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Risks of failure in advanced trauma life support courses
No full textINTRODUCTION: The Advanced Trauma Life Support (ATLS) course is the common standard for care and disposition of trauma patients across both designated and nondesignated trauma centers. Evidence of individual student risk factors for ATLS course performance are minimal.
METHODS: A retrospective study was conducted using ATLS course data for hybrid student and refresher courses taught in 2022-2023 from a single American College of Surgeons Regional Committee on Trauma. Marginal performance was defined as a post-test score of \u3c 80% on the written examination or failing the practical test on the first attempt. Univariable analysis by predictor was completed using the χ test and Mann-Whitney U tests, as appropriate. Multivariable analysis was completed with logistic regression analysis.
RESULTS: Among 996 students in the study, 191 (19%) were identified as having marginal ATLS course performance. Marginal performance was significantly more common in the student course (24%) than in the refresher course (9%). Marginal performers differed by medical degree and training status, medical specialty, and level of their home institution trauma center designation. In regression analysis, lower pretest score was associated with higher odds of marginal performance. As compared to advanced practice providers, an attending physician status was associated with lower odds of marginal performance.
CONCLUSIONS: Marginal performance varies by specialty, training level, and home institution trauma center designation. Future work is needed to identify and support at-risk students in both initial and refresher hybrid ATLS courses
Lifestyle habits and structural heart abnormalities among former athletes and their families: HUDDLE subanalysis
No full textINTRODUCTION: Cardiovascular disease is the leading cause of death globally. Understanding the association between lifestyle habits, risk factors, and structural heart abnormalities is crucial for developing preventive strategies, especially among understudied populations. METHODS: The HUDDLE trial was a cross-sectional study of National Football League alumni and their family members aged ≥50 years who self-reported health histories and underwent noninvasive cardiovascular disease screening, including transthoracic echocardiography. Cardiovascular disease risk factors were evaluated using a modified American Heart Association Life\u27s Simple 7 (physical activity, tobacco use, obesity, hypertension, diabetes, alcohol intake, and hyperlipidemia) and assessed as ideal, intermediate, or poor. RESULTS: Of 498 participants, 92.4% had at least 1 poor health metric, with 15.9% having ≥3. Former National Football League players aged \u3c 65 years had a higher prevalence of ≥3 poor metrics compared with other participants. Non-White former National Football League players exhibited nearly double the prevalence of having 3 or more poor health metrics as their White counterparts (23.9% vs 12.0%). Compared with those with no poor metrics, participants with 3-7 poor metrics had the highest odds of having structural heart abnormality (OR=2.40; 95% CI=1.08, 5.32), followed by those with 2 (OR=2.39; 95% CI=1.16, 4.92) and 1 (OR=1.79; 95% CI=0.87, 3.66) poor metric. CONCLUSIONS: This subanalysis of the HUDDLE study identified a high prevalence of poor health metrics among former National Football League players and their families. Younger, non-White participants were more likely to have worse lifestyle habits than their counterparts. Increasing number of poor health metrics was associated with structural heart abnormalities
Inside Aurora Sinai Medical Center, 2002 August
No full textAurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events.https://institutionalrepository.aah.org/alldocuments/2244/thumbnail.jp
Inside Aurora Sinai Medical Center, 2002 March
No full textAurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events.https://institutionalrepository.aah.org/alldocuments/2239/thumbnail.jp
Inside Aurora Sinai Medical Center, 2003 September
No full textAurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events.https://institutionalrepository.aah.org/alldocuments/2255/thumbnail.jp
Inside Aurora Sinai Medical Center, 2004 August
No full textAurora Sinai Medical Center, Milwaukee, WI: Internal employee newsletter with workplace anniversaries, news, and events.https://institutionalrepository.aah.org/alldocuments/2264/thumbnail.jp
Lung tumors marked percutaneously with indocyanine green dye-soaked embolization coils: A visual beacon for accurate intraoperative localization during lung sparing surgery
No full textThoracic surgeons utilizing minimally invasive techniques for lung nodule resection often rely on localization markers to determine precise nodule location intraoperatively. Transbronchial or transthoracic injection of indocyanine green (ICG) dye has become a popular technique. However, surgery must be performed immediately as dye will dissipate to surrounding tissue. This multicenter retrospective study evaluated the efficacy of CT guided transthoracic placement of ICG dye-soaked coils (CT ICG-C) for preoperative lung nodule localization. Nineteen adult patients with 21 nodules underwent CT ICG-C placement from 03/01/2023 until 02/28/2025 at two medical centers. There were no adverse events. Median time from localization to surgery was 1 day (IQR 0-4 days), with 57.1% undergoing surgery \u3e24 hours later. Localization success rate was 100%. CT ICG-C is a novel technique that allows for accurate nodule localization, delayed surgical resection, and the preservation of healthy lung tissue
