Research Topics
| John J ComoSummaryAffiliation: Case Western Reserve University Country: USA Publications
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Detail Information
Publications
The misapplication of the term spinal cord injury without radiographic abnormality (SCIWORA) in adultsJohn 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...- Computed tomography alone may clear the cervical spine in obtunded blunt trauma patients: a prospective evaluation of a revised protocolJohn 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... - Practice management guidelines for selective nonoperative management of penetrating abdominal traumaJohn 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... - Practice management guidelines for identification of cervical spine injuries following trauma: update from the eastern association for the surgery of trauma practice management guidelines committeeJohn 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... 
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...- Penetrating trauma to a persistent sciatic arteryJohn J Como
Division of Trauma, Critical Care, Burns, Metro-Health Medical Center, Cleveland, OH 44109-1998, USA
J Trauma 59:246-8. 2005 - Trauma team activation can be tailored by prehospital criteriaJeffrey 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... - Reevaluating the management and outcomes of severe blunt liver injuryTherese 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... - Improved outcome of adult blunt splenic injury: a cohort analysisRavi 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..001). CONCLUSION: These results demonstrate that the success of nonoperative management and the splenic preservation for blunt injury has improved over time. This improvement correlated with a greater use of splenic artery embolization... - Isolated cervical spine fractures in the elderly: a deadly injuryJoseph 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)... - Continued rationale of why hospital mortality is not an appropriate measure of trauma outcomesKatherine 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... - The management of the open abdomen in trauma and emergency general surgery: part 1-damage controlJose 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... - Life after 80 hours: the impact of resident work hours mandates on trauma and emergency experience and work effort for senior residents and facultyMark 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... - Prophylactic antibiotic use in penetrating abdominal trauma: an Eastern Association for the Surgery of Trauma practice management guidelineStephanie 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... - Characterizing the need for mechanical ventilation following cervical spinal cord injury with neurologic deficitJohn 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... - The impact of major operative fractures in blunt abdominal injuryNickolas J Nahm
From the Department of Orthopaedic Surgery N J N, H A V, and Division of Trauma, Critical Care, and Burns J J C, Department of Surgery, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio
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... - Anterior abdominal stab injury: a comparison of self-inflicted and intentional third-party stabbingsAman 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)... - The Eastern Association of the Surgery of Trauma approach to practice management guideline development using Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodologyAndrew J Kerwin
From the Department of Surgery A J K, J B B, University of Florida College of Medicine, Jacksonville Department of Urology P D, University of Florida College of Medicine, Gainesville, Florida Department of Surgery A H, E R H, The Johns Hopkins University School of Medicine, Baltimore, Maryland Department of Surgery J J C, MetroHealth Medical Center, Cleveland, Ohio Department of Surgery N S, University of Rochester, Rochester, New York
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... - Early appropriate care: definitive stabilization of femoral fractures within 24 hours of injury is safe in most patients with multiple injuriesNickolas 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... - Practice management guidelines for the diagnosis and management of injury in the pregnant patient: the EAST Practice Management Guidelines Work GroupRobert 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... - Posttraumatic diaphragmatic eventrationJohn J Como
Department of Surgery, North Shore University Hospital, Manhasset, New York, USA
J Trauma 56:1149-51. 2004 - Blood transfusion rates in the care of acute traumaJohn 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..Transfusion of more than 10 units of RBCs identifies a subgroup where most patients received plasma and PLTs to treat actual or anticipated dilutional coagulopathy. There is no clear threshold beyond which blood use is futile...