John J. Como
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Resuscitative Endovascular Balloon Occlusion of the Aorta in surgical and trauma patients: a systematic review, meta-analysis and practice management guideline from the Eastern Association for the Surgery of Trauma Open
Background The role of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the management of patients with subdiaphragmatic bleeding, as well as its utility in traumatic cardiac arrest (TCA), is unknown. Methods A working …
View article: Antibiotic prophylaxis for tube thoracostomy placement in trauma: a practice management guideline from the Eastern Association for the Surgery of Trauma
Antibiotic prophylaxis for tube thoracostomy placement in trauma: a practice management guideline from the Eastern Association for the Surgery of Trauma Open
Background Antibiotic prophylaxis is routinely administered for most operative procedures, but their utility for certain bedside procedures remains controversial. We performed a systematic review and meta-analysis and developed evidence-ba…
View article: Single dose IV Antibiotic for Low-Energy Extremity Gunshot Wounds
Single dose IV Antibiotic for Low-Energy Extremity Gunshot Wounds Open
Objective: To prospectively determine infection rate following low-energy extremity GSWs with a single dose IV antibiotic protocol. Summary Background Data: Previous work suggests that a single IV antibiotic dose, without formal surgical d…
Variation in neurosurgical intervention for severe traumatic brain injury: The challenge of measuring quality in trauma center verification Open
BACKGROUND Intracranial pressure monitor (ICPm) procedure rates are a quality metric for American College of Surgeons trauma center verification. However, ICPm procedure rates may not accurately reflect the quality of care in TBI. We hypot…
Leadership Amongst Regional and National Surgical Organizations: The Tides Are Changing Open
Gender disparity in leadership of surgical organizations exists. Women are involved earlier in their careers and hold lower-level leadership positions reflecting potential for increased involvement in high-level leadership roles in the fut…
Identifying Maltreatment in Infants and Young Children Presenting With Fractures: Does Age Matter? Open
Objectives Child abuse is a significant cause of morbidity and mortality in preverbal children who cannot explain their injuries. Fractures are among the most common injuries associated with abuse but of themselves fractures may not be rec…
Use of posterior component separation and transversus abdominis release in trauma and emergency general surgery patients: a case report and review of the literature Open
Posterior component separation with transversus abdominis release and implantation of synthetic mesh in the retromuscular space is a durable type of repair for many large incisional hernias with recurrence rates consistently less than 10%.…
Surgical timing for cervical and upper thoracic injuries in patients with polytrauma Open
OBJECTIVE Few studies have investigated the advantages of early spinal stabilization in the patient with polytrauma in terms of reduction of morbidity and mortality. Previous analyses have shown that early stabilization may reduce ICU stay…
View article: Damage control resuscitation in patients with severe traumatic hemorrhage
Damage control resuscitation in patients with severe traumatic hemorrhage Open
DCR can significantly improve outcomes in severely injured bleeding patients. After a review of the best available evidence, we recommend the use of a MT/DCR protocol in hospitals that manage such patients and recommend that the protocol t…