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Papers by Stephanie Gordy

Research paper thumbnail of Advance directives in the trauma intensive care unit: Do they really matter?

International journal of critical illness and injury science, 2011

Despite advances in the care of the injured patient, 22% of trauma patients admitted to the inten... more Despite advances in the care of the injured patient, 22% of trauma patients admitted to the intensive care unit will die from their injuries. As a majority of these deaths will occur due to withdrawal of care, intensivists should be proficient in their ability to discuss end-of-life care with patients and families. While the use of advance directives to document patients' wishes has increased, their utility is uncertain. We review the effectiveness and obstacles of advance directives.

Research paper thumbnail of Vascular air embolism

International Journal of Critical Illness and Injury Science, 2013

Vascular air embolism is a rare but potentially fatal event. It may occur in a variety of procedu... more Vascular air embolism is a rare but potentially fatal event. It may occur in a variety of procedures and surgeries but is most often associated as an iatrogenic complication of central line catheter insertion. This article reviews the incidence, pathophysiology, diagnosis, treatment, and prevention of this phenomenon.

Research paper thumbnail of Complete cervical spinal cord injury above C6 predicts the need for tracheostomy

The American Journal of Surgery, 2014

BACKGROUND: Failed extubation and delayed tracheostomy contribute to poor outcomes in patients wi... more BACKGROUND: Failed extubation and delayed tracheostomy contribute to poor outcomes in patients with a traumatic spinal cord injury (SCI). We determined if the level and completeness of SCI predict the need for tracheostomy.

Research paper thumbnail of Penetrating Neck Injury to the Superior Thoracic Artery Managed by Video-Assisted Thoracoscopic Surgery

Case Reports in Surgery, 2013

Penetrating trauma to the axillary artery and its branches is uncommon and associated with high m... more Penetrating trauma to the axillary artery and its branches is uncommon and associated with high morbidity and mortality. Open exploration is mandated in hemodynamically unstable patients, but surgical exposure can be difficult due to the concentration of vital structures and complex anatomy in this region. Computed tomographic angiography is a potential diagnostic modality in hemodynamically stable patients. In these patients, endovascular therapies may provide a feasible means of controlling hemorrhage while minimizing surgical complications. A high incidence of concomitant intrathoracic injury has resulted in an expanding role for video-assisted thoracoscopic surgery. In this paper, we present a case of penetrating injury to the superior thoracic artery that was not amenable to endovascular therapy and was ultimately managed with thoracoscopic surgery.

Research paper thumbnail of Mechanical ventilation weaning and extubation after spinal cord injury

Journal of Trauma and Acute Care Surgery, 2013

The American College of Surgeons designates this journal-based CME activity for a maximum of 1 AM... more The American College of Surgeons designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Crediti. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Research paper thumbnail of Multiple Organ Failure

Common Problems in Acute Care Surgery, 2013

Research paper thumbnail of Changing Demographics of the American Population

Geriatric Trauma and Critical Care, 2014

Research paper thumbnail of Metabolism in the Trauma Patient

Surgical Metabolism, 2014

Research paper thumbnail of Wind disasters: A comprehensive review of current management strategies

International journal of critical illness and injury science, 2013

Wind disasters are responsible for tremendous physical destruction, injury, loss of life and econ... more Wind disasters are responsible for tremendous physical destruction, injury, loss of life and economic damage. In this review, we discuss disaster preparedness and effective medical response to wind disasters. The epidemiology of disease and injury patterns observed in the early and late phases of wind disasters are reviewed. The authors highlight the importance of advance planning and adequate preparation as well as prompt and well-organized response to potential damage involving healthcare infrastructure and the associated consequences to the medical response system. Ways to minimize both the extent of infrastructure damage and its effects on the healthcare system are discussed, focusing on lessons learned from recent major wind disasters around the globe. Finally, aspects of healthcare delivery in disaster zones are reviewed.

Research paper thumbnail of Military applications of novel hemostatic devices

Expert Review of Medical Devices, 2011

Research paper thumbnail of The contribution of rib fractures to chronic pain and disability

The American Journal of Surgery, 2014

BACKGROUND: The contribution of rib fractures to chronic pain and disability is not well describe... more BACKGROUND: The contribution of rib fractures to chronic pain and disability is not well described. METHODS: Two hundred three patients with rib fractures were followed for 6 months. Chronic pain was assessed using the McGill Pain Questionnaire Pain Rating Index and Present Pain Intensity (PPI) scales. Disability was defined as a decrease in work or functional status.

Research paper thumbnail of Advance directives in the trauma intensive care unit: Do they really matter?

International journal of critical illness and injury science, 2011

Despite advances in the care of the injured patient, 22% of trauma patients admitted to the inten... more Despite advances in the care of the injured patient, 22% of trauma patients admitted to the intensive care unit will die from their injuries. As a majority of these deaths will occur due to withdrawal of care, intensivists should be proficient in their ability to discuss end-of-life care with patients and families. While the use of advance directives to document patients' wishes has increased, their utility is uncertain. We review the effectiveness and obstacles of advance directives.

Research paper thumbnail of Vascular air embolism

International Journal of Critical Illness and Injury Science, 2013

Vascular air embolism is a rare but potentially fatal event. It may occur in a variety of procedu... more Vascular air embolism is a rare but potentially fatal event. It may occur in a variety of procedures and surgeries but is most often associated as an iatrogenic complication of central line catheter insertion. This article reviews the incidence, pathophysiology, diagnosis, treatment, and prevention of this phenomenon.

Research paper thumbnail of Complete cervical spinal cord injury above C6 predicts the need for tracheostomy

The American Journal of Surgery, 2014

BACKGROUND: Failed extubation and delayed tracheostomy contribute to poor outcomes in patients wi... more BACKGROUND: Failed extubation and delayed tracheostomy contribute to poor outcomes in patients with a traumatic spinal cord injury (SCI). We determined if the level and completeness of SCI predict the need for tracheostomy.

Research paper thumbnail of Penetrating Neck Injury to the Superior Thoracic Artery Managed by Video-Assisted Thoracoscopic Surgery

Case Reports in Surgery, 2013

Penetrating trauma to the axillary artery and its branches is uncommon and associated with high m... more Penetrating trauma to the axillary artery and its branches is uncommon and associated with high morbidity and mortality. Open exploration is mandated in hemodynamically unstable patients, but surgical exposure can be difficult due to the concentration of vital structures and complex anatomy in this region. Computed tomographic angiography is a potential diagnostic modality in hemodynamically stable patients. In these patients, endovascular therapies may provide a feasible means of controlling hemorrhage while minimizing surgical complications. A high incidence of concomitant intrathoracic injury has resulted in an expanding role for video-assisted thoracoscopic surgery. In this paper, we present a case of penetrating injury to the superior thoracic artery that was not amenable to endovascular therapy and was ultimately managed with thoracoscopic surgery.

Research paper thumbnail of Mechanical ventilation weaning and extubation after spinal cord injury

Journal of Trauma and Acute Care Surgery, 2013

The American College of Surgeons designates this journal-based CME activity for a maximum of 1 AM... more The American College of Surgeons designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Crediti. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Research paper thumbnail of Multiple Organ Failure

Common Problems in Acute Care Surgery, 2013

Research paper thumbnail of Changing Demographics of the American Population

Geriatric Trauma and Critical Care, 2014

Research paper thumbnail of Metabolism in the Trauma Patient

Surgical Metabolism, 2014

Research paper thumbnail of Wind disasters: A comprehensive review of current management strategies

International journal of critical illness and injury science, 2013

Wind disasters are responsible for tremendous physical destruction, injury, loss of life and econ... more Wind disasters are responsible for tremendous physical destruction, injury, loss of life and economic damage. In this review, we discuss disaster preparedness and effective medical response to wind disasters. The epidemiology of disease and injury patterns observed in the early and late phases of wind disasters are reviewed. The authors highlight the importance of advance planning and adequate preparation as well as prompt and well-organized response to potential damage involving healthcare infrastructure and the associated consequences to the medical response system. Ways to minimize both the extent of infrastructure damage and its effects on the healthcare system are discussed, focusing on lessons learned from recent major wind disasters around the globe. Finally, aspects of healthcare delivery in disaster zones are reviewed.

Research paper thumbnail of Military applications of novel hemostatic devices

Expert Review of Medical Devices, 2011

Research paper thumbnail of The contribution of rib fractures to chronic pain and disability

The American Journal of Surgery, 2014

BACKGROUND: The contribution of rib fractures to chronic pain and disability is not well describe... more BACKGROUND: The contribution of rib fractures to chronic pain and disability is not well described. METHODS: Two hundred three patients with rib fractures were followed for 6 months. Chronic pain was assessed using the McGill Pain Questionnaire Pain Rating Index and Present Pain Intensity (PPI) scales. Disability was defined as a decrease in work or functional status.