Allowing penetrating or blunt trauma patients to remain temporarily hypotensive in the field vs giving volume resuscitation prior to definitive surgical repair improves mortality and seems to decrease blood loss and need for transfusion of blood products.

Among patients with ICH, those on non-vitamin K oral anticoagulants had a lower in-hospital risk of mortality compared to warfarin (26.5% vs 32.6%). Compared to warfarin, those on NOACs were more likely to be discharged home (+3.3%), be functionally independent (+2.5%), and have the ability to ambulate independently at discharge (+1.8%).

Nine percent of patients with negative CT for anterior abdominal stab wound (AASW) subsequently required surgery.  Negative CT for AASW was inadequate to consider patients safe for immediate discharge.

EAST concluded spine immobilization in penetrating trauma is unnecessary and associated with an increase in mortality.

Transfusion of platelets prophylactically may do more harm than good.

Gun shows in Nevada were associated with more firearm related violence in nearby California.  Whereas gun show in California did not correlate with increased gun violence locally.  Authors concluded that this may have been due to stricter gun laws in California.

Patients who had blunt trauma with CPR > 10 minutes, penetrating trauma with CPR > 15 minutes, or asystole without tamponade should not undergo resuscitative thoracotomy in the ED as it would be futile.

This retrospective study echoes REACT-2: pan-scan is low yield. The proportion of patients with clinically significant injury (CSI) involving at least 2 simultaneous body regions - head/neck| chest| abdomen/pelvis was 1 to 3%; 0.6% had CSI simultaneously in all 3 regions.

In this prospective cohort of 602 patients with fairly small traumatic pneumothoraces, 277 of 602 (46%) were managed without tube thoracostomy; 90% of these did well, including those receiving positive pressure ventilation.

Children with isolated, non-depressed skull fracture did extremely well.  Of 6646 children in this systematic review, none died and only one progressed to need neurosurgical intervention.