi request reprint Penetrating trauma to a persistent sciatic artery
    John J Como
    Division of Trauma, Critical Care, Burns, Metro Health Medical Center, Cleveland, OH 44109 1998, USA
    J Trauma 59:246-8. 2005
  5. ncbi request reprint Is magnetic resonance imaging essential in clearing the cervical spine in obtunded patients with blunt trauma?
    John J Como
    Department of Surgery, Division of Neurosurgery, MetroHealth Medical Center, Case School of Medicine, Cleveland, Ohio 44109, USA
    J Trauma 63:544-9. 2007
  6. doi request reprint Practice management guidelines for selective nonoperative management of penetrating abdominal trauma
    John J Como
    Division of Trauma, Critical Care, and Burns, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA
    J Trauma 68:721-33. 2010
  7. doi request reprint Trauma center variation in splenic artery embolization and spleen salvage: a multicenter analysis
    Aman Banerjee
    MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio 44109 1998, USA
    J Trauma Acute Care Surg 75:69-74; discussion 74-5. 2013
  8. doi request reprint The impact of major operative fractures in blunt abdominal injury
    Nickolas J Nahm
    Department of Orthopaedic Surgery, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio 44109, USA
    J Trauma Acute Care Surg 74:1307-14. 2013
  9. doi request reprint A novel prospective approach to evaluate trauma recidivism: the concept of the past trauma history
    Andrew M McCoy
    Division of Trauma, Critical Care, and Burns, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA
    J Trauma Acute Care Surg 75:116-21. 2013
  10. ncbi request reprint Trauma team activation can be tailored by prehospital criteria
    Jeffrey A Claridge
    Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, Ohio 44109 1998, USA
    Am Surg 76:1401-7. 2010

Collaborators

Detail Information

Publications27

  1. doi request reprint The misapplication of the term spinal cord injury without radiographic abnormality (SCIWORA) in adults
    John J Como
    Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio 44109, USA
    J Trauma Acute Care Surg 73:1261-6. 2012
    ..The purpose of this study was to describe characteristics of patients with both adult and pediatric cervical SCIWOCTET admitted to hospitals in our region...
  2. doi request reprint Practice management guidelines for identification of cervical spine injuries following trauma: update from the eastern association for the surgery of trauma practice management guidelines committee
    John J Como
    Division of Trauma, Critical Care, and Burns, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA
    J Trauma 67:651-9. 2009
    ..Since that time a large volume of literature has been published. As a result, the Practice Management Guidelines Committee set out to develop updated guidelines for the identification of CS injury...
  3. doi request reprint Computed tomography alone may clear the cervical spine in obtunded blunt trauma patients: a prospective evaluation of a revised protocol
    John J Como
    Division of Trauma, Critical Care, and Burns, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio 44109, USA
    J Trauma 70:345-9; discussion 349-51. 2011
    ..Use of MRI in OBTPs is costly, time-consuming, and potentially dangerous. Our study evaluated the safety of a protocol to discontinue the cervical collar in OBTPs based on CT scan alone...
  4. ncbi request reprint Penetrating trauma to a persistent sciatic artery
    John J Como
    Division of Trauma, Critical Care, Burns, Metro Health Medical Center, Cleveland, OH 44109 1998, USA
    J Trauma 59:246-8. 2005
  5. ncbi request reprint Is magnetic resonance imaging essential in clearing the cervical spine in obtunded patients with blunt trauma?
    John J Como
    Department of Surgery, Division of Neurosurgery, MetroHealth Medical Center, Case School of Medicine, Cleveland, Ohio 44109, USA
    J Trauma 63:544-9. 2007
    ..Our hypothesis was that MR imaging of the CS (MR-CS) does not contribute relevant information and is not necessary in this patient population...
  6. doi request reprint Practice management guidelines for selective nonoperative management of penetrating abdominal trauma
    John J Como
    Division of Trauma, Critical Care, and Burns, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA
    J Trauma 68:721-33. 2010
    ..A secondary goal of this committee was to find which diagnostic adjuncts are useful in the determination of the need for surgical exploration...
  7. doi request reprint Trauma center variation in splenic artery embolization and spleen salvage: a multicenter analysis
    Aman Banerjee
    MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio 44109 1998, USA
    J Trauma Acute Care Surg 75:69-74; discussion 74-5. 2013
    ..This study aimed to evaluate if variation in management of blunt splenic injury (BSI) among Level I trauma centers is associated with different outcomes related to the use of splenic artery embolization (SAE)...
  8. doi request reprint The impact of major operative fractures in blunt abdominal injury
    Nickolas J Nahm
    Department of Orthopaedic Surgery, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio 44109, USA
    J Trauma Acute Care Surg 74:1307-14. 2013
    ..We hypothesize that operative fractures of the thoracolumbar spine, pelvis, acetabulum, or femur increase systemic complications in patients with blunt abdominal injury...
  9. doi request reprint A novel prospective approach to evaluate trauma recidivism: the concept of the past trauma history
    Andrew M McCoy
    Division of Trauma, Critical Care, and Burns, Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA
    J Trauma Acute Care Surg 75:116-21. 2013
    ..The purpose of this study was to determine the incidence and burden of trauma recidivism at a regional Level 1 trauma center by incorporating the concept of the past trauma history (PTHx) into the general trauma history...
  10. ncbi request reprint Trauma team activation can be tailored by prehospital criteria
    Jeffrey A Claridge
    Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, Ohio 44109 1998, USA
    Am Surg 76:1401-7. 2010
    ..The utilization of a third tiered activation system resulted in a decrease utilization of many resources without sacrificing patient care...
  11. pmc Anterior abdominal stab injury: a comparison of self-inflicted and intentional third-party stabbings
    Aman Banerjee
    Department of Surgery, MetroHealth Medical Center Campus, Case Western Reserve University School of Medicine, Cleveland, OH 44109, USA
    Am J Surg 205:274-8; discussion 279. 2013
    ..There is minimal literature comparing self-inflicted (SI) with non-self-inflicted (NSI) anterior abdominal stab wounds (AASW)...
  12. pmc Trauma recidivists: surprisingly better outcomes than initially injured trauma patients
    Shanteria D Dixon
    MetroHealth Medical Center, Cleveland, OH, USA
    Am J Surg 207:427-31; discussion 431. 2014
    ..The purpose of this study was to determine if there was a difference in hospital outcomes between trauma recidivists (RCID) and nonrecidivists (NRCID)...
  13. ncbi request reprint Trends in maxillofacial trauma: a comparison of two cohorts of patients at a single institution 20 years apart
    Alan Y Martinez
    Former Assistant Clinical Professor, Division of Oral and Maxillofacial Surgery, MetroHealth Medical Center, Cleveland, OH Electronic address
    J Oral Maxillofac Surg 72:750-4. 2014
    ..The purpose of this study was to compare and characterize 2 cohorts of patients with maxillofacial fractures within the same institution over 2 6-year time frames 20 years apart...
  14. ncbi request reprint Reevaluating the management and outcomes of severe blunt liver injury
    Therese M Duane
    Department of Surgery, Division of Trauma Critical Care, West Hospital, Medical College of Virginia Virginia Commonwealth University, Richmond, Virginia, USA
    J Trauma 57:494-500. 2004
    ..We also sought to determine the impact of interventional angiography (Ang) in the treatment and outcomes of these patients...
  15. ncbi request reprint Improved outcome of adult blunt splenic injury: a cohort analysis
    Ravi R Rajani
    Department of Surgery, Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, Ohio, USA
    Surgery 140:625-31; discussion 631-2. 2006
    ....
  16. doi request reprint Isolated cervical spine fractures in the elderly: a deadly injury
    Joseph F Golob
    Department of Surgery, Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, Ohio, USA
    J Trauma 64:311-5. 2008
    ..However, little has been described with regard to outcomes for elderly patients with isolated cervical spine fractures (ICSF)...
  17. doi request reprint Timing of orthopaedic surgery in multiple trauma patients: development of a protocol for early appropriate care
    Heather A Vallier
    Department of Orthopaedic Surgery, MetroHealth Medical Center, affiliated with Case Western Reserve University, Cleveland, OH
    J Orthop Trauma 27:543-51. 2013
    ..The purpose was to define which clinical conditions warrant delay of definitive fixation for pelvis, femur, acetabulum, and spine fractures. A model was developed to predict the complications...
  18. doi request reprint Continued rationale of why hospital mortality is not an appropriate measure of trauma outcomes
    Katherine B Kelly
    MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA
    Am J Surg 203:366-9; discussion 369. 2012
    ..We hypothesized that standardized withdrawal of care (WOC) practices and an aggressive long-term acute care facility (LTAC) discharge protocol could change hospital mortality and national ranking among trauma centers...
  19. ncbi request reprint The management of the open abdomen in trauma and emergency general surgery: part 1-damage control
    Jose J Diaz
    Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, 1211 21st Avenue South, 404 Medical Arts Building, Nashville, TN 37212, USA
    J Trauma 68:1425-38. 2010
    ..Only damage control is presented in this study. Part 1 is divided into indications for the open abdomen, temporary abdominal closure, staged abdominal repair, and nutrition support of the open abdomen...
  20. ncbi request reprint Life after 80 hours: the impact of resident work hours mandates on trauma and emergency experience and work effort for senior residents and faculty
    Mark A Malangoni
    Department of Surgery, Case Western Reserve University School of Medicine, MetroHealth Medical Center Campus, Cleveland, Ohio, USA
    J Trauma 58:758-61; discussion 761-2. 2005
    ..The purpose of this study was to evaluate the impact of work hours mandates on (1) senior resident patient exposure and operating experience in trauma and emergency surgery and (2) faculty work effort...
  21. doi request reprint Prophylactic antibiotic use in penetrating abdominal trauma: an Eastern Association for the Surgery of Trauma practice management guideline
    Stephanie R Goldberg
    Division of Trauma, Virginia Commonwealth University Medical Center, Richmond, Virginia 23298, USA
    J Trauma Acute Care Surg 73:S321-5. 2012
    ..Thus, the EAST Practice Management Guidelines Committee set out to update the original PMG...
  22. ncbi request reprint Characterizing the need for mechanical ventilation following cervical spinal cord injury with neurologic deficit
    John J Como
    Case Western Reserve University School of Medicine, MetroHealth Medical Center, Department of Surgery, Division of Trauma, Critical Care, Burns, and Metro Life Flight, Cleveland, OH 44109, USA
    J Trauma 59:912-6; discussion 916. 2005
    ..The purpose of this study was to characterize factors associated with a high risk for respiratory failure and/or the need for mechanical ventilation in C-SCI patients...
  23. doi request reprint The Eastern Association of the Surgery of Trauma approach to practice management guideline development using Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology
    Andrew J Kerwin
    Department of Surgery, University of Florida College of Medicine, Jacksonville, Florida, USA
    J Trauma Acute Care Surg 73:S283-7. 2012
    ..The membership of EAST has determined that the GRADE methodology will be the system used in all future EAST PMGs. The purpose of this article was thus to describe the GRADE methodology...
  24. doi request reprint Practice management guidelines for the diagnosis and management of injury in the pregnant patient: the EAST Practice Management Guidelines Work Group
    Robert D Barraco
    Department of Surgery, Lehigh Valley Health Network, Allentown, Pennsylvania, USA
    J Trauma 69:211-4. 2010
    ..Fetal mortality has been quoted as high as 61% in major trauma and 80% if maternal shock is present. The anatomy and physiology of pregnancy make diagnosis and treatment difficult...
  25. ncbi request reprint Early appropriate care: definitive stabilization of femoral fractures within 24 hours of injury is safe in most patients with multiple injuries
    Nickolas J Nahm
    Department of Orthopaedic Surgery, MetroHealth Medical Center, Cleveland, OH, USA
    J Trauma 71:175-85. 2011
    ..Damage control orthopedics was proposed as an alternative in unstable patients. This study examines the effects of timing of fixation and investigates risk factors for complications...
  26. ncbi request reprint Posttraumatic diaphragmatic eventration
    John J Como
    Department of Surgery, North Shore University Hospital, Manhasset, New York, USA
    J Trauma 56:1149-51. 2004
  27. ncbi request reprint Blood transfusion rates in the care of acute trauma
    John J Como
    R Adams Cowley Shock Trauma Center and the Department of Pathology, University of Maryland Medical Center, Baltimore, Maryland 21201, USA
    Transfusion 44:809-13. 2004
    ..Understanding patterns of RBC use is important. Routine resource allocation, planning for mass casualty situations, designing research, and optimizing triage all can be usefully informed...