Affiliation: University of Utah
- Inequity of rehabilitation services after traumatic injuryRam Nirula
Department of Surgery, Division of General Surgery, University of Utah School of Medicine, Salt Lake City, Utah 84132, USA
J Trauma 66:255-9. 2009..We hypothesized that a lack of insurance is associated with a reduced likelihood of being transferred to a rehabilitation facility after trauma...
- Scoop and run to the trauma center or stay and play at the local hospital: hospital transfer's effect on mortalityRam Nirula
Section of Burns Trauma Critical Care, Department of Surgery, University of Utah, Salt Lake City, Utah 84132, USA
J Trauma 69:595-9; discussion 599-601. 2010..We sought to analyze whether initial triage of critically injured patients to a nontrauma center (NTC) is associated with increased mortality...
- Two case studies of cardiopulmonary effects of intra-abdominal hypertensionRam Nirula
Division of General Surgery, University of Utah School of Medicine, Salt Lake City, UT 84132, USA
Surg Clin North Am 92:1679-84. 2012..Pulmonary hypertension reduces cardiac function which may be improved with inotropes that simultaneously reduce pulmonary artery pressure. Oxygenation may be improved with elevated PEEP and FiO(2)...
- Heart rate: is it truly a vital sign?Karen J Brasel
Department of Surgery, Medical College of Wisconsin, Wisconsin 53226, USA
J Trauma 62:812-7. 2007..We sought to determine whether admission heart rate is a valid predictor of hemodynamically significant injuries...
- Predicting significant torso traumaRam Nirula
Division of Trauma/Critical Care, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA
J Trauma 59:132-5. 2005..9) was significantly greater than current ACNS models. CONCLUSION: We have developed a thoracoabdominal injury probability model that may improve patient triage when used with ACNS...
- What mechanism justifies abdominal evaluation in motor vehicle crashes?Karen J Brasel
Department of Surgery, The Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
J Trauma 59:1057-61. 2005..Most have no clinically significant injuries. We sought to define crash and occupant characteristics that would be associated with a low probability of clinically significant abdominal injury...
- Length of stay: an appropriate quality measure?Karen J Brasel
Department of Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA
Arch Surg 142:461-5; discussion 465-6. 2007..Although demographic and clinical information are known to affect hospital length of stay (LOS), we hypothesized that LOS after traumatic injury would be significantly influenced by nonclinical factors...
- Determining and interpreting the accuracy of a testRam Nirula
Division of Trauma and Critical Care, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
Curr Surg 63:190-3. 2006
- Rib fracture fixation for flail chest: what is the benefit?Akash Bhatnagar
Section of Burns Trauma Critical Care, Department of Surgery, University of Utah, Salt Lake City, UT 84132, USA
J Am Coll Surg 215:201-5. 2012..We therefore sought to determine if open reduction and internal fixation of ribs for flail chest (ORIF-FC) represents a cost-effective means for managing these patients...
- Resection and primary anastomosis with proximal diversion instead of Hartmann's: evolving the management of diverticulitis using NSQIP dataUte Gawlick
Department of Surgery, University of Utah, Salt Lake City, Utah 84132, USA
J Trauma Acute Care Surg 72:807-14; quiz 1124. 2012..Our study compared the surgical outcomes of patients with perforated diverticulitis who underwent a HP to primary anastomosis with proximal diversion (PAPD)...
- The new car assessment program: does it predict the relative safety of vehicles in actual crashes?Ram Nirula
Department of Surgery, Harborview Medical Center, Seattle, Washington, USA
J Trauma 57:779-86. 2004..We therefore sought to determine whether HIC and CGS accurately predict TBI and STI in actual crashes, and compared the NCAP five-star rating system to the rates of TBI and/or STI in actual MVCs...
- Sew it up! A Western Trauma Association multi-institutional study of enteric injury management in the postinjury open abdomenClay Cothren Burlew
Department of Surgery, Denver Health Medical Center, University of Colorado, Denver, Colorado 80204, USA
J Trauma 70:273-7. 2011..The purpose of this study was to determine outcomes on the basis of management of enteric injuries in patients relegated to the postinjury open abdomen...
- Rib fracture stabilization in patients sustaining blunt chest injuryRam Nirula
Department of Surgery, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA
Am Surg 72:307-9. 2006..4 +/- 2.7 days in controls (P = 0.02). Rib fracture fixation may reduce ventilator requirements in trauma patients with severe thoracic injuries. Long-term functional outcomes need to be assessed to ascertain the impact of this procedure...
- Futility of resuscitation criteria for the "young" old and the "old" old trauma patient: a national trauma data bank analysisRam Nirula
Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
J Trauma 57:37-41. 2004..Our objective, therefore, was to identify injury and physiologic parameters that would indicate a high probability of futile resuscitation among geriatric trauma patients...