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Clinical practice guideline recommendations for orthopedic surgical management of traumatic hip fractures: a systematic review Tia Kalise Shutes, Kaylan Nicole Johnson, Emily Wayent Blevins, Madeline Grace Shipley, Saurabh P. Mehta J Trauma Inj. 2026;39(2):110-118. Published online May 4, 2026 DOI: https://doi.org/10.20408/jti.2025.0105

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Abstract PDFSupplementary Material Purpose Hip fractures pose a critical orthopedic challenge, disproportionately affecting older adults and significantly compromising mobility and independence. The complexity of both the injury and the patient profile necessitates adopting best practices grounded in research evidence to optimize surgical management and recovery. This study comprehensively evaluated the quality and clinical applicability of existing clinical practice guidelines (CPGs) for the orthopedic surgical management of traumatic hip fractures and summarized key practice recommendations. Methods A systematic literature search was performed across five databases (PubMed, CINAHL, Scopus, Embase, and PEDro) for CPGs published since January 2000. Two reviewers independently identified eligible CPGs using predefined criteria. The methodological quality of eligible CPGs was assessed using the AGREE II tool, which examines quality across the domains of scope, stakeholder involvement, rigor of development, clarity of presentation, applicability, and editorial independence. The complementary AGREE-REX tool was used to assess the guidelines’ clinical relevance and applicability. Results Six CPGs were critically appraised, and two demonstrated high methodological quality scores (2009 SIGN and 2023 NICE CPGs). Across all CPGs, there was consensus emphasizing surgical timing within 24 to 48 hours after a hip fracture. In addition, most CPGs recommended against the use of preoperative traction. Recommendations for diagnostic imaging were supported by limited high-quality evidence. Domains addressing target users’ values and resource feasibility scored lowest across CPGs, diminishing implementability. Conclusions Fewer than half of the appraised CPGs were rated high quality, and important clinical practice domains were insufficiently addressed. Orthopedic surgeons should follow recommendations to perform operative intervention within 24 to 48 hours after injury and avoid preoperative traction. The findings also underscore the need to develop CPGs with higher methodological rigor and more actionable practice recommendations.

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The impact of ketamine on posttraumatic stress disorder (PTSD) symptomatology in trauma-exposed populations: a narrative review Minaal Ahmed Malik, Michele Halasa, Jack Chia, Venera Derguti, Holly Hathway, Fahad Hussain, Abdel Saad J Trauma Inj. 2026;39(2):119-127. Published online April 2, 2026 DOI: https://doi.org/10.20408/jti.2025.0086

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Abstract PDF Ketamine, an N-methyl-D-aspartate (NMDA) receptor antagonist, is widely used in trauma and emergency medicine for its rapid analgesic and sedative properties. While its efficacy in acute pain management is well established, concerns persist regarding its long-term psychological effects, particularly its potential role in the development of posttraumatic stress disorder (PTSD). Some studies indicate that ketamine may provide rapid symptom relief in PTSD, whereas others raise concerns about its contribution to dissociative states and maladaptive memory consolidation. This narrative review examines existing literature on ketamine’s influence on PTSD symptomatology in trauma-exposed populations. A comprehensive assessment of randomized controlled trials and observational studies was undertaken to explore ketamine’s effects on dissociation, memory processing, and long-term psychiatric outcomes. Relevant studies were identified from major medical databases, and findings were synthesized to present an integrated overview of ketamine’s psychological impact in trauma care settings. Clinical trials suggest that a single intravenous infusion of ketamine (0.5 mg/kg) may significantly reduce PTSD symptoms within 24 hours compared to midazolam, with improvements in overall clinical presentation and no lasting dissociative effects. Conversely, some observational studies have linked ketamine use in acute trauma care to heightened dissociation, hyperarousal, and stress symptoms during early follow-up. Research on burn patients receiving intraoperative ketamine suggests a possible reduction in PTSD incidence, although a later study reported no significant difference compared with non-ketamine controls. The relationship between ketamine and PTSD is complex, with effects appearing to depend on dose and timing of administration. While perioperative ketamine may confer protective benefits against long-term psychiatric sequelae, immediate post-trauma administration may worsen dissociative symptoms and acute stress responses. Further well-controlled clinical trials are needed to refine dosing protocols and identify patient-specific risk factors, including preexisting psychiatric conditions, to better guide its use.

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Prognostic role of serum interleukin-6 levels in polytrauma patients: a comprehensive narrative review Nicola Madani, Sereen Halayqeh, Hebah Almahariq, Ahmad Al-Badawi, Mohammad Alomari, Bassem Haddad J Trauma Inj. 2026;39(1):4-13. Published online December 29, 2025 DOI: https://doi.org/10.20408/jti.2025.0081

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Abstract PDF Polytrauma triggers a complex systemic inflammatory response, and early identification of high-risk patients is essential for guiding timely interventions and improving outcomes. Interleukin-6 (IL-6), a rapidly induced proinflammatory cytokine, has emerged as a potential biomarker for prognosis in the trauma setting. This narrative review summarizes current evidence on the prognostic role of IL-6 in polytrauma patients, addressing its biological functions, kinetics after injury, and associations with clinical outcomes such as acute respiratory distress syndrome, multiple organ dysfunction syndrome, intensive care unit admission, and mortality. IL-6 levels have been shown to correlate with injury severity scores and to predict complications more reliably than many other inflammatory markers, largely due to its early elevation and sustained presence in circulation. Furthermore, IL-6 measurement may inform surgical decision-making, particularly in selecting candidates for damage control strategies versus definitive care. Compared to other cytokines and acute-phase reactants, IL-6 demonstrates superior temporal responsiveness and prognostic accuracy in the early postinjury phase. Despite variability in measurement methods and the influence of external confounding factors, IL-6 holds significant promise as a clinical tool for early triage, risk stratification, and potentially therapeutic targeting in trauma care. Standardized protocols and larger multicenter studies are needed to facilitate broader adoption and integration of IL-6 into clinical algorithms.

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The Importance of the “Damage Control” Strategy in Multiple Organ Injuries, Pathophysiology and Principles of Hemorrhage Control Oliwia Klimek, Jakub Dudek, Anna Czesyk, Bartosz Sierant, Wiktoria Górecka, Grzegorz Gogolewski, Tomasz Jurek, Zuzanna Ochocka, Amelia Jankowska Journal of Clinical Medicine.2026; 15(7): 2549. CrossRef

Autologous transfusion of hemothoraces in resuscitation after thoracic trauma: a narrative review Nicholas George Chapman, Devorah Leah Wineberg J Trauma Inj. 2025;38(4):313-319. Published online November 20, 2025 DOI: https://doi.org/10.20408/jti.2025.0053

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Abstract PDF Traumatic hemothoraces represent a readily available, normothermic, and ABO-compatible source of blood. As a resuscitation fluid, pleural blood presents a reduced risk of transmissible disease and hemolytic transfusion reactions, and it minimizes patient exposure to the storage lesion that affects allogeneic blood products. Pleural blood therefore retains more physiological concentrations of electrolytes and 2,3-diphosphoglycerate when compared to packed red blood cells. However, pleural blood also has a lower oxygen-carrying capacity than packed red blood cells and is largely depleted of coagulation factors. Yet, due to the presence of tissue factor and other proinflammatory mediators, it may paradoxically increase clot formation once transfused. Uncertainty remains regarding the clinical relevance of the supranormal levels of proinflammatory mediators and the effects of autotransfusion on coagulation in vivo. There is now a body of evidence suggesting that autotransfusion reduces the requirement for donor blood products, and small studies have not identified any signals of harm; however, any positive or negative effects on patient outcomes are yet to be conclusively demonstrated. Centers with access to a robust supply of allogeneic donor blood should continue with standard care until more comprehensive research is conducted to clarify both the clinical benefits and risks of autotransfusion. Nonetheless, autotransfusion retains a role in cases where there is a contraindication to allogeneic transfusion, and in low-resource centers where safe and reliable access to donor blood products is limited.

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Trauma eponyms (1837–1950): a comprehensive historical review Halil Tekiner, Eileen S. Yale, Jacob Draves, Steven H. Yale J Trauma Inj. 2025;38(3):168-180. Published online September 29, 2025 DOI: https://doi.org/10.20408/jti.2025.0037

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Abstract PDF Trauma eponyms reflect historical advancements in trauma medicine across various organ systems, often honoring pioneering physicians. These terms trace the evolution of medical understanding, particularly during wartime, though some have been replaced by more precise terminology. A comprehensive literature review was performed using the PubMed database to identify trauma-related eponyms described from 1837 to 1950. Supplementary biographical sources were also consulted. Eponyms were analyzed regarding their geographic distribution, affected organ systems, and ongoing clinical relevance, emphasizing connections to advancements in imaging, surgical procedures, and trauma care. A total of 30 trauma-related eponyms were identified, predominantly originating from France and Germany, highlighting the European leadership in medical research during the 19th and early 20th centuries. The pre–World War I period (1837–1914) emphasized anatomical and pathological observations, exemplified by eponyms such as Ollivier syndrome (1837), Curling ulcer (1842), and Klumpke paralysis (1885). The World Wars and subsequent postwar era (1914–1950) prompted significant innovations in battlefield medicine and surgical techniques, resulting in eponyms such as Tinel sign (1915), Bywaters syndrome (1941), and Fegeler syndrome (1949). While some eponyms have become obsolete, others remain clinically relevant due to clearly defined pathophysiological characteristics. Developments in imaging modalities (x-rays, magnetic resonance imaging, and computed tomography) and surgical methods have reinforced the contemporary relevance of these terms. Trauma-related eponyms provide a historical framework for understanding the evolution of trauma care. Their continued use highlights their diagnostic value and the enduring influence of historical medical discoveries on contemporary clinical practice.

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Incidence and predictors of mortality among traumatic brain injury patients in Ethiopia: a systematic review and meta-analysis Addisu Waleligne Tadesse, Derara Girma Tufa, Hiwot Dejene Dissassa, Melese Wagaye J Trauma Inj. 2025;38(3):181-194. Published online September 29, 2025 DOI: https://doi.org/10.20408/jti.2024.0104

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Abstract PDF Purpose Traumatic brain injury (TBI) represents a significant public health concern due to its high incidence, substantial prevalence of chronic neuropsychiatric sequelae, disabilities, and economic burdens. Although several primary studies have examined mortality rates among individuals with TBI in Ethiopia, no systematic reviews and meta-analyses have yet synthesized these findings to provide a comprehensive nationwide estimate. Methods A systematic search for Ethiopian TBI mortality studies was conducted using PubMed, MEDLINE, Hinari, ScienceDirect, Ovid, the Web of Science, the Directory of Open Access Journals, and the African Journals Online. Following the PRISMA guidelines, we screened eligible studies, assessed quality with the Joanna Briggs Institute tool, and analyzed data in Stata ver. 18. A random-effects model estimated TBI mortality and the pooled odds ratios (PORs) of predictors. Heterogeneity (I2) was assessed, and subgroup analyses, meta-regression, forest plots, and funnel plots with Egger and Begg tests addressed variability and publication bias. Results Of 100 records, 23 studies (n=7,866) met inclusion. The pooled incidence of mortality from TBI in Ethiopia was 15.69% (95% confidence interval [CI], 12.41–18.96). Regional incidence varied from 3.15% (95% CI, 1.23–5.08) in the Sidama Region to 39.42% (95% CI, 33.25–45.59) in the Amhara Region. Identified predictors of mortality included aspiration pneumonia (POR, 10.41; 95% CI, 3.25–33.40), penetrating injury (POR, 1.76; 95% CI, 1.07–2.90), road traffic accident injuries (POR, 1.71; 95% CI, 1.11–2.64), severe Glasgow Coma Scale (GCS) scores (POR, 18.94; 95% CI, 7.37–48.7), moderate GCS scores (POR, 2.95; 95% CI, 1.60–5.44), bilateral pupillary reaction (POR, 24.56; 95% CI, 7.72–78.19), unilateral pupillary reaction (POR, 7.75; 95% CI, 4.45–13.48), hypoxia (POR, 8.22; 95% CI, 2.42–27.98), concomitant injuries (POR, 2.15; 95% CI, 1.05–4.38), complications (POR, 4.76; 95% CI, 2.49–9.09), surgical management (POR, 0.58; 95% CI, 0.36–0.94), and mechanical ventilation (POR, 4.45; 95% CI, 2.00–9.88). Conclusions The high TBI mortality in Ethiopia underscores the urgent need to expand advanced trauma care centers, deploy trained personnel beyond urban areas, and strengthen road safety policies to achieve Sustainable Development Goal targets by 2030.

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Time to mortality and its predictors among traumatic brain injury patients admitted to Hiwot Fana Comprehensive Specialized University Hospital, Harari Region, Eastern Ethiopia: a hospital based, retrospective follow-up study Fekadu Yadessa, Fitsum Berhane, Mohammednur Abdulahi, Samrawit Abebaw, Waritu Abas, Betelhem Worku, Roba Banjaw, Bati Benti BMC Neurology.2026;[Epub] CrossRef

Surgical site infections: a comprehensive review Ahmad Reza Rezaei, Damian Zienkiewicz, Amir Reza Rezaei J Trauma Inj. 2025;38(2):71-81. Published online June 27, 2025 DOI: https://doi.org/10.20408/jti.2025.0019

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Abstract PDF Surgical site infections (SSIs) represent a major public health challenge, contributing to increased morbidity, mortality, and healthcare costs worldwide. This paper presents a comprehensive review of the epidemiology, classification, risk factors, microbiological aspects, treatment modalities, and prevention strategies for SSIs, based on contemporary research and evidence-based practice protocols. An extensive literature review was conducted, synthesizing existing studies on SSIs. A comprehensive search was performed in PubMed, Embase, Cochrane Library, and guidelines from leading organizations such as the American College of Surgeons, the US Centers for Disease Control and Prevention, the World Health Organization, and the Infectious Diseases Society of America. Inclusion criteria encompassed peer-reviewed articles as well as American and European medical guidelines focusing on the epidemiology, risk factors, microbiology, treatment, and prevention of SSIs. The review adhered to the PECO (population, exposure, comparator, outcome) framework. Some of the most significant global concerns related to SSIs include antibiotic resistance and the contamination of surgical instruments, particularly in resource-poor settings. Trauma patients, especially those undergoing emergency procedures or sustaining open fractures, are at increased risk for SSIs due to the severity of their injuries and higher contamination risks. These findings underscore the importance of preventive measures, such as appropriate preoperative interventions, strict aseptic techniques, and proper antibiotic prophylaxis, in reducing SSI incidence and improving patient outcomes.

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Deciphering the effectiveness of computed tomography scoring systems in improving mortality prediction for traumatic brain injury: a systematic review and bibliometric analysis Astrid Ekklesia Saputri, Eunike Priscila, Rian Ka Praja, Ysrafil Ysrafil J Trauma Inj. 2025;38(2):82-90. Published online June 25, 2025 DOI: https://doi.org/10.20408/jti.2025.0009

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Abstract PDF Purpose Traumatic brain injury is associated with adverse prognoses and significant neurological impairments that negatively affect patients' quality of life and physiological well-being. The aim of this study was to compare various computed tomography (CT) scoring systems in order to evaluate their effectiveness in predicting mortality and in risk stratification. Methods The evolution and trends in the use of CT scoring systems were analyzed through a bibliometric analysis of 72 Scopus-indexed documents using VOSviewer ver. 1.6.19. A systematic review was conducted following the 2020 PRISMA guidelines, with data obtained from PubMed Advance, Scopus, and Google Scholar for the period 2003–2024. A total of 198 journals were identified and subsequently filtered down to 6 that met the inclusion criteria. Results The bibliometric analysis revealed a progressive shift toward the use of CT scoring systems for novel diagnostic purposes and mortality prediction. The Rotterdam CT score demonstrated the highest total link strength and was most frequently published in 2017. In contrast, the Marshall CT score was more widely referenced in studies published after 2020. Despite being recognized for its sensitivity, the Helsinki CT score has not garnered equivalent research attention. Furthermore, the review suggested that the Rotterdam CT score is superior in predicting mortality among traumatic brain injury patients, with the Marshall CT score also demonstrating potential. Conclusions A review of the extant literature indicates that the Helsinki CT score exhibits the highest predictive accuracy, effectively estimating both mortality probability and long-term prognosis. Since 2015, research on the Helsinki CT score has steadily increased.

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Comparative predictive performance of computed tomography scoring systems in traumatic brain injury: a systematic review, Bayesian comparison, and meta-analysis Armin Khavandegar, Zahra Ramezani, Elaheh Khodadoust, Mahgol Sadat Hassan Zadeh Tabatabaei, Tahereh Maleki, Negin Safari Dehnavi, Mario Ganau, Lara Prisco, Ghazaleh Kheiri, Nasim Ramzi, Maral Moafi, Roberto Parisi, Sadra Kheiri, Soroush Mozaffari, Mustafa Neurosurgical Review.2026;[Epub] CrossRef

Infection prevention and treatment following dog bites: a systematic review of randomized controlled trials Yongsik Yoon, Dukho Kim, Dongwuk Lee, Hyeongyu Min, Junhyuk Choi J Trauma Inj. 2025;38(1):3-13. Published online March 31, 2025 DOI: https://doi.org/10.20408/jti.2024.0069

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Abstract PDFSupplementary Material Purpose Dog bites pose a significant global public health challenge, with outcomes that range from minor injuries to fatalities. Despite their prevalence, no consensus has been established regarding the most effective prevention and treatment strategies. This systematic review aimed to consolidate and evaluate randomized controlled trials (RCTs) examining the effectiveness of interventions in preventing and treating dog bites. Methods A comprehensive search was conducted across the CINAHL, Embase, MEDLINE, Web of Science, and PubMed databases for RCTs published within the last 10 years. Studies were included if they focused on interventions to prevent or treat dog bites. Primary outcomes included the infection rate and recovery time of dog bites, the effectiveness of interventions in preventing or reducing bite severity, and associated health outcomes. The risk of bias was assessed using the Cochrane Collaboration tool. Results Five RCTs met the eligibility criteria, with a total of 1,148 participants. These studies examined various interventions, including medical techniques (medical glue, negative pressure wound therapy, and hyperbaric oxygen therapy), wound management strategies (primary suturing versus non-suturing), and educational interventions. A meta-analysis of four studies revealed no significant difference in infection rates between the intervention and control groups (risk ratio, 0.69; 95% confidence interval [CI], 0.27–1.77; I2=62%; P=0.44). However, the interventions examined in each study demonstrated shorter recovery times (mean difference, 11.25 days; 95% CI, 8.44–14.07 days; I2=99%; P<0.001). Conclusions Although the included studies suggest potential benefits of certain interventions in treating dog bites, particularly in reducing recovery time, the evidence regarding infection prevention remains inconclusive. The limited number of high-quality RCTs in this field highlights the need for further research to establish evidence-based guidelines for dog bite prevention and treatment.

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Splenic artery embolization for trauma: a narrative review Simon Roh J Trauma Inj. 2024;37(4):252-261. Published online December 16, 2024 DOI: https://doi.org/10.20408/jti.2024.0056

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Abstract PDF The management of traumatic splenic injuries has evolved significantly over the past several decades, with the majority of these injuries now being treated nonoperatively. Patients who exhibit hemodynamic instability upon initial evaluation typically require surgical intervention, while the remainder are managed conservatively. Conservative treatment for traumatic splenic injuries encompasses both medical management and splenic artery angiography, followed by embolization in cases where patients exhibit clinical signs of ongoing splenic hemorrhage. Splenic artery embolization is generally divided into two categories: proximal and distal embolization. The choice of embolization technique is determined by the severity and location of the splenic injury. Patients who retain functioning splenic tissue after trauma do not routinely need immunization. This is in contrast to post-splenectomy patients, who are at increased risk for opportunistic infections.

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Role and Techniques of Splenic Angioembolization in the Management of High-Grade (AAST III-V) Blunt Splenic Trauma: A Systematic Review Murhaf Assaf, Abdulaziz Alsamani Abdullah Omar, Kiranjot Kaur, Beshr Mosa Basha, Shashwat Shetty, Anwar Al-Kassar, Jamal Khan Cureus.2026;[Epub] CrossRef Expeditionary Endovascular Trauma Care as a Core Capability for Future Large-Scale Conflicts Jonathon Schutt, Christopher Yeisley, John Pavlus Military Medicine.2026;[Epub] CrossRef Comparative Analysis of the LOBO Device and Coils for Proximal Splenic Artery Embolization: A Multi-Institutional Retrospective Study Roshan Valentine, Massoud Allahyari, Johannes L. du Pisane, Chaitanya Ahuja, Alexander Villalobos, Harrison Bieber, Nicholas Thomas, Ali Afrasiabi, Bahareh Gholami, Sandra Gad, Gloria Salazar, David Mauro, Nima Kokabi CardioVascular and Interventional Radiology.2026;[Epub] CrossRef Splenic Angioembolization and Operative Management Rates Across Trauma Center Levels: A National Analysis of Blunt Splenic Injury Outcomes Ian Bundschu, Alexander Brown, Sukriti Prashar, Nikita Nunes, Cameron A. Nishida, Adel Elkbuli Journal of Surgical Research.2026; 324: 10. CrossRef Case report of a splenectomy secondary to infectious mononucleosis in a 16-year-old female George G Wilson, Kelly Rennie Journal of Surgical Case Reports.2025;[Epub] CrossRef Clinical analysis on comparison of outcomes between partial splenic artery embolization and splenectomy for management of grade II–III splenic injury in blunt trauma Xiaolong Xu, Meng Lv, Cheng Wang, Jianfeng Mei European Journal of Medical Research.2025;[Epub] CrossRef

Renal embolization for trauma: a narrative review Peter Lee, Simon Roh J Trauma Inj. 2024;37(3):171-181. Published online September 24, 2024 DOI: https://doi.org/10.20408/jti.2024.0021

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Abstract PDF Renal injuries commonly occur in association with blunt trauma, especially in the setting of motor vehicle accidents. Contrast-enhanced computed tomography is considered the gold-standard imaging modality to assess patients for renal injuries in the setting of blunt and penetrating trauma, and to help classify injuries based on the American Association for the Surgery of Trauma injury scoring scale. The management of renal trauma has evolved in the past several decades, with a notable shift towards a more conservative, nonoperative approach. Advancements in imaging and interventional radiological techniques have enabled diagnostic angiography with angiographic catheter-directed embolization to become a viable option, making it possible to avoid surgical interventions that pose an increased risk of nephrectomy. This review describes the current management of renal trauma, with an emphasis on renal artery embolization techniques.

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Urologic Traumas at a Level I Trauma Center in West Virginia: Exploring Injury Patterns Collin Smith, Carly Ulrich, Chisom L. Maduakonam, Damayanti Samanta Urology.2026;[Epub] CrossRef Contrast-enhanced ultrasonography as an adjunct to angiography for renal arterial bleeding: a four-case series Jisun Lee, Yook Kim, Kyung Sik Yi, Chi-Hoon Choi, Bum Sang Cho BMC Urology.2026;[Epub] CrossRef Analysis of 46 Cases of Spontaneous Perirenal Hemorrhage: A Retrospective Observational Study Seon Beom Jo, Sun Tae Ahn, Mi Mi Oh, Sung Joon Park, Young-Hoon Yoon, Jong Wook Kim, Jung-Youn Kim Journal of Clinical Medicine.2025; 14(9): 2986. CrossRef Normotensive trauma patients with renal injuries: Hidden candidates for massive transfusion Xin‐Hong Lin, Pi‐Chieh Lin, Ching‐Hua Tsai, Wei‐Ti Su, Shiun‐Yuan Hsu, Ching‐Hua Hsieh Hong Kong Journal of Emergency Medicine.2025;[Epub] CrossRef Solid Organ Injuries: To Irradiate or Operate? Bhupaul Ramsuchit, David E. Meyer Seminars in Interventional Radiology.2025; 42(04): 439. CrossRef The Interface of Trauma Surgery and Interventional Radiology: The Trauma Surgeon's Perspective Khu Aten Maaneb de Macedo, John Scott, Megan G. Janeway Seminars in Interventional Radiology.2025; 42(04): 447. CrossRef Assessment of Residual Cortical Function by Using Tc-99m DMSA SPECT at Follow-Up in Non-Operatively Treated Patients with Traumatic Renal Injuries: A Prospective Single-Centre Study Seong Hyeon Yu, Taek Won Kang, Chan Park, Sang-Geon Cho Journal of Clinical Medicine.2025; 14(17): 6276. CrossRef The Use of Glue as an Embolic Agent in Trauma Kimberly Coffman, Arthur Joseph, John A. Walker, Jorge E. Lopera Seminars in Interventional Radiology.2025; 42(04): 422. CrossRef Clinical, Diagnostic, and Therapeutic Aspects of Kidney Trauma at the Sylvanus Olympio Teaching Hospital in Lome Edoe Viyome Sewa, Komi Hola Sikpa, Gnimdou Botcho, Essodina Padja, Messan Semefa Agbedey, Kodjo Tengue Open Journal of Urology.2025; 15(07): 343. CrossRef

Predictors of massive transfusion protocols activation in patients with trauma in Korea: a systematic review Dongmin Seo, Inhae Heo, Juhong Park, Junsik Kwon, Hye-min Sohn, Kyoungwon Jung J Trauma Inj. 2024;37(2):97-105. Published online June 14, 2024 DOI: https://doi.org/10.20408/jti.2024.0015

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Abstract PDFSupplementary Material Purpose Massive transfusion protocols (MTPs) implementation improves clinical outcomes of the patient’s resuscitation with hemorrhagic trauma. Various predictive scoring system have been used and studied worldwide to improve clinical decision. However, such research has not yet been studied in Korea. This systematic review aimed to assess the predictors of MTPs activation in patients with trauma in Korea. Methods The PubMed, Embase, Cochrane Library, Research Information Sharing Service databases, KoreaMed, and KMbase were searched from November 2022. All studies conducted in Korea that utilized predictors of MTPs activation in adult patients with trauma were included. Results Ten articles were eligible for analysis, and the predictors were assessed. Clinical assessments such as systolic and diastolic blood pressure, shock index (SI), prehospital modified SI, modified early warning system (MEWS) and reverse SI multiplied by the Glasgow Coma Scale (rSIG) were used. Laboratory values such as lactate level, fibrinogen degradation product/fibrinogen ratio, and rotational thromboelastometry (ROTEM) were used. Imaging examinations such as pelvic bleeding score were used as predictors of MTPs activation. Conclusions Our systematic review identified predictors of MTPs activation in patients with trauma in Korea; predictions were performed using tools that requires clinical assessments, laboratory values or imaging examinations only. Among them, ROTEM, rSIG, MEWS, SI, and lactate level showed good effects for predictions of MTPs activation. The application of predictors for MTP’s activation should be individualized based on hospital resource and skill set, also should be performed as a clinical decision supporting tools.

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Comparative study between shock index and assessment of blood consumption score in polytrauma patients as a predictor of massive blood transfusion Zeinab M.E. El Sheikh, Mohammed H. Abo-Ryia, Ahmed I. Swelam, Mai M. Mahran Tanta Medical Journal.2026; 54(1): 115. CrossRef Predictors of Massive Transfusion in Adult Blunt Trauma Patients: Analysis of a Nationwide Trauma Registry in Korea Dongmin Seo, Juyoung Kim, Kyoungwon Jung, Juhong Park, Junsik Kwon, Hye-Min Sohn, Sora Kim, Jayoung Yoo, Jae Hun Kim, Hangjoo Cho, Younghwan Kim, Taegyun Kim Journal of Korean Medical Science.2026;[Epub] CrossRef Challenges and learning curve in adopting resuscitative endovascular balloon occlusion of the aorta for trauma patients: A retrospective multicenter study Kyounghwan Kim, Byung Hee Kang, Dong Hun Kim, Byungchul Yu, Sung Wook Chang, Pil Young Jung, Yoonjung Heo, Wu Seong Kang Injury.2026; : 113304. CrossRef On-scene machine learning prediction model for massive transfusion in trauma and its association with in-hospital mortality Byungchul Yu, Jaehyeong Cho, Hyunjee Kim, Seung Ha Hwang, Jiyoung Hwang, Soeun Kim, Jiyeon Oh, Sooji Lee, Do Wan Kim, Junepill Seok, Kyounghwan Kim, Jinseok Lee, Dong Keon Yon, Wu Seong Kang BJS Open.2025;[Epub] CrossRef A Case Study on Simulation Training for Operational Improvements in the Massive Transfusion Protocol Sooin Choi, Jongbin Wee, Haeri Jung, Young Soon Cho The Korean Journal of Blood Transfusion.2024; 35(2): 113. CrossRef

Biomechanics of stabbing knife attack for trauma surgeons in Korea: a narrative review Kun Hwang, Chan Yong Park J Trauma Inj. 2024;37(1):1-5. Published online January 15, 2024 DOI: https://doi.org/10.20408/jti.2023.0057

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Abstract PDF The aim of this paper was to review the biomechanics of knife injuries, including those that occur during stabbing rampages. In knife stab attacks, axial force and energy were found to be 1,885 N and 69 J, respectively. The mean velocity of a stabbing motion has been reported to range from 5 to 10 m/sec, with knife motions occurring between 0.62 and 1.07 seconds. This speed appears to surpass the defensive capabilities of unarmed, ordinarily trained law enforcement officers. Therefore, it is advisable to maintain a minimum distance of more than an arm's length from an individual visibly armed with a knife. In training for knife defense, particularly in preparation for close-quarter knife attacks, this timing should be kept in mind. Self-inflicted stab wounds exhibited a higher proportion of wounds to the neck and abdomen than assault wounds. Injuries from assault wounds presented a higher Injury Severity Score, but more procedures were performed on self-inflicted stab wounds. Wound characteristics are not different between nonsuicidal self-injury and suicidal self-wrist cutting injuries. Consequently, trauma surgeons cannot determine a patient's suicidal intent based solely on the characteristics of the wound. In Korea, percent of usage of lethal weapon is increasing. In violence as well as murders, the most frequently used weapon is knife. In the crimes using knife, 4.8% of victims are killed. Therefore, the provision of prehospital care by an emergency medical technician is crucial.

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Exploring the effects of silica particles size on soft body armour panels for stab resistance application in advanced protective textiles Shankar Lal Sharma, Lalit Jajpura, Mukesh Bajya Journal of Composite Materials.2026;[Epub] CrossRef A drop test device to study the variability of residual marks associated with stabbing attacks Ignasi Galtés, Silvia García-Vilana, David Sánchez-Molina Forensic Sciences Research.2026; 11(1): tfsr20240266. CrossRef An early modern murder or a mercy killing? Investigation of a skeleton with traumatic injuries from Košice, Slovakia Kalafutová Soňa, Mikulová Ľudmila, Gaľová Jana, Petrejčíková Eva, Rusnák Rastislav, Balogh Arpád, Chmelík Marek Digital Applications in Archaeology and Cultural H.2026; 41: e00547. CrossRef Threat of Melee-related Terrorist Attacks: A Retrospective Analysis of Patterns, Mortality, and Public Health Impact Vadym Shapovalov, Isabella Lagunzad, Nolan Abdelsayed, Quincy K Tran, Maria Groussis, Bradley Bontrager, Ali Pourmand Disaster Medicine and Public Health Preparedness.2026;[Epub] CrossRef Experimental investigation on dynamic stab resistance of high-performance multi-layer textile materials Mulat Alubel Abtew, François Boussu, Irina Cristian, Bekinew Kitaw Dejene Defence Technology.2025; 47: 1. CrossRef

Delayed union of a pediatric lunate fracture in the United Kingdom: a case report and a review of current concepts of non-scaphoid pediatric carpal fractures Timothy P. Davis, Elizabeth Headon, Rebecca Morgan, Ashley I. Simpson J Trauma Inj. 2023;36(4):315-321. Published online December 20, 2023 DOI: https://doi.org/10.20408/jti.2023.0038

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Abstract PDF Pediatric carpal fractures are rare and often difficult to detect. This paper reviews the current literature on pediatric non-scaphoid carpal fractures, with a case report of a lunate fracture associated with a distal radius and ulnar styloid fracture, managed nonoperatively in a 12-year-old boy. There is lack of consensus regarding the management of these fractures due to the low number of reported cases. A frequent lack of long-term follow-up limits our understanding of the outcomes, but good outcomes have been reported for both nonoperative and operative management. This case report brings attention to the current time period for the definition of delayed union in pediatric carpal fractures, and emphasizes the need for prolonged follow-up for the detection of delayed complications leading to functional impairment.

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Pediatric Lunate Fracture Treated With Percutaneous Screw Fixation Jordan T. Holler, Timothy P. Liu, Timothy A. Schaub Journal of Hand Surgery Global Online.2026; 8(2): 100905. CrossRef

Endovascular embolization of persistent liver injuries not responding to conservative management: a narrative review Simon Roh J Trauma Inj. 2023;36(3):165-171. Published online September 15, 2023 DOI: https://doi.org/10.20408/jti.2023.0040

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Abstract PDF Trauma remains a significant healthcare burden, causing over five million yearly fatalities. Notably, the liver is a frequently injured solid organ in abdominal trauma, especially in patients under 40 years. It becomes even more critical given that uncontrolled hemorrhage linked to liver trauma can have mortality rates ranging from 10% to 50%. Liver injuries, mainly resulting from blunt trauma such as motor vehicle accidents, are traditionally classified using the American Association for the Surgery of Trauma grading scale. However, recent developments have introduced the World Society of Emergency Surgery classification, which considers the patient's physiological status. The diagnostic approach often involves multiphase computed tomography (CT). Still, newer methods like split-bolus single-pass CT and contrast-enhanced ultrasound (CEUS) aim to reduce radiation exposure. Concerning management, nonoperative strategies have emerged as the gold standard, especially for hemodynamically stable patients. Incorporating angiography with embolization has also been beneficial, with success rates reported between 80% and 97%. However, it is essential to identify the specific source of bleeding for effective embolization. Given the severity of liver trauma and its potential complications, innovations in diagnostic and therapeutic approaches have been pivotal. While CT remains a primary diagnostic tool, methods like CEUS offer safer alternatives. Moreover, nonoperative management, especially when combined with angiography and embolization, has demonstrated notable success. Still, the healthcare community must remain vigilant to complications and continuously seek improvements in trauma care.

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The Use of Glue as an Embolic Agent in Trauma Kimberly Coffman, Arthur Joseph, John A. Walker, Jorge E. Lopera Seminars in Interventional Radiology.2025; 42(04): 422. CrossRef