Kang Kook Choi
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View article: Effectiveness of hybrid emergency room system in patients with severe trauma: a systematic review and meta-analysis
Effectiveness of hybrid emergency room system in patients with severe trauma: a systematic review and meta-analysis Open
Background: The hybrid emergency room system (HERS) integrates computed tomography (CT), surgical, and interventional radiology capabilities within a single trauma resuscitation space. This all-in-one design aims to eliminate interdepartme…
View article: Evidence-based conservative and surgical management of adhesive small bowel obstruction: a narrative review
Evidence-based conservative and surgical management of adhesive small bowel obstruction: a narrative review Open
Adhesive small bowel obstruction (ASBO) is a common postoperative complication and remains a leading cause of emergency surgical admissions. This review synthesizes current evidence regarding the diagnosis, conservative management, and sur…
View article: Single-Incision Laparoscopy in Abdominal Trauma: Current Evidence, Clinical Applications, and Evolving Role—A Narrative Review
Single-Incision Laparoscopy in Abdominal Trauma: Current Evidence, Clinical Applications, and Evolving Role—A Narrative Review Open
Background/Objectives: Laparoscopic surgery plays a central role in the management of abdominal trauma, particularly in patients with hemodynamic stability. Recently, single-port laparoscopic surgery (SPLS) has emerged as a technique that …
View article: Epidemiology of Traumatic Injuries at a Single Regional Trauma Center in South Korea: Age-Specific and Temporal Trends (2014–2023)
Epidemiology of Traumatic Injuries at a Single Regional Trauma Center in South Korea: Age-Specific and Temporal Trends (2014–2023) Open
Background/Objectives: Trauma remains a leading cause of morbidity and mortality worldwide, significantly affecting younger and aging populations. The regional trauma center establishment in South Korea in 2014 marked a pivotal advancement…
View article: Predictive Limitations of the Geriatric Trauma Outcome Score: A Retrospective Analysis of Mortality in Elderly Patients with Multiple Traumas and Severe Traumatic Brain Injury
Predictive Limitations of the Geriatric Trauma Outcome Score: A Retrospective Analysis of Mortality in Elderly Patients with Multiple Traumas and Severe Traumatic Brain Injury Open
Background/Objectives: The Geriatric Trauma Outcome Score (GTOS) is used to predict in-hospital mortality in geriatric patients with trauma. However, its applicability to elderly patients with multiple traumas and severe traumatic brain in…
View article: Delayed diagnosis of proximal ureter injury after a blunt abdominal trauma in Korea: a case report
Delayed diagnosis of proximal ureter injury after a blunt abdominal trauma in Korea: a case report Open
Traumatic ureteral injuries account for fewer than 1% of traumatic urologic injuries, and those caused by blunt trauma are even rarer than those caused by penetrating trauma. The symptoms associated with ureteral injury may be subtle, with…
View article: Comparison of Conventional versus Modified Preperitoneal Pelvic Packing in Patients with Bleeding Pelvic Fractures: A Single-Center Retrospective Pilot Study
Comparison of Conventional versus Modified Preperitoneal Pelvic Packing in Patients with Bleeding Pelvic Fractures: A Single-Center Retrospective Pilot Study Open
Background: Bleeding pelvic fractures have high mortality rates, primarily due to severe hemorrhage. Treatment options include mechanical stabilization based on preperitoneal pelvic packing (PPP), resuscitative endovascular balloon occlusi…
View article: The Impact of COVID-19 Infection on Trauma Patients in South Korea
The Impact of COVID-19 Infection on Trauma Patients in South Korea Open
Background: The COVID-19 pandemic has significantly affected societies worldwide, including the medical healthcare system and trauma care. This study explores the impact of COVID-19 infection on trauma patients in South Korea, a country wi…
View article: Rare complication of skin necrosis after endoscopic debridement and cutaneo-fascial suture for a massive Morel-Lavallée lesion in Korea: a case report
Rare complication of skin necrosis after endoscopic debridement and cutaneo-fascial suture for a massive Morel-Lavallée lesion in Korea: a case report Open
A Morel-Lavallée lesion (MLL) is a pathologic fluid collection within an abnormally formed space, resulting from an internal degloving injury between the muscle fascia and subcutaneous fat layer. Due to its resistance to conservative treat…
View article: A Xiphoid Elongation Following a Trauma Laparotomy: A Case Report
A Xiphoid Elongation Following a Trauma Laparotomy: A Case Report Open
Xiphoid elongation is a rare phenomenon where the xiphoid process elongates after stimuli such as surgery, physical therapy, or trauma. We report on a 47-year-old male involved in a traffic accident who went into cardiac arrest. He receive…
View article: Epidemiology and outcomes of patients with penetrating trauma in Incheon Metropolitan City, Korea based on National Emergency Department Information System data: a retrsopective cohort study
Epidemiology and outcomes of patients with penetrating trauma in Incheon Metropolitan City, Korea based on National Emergency Department Information System data: a retrsopective cohort study Open
Purpose: Patients with penetrating injuries are at a high risk of mortality, and many of them require emergency surgery. Proper triage and transfer of the patient to the emergency department (ED), where immediate definitive treatment is av…
View article: Salvation of a solitary kidney in a patient with grade IV renal trauma: a case report
Salvation of a solitary kidney in a patient with grade IV renal trauma: a case report Open
There are many reasons for solitary kidney. Congenital causes include renal agenesis and dysplasia. Acquired causes include nephrectomy performed for reasons including traumatic kidney injury, disease (e.g., renal cell carcinoma), and dona…
View article: A case report of field amputation: the rescue of an entrapped patient through the "doctor car" system
A case report of field amputation: the rescue of an entrapped patient through the "doctor car" system Open
In certain circumstances, invasive procedures such as creation of a surgical airway, insertion of a chest drain, intraosseous puncture, or amputation in the field are necessary. These invasive procedures can save lives. However, emergency …
View article: Successful management of a common carotid artery injury using a Pruitt-F3 Carotid Shunt: a case report
Successful management of a common carotid artery injury using a Pruitt-F3 Carotid Shunt: a case report Open
Penetrating neck injuries are a surgical challenge. In particular, penetrating neck injuries associated with carotid artery injuries have a high mortality rate. Overt external hemorrhage is unanimously considered as an indication for surgi…
View article: Implementation of a Massive Transfusion Protocol: A Single Trauma Center Experience from S. Korea
Implementation of a Massive Transfusion Protocol: A Single Trauma Center Experience from S. Korea Open
In our study, the MT protocol improved the FFP: RBC ratio. A higher FFP: RBC ratio also led to an improvement in the mortality rate in MT patients.
View article: Management of Traumatic Pancreatic Injuries: Evaluation of 7 Years of Experience at a Single Regional Trauma Center
Management of Traumatic Pancreatic Injuries: Evaluation of 7 Years of Experience at a Single Regional Trauma Center Open
Purpose Traumatic pancreatic injuries are rare, but their diagnosis and management are challenging. The aim of this study was to evaluate and report our experiences with the management of pancreatic injuries. Methods We identified all adul…
View article: Major Causes of Preventable Death in Trauma Patients
Major Causes of Preventable Death in Trauma Patients Open
Purpose Trauma is the top cause of death in people under 45 years of age. Deaths from severe trauma can have a negative economic impact due to the loss of people belonging to socio-economically active age groups. Therefore, efforts to redu…
View article: Part 4. Clinical Practice Guideline for Surveillance and Imaging Studies of Trauma Patients in the Trauma Bay from the Korean Society of Traumatology
Part 4. Clinical Practice Guideline for Surveillance and Imaging Studies of Trauma Patients in the Trauma Bay from the Korean Society of Traumatology Open
The following recommendations are presented herein: All trauma patients admitted to the resuscitation room should be constantly (or periodically) monitored for parameters such as blood pressure, heart rate, respiratory rate, oxygen saturat…
View article: Case Series of Zone III Resuscitative Endovascular Balloon Occlusion of the Aorta in Traumatic Shock Patients
Case Series of Zone III Resuscitative Endovascular Balloon Occlusion of the Aorta in Traumatic Shock Patients Open
Purpose There is increasing evidence in the literature regarding resuscitative endovascular balloon occlusion of the aorta (REBOA) globally, but few cases have been reported in Korea. We aimed to describe our experience of successful Zone …
View article: Part 3. Clinical Practice Guideline for Airway Management and Emergency Thoracotomy for Trauma Patients from the Korean Society of Traumatology
Part 3. Clinical Practice Guideline for Airway Management and Emergency Thoracotomy for Trauma Patients from the Korean Society of Traumatology Open
The following key questions and recommendations are presented herein: when is airway intubation initiated in severe trauma? Airway intubation must be initiated in severe trauma patients with a GCS of 8 or lower (1B). Should rapid sequence …
View article: The Management of Open Pelvic Fractures: A Report of 2 Cases
The Management of Open Pelvic Fractures: A Report of 2 Cases Open
Open pelvic fractures are rare, but pose challenges for trauma surgeons due to their high morbidity and mortality. Generally, early death results from uncontrolled exsanguination and late death is related to pelvic sepsis. Therefore, manag…
View article: The Suitability of the CdC field Triage for Korean Trauma Care
The Suitability of the CdC field Triage for Korean Trauma Care Open
Purpose Accurate and appropriate prehospital field triage is essential for a trauma system. The Korean trauma system (established in 2014) uses the trauma field triage algorithm of the United States Centers for Disease Control and Preventi…
View article: Immediate Post-laparotomy Hypotension in Patients with Severe Traumatic Hemoperitoneum
Immediate Post-laparotomy Hypotension in Patients with Severe Traumatic Hemoperitoneum Open
Purpose Immediate post-laparotomy hypotension (PLH) is a precipitous drop in blood pressure caused by a sudden release of abdominal tamponade after laparotomy in cases of severe hemoperitoneum. The effect of laparotomy on blood pressure in…
View article: Effect of bupivacaine on postoperative pain and analgesics use after single-incision laparoscopic appendectomy: double-blind randomized study
Effect of bupivacaine on postoperative pain and analgesics use after single-incision laparoscopic appendectomy: double-blind randomized study Open
Bupivacaine did not decrease pain and analgesics use. When surgery exceeded 40 minutes, bupivacaine use might be associated with less pain and less analgesics use.
View article: Surgical Fixation of the Coronal Separated Sternal Fracture in the Anterior Flail Chest using ZipFix<sup>TM</sup> and SternaLock Plating System
Surgical Fixation of the Coronal Separated Sternal Fracture in the Anterior Flail Chest using ZipFix<sup>TM</sup> and SternaLock Plating System Open
A 57-year-old male was injured in a pedestrian traffic accident. He was diagnosed with anterior flail chest with concomitant multiple injury. We report the successful treatment of traumatic comminuted sternal fracture using the SternaLock …
View article: Comparison of outcomes before and after establishing a regional trauma center and following a protocol to treat blunt splenic injury in South Korea: A retrospective study
Comparison of outcomes before and after establishing a regional trauma center and following a protocol to treat blunt splenic injury in South Korea: A retrospective study Open
Background: Nonoperative management for hemodynamically stable splenic injury has been accepted as appropriate treatment. Objectives: This study aimed to investigate the changes in management and clinical outcomes of splenic injury by intr…
View article: Correlation between Optic Nerve Sheath Diameter Measured by Computed Tomography and Elevated Intracranial Pressure in Patients with Traumatic Brain Injury
Correlation between Optic Nerve Sheath Diameter Measured by Computed Tomography and Elevated Intracranial Pressure in Patients with Traumatic Brain Injury Open
Purpose The optic nerve sheath diameter (ONSD) measured by ultrasonography is among the indicators of intracranial pressure (ICP) elevation. However, whether ONSD measurement is useful for initial treatment remains controversial. Thus, thi…
View article: Acute Physiology and Chronic Health Evaluation II Score and Sequential Organ Failure Assessment Score as Predictors for Severe Trauma Patients in the Intensive Care Unit
Acute Physiology and Chronic Health Evaluation II Score and Sequential Organ Failure Assessment Score as Predictors for Severe Trauma Patients in the Intensive Care Unit Open
In ICU trauma patients, both SOFA and APACHE II scores were good predictors of outcome, with the SOFA score being the most effective. In trauma ICU patients, the trauma scoring system should be complemented, recognizing that multi-organ fa…
View article: A Hemorrhagic Cholecystitis in a Penetrating Hepatic Injury
A Hemorrhagic Cholecystitis in a Penetrating Hepatic Injury Open
A penetrating hepatic trauma can be accompanied by gallbladder (GB) injury. It is often detected by abdominal computed tomography (CT) but missed without CT. One should consider the possibility of GB injury through the hepatic side in pati…
View article: Traumatic Hepatic Arterioportal Fistula Caused by Penetrating Injury
Traumatic Hepatic Arterioportal Fistula Caused by Penetrating Injury Open
Hepatic arterioportal fistula (APF) can be congenital, acquired, or iatrogenic. Trauma-induced APF is a rare pathologic condition. We report the case of a patient with APF accompanied by hepatic ischemia that was successfully treated using…