betty and guy beatty center for integrated - Inova Health System

The department of trauma services has been through some changes in
2009 and research is no exception. This group has maintained a commitment
to research and expanded its horizons. Dr Margaret Griffen has
taken over as Chief of Trauma Services and Dr Anne Rizzo has become
the Director of Trauma Services Research. We have continued our interest
in automotive safety and medical research with motor vehicle crashes
through the Crash Injury Research and Engineering Network (CIREN).
Several projects from this program have been accepted to national and
international meetings for presentation in 2009-2010. Trauma services is
in the process and reapplying for a grant for CIREN. Trauma Services
has continued grant funding through several other sources and currently
has seven grants through Inova. A HRSA grant for equipment for research
support was concluded over the past year and multiple collaborative
projects with researchers at George Mason University are underway.
A commitment to resident research education (SRRF) as well as many
aspects of research in trauma and general surgery patient care is on going.
The residents have had several abstracts accepted for presentation
at regional, national and international meetings, the American College of
Surgeons resident paper competition, the Society for University Surgeons,
as examples. We are currently conducting a prospective clinical
study involving ICU patients and procalcitonin and hope to have data
completed for an abstract submission in 2010. The observation and collective
review of a rare general surgical condition encountered several
times in 2009 resulted in an abstract acceptance and travel to Australia
for one resident.
T RAUMA RESEARCH
Continued research in Trauma Services includes projects reviewing elderly
trauma patients and the use of Coumadin, radiation exposure during
trauma care, dosing of Fentanyl in the trauma patient. and metabolomics
evaluation in the trauma patient. A collaboration with the Neurosurgery
Orthopedics Division is expanding. A year of changes has brought chal-
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cesses.
BOOKS, BOOK CHAPTERS, AND JOURNAL ARTICLES
1. Roland J, Seoudi HM, Albus RA, Fakhry SM. Right atrial rupture from
blunt thoracic trauma in a 4-year-old child. Pediatric Emerg Care.
2009 Mar;;25(3):188-9.
2. Michetti CP, Sakran JV, Grabowski JG, Thompson EV, Bennett K,
Fakhry SM. Physical Examination is a Poor Screening Test for Abdominal-Pelvic
Injury in Adult Blunt Trauma Patients. J Surg Res.
2009 Jun 6.
3. Vaziri K, Roland JC, Robinson LL, Reines HD, Fakhry SM. Extreme
anemia in an injured Jehovah's Witness: a test of our understanding
of the physiology of severe anemia and the threshold for blood transfusion.
J Trauma. 2009 Jul;;67(1):E11-3.
4. Holevar M, Dunham JC, Brautigan R, Clancy TV, Como JJ, Ebert JB,
Griffen MM, Hoff WS, Kurek SJ Jr, Talbert SM, Tisherman SA. Practice
management guidelines for timing of tracheostomy: the EAST
practice management guidelines work group. J Trauma. 2009 Oct;;
67(4):870-4.
ABSTRACTS AND PRESENTATIONS TO NATIONAL AND INTERNA-
TIONAL MEETING
1. Rizzo A, Aldaghlas T,. Abdominopelvic Injuries in Lateral Motor Vehi
cle Crashes with Side Airbags: Another Bag? Presented at the 8 th
Annual Public CIREN Meeting, Baltimore, MD, October 8, 2009.
2. Samir M Fakhry, MD*, Tayseer A Aldaghlas, MD, Linda Robinson,
RN, MA, MS, HaniSeoudi, MD*, Anne Rizzo, MD*. Inova Regional
Trauma Center. Computed Tomographic Angiography: False posi
tives in the diagnosis of blunt cervical vascular injuries. Oral presen
tation at the Sixty-eighth Annual Meeting of the American Association
for the Surgery of Trauma, Pittsburgh, PA, October, 2009.
3. Samir M Fakhry MD*, Alaa Alhazmi MD, Tayseer Aldaghlas MD,
Linda Robinson RN MA,MS, Kevin Dwyer MD*. Inova Regional
Trauma Center. Impact of Chest Computerized Tomography for the
Diagnosis of Pulmonary Embolus in Trauma Patients: A nine year
experience at a Level One trauma center. Poster presentation at the
Sixty-eighth Annual Meeting of the American Association for the Sur
gery of Trauma, Pittsburgh, PA, October, 2009.
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