Robert D. Winfield
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View article: Early Blood Pressure Targets in Acute Spinal Cord Injury
Early Blood Pressure Targets in Acute Spinal Cord Injury Open
Importance Early blood pressure management is central to neurologic resuscitation of spinal cord injury; however, the role of augmented blood pressure is unclear. Objective To compare the efficacy and safety of augmented vs conventional bl…
View article: From past to present: A comparison of interpersonal firearm violence between historically graded neighborhoods of Kansas City
From past to present: A comparison of interpersonal firearm violence between historically graded neighborhoods of Kansas City Open
Historically redlined communities have higher rates of IFV in Kansas City, Kansas.
View article: The Creation of a Free Outpatient Surgical Clinic: A Descriptive Report
The Creation of a Free Outpatient Surgical Clinic: A Descriptive Report Open
Student run free clinics (SRFCs) are continuing to grow in scope and number given the significant benefits to both learners and disadvantaged patients. Despite recent growth, very few provide any form of surgical services. In order to addr…
View article: Disaster planning for a surgical surge: when mass trauma threatens to overwhelm your operating rooms
Disaster planning for a surgical surge: when mass trauma threatens to overwhelm your operating rooms Open
Mass casualty events particularly those requiring multiple simultaneous operating rooms are of increasing concern. Existing literature predominantly focuses on mass casualty care in the emergency department. Hospital disaster plans should …
View article: To leave or not to leave: American Association for the Surgery of Trauma (AAST) panel discussion on personal, parental, and family leave
To leave or not to leave: American Association for the Surgery of Trauma (AAST) panel discussion on personal, parental, and family leave Open
Navigating planned and emergent leave during medical practice is very confusing to most physicians. This is especially challenging to the trauma and acute care surgeon, whose practice is unique due to overnight in-hospital call, alternatin…
View article: Chemoprophylactic Anticoagulation 72 Hours After Spinal Fracture Surgical Treatment Decreases Venous Thromboembolic Events Without Increasing Surgical Complications
Chemoprophylactic Anticoagulation 72 Hours After Spinal Fracture Surgical Treatment Decreases Venous Thromboembolic Events Without Increasing Surgical Complications Open
Chemoprophylactic anticoagulation at 72 hours in surgically treated spinal fracture patients demonstrates a lower VTE rate without increasing complications. VTE prophylaxis can be initiated at 72 hours following spine fixation to decrease …
View article: Aspiration Risk Factors in Hospitalized Patients Following Trauma
Aspiration Risk Factors in Hospitalized Patients Following Trauma Open
Introduction. Risk factors for aspiration are not well characterized in the trauma patient population. Improved understanding is important due to features of this patient population that place them at high risk for morbidity and mortality …
View article: Factors associated with receipt of intracranial pressure monitoring in older adults with traumatic brain injury
Factors associated with receipt of intracranial pressure monitoring in older adults with traumatic brain injury Open
Background The Brain Trauma Foundation (BTF) Guidelines for the Management of Severe Traumatic Brain Injury (TBI) include intracranial pressure monitoring (ICPM), yet very little is known about ICPM in older adults. Our objectives were to …
View article: COVID-19, Ethics and Equity—What Is Our Role as Surgeons?
COVID-19, Ethics and Equity—What Is Our Role as Surgeons? Open
The COVID-19 pandemic has affected all of our lives around the world. As surgeons, we proudly work on the frontlines of any local, regional, or global disaster. We care for vulnerable and injured patients in our trauma bays and our critica…
View article: Firearm violence in the USA: a frank discussion on an American public health crisis—The Kansas City Firearm Violence Symposium
Firearm violence in the USA: a frank discussion on an American public health crisis—The Kansas City Firearm Violence Symposium Open
Kansas City is a microcosm for USA. Although Kansas City shows a relatively diverse population, it is one that is segregated along the lines of race and income. This is an inequity that is common to all cities across the country. With this…
View article: A comparison between the TEG 6s and TEG 5000 analyzers to assess coagulation in trauma patients
A comparison between the TEG 6s and TEG 5000 analyzers to assess coagulation in trauma patients Open
BACKGROUND Trauma-induced coagulopathy is a major driver of mortality following severe injury. Viscoelastic goal-directed resuscitation can reduce mortality after injury. The TEG 5000 system is widely used for viscoelastic testing. However…
View article: Outcomes in patients with gunshot wounds to the brain
Outcomes in patients with gunshot wounds to the brain Open
Introduction Gunshot wounds to the brain (GSWB) confer high lethality and uncertain recovery. It is unclear which patients benefit from aggressive resuscitation, and furthermore whether patients with GSWB undergoing cardiopulmonary resusci…
View article: Is Coagulopathy an Appropriate Therapeutic Target During Critical Illness Such as Trauma or Sepsis?
Is Coagulopathy an Appropriate Therapeutic Target During Critical Illness Such as Trauma or Sepsis? Open
Coagulopathy is a common and vexing clinical problem in critically ill patients. Recently, major advances focused on the treatment of coagulopathy in trauma and sepsis have emerged. However, the targeting of coagulopathy with blood product…