@article{ref1,
title="Talk and die: a descriptive analysis of penetrating trauma patients",
journal="Journal of surgical research",
year="2022",
author="Dauer, Elizabeth and Beard, Jessica H. and Maher, Zoë and Sjoholm, Lars and Santora, Thomas and Pathak, Abhijit and Anderson, Jeffrey and Goldberg, Amy",
volume="278",
number="",
pages="1-6",
abstract="INTRODUCTION: &quot;Talk and die&quot; traditionally described occult presentations of fatal intracranial injuries, but we broaden its definition to victims of penetrating trauma. <br><br>METHODS: We conducted a descriptive analysis of patients with penetrating torso trauma who presented with a Glasgow Coma Scale verbal score ≥3 and died within 48 h of arrival from 2008 to 2018. <br><br>RESULTS: Sixty patients were identified. Eighteen (30.0%) required resuscitative thoracotomy with 7 (11.7%) dying in the trauma bay. Fifty-three (86.9%) patients went to the operating room, and 35 (66.0%) required multicavitary exploration. The most common injuries were hollow viscous (58.5%), intra-abdominal vascular (49.0%), liver (28.3%), pulmonary (26.4%), intrathoracic vascular (18.9%), and cardiac (15.75) injuries. Twenty-three (43.4%) patients survived their initial operation, but died in the first 48 h postoperatively. <br><br>CONCLUSIONS: Patients who &quot;talk and die&quot; most frequently have intra-abdominal vascular injures and require multicavitary exploration.<p /> <p>Language: en</p>",
language="en",
issn="0022-4804",
doi="10.1016/j.jss.2022.04.037",
url="http://dx.doi.org/10.1016/j.jss.2022.04.037"
}