Trauma

A Day in the Life: LTJG Ari Doucette, PA-C, MPAS

April 11, 2012

While in Afghanistan, a Navy PA provides medical care for military personnel, prisoner of war detainees, and local citizens, while exposing British health care providers to the PA profession.
 

Is trauma care really free of bias?

January 26, 2012

Many health care providers believe trauma care is free of health disparities. But is subconscious bias actually influencing care based on race?
 

Surgical treatment for osteochondral injuries of the articular knee surface

September 05, 2011

Techniques involving the transfer of osteochondral cylinders and implanting of cartilage cells in areas of damaged cartilage can reduce patients' pain and return them to an active lifestyle.
 

Abdominal compartment syndrome: Potentially lethal and easy to miss

September 01, 2011

Although a satisfactory outcome is far from guaranteed for patients with ACS, early detection and treatment are crucial to minimizing the impact of this serious multisystem syndrome.
 

Laceration repair: Avoid infection, optimize healing, minimize scarring

, September 01, 2011

A thorough history and examination, use of proper materials, and familiarity with the 
different wound closure techniques make it easier to achieve these objectives.
 

Pain in a patient's pelvis and hip following a car accident

, Jason Kim, MD; Denise Rizzolo, PA-C, PHD June 21, 2011

After being struck by a car 2 days earlier, the patient could still walk but had pain in the pelvis and hip.
 

An effective tool in establishing the diagnosis of sport-related concussion

Jonathan Thomas Baird, MPAS, PA-C, ATC June 20, 2011

An objective assessment of concussion will benefit the athlete as well as aid clinicians in 
accurately describing the injury to parents, coaches, and the athletes themselves.
 

Concussion: 
Assessment of traumatic brain injuries

From CSAC, the Clinical and Scientific Affairs Committee of the AAPA November 16, 2010

Mild traumatic brain injury, or concussion, is a common injury seen in the urgent care setting. PAs should be able to evaluate the patient and determine the appropriate management.
 

Are you ready for some football?

October 07, 2010

This football season has been different. A few weeks ago, my 7-year-old son said that he wanted to play football this year, "the kind with helmets and real jerseys". He played flag football last year and enjoyed it, but this year he wants to play "real" football.
 
 

Acute evaluation and management of the anterior shoulder dislocation

, August 02, 2010

PAs, especially those in emergency or urgent care settings, should be familiar with several techniques.
 

Nonhealing wound following trauma

June 22, 2010

Continuing symptoms raise suspicions of a serious complication after a young man catches his finger in a car door.
 

A practical guide for mechanical ventilation in adult patients who require respiratory assistance

Richard G. Winters, MSPAS, PA-C; Donald A. Reiff, MD May 10, 2010

Providing care for postoperative, acutely ill, or traumatically injured patients requires an understanding of mechanical ventilation.
 

Acceptance of physician assistants (PAs) and nurse practitioners (NPs) in trauma centers: A national survey

Sue M. Nyberg, MHS, PA-C; Kayla R. Keuter, MPH, PA-C; Gina M. Berg, PhD; Amy M. Helton, MPA, PA-C; Angela D. Johnston, MPA, PA-C January 25, 2010

This study suggests that trauma centers are increasingly hiring and making effective use of PAs and NPs—and that jobs for PAs will grow in this area.
 

PTSD: How to recognize the many faces of this hidden disorder

James E. Meyer, MD, FACP September 02, 2009

A broad view of the etiology of PTSD can help clinicians take a more effective approach to diagnosis and treatment.
 

A common ankle injury with a not-so-common twist

Joseph M. Ehrhard, MPAS, PA-C, ATC July 29, 2009

A basketball player completes his jump shot by landing on another player's foot. A squeeze test positive for pain and inability to bear weight on the affected leg suggest more than an ankle injury.
 

Overwhelming postsplenectomy infection: Managing patients at risk

Sandra L. Moffett, PA-C July 27, 2009

Asplenia can be triggered by conditions that decrease splenic function, leaving patients susceptible to life-threatening infection.
 

A role in trauma care for advanced practice clinicians

Kelly L. Sherwood, PA-C, MPAS; Raymond R. Price, MD, FACS; Thomas W. White, MD, FACS; Mark H. Stevens, MD, FACS; Don H. Van Boerum, MD, FACS June 17, 2009

Advanced practice clinicians can treat trauma patients, safely filling the void left by decreased availability of surgical residents.
 

Knee pain and an abnormal radiograph in a skier

Brian Downie, ATC, PA-C, MS February 20, 2009

The patient is a 20-year-old male who fell while downhill skiing. After returning home, he presented to our orthopedic clinic with continued complaints of lateral knee pain, swelling, and a sense of weakness.
 

Disaster response: Physician assistant skills are an important asset

John S. Lynch, MS (Biosecurity), MPAS, PA-C January 01, 2009

PAs can help fill the inevitable shortfall of providers during the aftermath of major disasters.
 

Nonoperative management of penetrating abdominal trauma

July 01, 2006

Penetrating abdominal trauma is prevalent in most urban settings in the United States; for instance, 25% of trauma cases in Los Angeles are penetrating. Selective nonoperative management is practiced routinely for blunt abdominal trauma, but in most institutions laparotomy is still considered the standard of care for abdominal gunshot wounds. The traditional treatment of these injuries has been exploratory laparotomy for all gunshot wounds to the abdomen and for all stab wounds where peritoneal violation has been proven.
 

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