Research Topics
| G VelmahosSummaryAffiliation: University of Southern California Country: USA Publications
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Publications
Cognitive task analysis for teaching technical skills in an inanimate surgical skills laboratoryGeorge C Velmahos
Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
Am J Surg 187:114-9. 2004..The objective of this study is to evaluate the effectiveness of a 3-hour surgical skills laboratory course on central venous catheterization (CVC), taught by the principles of cognitive task analysis to surgical interns...- Severe trauma is not an excuse for prolonged antibiotic prophylaxisGeorge C Velmahos
Division of Trauma and Critical Care, Department of Surgery, University of Southern California and Los Angeles County USC Medical Center, 1200 N State St, Room 9900, Los Angeles, CA 90033, USA
Arch Surg 137:537-41; discussion 541-2. 2002..For critically injured patients, a limited course of antibiotics is as effective as a prolonged course in preventing sepsis and organ failures... - Prophylactic antibiotics after severe trauma: more is not betterG C Velmahos
Department of Surgery, University of Southern California and the Los Angeles County USC Medical Center, 90033, USA
Int Surg 86:176-83. 2001..In conclusion, we found that 24-hour prophylaxis with a single broad-antibiotic is as effective as prophylaxis for longer periods of time with multiple spectrum antibiotics for critically injured patients at high risk for sepsis... - A prospective study on the safety and efficacy of angiographic embolization for pelvic and visceral injuriesGeorge C Velmahos
Department of Surgery, Division of Trauma and Critical Care, University of Southern California, and the Los Angeles County and University of Southern California Medical Center, Los Angeles, California 90033, USA
J Trauma 53:303-8; discussion 308. 2002..Angiographic embolization (AE) is used with increasing frequency as an alternative to surgery for control of intraperitoneal and retroperitoneal bleeding. There are no prospective studies on its efficacy, safety, and indications... - Abdominal computed tomographic scan for patients with gunshot wounds to the abdomen selected for nonoperative managementGeorge C Velmahos
Department of Surgery, Division of Trauma and Critical Care, University of Southern California Keck School of Medicine, Los Angeles County University of Southern California Medical Center, Los Angeles, California 90033, USA
J Trauma 59:1155-60; discussion 1160-1. 2005..Triple-contrast CT scanning (i.e., intravenous, oral, and rectal) has produced encouraging initial results. The exact role and usefulness of CT scanning with intravenous contrast only is unknown... - Normal electrocardiography and serum troponin I levels preclude the presence of clinically significant blunt cardiac injuryGeorge C Velmahos
Department of Surgery, University of Southern California, and the Los Angeles County and University of Southern California LAC USC Medical Center, Los Angeles, CA 90033, USA
J Trauma 54:45-50; discussion 50-1. 2003..The purpose of this study was to examine whether the combination of two simple tests, electrocardiography (ECG) and serum troponin I (TnI) level, may serve as reliable predictors of BCI or the absence of it... - Influence of flail chest on outcome among patients with severe thoracic cage traumaGeorge C Velmahos
Division of Trauma and Critical Care, Department of Surgery, University of Southern California, Los Angeles, California, USA
Int Surg 87:240-4. 2002..In the presence of associated injuries, intubation is unavoidable and should be done under controlled conditions early after arrival to avoid morbidity related to sudden respiratory decompensation... - High success with nonoperative management of blunt hepatic trauma: the liver is a sturdy organGeorge C Velmahos
Division of Trauma and Critical Care, Department of Surgery, University of Southern California and the Los Angeles County USC Healthcare Network, Los Angeles 90033, USA
Arch Surg 138:475-80; discussion 480-1. 2003..Nonoperative management of liver injuries (NOMLI) is highly successful and rarely leads to adverse events... - Can we rely on computed tomographic scanning to diagnose pulmonary embolism in critically ill surgical patients?George C Velmahos
Department of Surgery, University of Southern California, Los Angeles 90033, USA
J Trauma 56:518-25; discussion 525-6. 2004..Hemodynamic and respiratory issues of critical illness may interfere with CTPA's diagnostic accuracy. The objective of this study was to compare CTPA with PA for the diagnosis of PE in critically ill surgical patients... - Nonoperative treatment of blunt injury to solid abdominal organs: a prospective studyGeorge C Velmahos
Department of Surgery, University of Southern California, Los Angeles, California 90033, USA
Arch Surg 138:844-51. 2003..Patients in whom NOM is likely to fail can be identified by specific criteria... - Vascular trauma and compartment syndromesGeorge C Velmahos
Department of Surgery, University of Southern California, Keck School of Medicine, Los Angeles County 90033, USA
Surg Clin North Am 82:125-41, xxi. 2002.... - High-frequency percussive ventilation improves oxygenation in patients with ARDSG C Velmahos
Division of Trauma Critical Care, University of Southern California and the Los Angeles County USC Medical Center, Los Angeles 90033, USA
Chest 116:440-6. 1999..To evaluate changes in respiratory and hemodynamic function of patients with ARDS and requiring high-frequency percussive ventilation (HFPV) after failure of conventional ventilation (CV)... 
Selective nonoperative management in 1,856 patients with abdominal gunshot wounds: should routine laparotomy still be the standard of care?G C Velmahos
Department of Surgery, Division of Trauma and Critical Care, University of Southern California Keck School of Medicine, Los Angeles, California, USA
Ann Surg 234:395-402; discussion 402-3. 2001..To evaluate the safety of a policy of selective nonoperative management (SNOM) in patients with abdominal gunshot wounds...- One hundred five penetrating cardiac injuries: a 2-year prospective evaluationJ A Asensio
Department of Surgery, University of Southern California, and the Los Angeles County University of Southern California Medical Center, Los Angeles 90033 4525, USA
J Trauma 44:1073-82. 1998.... - Approach to the management of complex hepatic injuriesJ A Asensio
Department of Surgery, University of Southern California and the Los Angeles County and University of Southern California Medical Center, 90033 4525, USA
J Trauma 48:66-9. 2000..The objective of this study is to assess the clinical experience with an aggressive approach to the management of these, the most complex of hepatic injuries... - Role of postoperative computed tomography in patients with severe liver injuryD Demetriades
Division of Trauma and Surgical Intensive Care Unit, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Br J Surg 90:1398-400. 2003..The aim of the present study was to investigate the nature and incidence of significant liver-related abnormalities detected by postoperative CT in asymptomatic patients with severe liver injury... - Relative bradycardia in patients with traumatic hypotensionD Demetriades
Department of Surgery, University of Southern California, Los Angeles 90033, USA
J Trauma 45:534-9. 1998..Relative bradycardia is defined as a systolic pressure < or = 90 mm Hg and a pulse rate < or = 90 beats per minute... - Initial evaluation and management of gunshot wounds to the faceD Demetriades
Department of Surgery, University of Southern California, Los Angeles 90033, USA
J Trauma 45:39-41. 1998..In the current study, we present a large series from a busy trauma center in an effort to identify early diagnostic and therapeutic problems and recommend management guidelines... - Reliable variables in the exsanguinated patient which indicate damage control and predict outcomeJ A Asensio
Trauma Surgery Service A, Department of Surgery, Division of Trauma and Critical Care, University of Southern California, LAC USC Medical Center, 1200 N State St, Rm 10 750, Los Angeles, CA 90033 4525, USA
Am J Surg 182:743-51. 2001.... - Effect on outcome of early intensive management of geriatric trauma patientsD Demetriades
Department of Surgery, University of Southern California, Keck School of Medicine, Los Angeles, California, USA
Br J Surg 89:1319-22. 2002..The aim of the present study was to assess the effect of the new policy on outcome... - Aerodigestive injuries of the neckP Vassiliu
Department of Surgery, University of Southern California, Los Angeles, USA
Am Surg 67:75-9. 2001..Loss of airway after rapid sequence induction is a potentially lethal complication and the trauma team should be ready for a surgical airway. Repair of laryngotracheal injuries without a protective tracheostomy is safe in selected cases... - Hemodynamic patterns of survivors and nonsurvivors during high risk elective surgical operationsW C Shoemaker
Department of Surgery, University of Southern California School of Medicine, 1200 N State Street, Room 9900, Los Angeles, California 90033, USA
World J Surg 23:1264-70; discussion 1270-1. 1999..This suggests that lethal circulatory dysfunctions may begin during the intraoperative period but become more apparent before and after organs fail during later postoperative stages... - Technology-driven triage of abdominal trauma: the emerging era of nonoperative managementD Demetriades
Keck School of Medicine, University of Southern California, Los Angeles, California 90033, USA
Annu Rev Med 54:1-15. 2003..Improvement of the optical system of minilaparoscopes may allow reliable bedside laparoscopy for suspected diaphragmatic injuries... - Nonskeletal cervical spine injuries: epidemiology and diagnostic pitfallsD Demetriades
Department of Surgery, University of Southern California School of Medicine, Los Angeles 90033, USA
J Trauma 48:724-7. 2000..The objective of this study was to study the incidence and type of cervical spine trauma according to mechanism of injury; identify problems and pitfalls in the diagnosis of nonskeletal cervical spine injuries... - Hemodynamically "stable" patients with peritonitis after penetrating abdominal trauma: identifying those who are bleedingCarlos V R Brown
Department of Surgery, Division of Trauma and Critical Care, University of Southern California Keck School of Medicine, Los Angeles County University of Southern California Medical Center, 1200 N State Street, Los Angeles, CA 90033, USA
Arch Surg 140:767-72. 2005..Despite initial presentation, hemodynamically stable patients with penetrating abdominal trauma may have significant ongoing hemorrhage and major intra-abdominal injuries requiring emergent surgical intervention... - Routine repeat head CT for minimal head injury is unnecessaryGeorge C Velmahos
Division of Trauma, Emergency Surgery, and Surgical Critical Care, Department of Neurosurgery, and Biostatistics Center (DJD, Massachusetts General Hospital, Harvard School of Medicine, Boston, MA 02114, USA
J Trauma 60:494-9; discussion 499-501. 2006..CONCLUSIONS: RRHCT is unnecessary in patients with MHI. Clinical examination identifies accurately the few who will show significant evolution and require intervention... - Does nephrectomy for trauma increase the risk of renal failure?George C Velmahos
Department of Surgery, Division of Trauma and Critical Care, Los Angeles County and University of Southern California Medical Center, 1200 N State Street, Los Angeles, California 90033, USA
World J Surg 29:1472-5. 2005..Given the increased operative complexity of nephrorrhaphy in comparison to nephrectomy and the frequent need to abbreviate the operation in patients with severe trauma, nephrectomy should not be avoided when appropriate... - Aggressive organ donor management significantly increases the number of organs available for transplantationAli Salim
Department of Surgery, Division of Trauma and Critical Care, University of Southern California Keck School of Medicine, Los Angeles, CA 90033, USA
J Trauma 58:991-4. 2005..With no foreseeable increase in the number of donors, it is necessary to maximize the utilization of organs from the existing donor pool... - Partial pulmonary torsion after thoracotomy without pulmonary resectionFarzaneh Banki
Division of Trauma and Critical Care, Department of Surgery, University of Southern California, Los Angeles, CA 90033, USA
J Trauma 59:478-81. 2005 - Risk factors for respiratory failure following femoral fractures: the role of multiple intramedullary nailingCharalampos Zalavras
Keck School of Medicine, University of Southern California, Orthopaedic Surgery, LAC USC Medical Center, 1200 N State St GNH 3900, Los Angeles, CA 90033, USA
Injury 36:751-7. 2005..6 and 25.6, respectively). Thoracic injury and multiple IMN procedures are independent risk factors for RF in patients with femoral fractures, and the combination of the above conditions is highly predictive of the development of RF... - The (absence of a) role of venous duplex scan in the diagnosis of pulmonary embolism after severe traumaGeorge C Velmahos
Department of Surgery, Division of Trauma and Surgical Critical Care, University of Southern California, Los Angeles County/USC Medical Center, Los Angeles, California, USA
Am Surg 72:7-10. 2006..VDS does not accurately predict PE in severely injured patients, even in the presence of a high level of clinical suspicion... - [Technology of the future applied to the present: Life Support for Trauma and Transport (LSTAT)]Patrizio Petrone
Division of Trauma Surgery and Critical Care, Department of Surgery, University of Southern California Keck School of Medicine, LAC USC Medical Center, Los Angeles, USA
Cir Esp 78:198-201. 2005.... - The impact of obesity on the outcomes of 1,153 critically injured blunt trauma patientsCarlos V R Brown
Department of Surgery, Division of Trauma and Critical Care, University of Southern California and the Los Angeles County Medical Center, Los Angeles, California 90033, USA
J Trauma 59:1048-51; discussion 1051. 2005..Despite sustaining fewer head injuries, obese patients suffer more complications, require longer stays in the hospital, more days of mechanical ventilation, and obesity is independently associated with mortality... - Esophageal dysfunction in cervical spinal cord injury: a potentially important mechanism of aspirationAngela L Neville
Department of Surgery, Los Angeles County and University of Southern California Medical Center, 90033, USA
J Trauma 59:905-11. 2005..We hypothesized that patients with CSCI had esophageal dysfunction, predisposing them to aspiration. The purpose of this study was to characterize esophageal function in these patients... - White blood cell and platelet counts can be used to differentiate between infection and the normal response after splenectomy for trauma: prospective validationJanie Weng
Department of Surgery, Division of Trauma and Critical Care, University of Southern California and the Los Angeles County Medical Center, Los Angeles, California 90033, USA
J Trauma 59:1076-80. 2005..CONCLUSION: On postoperative day 5 after splenectomy for trauma, a WBC greater than 15 x 10/microL and a PC/WBC ratio less than 20 are reliable markers of infection... - Nephrectomy versus renal repair after trauma to the kidney: preserve or sacrifice?George C Velmahos
Department of Surgery, Division of Trauma and Critical Care, University of Southern California, Los Angeles, California, USA
Int Surg 91:295-300. 2006..Nephrectomy can be offered when necessary without concerns about increasing the likelihood of postoperative renal failure... - Practice patterns and outcomes of retrievable vena cava filters in trauma patients: an AAST multicenter studyRiyad Karmy-Jones
Harborview Medical Center, Seattle, WA, USA
J Trauma 62:17-24; discussion 24-5. 2007..The purpose of this study is to describe practice patterns and outcomes of posttraumatic retrievable inferior vena caval filters (R-IVCF)... - Advances in surgical critical careGeorge C Velmahos
John F. Burke Professor of Surgery, Harvard Medical School, Chief, Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Boston, Massachusetts, USA
Curr Probl Surg 45:453-516. 2008 - Abdominal insufflation decreases blood loss without worsening the inflammatory response: implications for prehospital control of internal bleedingGeorge C Velmahos
Division of Trauma, Emergency Surgery, and Surgical Critical Care, The Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA
Am Surg 74:297-301. 2008..Our conclusion is that AI reduces blood loss from splenic injury without a measurable effect on the early inflammatory response in a clinically relevant animal model... 
Putting life on hold-for how long? Profound hypothermic cardiopulmonary bypass in a Swine model of complex vascular injuriesHasan B Alam
Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
J Trauma 64:912-22. 2008..5 degrees C/min) for best results. However, the maximum duration of hypothermic arrest in a clinically relevant trauma model remains unknown...- Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter StudyDemetrios Demetriades
J Trauma 64:561-70; discussion 570-1. 2008.... - Is upper extremity deep venous thrombosis underdiagnosed in trauma patients?Konstantinos Spaniolas
Division of Trauma, Emergency Surgery and Surgical Critical Care, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA
Am Surg 74:124-8. 2008..UEDVT is an uncommon event with unclear significance in trauma. Aggressive screening did not result in a higher rate of UEDVT diagnosis, nor an opportunity to prevent PE... - Computed tomography for early and safe discontinuation of cervical spine immobilization in obtunded multiply injured patientsHenry Thomas Stelfox
Department of Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada
J Trauma 63:630-6. 2007..We examined the effect of two different c-spine evaluation protocols on c-spine immobilization and clinical outcomes... - Early discharge after nonoperative management for splenic injuries: increased patient risk caused by late failure?Robert S Crawford
Division of Trauma, Emergency Surgery, and Surgical Critical Care, Department of Surgery, Harvard Medical School, Boston, MA 02114, USA
Surgery 142:337-42. 2007..To evaluate if blunt trauma patients managed by NOMSI can be safely discharged early, because failure after the third day from injury occurs infrequently and is not associated with added morbidity... - Bedside placement of removable vena cava filters guided by intravascular ultrasound in the critically injuredKonstantinos Spaniolas
Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital and Harvard Medical School, 165 Cambridge Street, Suite 810, Boston, MA 02114, USA
World J Surg 32:1438-43. 2008..Intravascular ultrasound (IVUS) eliminates such problems. The objective of the present study was to analyze the safety and feasibility of IVUS-guided bedside RVCF placement in critically injured patients... - Abdominal insufflation for control of bleeding after severe splenic injuryGeorge C Velmahos
Division of Trauma, Emergency Surgery, and Surgical Critical Care, Department of Surgery, The Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA
J Trauma 63:285-8; discussion 288-90. 2007..This model represents a clinically relevant scenario of continuous bleeding, which does not kill the patient immediately but may ultimately result in death if not managed early... - Diagnostic peritoneal aspiration--the foster child of DPL: a prospective observational studyEric J Kuncir
Division of Trauma and Critical Care, Department of Surgery, University of Southern California, Los Angeles County and University of Southern California Medical Center, Los Angeles, CA, USA
Int J Surg 5:167-71. 2007..We hypothesized that Diagnostic Peritoneal Aspiration (DPA), without a full lavage, accurately detects intraperitoneal blood if present in sufficient volume to cause hypotension and warrant emergent operation... - Profound hypothermic cardiopulmonary bypass facilitates survival without a high complication rate in a swine model of complex vascular, splenic, and colon injuriesElizabeth A Sailhamer
Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital Harvard Medical School, Boston, MA 02114, USA
J Am Coll Surg 204:642-53. 2007.... - Diagnosis and treatment of blunt thoracic aortic injuries: changing perspectivesDemetrios Demetriades
AAST Multi institutional Thoracic Aortic Injury Study Group, Los Angeles, California, USA
J Trauma 64:1415-8; discussion 1418-9. 2008..The present study compares clinical practices and results between an earlier prospective multicenter study by the American Association for the Surgery of Trauma completed in 1997 (AAST1) and a new similar study completed in 2007 (AAST2)... - Electrostimulation for the prevention of deep venous thrombosis in patients with major trauma: a prospective randomized studyGeorge C Velmahos
Department of Surgery, Division of Trauma and Critical Care, Los Angeles County and University of Southern California Medical Center, USA
Surgery 137:493-8. 2005..It has not been tested in multiple trauma patients... - Does routine serial computed tomography of the head influence management of traumatic brain injury? A prospective evaluationCarlos V R Brown
Department of Surgery, Division of Trauma and Critical Care, Los Angeles County and University of Southern California Medical Center, Los Angeles, California, USA
J Trauma 57:939-43. 2004..Recent retrospective reviews have challenged the need for serial head CT after traumatic brain injury (TBI). This study intends to prospectively examine the value of routine serial head CT after TBI... - Pelvic fractures in pediatric and adult trauma patients: are they different injuries?Demetrios Demetriades
Department of Surgery, University of Southern California, Los Angeles, USA
J Trauma 54:1146-51; discussion 1151. 2003.... - Nonoperative management of blunt renal trauma: a prospective studyKonstantinos G Toutouzas
Division of Trauma and Critical Care, Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA
Am Surg 68:1097-103. 2002..Predictors of failure may exist on the basis of injury severity, fluid and blood requirements, and abdominal ultrasonographic findings and need validation by a larger sample size... - Day for night: should we staff a trauma center like a nightclub?Ian C Carmody
Division of Trauma and Critical Care, Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA
Am Surg 68:1048-51. 2002..None of the six comparisons showed a significant difference in mortality. There was no significant difference in ISS-matched mortality related to fixed trauma call staffing... - Is nonoperative management of abdominal gunshot wounds reasonable?George C Velmahos
Division of Trauma and Critical Care, Department of Surgery, University of Southern California Keck School of Medicine, Los Angeles, USA
Adv Surg 36:123-40. 2002 - Wound management after colon injury: open or closed? A prospective randomized trialGeorge C Velmahos
Department of Surgery, University of Southern California and the Los Angeles County and University of Southern California Medical Center, 90033, USA
Am Surg 68:795-801. 2002..Because of the complexity of evaluating the real clinical significance of superficial wound infection larger studies on trauma patients are required... - Bullets and biliptysisJohn J Nigro
Department of Cardiothoracic Surgery, Keck School of Medicine, University of Southern California, Los Angeles County University of Southern California Medical Center, 90033, USA
Ann Thorac Surg 73:1645-7. 2002..We report a bronchial biliary fistula resulting from penetrating thoracoabdominal trauma and the use of positive-pressure ventilation to obtain initial fistula control prior to definitive surgical repair... - Clinical importance of the "seat belt sign" in blunt trauma to the neckCostanzo A DiPerna
Department of Surgery, University of Southern California, Keck School of Medicine, Los Angeles 90033, USA
Am Surg 68:441-5. 2002..A cervical seat belt sign should not serve as a sole indicator for evaluation of the carotid artery in the absence of other pertinent signs or symptoms... - André Toupet: surgeon technician par excellenceNamir Katkhouda
Department of Surgery, Minimally Invasive Surgery Program, University of Southern California, Keck School of Medicine, Los Angeles, California, USA
Ann Surg 235:591-9. 2002..Behind the procedure, we discover a man with great surgical talent and meticulous attention to technical details who opposed criticism with hard work and strong family values... - Computed tomography for evaluation of mild to moderate pediatric trauma: are we overusing it?Anurag Jindal
Division of Trauma and Critical Care, Department of Surgery, University of Southern California and LAC USC Medical Center, 1200 North State Street, Room 9900, Los Angeles, CA 90033, USA
World J Surg 26:13-6. 2002..It was concluded that a liberal policy of CT scanning for pediatric patients with a low ISS leads to increased resource consumption with no obvious diagnostic or treatment benefit... - Is contrast as bad as we think? Renal function after angiographic embolization of injured patientsPantelis Vassiliu
Division of Trauma and Critical Care, Keck School of Medicine, University of Southern California, Los Angeles, USA
J Am Coll Surg 194:142-6. 2002..Angiographic embolization (AE) is increasingly used to control bleeding after severe trauma. Serious concerns have been raised about the safety of high-volume i.v. contrast in hypotensive, hypovolemic patients... - All patients with truncal gunshot wounds deserve trauma team activationJack Sava
Division of Trauma and Critical Care, Department of Surgery, University of Southern California Keck School of Medicine and the Los Angeles County/University of Southern California Medical Center, Los Angeles, California 90033, USA
J Trauma 52:276-9. 2002..3% died. CONCLUSION: Patients with GSWT often require high-level care, even when physiologic TTA criteria are absent on admission. Gunshot wound to the trunk should be an independent criterion for TTA... - Intubation after cervical spinal cord injury: to be done selectively or routinely?George C Velmahos
Department of Surgery, University of Southern California, Los Angeles, California 90033, USA
Am Surg 69:891-4. 2003..The majority of patients with CSCI require intubation. In patients with CSCI above C5 and complete quadriplegia, intubation should be offered routinely and early because delays may cause preventable morbidity... - Imipenem levels are not predictable in the critically ill patientHoward Belzberg
Department of Surgery, Los Angeles County and University of Southern California Medical Center, 90033, USA
J Trauma 56:111-7. 2004..Critically ill patients often demonstrate extremely unusual volumes of distribution (Vd) and half-lives (t1/2) of drugs. Imipenem is a widely used antibiotic in critically ill patients... - Abdominal approach to chronic diaphragmatic hernias: is it safe?James A Murray
Division of Trauma and Critical Care, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
Am Surg 70:897-900. 2004..The need for a second incision (11%), the mortality (11%), ICU stay, and hospital stay were the same between the two groups. It appears that repair of CDH can be performed safely through an abdominal approach... - Thromboprophylaxis does not protect severely injured patients against pulmonary embolismGeorge C Velmahos
Department of Surgery, Division of Trauma and Critical Care, University of Southern California Keck School of Medicine, Los Angeles, California, USA
Am Surg 70:893-6. 2004..Practices from nontrauma populations have been erroneously extrapolated to the unique trauma population. To reduce the rate of PE after trauma, new methods of thromboprophylaxis should be considered... - Alcohol and illicit drugs in traumatic deaths: prevalence and association with type and severity of injuriesDemetrios Demetriades
Department of Surgery, Division of Trauma and Surgical Intensive Care Unit, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA
J Am Coll Surg 199:687-92. 2004..Pedestrians killed by automobiles who had positive screens have a higher incidence of severe abdominal injuries than victims with negative screens... - Outcome and prognostic factors in head injuries with an admission Glasgow Coma Scale score of 3Demetrios Demetriades
Division of Trauma, Surgical Intensive Care Unit, Los Angeles County, and University of Southern California Medical Center, Los Angeles, CA 90033, USA
Arch Surg 139:1066-8. 2004..To identify significant risk factors associated with mortality in patients with a Glasgow Coma Scale score of 3... - Obesity is an independent risk factor of mortality in severely injured blunt trauma patientsAngela L Neville
Department of Surgery, Division of Trauma and Critical Care, Los Angeles County, University of Southern California Medical Center, Los Angeles 90033, USA
Arch Surg 139:983-7. 2004..Obesity is associated with increased morbidity and mortality in critically injured blunt trauma patients... - Mortality prediction of head Abbreviated Injury Score and Glasgow Coma Scale: analysis of 7,764 head injuriesDemetrios Demetriades
Division of Trauma and SICU, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
J Am Coll Surg 199:216-22. 2004..31). CONCLUSIONS: Mechanism of injury and age have a major effect in the predictive value of GCS and head AIS. There is no good correlation between GCS and head AIS... - Angiographic embolization for pelvic fractures in older patientsBrian J Kimbrell
Division of Trauma and Surgical Critical Care, University of Southern California and the Los Angeles County and University of Southern California Medical Center, Los Angeles, Calif. 90033, USA
Arch Surg 139:728-32; discussion 732-3. 2004..Angiographic embolization should be offered liberally to patients in this age group, regardless of presumed hemodynamic stability... - Life support for trauma and transport: a mobile ICU for safe in-hospital transport of critically injured patientsGeorge C Velmahos
Department of Surgery, Division of Trauma and Critical Care, University of Southern California, Los Angeles, CA, USA
J Am Coll Surg 199:62-8. 2004..Process of care is improved. LSTAT's potential to improve clinical outcomes needs to be tested in different environments, including the prehospital setting... - Preventing renal failure in patients with rhabdomyolysis: do bicarbonate and mannitol make a difference?Carlos V R Brown
Department of Surgery, Division of Trauma and Critical Care, University of Southern California and the Los Angeles County Medical Center, Los Angeles, California, USA
J Trauma 56:1191-6. 2004..The purpose of this study was to determine whether BIC/ MAN is effective in preventing RF in patients with rhabdomyolysis caused by trauma... - Male sexual function after bilateral internal iliac artery embolization for pelvic fractureJesus I Ramirez
Department of Surgery, Division of Trauma and Critical Care, University of Southern California, Los Angeles County and University of Southern California Medical Center, Los Angeles, California 90033, USA
J Trauma 56:734-9; discussion 739-41. 2004..CONCLUSION: BIIAE does not produce lasting adverse effects on urogenital function. Sexual dysfunction frequently occurs after traumatic pelvic fracture and is produced by the injury itself... - A prospective study of post-traumatic biliary and pancreatic fistuli. The role of expectant managementPantelis Vassiliu
Department of Surgery, Division of Trauma and Critical Care at Los Angeles County and University of Southern California Medical Center, Los Angeles, CA 90033, USA
Injury 35:223-7. 2004..CONCLUSIONS: Most post-traumatic BF and PF can be managed non-operatively. BF resolves earlier than PF. Both entities are responsible for substantial increases in hospital length of stay and charges... - Handsewn versus stapled anastomosis in penetrating colon injuries requiring resection: a multicenter studyDemetrios Demetriades
Los Angeles County and University of Southern California Trauma Center, Los Angeles, California, USA
J Trauma 52:117-21. 2002..The purpose of this study was to compare stapled with handsewn colonic anastomosis following penetrating trauma...