News

  1. Jan 3, 2019

    Geriatric winter falls: When a simple bump on the ice can be serious

    Though falls on snow and ice may appear minor, serious injury — such as to the spinal cord — may result in older adults. Neurosurgeon Jeremy L. Fogelson, M.D., explains why and how providers can recognize an[...]

  2. Jan 3, 2019

    Game plan is key for children with extraglottic devices

    Pediatric airway management is inherently intricate. Managing an extraglottic airway device in a child who arrives at your hospital requires thoughtful and thorough preparation. Dawit T. Haile, M.D., Pediatric Anesthesi[...]

  3. Jan 3, 2019

    Avoiding the slip: Winter fall prevention

    Snow and ice present fall danger for Minnesotans in the winter months. Kim Lombard, Trauma Center injury prevention coordinator, offers information about risk factors for falls and tips to share with patients and commun[...]

  4. Jan 3, 2019

    Adult patient arrived with an extraglottic airway in place — So now what?

    Adult patients increasingly arrive at hospitals with extraglottic airway devices in place. It's important to understand the use, types and risks of these devices, as well as procedures to follow for these patients' airw[...]

  5. Oct 6, 2018

    How community partnerships can improve injury prevention efficiency and effectiveness

    In this Q&A, Kim Lombard, Mayo Clinic Trauma Center injury prevention coordinator, shares how community partnerships are essential for injury prevention and accomplish far more than working alone.

  6. Oct 6, 2018

    To image or not to image?

    Performing imaging may appear logical to determine the extent of patient injuries and provide information to families and receiving hospitals, yet time may not allow for it. James Homme, M.D., and Henry Schiller, M.D., [...]

  7. Oct 6, 2018

    Closing the loop: The final step in the PI review process

    Event resolution is often missed in the performance improvement (PI) review process, yet it's also crucial. Here is what closing the loop on an issue really means and why it's imperative.

  8. Oct 6, 2018

    8 lessons trauma centers can learn from the Toward Zero Deaths injury prevention partnership

    The Toward Zero Deaths program may appear dauntingly large for trauma centers to emulate for their community injury prevention efforts, yet concepts gleaned from it may be useful for your hospital.

  9. Aug 22, 2018

    Hand injuries: Who needs urgent transfer to see a hand surgeon?

    It can be challenging to determine which hand injuries need urgent transfer, which can be referred later, and which can be managed in the community. A Mayo Clinic hand surgeon offers insights on these injuries and appro[...]

  10. Aug 22, 2018

    Action planning: Taking steps to create change

    Action planning is crucial to prevent repeating an identified event and to improve future patient care. Following the SMART acronym along with some key principles is helpful for an efficient and effective process.

  11. Aug 21, 2018

    Grandpa slipped on the bathroom rug

    Though some injuries in geriatric patients may seem innocuous, they may be far more serious than they appear. Resuscitation and subsequent transfer, admission and rehabilitation are notably distinctive from that of youn[...]

  12. Aug 21, 2018

    Lawn mowers, ATVs and injury

    Warm weather ushers in a host of seasonal pediatric orthopedic injuries. It's important to recognize children are not simply small adults. They have unique requirements for treatment and need careful consideration to av[...]

  13. May 29, 2018

    Flail chest: An adult case study

    Surgical stabilization of rib fractures is becoming more widely accepted for adults with severe chest trauma. It has been shown to decrease ventilator and ICU days, reduce pneumonia risk, and improve overall outcomes.

  14. Apr 27, 2018

    The performance improvement review process and how to make it work in any size hospital

    A performance improvement (PI) review process is essential and doable for all trauma centers — large and small — to examine events identified in a patient's care.

  15. Apr 27, 2018

    Facial trauma from dog bite: A pediatric case study

    Any animal has the potential to bite a child, especially if its space is invaded. Denise E. Klinkner, M.D., M.Ed., discusses a dog bite case study, what may be gleaned from it and when to transfer these patients.

  16. Apr 27, 2018

    A blow to the eye: Ocular and orbital trauma

    Ocular and orbital injuries may require only observation or surgery spanning from simple to complex. A Mayo Clinic surgeon provides tips on this injury and the question of transfer.

  17. Apr 27, 2018

    Increasing trauma awareness and public readiness to assist

    Despite trauma ranking as the leading cause of death for those up to age 45, the public can overlook it. Trauma professionals must educate their community members about trauma, the role they can play as immediate respon[...]

  18. Jan 9, 2018

    A culture of safety: A critical atmosphere for performance improvement in trauma

    A culture of safety in trauma care is a transparent, blameless environment where any events transpiring in patient care may be raised by anyone involved and then be reviewed objectively.

  19. Jan 6, 2018

    'We're all ears': Understanding performance improvement and event identification

    Performance improvement (PI) is a mindset of continually seeking patient care improvement, even when outcomes are good. PI includes a series of steps, starting with event identification, or detecting a potential issue i[...]

  20. Jan 5, 2018

    Tips for treating geriatric trauma patients

    Treating geriatric patients is not just like treating any other patient. They are more vulnerable than their younger counterparts, are likely to have more significant injuries and require specific screenings to provide [...]

  21. Jan 5, 2018

    Ice fishing injuries: Beyond hooks and hypothermia

    Ice fishing can involve unique risks for participants, ranging from orthopedic or musculoskeletal injuries to hot thermal injuries. Trauma practitioners need awareness of injuries they may anticipate treating as well as[...]

  22. Oct 6, 2017

    Treating pain responsibly in the midst of an opioid epidemic

    How to treat pain appropriately and responsibly in the midst of an opioid epidemic in the U.S. is a key question for today's medical professionals. Pediatric anesthesiologist Tracy E. Harrison, M.D., provides some insig[...]

  23. Oct 6, 2017

    Trauma in pregnancy: A unique challenge

    Trauma is the leading cause of nonobstetric death in expectant mothers. Trauma surgeon Erica A. Loomis, M.D., discusses pitfalls to avoid when managing a case of trauma in a patient who is pregnant.

  24. Oct 6, 2017

    Case study ATV rollover injures Minnesota girl

    A 14-year-old Minnesota girl's all-terrain vehicle (ATV) flipped on a gravel road en route to a school practice, leading to polytrauma. Her case provides important lessons in shock recognition and management.

  25. Oct 6, 2017

    Fractured: Repairing the acetabulum

    Acetabular fractures are complicated to repair. Best outcomes for patients are likely to be associated with consultation with a Level I trauma center, where specialists can review films and advise regarding next steps i[...]

  26. Jan 6, 2017

    School district staff learns bleeding control techniques

    After training nearly 400 people — mainly law enforcement officers — in bleeding control techniques, SMRTAC volunteers launched an effort to train school district staff. They started with Stewartville, Minne[...]

  27. Jan 5, 2017

    Burn surge plans finalized

    New state and regional burn surge plans help provide for patient care when existing burn centers are overwhelmed.

  28. Jan 5, 2017

    6-year-old undergoes rib stabilization surgery

    Mayo Clinic trauma surgeon Brian D. Kim, M.D., made history in 2016 when he performed the world's first surgical rib fracture stabilization in a 6-year-old boy with severe chest injuries.

  29. Oct 11, 2016

    The case for whole-blood transfusions in massive hemorrhage

    In an effort to improve outcomes for massively hemorrhaging patients, Mayo Clinic has instituted a stored whole-blood transfusion program. The goal is to one day expand it to include warm fresh whole-blood transfusions.[...]

  30. Oct 11, 2016

    Critical airway management in kids

    Anatomical differences between children and adults complicate emergency airway management, especially for providers with little pediatric experience.

  31. Oct 11, 2016

    The gun safety conversation: Risks and benefits

    A new study shows that half of U.S. children live in homes with guns. The American Academy of Pediatrics and most other medical organizations say it's time for health care providers to talk to patients about gun safety.[...]

  32. Oct 11, 2016

    Tracheostomy or cricothyroidotomy should be considered early for failed intubation in patients with head trauma

    Rescue airway exchange in the emergency department may not always be the best option for adults with severe head injuries.

  33. Jul 2, 2016

    Pediatric torso injuries present unique challenges

    A child's unique anatomy makes torso injuries more challenging to diagnose and manage — and often more severe — than similar injuries in adults.

  34. Jul 2, 2016

    Helping kids cope with trauma

    As the front line in treating children and families dealing with traumatic stress, emergency providers not only manage pain and injuries but also provide emotional support and ensure ongoing psychological and social car[...]

  35. Jul 1, 2016

    Simulator teaches drivers to keep eyes on the road

    With funding from State Farm, the Southern Minnesota Regional Trauma Advisory Committee (SMRTAC) has acquired a distracted driving simulator. Reputable groups and organizations are welcome to use it.

  36. Jul 1, 2016

    When it's kids vs. trampolines, kids often lose

    Despite efforts to make trampolines safer, kids are getting injured in increasingly inventive ways. Many have displaced fractures that adult providers may not feel comfortable treating.

  37. May 6, 2016

    Training civilians to use military hemorrhage control techniques

    A new nationwide campaign aims to train lay people to control bleeding until first responders arrive on the scene of accidents and mass casualty attacks. The plan includes placing hemorrhage control kits in schools and [...]

  38. May 6, 2016

    Reversing NOACs presents challenges

    Unlike warfarin, novel oral anticoagulants (NOACs) have no universal antidote. Options for reversing NOACs other than dabigatran range from holding the drug to administering four-factor prothrombin complex concentrate.

  39. May 6, 2016

    What's wrong with this picture?

    With this issue, we start a new feature called Newsletter Flashback. We'll take a brief look at a topic we covered in an earlier issue and update you on the latest findings. Sometimes, not much has changed. And that's n[...]

  40. May 6, 2016

    Many centers unprepared for pediatric mass casualties

    Children have historically been an afterthought in disaster planning. But as mass casualty incidents involving children become more common, pediatric disaster care should be a top priority.

  41. Jan 8, 2016

    ATC, ECC expedite transfers, support referring providers

    The Admission and Transfer Center and Emergency Communications Center at Mayo Clinic's campus in Rochester, Minnesota, help ensure the timely transfer of seriously ill and injured patients. Physicians also are available[...]

  42. Jan 8, 2016

    Rough sledding

    Each year, 25,000 people in the U.S. seek emergency care for sledding injuries, many of which are severe. Mayo's injury prevention coordinator says most can be prevented.

  43. Jan 8, 2016

    Mayo develops new decision aid for pediatric CT

    PECARN guidelines accurately identify children at high risk of TBI after minor head trauma, but are ambiguous about kids at moderate risk. New guidelines aim to fill the gap.

  44. Jan 8, 2016

    How manikins may help save kids' lives

    Fancy equipment and state-of-the-art simulation centers aren't necessary for effective and powerful pediatric trauma simulations.

  45. Oct 3, 2015

    Knowing what to look for is the first step in helping abused kids

    Emergency providers are often the only advocates abused children have. Performing a comprehensive evaluation is imperative, not only to provide timely medical care, but also to help keep kids safe.

  46. Jul 23, 2014

    Run, hide, fight: Responding to an active shooter

    Mass shootings across the nation have prompted a re-evaluation of the way individuals, institutions and first responders react to them.