Christine McKenna

Determining the Education and Research Priorities in Pediatric Trauma Nursing: A Delphi Study

Linda Roney, Christine McKenna

Trauma has a greater impact on morbidity and mortality than all other disease processes in the pediatric population; yet, there is a gap in the literature related to the scientific basis for educating and researching future practice. The purpose of this research …

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Too little too late: Hypotension and blood transfusion in the trauma bay are independent predictors of death in injured children

Christine M. Leeper, Christine McKenna, Barbara A. Gaines

BACKGROUND: Hypotension is a late finding in pediatric shock despite significant blood loss; consequently, recognition of hemodynamic compromise can be delayed. We sought to describe the impact of late stage shock in children, indicated by hypotension or trauma bay blood transfusion, and …

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Principal component analysis of coagulation assays in severely injured children

Christine M. Leeper, Matthew D. Neal, Christine McKenna, Timothy R. Billiar et autres

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Trending Fibrinolytic Dysregulation

Christine M. Leeper, Matthew D. Neal, Christine McKenna, Barbara A. Gaines

OBJECTIVE: To trend fibrinolysis after injury and determine the influence of traumatic brain injury (TBI) and massive transfusion on fibrinolysis status. BACKGROUND: Admission fibrinolytic derangement is common in injured children and adults, and is associated with poor outcome. No studies examine fibrinolysis …

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Implementation of clinical effectiveness guidelines for solid organ injury after trauma: 10-year experience at a level 1 pediatric trauma center

Christine M. Leeper, Isam W. Nasr, Abigail Koff, Christine McKenna et autres

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Homemade zipline and playground track ride injuries in children

Christine M. Leeper, Christine McKenna, Barbara A. Gaines

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Abnormalities in fibrinolysis at the time of admission are associated with deep vein thrombosis, mortality, and disability in a pediatric trauma population

Christine M. Leeper, Matthew D. Neal, Christine McKenna, Jason L. Sperry et autres

BACKGROUND: Abnormalities in fibrinolysis are common and associated with increased mortality in injured adults. While hyperfibrinolysis (HF) and fibrinolysis shutdown (SD) are potential prognostic indicators and treatment targets in adults, these derangements are not well described in a pediatric trauma cohort. METHODS: …

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Acute traumatic coagulopathy in a critically injured pediatric population

Christine M. Leeper, Matthew Kutcher, Isam W. Nasr, Christine McKenna et autres

BACKGROUND: While our understanding of acute traumatic coagulopathy (ATC) in adults is advancing, the pediatric literature on ATC is limited. Children have a unique injury profile and physiologic response to trauma; however, the impact of this phenomenon on ATC has not been …

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Elevated admission international normalized ratio strongly predicts mortality in victims of abusive head trauma

Christine M. Leeper, Isam W. Nasr, Christine McKenna, Rachel P. Berger et autres

BACKGROUND: Victims of abusive head trauma have poor outcomes compared with other injured children. There is often a delay in diagnosis because these young patients are unable to communicate with health care providers. These critically injured patients would benefit from early identification …

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Nurses' Views and Current Practice of Trauma-Informed Pediatric Nursing Care

Nancy Kassam‐Adams, Susan Rzucidlo, Marie Campbell, Grace Good et autres

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Safety factors related to all-terrain vehicle injuries in children

Sohail R. Shah, Christine McKenna, Marianne Miller, Barbara L. Shultz et autres

BACKGROUND: All-terrain vehicle (ATV)-related injuries are a significant source of pediatric trauma. We hypothesized that these injuries are caused by poor safety behavior. To test this hypothesis, we surveyed both injured and uninjured ATV riders. METHODS: A prospective convenience sample-based survey was …

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A multicenter prospective analysis of pediatric trauma activation criteria routinely used in addition to the six criteria of the American College of Surgeons

Richard A. Falcone, Lynn Haas, Eileen King, Suzanne Moody et autres

BACKGROUND: The American College of Surgeons has defined six minimum activation criteria (ACS-6) for the highest level of trauma activations at trauma centers. The verification criteria also allow for the inclusion of additional criteria at the institution's discretion. The purpose of this …

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