“We're playing on the same team”: Communication (dis)connections between trauma patients and surgical residents

Huang, Anna; Campbell, Paige-Ashley; Chaudhary, Mihir; Soklaridis, Sophie; Miller, Doriane; Dinizulu, Sonya Mathies; Stolbach, Bradley; Gay, Franklin Cosey; Washington, Stephanie; Perez, Henry Olivera; Chalmers, Kristen; Tessema, Frazer A.; Henry, Marion C.W.; Slidell, Mark B.; Richardson, Joseph B.; Bailey, Zinzi; Owens, Tyra; Wilkins, Eric; Burgest, Valerie; Hardaway, Cragg; Francis, Myles; Asom, Anase; Hinojosa, Itzel Lopez; Roggin, Jake; Hamzat, Ibraheem; Zakrison, Tanya L.

doi:10.1097/ta.0000000000003663

Cited by 2 publications

(3 citation statements)

References 33 publications

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“…Yet, a routine conversation between vets and farmers who are already familiar with each other and the farm’s context to some extent overcame these restrictions of “ Time ”. Lack of time emerges throughout the human healthcare communication literature, as reports show that doctors attempting to share information to implement preventative healthcare are restricted [ 38 ], and that time limitations also inhibit effective communication [ 39 ] and the establishing of strong doctor–patient relationships [ 40 ]. Veterinary clients who perceive their consultation as too short are less likely to comply with clinical recommendations [ 41 ], perhaps because the importance of the recommendation cannot be emphasised sufficiently within a restricted timeframe.…”

Section: Discussionmentioning

confidence: 99%

Factors within A Veterinarian-Cattle Farmer Relationship That May Impact on Biosecurity Being Carried out on Farms: An Exploratory Study

Grant

Buchanan

2023

Veterinary Sciences

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Veterinarians (vets) appear to be one of the main gateways to biosecurity information for cattle farmers, and therefore are likely to affect the implementation of these measures. The aim of this study was to explore factors within the vet–farmer relationship that may impact on biosecurity being carried out on cattle farms in England. Interviews were conducted with cattle farmers and large-animal vets, with a focus on individuals deemed to implement good levels of biosecurity or those working with said individuals. The questions explored how each stakeholder felt the communication occurred between the groups and the perceived consequential influence each had on the other. Inductive Thematic analysis was used to explore participants’ experience of vet–farmer interactions with a focus on areas of reciprocity between the two groups. Five primary themes were identified. Factors within the vet–cattle farmer relationship, such as trust and familiarity, which were interconnected with time spent with each other, appeared to influence the uptake of biosecurity measures on cattle farms. These factors purportedly impacted the ability of vet–farmer pairs to have cooperative discussions and enter into shared decision-making. In order to enhance animal and human health and welfare, these relationship factors might be key to the development of sustainable optimisation frameworks.

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Section: Discussionmentioning

confidence: 99%

Factors within A Veterinarian-Cattle Farmer Relationship That May Impact on Biosecurity Being Carried out on Farms: An Exploratory Study

Grant

Buchanan

2023

Veterinary Sciences

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“…3,4 The current standard of care for pediatric hemostatic resuscitation is based on adult trauma literature [5][6][7] ; the data supporting hemostatic resuscitation in children is less robust. 8,9 Many clinical trials and medical advances begin in adult medicine, are applied to pediatric patients, and then are studied and adapted to better suit the pediatric population; this is no different from life-threatening bleeding research in children. However, pediatric patients have many developmental differences from adult patients including their pathophysiologic response to severe bleeding, age-related maturation of the hemostatic system, and increased risk of head injury thus their response to transfusion strategies may vary compared to adults 1,10,11 ; it is necessary to develop pediatric-specific data.…”

Section: Introductionmentioning

confidence: 99%

“…Balanced strategies can be determined according to the ratio provided (volume plasma:volume RBC or volume platelet:volume RBC) or as a deficit (volume RBC‐volume plasma or volume RBC‐volume platelet) 3,4 . The current standard of care for pediatric hemostatic resuscitation is based on adult trauma literature 5–7 ; the data supporting hemostatic resuscitation in children is less robust 8,9 …”

Section: Introductionmentioning

confidence: 99%

Increased platelet to red blood cell transfusion ratio associated with acute kidney injury in children with life‐threatening bleeding

Vaizer,

Leeper,

et al. 2024

Transfusion

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IntroductionTransfusion may increase the risk of organ failure through immunomodulatory effects. The primary objective of this study was to assess for patient or transfusion‐related factors that are independently associated with the risk of acute kidney injury (AKI) and acute respiratory distress syndrome (ARDS) in a cohort of children with life‐threatening bleeding from all etiologies.MethodsIn a secondary analysis of the prospective observational massive transfusion in children (MATIC) study, multivariable logistic regression was performed in an adjusted analysis to determine if blood product ratios or deficits were independently associated with AKI or ARDS in children with life‐threatening bleeding.ResultsThere were 449 children included with a median (interquartile range, IQR) age of 7.3 years (1.7–14.7). Within 5 days of the life‐threatening bleeding event, AKI occurred in 18.5% and ARDS occurred in 20.3% of the subjects. Every 10% increase in the platelet to red blood cell transfusion ratio is independently associated with a 12.7% increase in the odds of AKI (adjusted odds ratio 1.127; 95% confidence interval 1.025–1.239; p‐value .013). Subjects with operative or medical etiologies were independently associated with an increased risk of AKI compared to those with traumatic injury. No transfusion‐related variables were independently associated with the risk of developing ARDS.ConclusionThe use of increased platelet to red blood cell transfusion ratios in children with life‐threatening bleeding of any etiology may increase the risk of AKI but not ARDS. Prospective trials are needed to determine if increased platelet use in this cohort increases the risk of AKI to examine possible mechanisms.

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“We're playing on the same team”: Communication (dis)connections between trauma patients and surgical residents

Abstract: Trauma patients and surgery residents can feel disconnected due to differences in background and a lack of time for adequate communication, yet they understand each other's stressors and share a desire for increased communication and connection.

Cited by 2 publications

References 33 publications

Factors within A Veterinarian-Cattle Farmer Relationship That May Impact on Biosecurity Being Carried out on Farms: An Exploratory Study

Factors within A Veterinarian-Cattle Farmer Relationship That May Impact on Biosecurity Being Carried out on Farms: An Exploratory Study

Increased platelet to red blood cell transfusion ratio associated with acute kidney injury in children with life‐threatening bleeding

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