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Your search keyword '"Safford, Shawn D."' showing total 11 results
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11 results on '"Safford, Shawn D."'

4. Gastric Injury

Author

Hanke, Rachel E., Ziegler, Olivia R., Safford, Shawn D., Kennedy Jr, Alfred P., editor, Ignacio, Romeo C., editor, and Ricca, Robert, editor

Published
2022
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5. Crystalloid Volume is Associated with Short Term Morbidity in Children with Severe Traumatic Brain Injury: An Eastern Association for the Surgery of Trauma Multicenter Trial Post-Hoc Analysis

Author

MacArthur, Taleen A., Vogel, Adam M., Glasgow, Amy E., Moody, Suzanne, Kotagal, Meera, Williams, Regan F., Kayton, Mark L., Alberto, Emily C., Burd, Randall S., Schroeppel, Thomas J., Baerg, Joanne E., Munoz, Amanda, Rothstein, William B., Boomer, Laura A., Campion, Eric M., Robinson, Caitlin, Nygaard, Rachel M., Richardson, Chad J., Garcia, Denise I., Streck, Christian J., Gaffley, Michaela, Petty, John K., Ryan, Mark, Pandya, Samir, Russell, Robert T., Yorkgitis, Brian K., Mull, Jennifer, Pence, Jeffrey, Santore, Matthew T., Klinkner, Denise B., Safford, Shawn D., Trevilian, Tanya, Jensen, Aaron R., Mooney, David P., Ketha, Bavana, Dassinger, Melvin S., III, Goldenberg-Sandau, Anna, Falcone, Richard A., and Polites, Stephanie F.

Published
2023
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7. Prevalence and Outcomes of High versus Low Ratio Plasma to Red Blood Cell Resuscitation in a Multi-Institutional Cohort of Severely Injured Children

Author

Mehl, Steven C., primary, Vogel, Adam M., additional, Glasgow, Amy E., additional, Moody, Suzanne, additional, Kotagal, Meera, additional, Williams, Regan F., additional, Kayton, Mark L., additional, Alberto, Emily C., additional, Burd, Randall S., additional, Schroeppel, Thomas J., additional, Baerg, Joanne E., additional, Munoz, Amanda, additional, Rothstein, William B., additional, Boomer, Laura A., additional, Campion, Eric M., additional, Robinson, Caitlin, additional, Nygaard, Rachel M., additional, Richardson, Chad J., additional, Garcia, Denise I., additional, Streck, Christian J., additional, Gaffley, Michaela, additional, Petty, John K., additional, Greenwell, Cynthia, additional, Pandya, Samir, additional, Waters, Alicia M., additional, Russell, Robert T., additional, Yorkgitis, Brian K., additional, Mull, Jennifer, additional, Pence, Jeffrey, additional, Santore, Matthew T., additional, MacArthur, Taleen A., additional, Klinkner, Denise B., additional, Safford, Shawn D., additional, Trevilian, Tanya, additional, Cunningham, Megan, additional, Black, Christa, additional, Rea, Jessica, additional, Spurrier, Ryan G., additional, Jensen, Aaron R., additional, Farr, Bethany J., additional, Mooney, David P., additional, Ketha, Bavana, additional, Dassinger, Melvin S., additional, Goldenberg-Sandau, Anna, additional, Roman, Janika San, additional, Jenkins, Todd M., additional, Falcone, Richard A., additional, and Polites, Stephanie F., additional

Published
2024
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10. Routine Repeat Imaging of Pediatric Blunt Solid Organ Injuries Is Not Necessary

Author

Fletcher, Kelsey L., Meagher, Mitchell, Spencer, Brianna L., Morgan, Madison E., Safford, Shawn D., Armen, Scott B., Hazelton, Joshua P., and Perea, Lindsey L.

Abstract

Introduction Nonoperative management of hemodynamically stable patients with blunt splenic and/or hepatic injury has been widely accepted in the pediatric population. However, variability exists in the utilization and timing of repeat imaging to assess for delayed complications during index hospitalization. Recent level-IV evidence suggests that repeat imaging in children should be performed based on a patient’s clinical status rather than on a routine basis. The aim of this study is to examine the rate of delayed complications and interventions in pediatric trauma patients with blunt splenic and/or hepatic injuries who undergo repeat imaging prompted either by a clinical change (CC) or non-clinical change (NCC).Methods A 9-year (2011-2019), retrospective, dual-institution study was performed of children (0-17 years) with blunt splenic and/or hepatic injuries. Patients were grouped based on reason for repeat imaging: CC or NCC. The rate of organ-specific delayed complications and interventions was examined by reason for scan.Results A total of 307 injuries were included in the study period (174 splenic, 113 hepatic, and 20 both). Of 194 splenic injuries, 30(15.5%) underwent repeat imaging (CC = 19; NCC = 11). Of 133 hepatic injuries, 27(20.3%) underwent repeat imaging (CC = 21; NCC = 6). There was no difference in the incidence of organ-specific delayed complications between the CC and NCC groups. Of the 4 patients with complications necessitating intervention, only one was identified based on NCC.Conclusions Our data suggest routine repeat imaging is unnecessary in children with blunt splenic and/or hepatic injuries; therefore, practitioners may rely on a patient’s clinical change.

Published
2023
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