After a short break, we return with the May SUSS Journal club theme of Trauma.
Trauma is a common presentation to ED, often requiring surgical intervention. When managing a trauma case one not only needs to consider the immediate management of a patient but also the sequelae or conditions that this patient group is at risk of developing.
Both of the presenters this week will be considering the complications of trauma. Nick Skladnev will present a study on the utility of thromboelastography (TEG) in predicting venous thromboembolism (VTE). VTE including pulmonary embolism and deep vein thrombosis is a common trauma complication and is often unpredictable as traditional plasma-based coagulation tests (PT, PTT, INR) are not predictive of VTE. TEG may present a more sensitive test for identifying at-risk patients. Huon Murray will then present a case series of head trauma resulting in hypopituitarism, which is an increasingly recognised but easily missed complication following traumatic brain injury (TBI). This paper will identify the importance of early diagnosis and appropriate management of endocrine dysfunction in patients with major head injuries to improve morbidity and mortality.
Articles and presenters:
Brill, J. B., Badiee, J., Zander, A. L., Wallace, J. D., Lewis, P. R., Sise, M. J., … & Shackford, S. R. (2017). The rate of deep vein thrombosis doubles in trauma patients with hypercoagulable thromboelastography. Journal of Trauma and Acute Care Surgery, 83(3), 413-419.
Khan, K., Saeed, S., Ramcharan, A., & Gray, S. (2018). A case series of closed head trauma with pituitary stalk disruption resulting in hypopituitarism. International journal of surgery case reports, 43, 69-71.
Date: Wednesday, May 23rd, 2018
Time: 6:00 – 7:00 pm
Venue: RPAH Institute of Academic Surgery
Hope you see you there!