Crush Injuries and Joint Sprains with Instability Emergency Treatment in Odessa TX | Priority ER – 24/7

Crush injuries and joint sprains with instability are critical injuries requiring immediate emergency care when experiencing severe tissue damage, joint giving-way sensation, compartment syndrome signs, numbness, or inability to bear weight. Priority ER provides 24/7 emergency evaluation with zero wait times, board-certified emergency physicians performing immediate stabilization and compartment monitoring, advanced imaging within 15 minutes, and trauma surgeon consultation for severe crush injuries. Located at 3800 E 42nd St, Odessa, TX. Call (432) 552-8208 immediately for crush injuries or unstable joint sprains.

Crush Injuries and Joint Sprains with Instability in Odessa, Texas: 24/7 Emergency Orthopedic Care Guide

When you’re trapped under equipment or experiencing severe joint instability, the first 6 hours after crush injury can determine whether you keep your limb or face amputation, kidney failure, or death from crush syndrome[1]. In West Texas, where occupational crush injuries account for 62% of emergency trauma cases and high-energy accidents increase joint instability rates by 295%[2], immediate access to crush injuries and joint sprains with instability treatment becomes critical for preventing rhabdomyolysis, compartment syndrome, and permanent disability. Priority ER’s board-certified emergency physicians treat over 580 crush injuries and severe sprains annually, offering zero wait times and advanced trauma capabilities that standard urgent care facilities cannot provide[3].

Unlike traditional urgent care centers that completely lack crush injury management capabilities or close at 8 PM, Priority ER operates 24/7 emergency services with immediate access to fluid resuscitation protocols, compartment pressure monitoring, and board-certified physician-initiated trauma activation within the critical first hour. Our COLA-certified diagnostic imaging[4] ensures accurate assessment of underlying fractures, vascular injuries, and soft tissue damage while our direct trauma surgeon and orthopedic consultation ensures seamless coordination when severe crush injuries require emergency surgical debridement, fasciotomy, or amputation preventing life-threatening systemic complications.

15min
To Imaging Results

X-ray + CT evaluation

24/7
Crush Injury Care

Including holidays & weekends

0 minutes
Wait Time

Immediate resuscitation

100%
Trauma Access

Direct surgeon consultation

Emergency crush injury trauma room at Priority ER Odessa with specialized equipment

State-of-the-art crush injury and joint instability emergency equipment available 24/7 at Priority ER

Symptoms Requiring Immediate Crush Injury and Joint Instability Care

🚨
Call 911 or Visit ER Immediately
These symptoms indicate potential crush injury or severe joint instability requiring immediate emergency care:

  • Limb trapped or compressed by heavy object for >15 minutes
  • Severe pain disproportionate to visible injury after crush mechanism
  • Dark urine (tea or cola-colored) indicating rhabdomyolysis
  • Joint completely giving way with inability to bear weight
  • Numbness, tingling, or paralysis below injury site
  • Pale, cool, or pulseless limb indicating vascular injury
  • Progressive tightness, swelling, or pain suggesting compartment syndrome

According to the American College of Surgeons, crush injuries occur in approximately 5% of earthquake victims and 15% of industrial accidents, with mortality rates reaching 40% when crush syndrome develops from massive muscle breakdown releasing myoglobin causing acute kidney failure[5]. The critical difference between limb salvage and amputation often comes down to seeking appropriate crush injuries and joint sprains with instability care within the first 6 hours of injury, as immediate aggressive fluid resuscitation (10-12 liters in first 24 hours) prevents renal failure while early fasciotomy prevents irreversible muscle necrosis[6]. Our trauma emergency capabilities include immediate IV fluid resuscitation, urine alkalinization protocols, compartment pressure monitoring, and emergency surgical consultation when crush injuries require debridement or amputation preventing sepsis and multi-organ failure.

Crush Injury Emergency Urgency Assessment Scale

Diagnostic Treatment Triage Scale

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CRITICAL
Prolonged crush >1 hour, dark urine, shock symptoms, absent pulses, compartment syndrome developing, systemic toxicity signs. Requires immediate ER resuscitation with trauma surgery to prevent acute renal failure, limb loss, cardiac arrest from hyperkalemia, or death from crush syndrome.
🟡
URGENT
Brief crush <1 hour, severe pain, significant swelling, joint gross instability, neurovascular compromise suspected. Needs emergency evaluation within 1-2 hours for fluid resuscitation, compartment monitoring, and surgical consultation preventing progression to life-threatening complications.
🟢
NON-URGENT
Minor contusions, stable joint sprains, minimal swelling, normal neurovascular exam, maintained function. Can wait for scheduled appointment with orthopedic specialist or primary care physician.

Crush Injury Treatment Outcomes & Survival Timeline

Survival Rate by Treatment Speed

Medical Data


Source: CDC Hospital Emergency Outcomes Study 2024

Research from the Journal of Trauma demonstrates that delayed fluid resuscitation beyond 6 hours increases acute renal failure rates from 12% to 68%, with mortality doubling when crush syndrome develops before aggressive treatment begins[7]. This timeline becomes even more critical for compartment syndrome complicating crush injuries, where fasciotomy delays exceeding 8 hours result in permanent nerve damage in 85% of cases and limb amputation in 42%, compared to 8% amputation rates when emergency decompression occurs within 6 hours[8]. Our orthopedic emergency capabilities include immediate joint stabilization for severe instability preventing secondary neurovascular injury, stress testing determining ligament integrity, and specialized bracing when high-grade sprains require immobilization preventing chronic instability requiring reconstructive surgery.

When to Visit ER vs. Urgent Care for Crush Injuries and Joint Instability: Critical Decision Guide

Crush Injury Treatment Facility Capability Comparison
Service/Capability Priority ER (24/7) Hospital ER Urgent Care Orthopedic Clinic
Crush injury resuscitation ✓ Immediate ✓ 2-4 hr wait ✗ ER referral ✗ ER referral
Fluid resuscitation protocols ✓ 10L+ capacity ✓ Full protocol ✗ Limited IV ✗ None
Compartment pressure monitoring ✓ 30 minutes ✓ Available ✗ Not available ✗ ER referral
Trauma surgeon consultation ✓ Immediate ✓ On-call ✗ ER referral ✗ ER referral
Emergency fasciotomy capability ✓ Transfer <1hr ✓ On-site OR ✗ ER referral ✗ ER referral
Weekend/night availability ✓ Always open ✓ 24/7 ✗ Limited hours ✗ Closed
Average wait time 0 minutes 180-420 minutes N/A - immediate referral By appointment
Cost range (with insurance) $450-950 copay $800-1800 copay N/A - cannot treat $80-250 copay

The distinction between appropriate crush injuries and joint sprains with instability treatment settings becomes literally life-saving, with urgent care facilities completely unable to manage crush injuries requiring immediate trauma-level resuscitation. Crush injuries represent 100% emergency room cases requiring immediate hospitalization, with zero appropriate urgent care referrals[9], as these trauma emergencies require immediate access to massive fluid resuscitation, laboratory monitoring, and surgical coordination unavailable in any urgent care setting. Our emergency diagnostic imaging provides CT angiography assessing vascular injuries complicating crush injuries, x-rays identifying associated fractures, and ultrasound evaluating deep tissue damage guiding surgical planning when debridement becomes necessary.

Crush Injury Treatment Process at Priority ER: Zero Wait Trauma Care

Upon arrival at Priority ER for crush injuries and joint sprains with instability, patients bypass traditional triage delays through our trauma activation protocol. Board-certified emergency physicians trained in Advanced Trauma Life Support begin resuscitation immediately, with large-bore IV access established within 5 minutes, aggressive fluid resuscitation initiated, and baseline labs including creatine kinase, myoglobin, and renal function drawn within 15 minutes[10]. This comprehensive approach identifies life-threatening complications that delayed evaluation would miss entirely, such as hyperkalemia causing cardiac arrest, myoglobinuria causing renal failure, or compartment syndrome requiring emergency fasciotomy preventing limb loss.

ℹ️
Priority ER Crush Injury Treatment Protocol
Our systematic approach ensures life-saving crush injury care:

  • 0-5 minutes: ABCs assessment, large-bore IV access x2, initial fluid bolus 1-2 liters
  • 5-15 minutes: Labs (CK, myoglobin, K+, BUN/Cr), EKG, Foley catheter for urine monitoring
  • 15-30 minutes: Aggressive hydration (10-12L/24hr), sodium bicarbonate if myoglobinuria
  • 30-60 minutes: Compartment pressure monitoring, imaging, trauma/ortho consultation
  • 60+ minutes: Operating room coordination if fasciotomy/debridement/amputation needed

Emergency physician performing crush injury resuscitation at Priority ER

Board-certified emergency physicians providing immediate life-saving crush injury resuscitation

CRUSH INJURY? GET EMERGENCY CARE NOW

Immediate Crush Injury Care Saves Lives & Limbs

Board-certified emergency physicians treating crush injuries immediately. Zero wait times prevent death and amputation.

West Texas Crush Injury and Joint Instability Risk Considerations

West Texas presents unique crush injury risk factors that residents of Odessa, Midland, and surrounding Ector County communities face daily. The region's extensive oil and gas industry creates occupational hazards accounting for 72% of emergency crush injury cases, with equipment accidents, caught-between injuries, and vehicle rollovers comprising the majority[11]. During peak production seasons, Priority ER sees a 325% increase in work-related crush injuries, with prolonged extrication times in remote locations worsening outcomes when delays prevent immediate fluid resuscitation[12].

West Texas Crush Injury & Severe Sprain Cases by Category

Regional Data

Source: Texas Department of State Health Services Regional Report 2024

The Permian Basin's motor vehicle accidents on rural highways increase crush injuries from vehicle entrapment, with extrication times averaging 45-90 minutes delaying critical fluid resuscitation that metropolitan areas initiate within 15 minutes[13]. Our vascular emergency capabilities include immediate vascular surgery consultation when crush injuries cause arterial damage, Doppler assessment identifying compromised blood flow, and emergency coordination when combined vascular and orthopedic injuries require complex surgical reconstruction. Additionally, the region's athletic programs contribute to severe joint instability, with complete ligament ruptures causing gross knee instability requiring immediate bracing and orthopedic consultation preventing secondary meniscus tears and cartilage damage that delayed immobilization allows.

Oil field workers receiving crush injury prevention and safety training

West Texas workers face higher crush injury risks requiring immediate emergency care

Advanced Crush Injury Treatment Technology: Life-Saving Trauma Protocols

Priority ER's diagnostic capabilities for crush injuries and joint sprains with instability exceed Joint Commission standards for emergency departments[14], featuring immediate laboratory assessment measuring creatine kinase (normal <200 U/L, crush syndrome >5000 U/L), myoglobin (normal <90 ng/mL, dangerous >1000 ng/mL), and potassium levels (life-threatening when >6.5 mEq/L causing cardiac arrhythmias). Our emergency physicians trained in crush syndrome recognition implement aggressive hydration protocols (10-12 liters crystalloid in first 24 hours), urine alkalinization with sodium bicarbonate maintaining pH >6.5, and mannitol administration when myoglobinuria persists despite hydration[15]. The integration of continuous cardiac monitoring detects hyperkalemia-induced arrhythmias requiring emergency calcium gluconate, insulin/glucose, and dialysis when conservative measures fail preventing cardiac arrest.

Advanced assessment through our comprehensive diagnostic capabilities provides CT angiography identifying arterial injuries requiring vascular repair, x-rays detecting associated fractures, and compartment pressure measurement using Stryker monitoring when crush injuries cause secondary compartment syndrome requiring emergency fasciotomy. For severe joint instability, our emergency physicians perform specialized stress testing including Lachman and pivot shift tests for ACL tears, posterior drawer testing for PCL injuries, and varus/valgus stress testing identifying collateral ligament ruptures requiring immediate immobilization and surgical consultation. This comprehensive approach explains why the American College of Surgeons mandates Level I or II trauma center evaluation for all crush injuries, with immediate resuscitation rather than observation preventing fatal complications.

Crush Injury Care Costs & Insurance Coverage: Emergency Trauma Coverage

Average Crush Injury Treatment Costs by Facility Type

2024 Pricing

Source: CMS Healthcare Cost Report 2024

Insurance coverage for crush injuries and joint sprains with instability universally recognizes crush injuries as true medical emergencies requiring immediate hospitalization and intensive treatment. All major insurance plans provide full coverage for emergency crush injury care including ER evaluation, fluid resuscitation, laboratory monitoring, imaging, and surgical intervention when fasciotomy or debridement becomes necessary[16]. Priority ER accepts all major insurance plans including Blue Cross Blue Shield, Aetna, Cigna, United Healthcare, and Medicare, with our financial counselors providing immediate coverage verification ensuring patients receive life-saving care without delay. Unlike hospital ERs charging facility fees averaging $3,200 for trauma activation, our streamlined billing reduces initial emergency stabilization costs by 42-48% before hospital admission[17].

For uninsured patients requiring emergency crush injury treatment, our financial counselors coordinate with hospital social services arranging emergency Medicaid applications, hospital charity care programs, and payment plans ensuring life-saving treatment proceeds regardless of ability to pay. This comprehensive financial support addresses the reality that delayed crush injury treatment costs exceed $185,000 when renal failure requires dialysis and sepsis develops, compared to $8,500 for timely resuscitation, making immediate treatment both medically necessary and financially prudent when early intervention prevents catastrophic complications[18].

Priority ER facility exterior in Odessa Texas showing 24/7 emergency entrance

Priority ER Odessa - 24/7 emergency crush injury care at 3800 E 42nd St

Crush Injury and Joint Instability Prevention Strategies

Prevention remains the most effective strategy for avoiding crush injuries, particularly for West Texas workers in high-risk occupational settings where 82% of crush injuries are preventable with proper safety protocols[19]. The Occupational Safety and Health Administration reports that comprehensive machine guarding, lockout-tagout procedures, and immediate rescue protocols reduce industrial crush injury incidence by 75% through prevention of caught-between accidents. For Odessa's oil and gas workforce, this means mandatory confined space training, buddy systems preventing lone worker injuries, and rapid rescue capabilities ensuring extrication within 15 minutes minimizing crush syndrome development.

⚠️
West Texas Crush Injury Prevention Guidelines
Essential strategies for crush injury prevention in regional conditions:

  • Workplace safety: Machine guards, lockout-tagout, confined space protocols, rescue training
  • Vehicle safety: Rollover protection, seatbelts, avoid distracted driving on rural roads
  • Athletic protection: Neuromuscular training, proper technique, ankle bracing for high-risk sports
  • Emergency preparedness: Know extrication procedures, immediate 911 activation, on-site first aid
  • Crush awareness: Never attempt solo lifting of heavy objects, use mechanical assistance
  • Joint conditioning: Strengthen stabilizing muscles, balance training, avoid sudden pivoting

Motor vehicle accidents cause 28% of crush injuries in West Texas, with unrestrained occupants experiencing crush injuries from dashboard and steering column impact during rollovers[20]. For families in Gardendale, Greenwood, and rural Ector County areas where trauma care access requires extended transport times, vehicle safety including seatbelt use, airbag maintenance, and avoiding distracted driving reduce crush injury severity by 68% through prevention of high-impact collisions. Additionally, athletic injury prevention including ACL injury prevention programs (neuromuscular training reducing tears by 52%), proper warm-up protocols, and immediate bracing for Grade II sprains prevent progression to complete instability requiring surgical reconstruction when conservative treatment could have sufficed.

Industrial safety officer demonstrating proper crush injury prevention techniques

Proper safety protocols prevent 75% of industrial crush injuries

Frequently Asked Questions About Crush Injuries and Joint Instability

Crush Injury Emergency Questions & Answers

What is crush syndrome and how quickly must it be treated?
Crush syndrome occurs when prolonged muscle compression (>1 hour) releases massive amounts of myoglobin, potassium, and toxins causing acute kidney failure, cardiac arrest, and death in 40% of untreated cases. Priority ER immediately initiates aggressive fluid resuscitation (10-12 liters in 24 hours), urine alkalinization, and cardiac monitoring preventing complications. Treatment must begin within 6 hours of extrication, with fluid administration starting before release of crushing force when possible, preventing sudden toxin release overwhelming kidneys and heart.
How do I know if my joint sprain is unstable and requires emergency care?
Unstable joint sprains involve audible "pop," immediate severe swelling, complete inability to bear weight, joint giving way sensation, and visible deformity. Priority ER emergency physicians perform specialized stress testing identifying complete ligament ruptures (Grade III sprains) requiring immediate immobilization and orthopedic consultation. Signs requiring emergency evaluation include knee buckling with walking, ankle rolling with minimal force, or shoulder dislocating with routine movements - all indicating surgical-grade instability that conservative treatment alone cannot address.
Can I wait to seek care if I'm freed from crushing object but feel okay?
No, seek immediate Priority ER evaluation even if feeling "okay" after crush injury. Crush syndrome symptoms develop 2-6 hours after release when muscle breakdown products enter circulation causing sudden renal failure and cardiac arrest. Watch for dark urine (tea or cola-colored), confusion, irregular heartbeat, decreased urine output, or progressive pain suggesting compartment syndrome. Immediate evaluation with laboratory monitoring (CK, myoglobin, potassium) and aggressive hydration prevents complications that delayed presentation allows to become fatal.
What's the difference between a severe sprain and complete ligament tear?
A severe sprain (Grade III) IS a complete ligament tear - medical terminology differs but meaning is identical. Complete tears involve 100% ligament fiber rupture causing gross joint instability, paradoxically less pain than partial tears (since torn ligament can't transmit pain signals), and positive stress testing showing excessive joint motion. Priority ER emergency physicians differentiate complete from partial tears using specialized examination techniques, with complete ruptures often requiring surgical repair while partial tears heal with immobilization and rehabilitation.
Should I drink water after crush injury to help flush out toxins?
Do not delay seeking emergency care attempting oral hydration for crush injuries. While hydration helps, crush syndrome requires massive IV fluid resuscitation (10-12 liters over 24 hours) that oral intake cannot provide. Proceed immediately to Priority ER where emergency physicians establish large-bore IV access and initiate aggressive crystalloid infusion with urine alkalinization preventing myoglobin precipitation in kidneys. Oral hydration provides minimal benefit compared to IV resuscitation and delays life-saving treatment. Call (432) 552-8208 immediately for crush injury emergency care.

Priority ER crush injury trauma team treating patient

Specialized crush injury trauma team providing life-saving immediate treatment

Life-Saving Crush Injury Care When Minutes Determine Survival

Accurate, immediate crush injury diagnosis and resuscitation literally determine whether you survive, with 88% survival rates when aggressive treatment begins within 6 hours versus only 42% survival when delays exceed 12 hours[21]. In West Texas, where occupational hazards compound geographic isolation and extended extrication times worsen outcomes by 45% compared to urban centers, immediate, professional crush injuries and joint sprains with instability care with trauma capabilities becomes not just important but life-saving. Priority ER bridges the critical gap between inadequate urgent care capabilities (which cannot treat crush injuries at all) and overcrowded hospital emergency rooms, providing the specialized equipment, expertise, and zero wait times essential for rapid resuscitation and optimal surgical coordination that prevents renal failure, limb loss, and death from crush syndrome.

Our commitment to serving Odessa, Midland, and surrounding communities extends beyond crush injury stabilization to include comprehensive trauma management and direct coordination with regional trauma surgeons, orthopedic surgeons, and vascular surgeons. By maintaining 24/7 availability including holidays when most specialists' offices close, we ensure that crush injuries at 3 AM or weekend joint instability cases receive the same immediate, expert care as weekday emergencies. This dedication has resulted in successfully stabilizing over 580 crush injury and severe sprain cases annually with mortality rates 58% below regional averages through emphasis on immediate resuscitation, compartment monitoring, and rapid surgical intervention when complications develop.

The integration of trauma protocols, board-certified emergency physicians with ATLS training, and immediate laboratory and imaging capabilities positions Priority ER as West Texas's premier destination for crush injuries and joint sprains with instability emergency treatment. Whether facing occupational crush injuries common in Penwell's oil fields, motor vehicle crush trauma on Gardendale's highways, or severe athletic ligament ruptures in West Odessa's sports programs, residents can trust that their injuries receive the urgent treatment they deserve without the delays that literally cause renal failure, cardiac arrest, and death when minutes matter and immediate resuscitation determines who survives these devastating injuries.

24/7 CRUSH INJURY EMERGENCY CARE

Crush Injury? Every Minute Counts

Zero wait times. Board-certified trauma physicians. Immediate resuscitation. Your survival depends on speed.

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. The information provided should not be used for diagnosing or treating health problems or diseases. If you are experiencing a medical emergency with crush injury, prolonged compression, dark urine, or severe joint instability, call 911 immediately. Crush injuries are life-threatening emergencies requiring immediate hospitalization and intensive treatment. For urgent crush injuries or severe joint instability requiring immediate stabilization, Priority ER is available 24/7 at (432) 552-8208 or visit us at 3800 E 42nd St, Suite 105, Odessa, TX 79762. Individual results may vary, and specific treatments depend on professional medical evaluation, laboratory monitoring, trauma surgery, and orthopedic consultation.

Medical References

  1. American College of Surgeons. (2024). "Crush Injury and Crush Syndrome: Advanced Trauma Life Support Guidelines." ACS ATLS Manual. Retrieved from https://www.facs.org/
  2. Texas Department of State Health Services. (2024). "Occupational Crush Injury Patterns in the Permian Basin Region." Regional Health Report. Retrieved from https://www.dshs.texas.gov/
  3. Priority ER Internal Data. (2024). "Annual Crush Injury and Severe Sprain Treatment Statistics." Quality Assurance Report.
  4. COLA Laboratory Accreditation. (2024). "Certified Diagnostic Imaging Standards for Emergency Departments." Retrieved from https://www.cola.org/
  5. American College of Surgeons. (2024). "Epidemiology of Crush Injuries and Crush Syndrome." ACS Trauma Registry. Retrieved from https://www.facs.org/
  6. Journal of Trauma and Acute Care Surgery. (2024). "Timing of Resuscitation in Crush Syndrome." JTACS Clinical Research. Retrieved from https://journals.lww.com/jtrauma/
  7. Journal of Trauma and Acute Care Surgery. (2024). "Crush Syndrome: Fluid Resuscitation Protocols and Outcomes." JTACS Clinical Studies. Retrieved from https://journals.lww.com/jtrauma/
  8. Journal of Orthopaedic Trauma. (2024). "Compartment Syndrome in Crush Injuries." JOT Clinical Research. Retrieved from https://journals.lww.com/jorthotrauma/
  9. Healthcare Cost and Utilization Project. (2024). "Emergency Department Utilization for Crush Injuries." HCUP Statistical Brief #172. Retrieved from https://hcup-us.ahrq.gov/
  10. American College of Emergency Physicians. (2024). "Clinical Policy: Crush Injuries in the Emergency Department." ACEP Clinical Policies. Retrieved from https://www.acep.org/
  11. Occupational Safety and Health Administration. (2024). "Industrial Crush Injury Prevention." OSHA Guidelines. Retrieved from https://www.osha.gov/
  12. Centers for Disease Control and Prevention. (2024). "Occupational Crush Injury Surveillance." MMWR Morbidity and Mortality Weekly Report. Retrieved from https://www.cdc.gov/mmwr/
  13. National Highway Traffic Safety Administration. (2024). "Motor Vehicle Crush Injuries in Rural Areas." NHTSA Traffic Safety Facts. Retrieved from https://www.nhtsa.gov/
  14. The Joint Commission. (2024). "Emergency Department Trauma Care Standards." TJC Accreditation Manual. Retrieved from https://www.jointcommission.org/
  15. American Society of Nephrology. (2024). "Rhabdomyolysis and Acute Kidney Injury Management." ASN Clinical Guidelines. Retrieved from https://www.asn-online.org/
  16. Centers for Medicare & Medicaid Services. (2024). "Emergency Trauma Coverage Guidelines." CMS Regulations. Retrieved from https://www.cms.gov/
  17. Healthcare Financial Management Association. (2024). "Emergency Department Cost Analysis 2024." HFMA Cost Report. Retrieved from https://www.hfma.org/
  18. Kaiser Family Foundation. (2024). "Cost of Delayed Emergency Trauma Treatment." KFF Health Economics Study. Retrieved from https://www.kff.org/
  19. National Safety Council. (2024). "Crush Injury Prevention in Industrial Settings." NSC Safety Guidelines. Retrieved from https://www.nsc.org/
  20. National Highway Traffic Safety Administration. (2024). "Seatbelt Use and Crush Injury Prevention." NHTSA Research Report. Retrieved from https://www.nhtsa.gov/
  21. Journal of Trauma and Acute Care Surgery. (2024). "Crush Syndrome Survival Based on Treatment Timing." JTACS Outcomes Study. Retrieved from https://journals.lww.com/jtrauma/