Injury trauma severity indices. Medical search. Frequent questions

Recent data from Iraq supporting early aggressive use of fresh frozen plasma (FFP) in a 1:1 ratio to packed red blood cells (PRBCs) has led many civilian trauma centers to adopt this resource intensive strategy. (nih.gov)
RESULTS: Although there is no study in Mexico like ours, the results were similar to those reported by other hospital centers worldwide, presenting a greater number of cases classified as mild craniofacial trauma, in addition to finding that the main age group affected were older adults. (bvsalud.org)
United States trauma system guidelines specify when to triage patients to specialty centers. (biomedcentral.com)
No physician demographic characteristics correlated with perceptual sensitivity, but men and physicians working at non-trauma centers without a trauma-center affiliation had higher decisional thresholds. (biomedcentral.com)
Well-established clinical practice guidelines in trauma specify when to triage patients to specialty trauma centers [ 7 ]. (biomedcentral.com)
Patients with extremity vascular trauma present daily in emergency departments (EDs) and trauma centers worldwide. (medscape.com)
This randomized clinical trial study was carried out at the two trauma centers in Mashhad, Iran. (magiran.com)
Mild TBI appears to be vastly underdiagnosed in the setting of systemic trauma, even in trauma centers. (medscape.com)

Stepwise regression models were performed controlling for age, gender, mechanism of injury, injury severity, and acute physiology and chronic health evaluation (APACHE) 2 score to determine if early aggressive use of PRBC:FFP improved outcome. (nih.gov)
Early and aggressive use of FFP does not improve outcome after civilian injury. (nih.gov)
ABSTRACTObjective: To determine the effects of glycemic level on outcome patients with traumatic brain injury.Methods: From September 2010 to December 2012, all medical records of adult patients with TBI admitted to the Emergency Room of Laura Daniela Clinic in Valledupar City, Colombia, South America were enrolled. (ac.ir)
So hyperglycemia handling is critical to the outcome of patients with traumatic brain injury. (ac.ir)

however, in contrast to the military experience, penetrating trauma in the civilian setting is usually due to knife wounds or low-velocity handgun injuries. (medscape.com)

According to the international literature, since the beginning of the pandemic there has been an impact in the incidence, etiology, and severity of head trauma, all these changes as a direct consequence of lockdown. (bvsalud.org)
In this study, incidence, etiology, severity of the injuries and the SARS-CoV-2 PCR result performed upon admission were analyzed. (bvsalud.org)

Cardiopulmonary resuscitation (CPR) sometime cause severe injuries and can affect quality of life, lead to long-term disabilities or death of the patient. (nih.gov)

In 2003, the USA adopted and designed the emergency severity index (ESI). (medium.com)

We present a case study of development and pilot implementation of "Karachi Trauma Registry" (KITR), using existing medical records at a tertiary-care hospital of Karachi, Pakistan to present results of initial data and describe its process of implementation. (biomedcentral.com)

METHODS@#All trauma patients with blunt chest wall trauma and subsequent pulmonary contusion, COVID-19-related signs and symptoms before the trauma were enrolled in this retrospective study from February to May 2020. (bvsalud.org)
METHODS: We used a series of emergency department procedure codes to identify patients within the Department of Defense Trauma Registry (DoDTR) from January 2007 to August 2016. (bvsalud.org)
Methods: This was cross-sectional study including all the patients with extremity trauma who underwent conventional angiography during the 2 year period from 2011 to 2013 in Angiography departments of Mashhad University of Medical Sciences. (ac.ir)

OBJECTIVE: CT is the standard of care for assessment of traumatic injuries. (omeka.net)
Given the burden of disability arising from severe traumatic brain injury (TBI) [ 1 ], plain assessment of mortality certainly underestimates the impact of TBI. (biomedcentral.com)
Trauma registries (TRs) play an integral role in the assessment of trauma care quality. (biomedcentral.com)
Participants completed the Emotional Neglect sub-scale of Childhood Trauma Questionnaire (CTQ-SF), the Social Anxiety Scale for Adolescent (SAS-A), Athens Insomnia Scale (AIS) and non-suicidal self-injury assessment. (biomedcentral.com)

Since World War I, it has been recognized that some patients with nonthoracic injuries, severe pancreatitis, massive transfusion, sepsis, and other conditions develop respiratory distress, diffuse lung infiltrates, and respiratory failure, sometimes after a delay of hours to days. (medscape.com)
The main site of injury may be focused on either the vascular endothelium (eg, sepsis ) or the alveolar epithelium (eg, aspiration of gastric contents). (medscape.com)
Currently, there are several markers used for sepsis evaluation, such as hematological indices, acute phase reactants, cytokines, which by themselves do not show acceptable sensitivity and specificity for the diagnosis of EOS in neonates. (encyclopedia.pub)

This retrospective study was performed on multiple trauma patients admitted to a tertiary hospital inthe north of Iran in 2020. (magiran.com)

The objective of the study was to characterize sensory and decisional determinants of emergency physician trauma triage decision-making. (biomedcentral.com)
Using trauma triage guidelines as our reference standard, we estimated physicians' perceptual sensitivity (ability to discriminate between patients who did and did not meet guidelines for transfer) and decisional threshold (tolerance for false positive or false negative decisions). (biomedcentral.com)
On a case vignette-based questionnaire, both sensory and decisional elements in emergency physicians' cognitive processes contributed to the under-triage of trauma patients. (biomedcentral.com)
The objective of this study was to assess whether decision making in trauma triage primarily reflected physicians' perceptual sensitivity or their decisional thresholds. (biomedcentral.com)

The severity of hypoxemia necessary to make the diagnosis of ARDS was defined by the ratio of the partial pressure of oxygen in the patient's arterial blood (PaO 2 ) to the fraction of oxygen in the inspired air (FiO 2 ). (medscape.com)

Data were collected through application of a referenced morbidity survey (RMS), which included information on injuries and their mechanisms. (bvsalud.org)
A basic understanding of both blunt and penetrating injuries to the extremities and the resultant vascular abnormalities that occur with these injuries helps minimize mortality and morbidity in these patients. (medscape.com)
Improved Emergency Medical Services (EMS) systems, faster transport times, availability of interventional radiologic techniques, improved surgical technique, and newer vascular conduits may further reduce the morbidity and mortality of extremity vascular injury. (medscape.com)
The future of limiting the morbidity and mortality of these injuries probably lies with advances in other areas, such as motor vehicle safety, worldwide control and cleanup of antipersonnel mines, and injury prevention programs. (medscape.com)

It often results from inadequate renal perfusion due to severe trauma, illness, or surgery but is sometimes caused by a rapidly progressive, intrinsic renal disease. (msdmanuals.com)

What was the impact of COVID-19 restrictions on unintentional injuries, worldwide? (injuryresearch.bc.ca)

The most common injury mechanism was skidding or loss of traction. (bvsalud.org)
Using existing medical records, we were able to enter data on most variables including mechanism of injuries, burden of severe injuries and quality indicators such as length of stay in ED, injury to arrival delay, as well as generate injury severity and survival probability but missed information such as ethnicity, ED notification. (biomedcentral.com)
Mechanism of trauma, type of injury and angiographic findings were recorded in a questionnaire for each patient. (ac.ir)

The aim of this study is to identify the risk factors causing CPR-induced injuries and those of serious injuries. (nih.gov)
Abstract Objective To investigate the incidence, mechanisms, types of injury, most affected anatomical regions, and factors leading to injuries in trail bikers. (bvsalud.org)
A secondary injury results from hypotension, hypoxia, acidosis, edema, or other subsequent factors that can secondarily damage brain tissue (see Secondary injuries). (medscape.com)

[ 1 , 2 ] Although much of the current state-of-the-art information is the result of wartime observations, the incidence of civilian extremity vascular trauma is significant. (medscape.com)
In the United States, the incidence of closed head injury is estimated to be approximately 200 cases per 100,000 persons per year. (medscape.com)
Leur incidence en Afrique sub-saharienne et plus particulièrement au Gabon est mal connue. (bvsalud.org)

Research in 2016 suggests that ankle trauma ( ankle sprain ) is the most common athletic injury and up to 90% of ankle arthritis is due to trauma. (healthline.com)

Acute physiological disturbance, poor preadmission clinical data and neurological signs, presence of severe intracerebral injuries combined with additional extracerebral injuries and advanced age, seem to be powerful determinants that adversely influence the early course of recovery and functional survival of patients with sustained severe TBI. (biomedcentral.com)
A primary injury results from the initial anatomical and physiological insult, which is usually direct trauma to the head, regardless of cause. (medscape.com)

The aim of the study was to determine whether a simple combination of early clinical indices may be predictive of disability after ICU discharge. (biomedcentral.com)
We conducted a decision science study using a signal detection theory-informed approach to analyze physician responses to a web-based survey of 30 clinical vignettes of trauma cases. (biomedcentral.com)

[ 7 , 9 ] Patients with severe head injury have a 30-50% mortality rate, and those who survive are often left with severe neurological deficits that may include a persistent vegetative state. (medscape.com)
Traumatic brain injury (TBI), also known as acquired brain injury, head injury, or brain injury, causes substantial disability and mortality. (medscape.com)

Cerebral concussion is defined as an altered mental state that may or may not include loss of consciousness that occurs as a result of head trauma. (medscape.com)
Concussion is also known as mild traumatic brain injury (MTBI). (medscape.com)
1999). Facts about concussion and brain injury . (springer.com)
See Pediatric Concussion and Other Traumatic Brain Injuries , a Critical Images slideshow, to help identify the signs and symptoms of TBI, determine the type and severity of injury, and initiate appropriate treatment. (medscape.com)

A prospective study enrolling 133 patients (109 male/76 female) with TBI (associated or not with multiple trauma) and GCS ≤8 admitted to our ICU. (biomedcentral.com)
All patients with multiple trauma who had undergone a chest spiral CT were includedin this study. (magiran.com)

There is growing interest in non-invasive techniques, including aerosolisation, to deliver surfactant without the potential trauma of intubation. (bmj.com)
Airway management and use of intravenous anaesthetics to facilitate tracheal intubation after major trauma remains controversial. (biomedcentral.com)
Despite a high degree of standardization in pre-hospital trauma care, airway management and more particularly the use of intravenous anaesthetic drugs to facilitate tracheal intubation remains controversial. (biomedcentral.com)

Of note, reticular distortions and subpleural spares were exclusively detected in the Group PP.@*CONCLUSION@#We concluded that the criteria set by RSNA for the diagnosis of COVID-19 are not appropriate in trauma patients. (bvsalud.org)
All patients presenting to the Emergency Department (ED) of the Aga Khan University Hospital (AKUH) with a diagnosis of injury as defined in ICD-9 CM were included. (biomedcentral.com)

Undergraduate medical students often have limited exposure to OMFS, and this is likely to translate to reduced exposure to facial trauma. (bvsalud.org)
1988. Threshold limit values and biological exposure indices for 1988-1989. (cdc.gov)
2001. Threshold limit values for chemical substances and physical agents and biological exposure indices. (cdc.gov)

Interventions for improvement of cognitive problems in patients with traumatic brain injury (TBI) include electroencephalography biofeedback, also known as neurofeedback. (springer.com)
2008). Longitudinal changes in patients with traumatic brain injury assessed with diffusion-tensor and volumetric imaging. (springer.com)
Neurofeedback therapy of attention deficits in patients with traumatic brain injury. (springer.com)

Thrush is very effective and ineffective health protection to the short- age of the lower extremities and weak peripheral pulses, ankle/brachial pressure indices, duplex examinations of the. (albionfoundation.org)
This type of osteoarthritis can develop after an injury to the foot or ankle, such as a fracture or sprain. (healthline.com)

To develop French guidelines on the management of patients with severe abdominal trauma. (bvsalud.org)

Knee dislocation and vascular injury: 4 year experience at a UK Major Trauma Centre and vascular hub. (ox.ac.uk)
We aim to evaluate our own 4-year experience of knee dislocation and vascular injury as a UK Major Trauma Centre and vascular hub. (ox.ac.uk)
One patient had a vascular injury which ultimately required a femoro-popliteal bypass graft. (ox.ac.uk)
DISCUSSION AND CONCLUSIONS: Our rates of vascular injury are in line with the most recent and largest study to date. (ox.ac.uk)
Safety and consistency could be improved with the introduction of a formalised evidence-based protocol for the initial evaluation of knee dislocation and vascular injury. (ox.ac.uk)

In addition those with relatively minor injuries were as much at risk for work-site avoidance as those with more severe injuries. (mcw.edu)
CONCLUSIONS: These results suggest the importance of causal attributions as potential predictors of work-site avoidance after traumatic work-related hand injuries, and support the risk for psychologic symptom development after less-severe injuries. (mcw.edu)

Falls and motor vehicle crashes were the most common mechanisms of injury. (biomedcentral.com)
For the above reasons, it is necessary to study non-suicidal self-injury behavior among adolescents in order to clarify possible mechanisms of NSSI and provide basis for prevention and intervention. (biomedcentral.com)
The mechanisms and advantages of the different substances still have to be elucidated, especially in head injury and bleeding trauma. (biomedcentral.com)

[ 12 ] Alcohol or drug use contributes to as many of 38% of cases of severe head trauma in younger patients. (medscape.com)

The prevalence of dental caries, dental trauma and malocclusion was observed by oral examination based on WHO criteria. (bvsalud.org)

Il s'agit d'une étude rétrospective descriptive et analytique, multicentrique portant sur des patients de moins de 5ans pris en charge pour une affection neurochirurgicale de Janvier 2019 à Décembre 2021 à Libreville. (bvsalud.org)

Return to work outcomes after work-related hand trauma: the role of causal attributions. (mcw.edu)
[ 10 ] Penetrating intracranial injuries have worse outcomes than closed head injuries. (medscape.com)

In many parts of the world, regional conflicts in which antipersonnel mines are used has given rise to a large population of children and civilian adults with extremity vascular and soft-tissue injuries resulting in amputations. (medscape.com)
Medical therapy alone is rarely an option in penetrating or blunt trauma to the extremity vasculature when hard signs of injury are present. (medscape.com)
A thorough knowledge of basic medical-school anatomy of the extremities is essential in the evaluation and management of extremity vascular injuries. (medscape.com)
Temporary vascular control can be achieved by simply applying pressure to the vessel proximal to the injury (eg, femoral pressure in a lower-extremity wound). (medscape.com)
ABSTRACTObjective: To compare the conventional angiographic findings in extremity trauma patients with or without runoff. (ac.ir)

Although it is often possible to visualize an arterial injury directly through an open wound, obtaining proximal and distal control for vascular reconstruction requires intimate knowledge of vascular, muscular, and bony anatomy to allow rapid access to the arterial tree proximally and distally while incision length and surgical tissue dissection are minimized. (medscape.com)
p=0.002).Conclusion: Causes and types of traumatic arterial injury in our study were different with other reports. (ac.ir)

In patients with GCS ≤ 8 upon initial contact, a similar distribution compared to the general trauma population could be observed. (biomedcentral.com)

Frequently, especially in cases of blunt trauma and arterial trauma with ongoing hemorrhage, the normal tissue planes are destroyed, and the smooth muscle in both the artery and the vein cause retraction of the vessels into the depths of the wound. (medscape.com)

Serious injuries' were defined as an Abbreviated Injury Scale (AIS) score ≥ 3. (nih.gov)
This is a sub-group analysis of casualties with documented serious facial trauma based on an abbreviated injury scale of 3 or greater for the facial body region. (bvsalud.org)
Abbreviated Injury Scale E-scooter crashes: Are they a risky underestimated new mode of transport? (ac.ir)

With the background and history of the patient, the circumstances of cardiac arrest and risks of causing CPR-induced injuries were determined by multivariate analyses. (nih.gov)
Finally, sexual abuse have increased in women with any cardiac trauma, including a cbc, along with early cyanosis. (albionfoundation.org)

ARDS was recognized as the most severe form of acute lung injury (ALI), a form of diffuse alveolar injury. (medscape.com)

Patient-Specific Thresholds and Doses of Intracranial Hypertension in Severe Traumatic Brain Injury. (uchicago.edu)
[ 9 ] Traumatic brain injury (TBI) results in more deaths than does trauma to other specific body regions. (medscape.com)
A QEEG index of level of functional dependence for people sustaining acquired brain injury: The Seville independence index (SINDI). (springer.com)
Brain Injury: [BI], 22 (1), 61-74. (springer.com)
Routine and quantitative EEG in mild traumatic brain injury. (springer.com)
Did early studies of human traumatic brain injury overlook concomitant oligodendrocyte pathology in injured white matter tracts? (lu.se)

Vascular injuries can be classified clinically into hard signs and soft signs of injury on the basis of examination (see Presentation ). (medscape.com)
Urinary indices, urinary sediment examination, and often imaging and other tests (including sometimes a kidney biopsy) are needed to determine the cause. (msdmanuals.com)

Thirty-six victims had 39 serious injuries in the chest or abdomen: fracture of ≥ 3 ribs (35 cases), aortic dissection (two), lung contusion (one) and rupture of the heart (one). (nih.gov)

OBJECTIVE: In this article we analyzed the characteristics of craniofacial trauma in patients admitted to a private hospital in Mexico City during the SARS-CoV-2 pandemic. (bvsalud.org)
CONCLUSIONS: The reported information in our study provides a general view of craniofacial trauma characteristics during SARS-CoV-2 pandemic. (bvsalud.org)

The primary injury usually causes structural changes, such as epidural hematoma , subdural hematoma , subarachnoid hemorrhage , intraventricular hemorrhage, or cerebral contusion . (medscape.com)

Furthermore, both SA and insomnia played a mediating role in the relationship between EN and NSSI, the series mediating effect of SA and insomnia on this association was also significant after controlling for demographics. (biomedcentral.com)

Penalizing head contacts: a priority for injury prevention in Canadian university basketball? (injuryresearch.bc.ca)

1 After sustaining a spinal cord injury (SCI), denervation of trunk muscles can dramatically impair seated balance control and severely limit range of stability. (researchgate.net)
Similarly, the developmental psychopathology perspective establishes an association between childhood trauma and self-injury, a theory suggests that experiences of trauma impair the adaptability of motivational, attitudinal, instrumental, emotional, and relational capacities, which lead to self-injury behavior as a compensatory regulation and relational approach to help individuals meet their development challenges [ 14 ]. (biomedcentral.com)

Diseases3

Analytical, Diagnostic and Therapeutic Techniques and Equipment3

Information Science2

Health Care4

Centers8

Outcome4

Wounds1

Etiology2

Cardiopulmonary Resuscitation1

Emergency severity index1

Tertiary-care1

Methods3

Assessment4

Sepsis3

Retrospective study1

Triage4

Hypoxemia1

Morbidity4

Illness1

Unintentional1

Mechanism3

Factors3

Incidence3

20161

Physiological2

Clinical2

Mortality2

Concussion4

Multiple trauma2

Intubation3

Diagnosis2

Exposure3

Patients with traumatic brain3

Ankle2

Abdominal1

Vascular injury5

Severe injuries2

Mechanisms3

Head trauma1

Prevalence1

20211

Outcomes2

Extremity5

Arterial injury2

Initial1

Blunt trauma1

Abbreviated Injury Scale3

Cardiac2

Acute lung i1

Brain Injury6

Examination2

Chest1

Pandemic2

Hemorrhage1

Demographics1

Prevention1

Impair2