{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:48:25Z","timestamp":1782521305782,"version":"3.54.5"},"reference-count":16,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100008401","name":"Carilion Clinic","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008401","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007263","name":"Virginia Polytechnic Institute and State University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007263","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journalofsurgicalresearch.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Research"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.jss.2026.03.050","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T17:16:08Z","timestamp":1776273368000},"page":"215-221","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Evaluating Blunt Cerebrovascular Injury Screening in High-Energy Trauma Patients: A Rural Trauma Center Study"],"prefix":"10.1016","volume":"322","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2548-579X","authenticated-orcid":false,"given":"Han O.","family":"Lim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4164-5917","authenticated-orcid":false,"given":"Pamela","family":"Boremski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6295-8631","authenticated-orcid":false,"given":"Tonja","family":"Locklear","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0336-8414","authenticated-orcid":false,"given":"Katie L.","family":"Bower","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7098-9315","authenticated-orcid":false,"given":"Bryan","family":"Collier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1624-781X","authenticated-orcid":false,"given":"Daniel I.","family":"Lollar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jss.2026.03.050_bib1","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1007\/s13244-013-0235-y","article-title":"Blunt cerebrovascular injury: diagnosis at whole-body MDCT for multi-trauma","volume":"4","author":"Bonatti","year":"2013","journal-title":"Insights Imaging"},{"key":"10.1016\/j.jss.2026.03.050_bib2","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1097\/TA.0000000000002443","article-title":"Not all in your head (and neck): stroke after blunt cerebrovascular injury is associated with systemic hypercoagulability","volume":"87","author":"Sumislawski","year":"2019","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jss.2026.03.050_bib3","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.jamcollsurg.2011.11.012","article-title":"A systematic review and meta-analysis of diagnostic screening criteria for blunt cerebrovascular injuries","volume":"214","author":"Franz","year":"2012","journal-title":"J Am Coll Surg"},{"key":"10.1016\/j.jss.2026.03.050_bib4","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1097\/TA.0000000000001989","article-title":"Time to stroke: a Western Trauma Association multicenter study of blunt cerebrovascular injuries","volume":"85","author":"Burlew","year":"2018","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jss.2026.03.050_bib5","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1001\/archsurg.2009.111","article-title":"Treatment for blunt cerebrovascular injuries: equivalence of anticoagulation and antiplatelet agents","volume":"144","author":"Cothren","year":"2009","journal-title":"Arch Surg"},{"key":"10.1016\/j.jss.2026.03.050_bib6","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1097\/00000658-199810000-00003","article-title":"The unrecognized epidemic of blunt carotid arterial injuries: early diagnosis improves neurologic outcome","volume":"228","author":"Biffl","year":"1998","journal-title":"Ann Surg"},{"key":"10.1016\/j.jss.2026.03.050_bib7","first-page":"132","article-title":"Blunt cerebrovascular injuries: does treatment always matter?","volume":"66","author":"Stein","year":"2009","journal-title":"J Trauma"},{"key":"10.1016\/j.jss.2026.03.050_bib8","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1097\/TA.0000000000002668","article-title":"Evaluation and management of blunt cerebrovascular injury: a practice management guideline from the Eastern Association for the Surgery of Trauma","volume":"88","author":"Kim","year":"2020","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jss.2026.03.050_bib9","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1097\/00000658-200205000-00012","article-title":"Treatment-related outcomes from blunt cerebrovascular injuries: importance of routine follow-up arteriography","volume":"235","author":"Biffl","year":"2002","journal-title":"Ann Surg"},{"key":"10.1016\/j.jss.2026.03.050_bib10","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1016\/S1072-7515(01)00772-4","article-title":"The high morbidity of blunt cerebrovascular injury in an unscreened population: more evidence of the need for mandatory screening protocols","volume":"192","author":"Berne","year":"2001","journal-title":"J Am Coll Surg"},{"key":"10.1016\/j.jss.2026.03.050_bib11","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1097\/00005373-199409000-00024","article-title":"The spectrum of blunt injury to the carotid artery: a multicenter perspective","volume":"37","author":"Cogbill","year":"1994","journal-title":"J Trauma"},{"key":"10.1016\/j.jss.2026.03.050_bib12","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1097\/00005373-199008000-00003","article-title":"Carotid artery trauma: management based on mechanism of injury","volume":"30","author":"Fabian","year":"1990","journal-title":"J Trauma"},{"key":"10.1016\/j.jss.2026.03.050_bib13","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1097\/TA.0000000000002824","article-title":"Blunt cerebrovascular injury: the case for universal screening","volume":"89","author":"Leichtle","year":"2020","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jss.2026.03.050_bib14","series-title":"Best Practices Guidelines in imaging","year":"2018"},{"key":"10.1016\/j.jss.2026.03.050_bib15","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1097\/TA.0000000000003010","article-title":"Universal screening for blunt cerebrovascular injury","volume":"90","author":"Black","year":"2021","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jss.2026.03.050_bib16","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1097\/XCS.0000000000000490","article-title":"Cost-effectiveness of universal screening for blunt cerebrovascular injury: a Markov analysis","volume":"236","author":"Ali","year":"2023","journal-title":"J Am Coll Surg"}],"container-title":["Journal of Surgical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480426001538?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480426001538?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:38:16Z","timestamp":1782520696000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022480426001538"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":16,"alternative-id":["S0022480426001538"],"URL":"https:\/\/doi.org\/10.1016\/j.jss.2026.03.050","relation":{},"ISSN":["0022-4804"],"issn-type":[{"value":"0022-4804","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Evaluating Blunt Cerebrovascular Injury Screening in High-Energy Trauma Patients: A Rural Trauma Center Study","name":"articletitle","label":"Article Title"},{"value":"Journal of Surgical Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jss.2026.03.050","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}