Use of intrathoracic pressure regulation therapy in breathing patients for the treatment of hypotension secondary to trauma.

Background: Intrathoracic pressure regulation (IPR) therapy has been shown to increase blood pressure in hypotensive patients. The potential value of this therapy in patients with hypotension secondary to trauma with bleeding is not well understood. We hypothesized that IPR would non-invasively and safely enhance blood pressure in spontaneously breathing patients with trauma-induced hypotension.

Prehospital pain assessment in pediatric trauma.

Objective: Investigators implemented the current study to analyze the documentation of pain assessments and interventions for injured children in prehospital settings.

Methods: For this institutional review board-approved retrospective study, 696 Lucas County Emergency Medical Services trauma charts (46% of the county's total runs) from 2002 to 2004 were reviewed, and descriptive statistics of frequency were used to analyze pain-assessment documentation and interventions.

Results: Pain was noted in 64.