Multiple physical insults or injuries occurring simultaneously.
An anatomic severity scale based on the Abbreviated Injury Scale (AIS) and developed specifically to score multiple traumatic injuries. It has been used as a predictor of mortality.
Injuries caused by impact with a blunt object where there is no penetration of the skin.
Accumulations of blood in the PERITONEAL CAVITY due to internal HEMORRHAGE.
General or unspecified injuries to the chest area.
General or unspecified injuries involving organs in the abdominal cavity.
Freedom of equipment from actual or potential hazards.
Fractures of the femur.
A progressive condition usually characterized by combined failure of several organs such as the lungs, liver, kidney, along with some clotting mechanisms, usually postinjury or postoperative.
Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.
Mechanical devices inserted in the inferior vena cava that prevent the migration of blood clots from deep venous thrombosis of the leg.
Health care provided to a critically ill patient during a medical emergency or crisis.
Specialized hospital facilities which provide diagnostic and therapeutic services for trauma patients.
Hospital units providing continuous surveillance and care to acutely ill patients.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.

Aortic rupture as a result of low velocity crush. (1/505)

A case of aortic disruption in a 35 year old lorry driver is described. This occurred as a result of a low velocity crushing force. Clinicians should be aware that this mechanism of injury may result in aortic disruption as well as the more commonly mentioned severe deceleration force.  (+info)

Prophylactic inferior vena cava filters in trauma patients at high risk: follow-up examination and risk/benefit assessment. (2/505)

PURPOSE: The efficacy of prophylactic inferior vena cava filters in selected trauma patients at high risk has come into question in relation to risk/benefit assessment. To evaluate the usefulness of prophylactic inferior vena cava filters, we reviewed our experience and overall complication rate. METHODS: From February 1991 to April 1998, the trauma registry identified 7333 admissions. One hundred eighty-seven prophylactic inferior vena cava filters were inserted. After the exclusion of 27 trauma-related deaths (none caused by thromboembolism), 160 patients were eligible for the study. The eligible patients were contacted and asked to complete a survey and return for a follow-up examination to include physical examination, Doppler scan study, vena cava duplex scanning, and fluoroscopic examination. The patients' hospital charts were reviewed in detail. The indications for prophylactic inferior vena cava filter insertion included prolonged immobilization with multiple injuries, closed head injury, pelvic fracture, spine fracture, multiple long bone fracture, and attending discretion. RESULTS: Of the 160 eligible patients, 127 were men, the mean age was 40.3 years, and the mean injury severity score was 26.1. The mean day of insertion was hospital day 6. Seventy-five patients (47%) returned for evaluation, with a mean follow-up period of 19.4 months after implantation (range, 7 to 60 months). On survey, patients had leg swelling (n = 27), lower extremity numbness (n = 14), shortness of breath (n = 9), chest pain (n = 7), and skin changes (n = 4). All the survey symptoms appeared to be attributable to patient injuries and not related to prophylactic inferior vena cava filter. Physical examination results revealed edema (n = 12) and skin changes (n = 2). Ten Doppler scan studies had results that were suggestive of venous insufficiency, nine of which had histories of deep vein thrombosis. With duplex scanning, 93% (70 of 75) of the vena cavas were visualized, and all were patent. Only 52% (39 of 75) of the prophylactic inferior vena cava filters were visualized with duplex scanning. All the prophylactic inferior vena cava filters were visualized with fluoroscopy, with no evidence of filter migration. Of the total 187 patients, 24 (12.8%) had deep vein thrombosis develop after prophylactic inferior vena cava filter insertion, including 10 of 75 (13.3%) in the follow-up group, and one patient had a nonfatal pulmonary embolism despite filter placement. Filter insertion complications occurred in 1.6% (three of 187) of patients and included one groin hematoma, one arteriovenous fistula, and one misplacement in the common iliac vein. CONCLUSION: This study's results show that prophylactic inferior vena cava filters can be placed safely with low morbidity and no attributable long-term disabilities. In this patient population with a high risk of pulmonary embolism, prophylactic inferior vena cava filters offered a 99.5% protection rate, with only one of 187 patients having a nonfatal pulmonary embolism.  (+info)

Hypothermia and the trauma patient. (3/505)

Hypothermia has profound effects on every system in the body, causing an overall slowing of enzymatic reactions and reduced metabolic requirements. Hypothermic, acutely injured patients with multisystem trauma have adverse outcomes when compared with normothermic control patients. Trauma patients are inherently predisposed to hypothermia from a variety of intrinsic and iatrogenic causes. Coagulation and cardiac sequelae are the most pertinent physiological concerns. Hypothermia and coagulopathy often mandate a simplified approach to complex surgical problems. A modification of traditional classification systems of hypothermia, applicable to trauma patients is suggested. There are few controlled investigations, but clinical opinion strongly supports the active prevention of hypothermia in the acutely traumatized patient. Preventive measures are simple and inexpensive, but the active reversal of hypothermia in much more complicated, often invasive and controversial. The ideal method of rewarming is unclear but must be individualized to the patient and institution specific. An algorithm reflecting newer approaches to traumatic injury and technical advances in equipment and techniques is suggested. Conversely, hypothermia has selected clinical benefits when appropriately used in cases of trauma. Severe hypothermia has allowed remarkable survivals in the course of accidental circulatory arrest. The selective application of mild hypothermia in severe traumatic brain injury is an area with promise. Deliberate circulatory arrest with hypothermic cerebral protection has also been used for seemingly unrepairable injuries and is the focus of ongoing research.  (+info)

Total dislocations of the navicular: are they ever isolated injuries? (4/505)

Isolated dislocations of the navicular are rare injuries; we present our experience of six cases in which the navicular was dislocated without fracture. All patients had complex injuries, with considerable disruption of the midfoot. Five patients had open reduction and stabilisation with Kirschner wires. One developed subluxation and deformity of the midfoot because of inadequate stabilisation of the lateral column, and there was one patient with ischaemic necrosis. We believe that the navicular cannot dislocate in isolation because of the rigid bony supports around it; there has to be significant disruption of both longitudinal columns of the foot. Most commonly, an abduction/pronation injury causes a midtarsal dislocation, and on spontaneous reduction the navicular may dislocate medially. This mechanism is similar to a perilunate dislocation. Stabilisation of both medial and lateral columns of the foot may sometimes be essential for isolated dislocations. In spite of our low incidence of ischaemic necrosis, there is always a likelihood of this complication.  (+info)

Countertransference and empathic problems in therapists/helpers working with psychotraumatized persons. (5/505)

Countertransference in therapists working with patients with posttraumatic stress disorder (PTSD) differs from countertransference in other psychotherapeutical settings. In this article we discuss the specificities of counter- transference in treating PTSD patients and its relation to empathy. The most difficult countertransference problems occur in treating multiply traumatized patients. Countertransference may occur towards an event (e.g., war), patients who have killed people, as well as to colleagues who avoid treating PTSD patients, or towards a supervisor who avoids, either directly or indirectly, supervision of therapists working with PTSD patients. Our recommendation for the prevention of problems in treating PTSD patients include : 1) careful selection of the therapist or helper, both in the personality structure and training; 2) prevention by debriefing and team work and peer supervision; and 3) education - theoretical, practical, and therapeutical.  (+info)

Markers for domestic violence in women. (6/505)

OBJECTIVE: To determine injury patterns and characteristics specific to domestic violence in women who present to the accident and emergency (A&E) department. DESIGN: A retrospective case note review of all female assaults over a one year period. The subjects were women who disclosed that their injuries were due to assaults by either a current or a previous male partner. Controls were female assault victims not injured by domestic violence. SETTING: A medium sized urban A&E department. RESULTS: There were 500 female assaults out of 48,169 new attendances. Domestic violence was disclosed in 103 cases. The following features were significantly associated with domestic violence in women: multiple injuries (p < 0.001) (especially to the head and arms), fractures (p < 0.05), loss of consciousness (p < 0.05), abdominal injuries (p < 0.05), pregnancy (p = 0.01), injury occurring on "stairs" (p = 0.01), and general practitioner referral (p < 0.01). CONCLUSIONS: Women who have been assaulted are more likely to have been injured during domestic violence if they sustain multiple injuries (including fractures), abdominal injuries, have lost consciousness, or have been referred by their general practitioner. These markers may help medical staff to identify more cases of undisclosed domestic violence. The markers need to be tested further in a prospective study.  (+info)

A registry-based case-control study of risk factors for the development of multiple non-fatal injuries on the job. (7/505)

Using compensation records of Taiwan, we conducted a case-control study nested within a cohort of 77,846 active workers who experienced at least one incidence of non-fatal work-related injury between 1994 and 1996 in order to explore factors associated with risk of sustaining multiple non-fatal injuries in the workplace. Cases (n = 2,616) were workers with more than three incidences of non-fatal injury during the study period and controls (n = 3,974) were randomly sampled from workers who experienced only one incidence of non-fatal injury during the same period. Compared with construction workers, workers employed in mining and quarrying (OR = 2.7), manufacturing (OR = 1.2), commerce (OR = 1.6), transport, storage and communication (OR = 1.3) and social, personal and community service (OR = 1.4) were all at significantly elevated risk of multiple non-fatal injuries. Both age and wage showed a significant dose-response effect on the risk of developing multiple non-fatal injuries. The preliminary analysis suggests that workers in certain industries are at significantly elevated risks of multiple work-related non-fatal injuries, in particular those in the mining and quarry industries. Additionally, further preventive measures should be aimed at protecting older workers from such injuries and further studies would help provide more specific interpretations on the positive association between higher wage earning and risk of multiple non-fatal injuries.  (+info)

Polytrauma induces increased expression of pyruvate kinase in neutrophils. (8/505)

Polytrauma (PT) leads to systemic activation of polymorphonuclear neutrophils (PMNs). Organ damage commonly found in these patients is ascribed to respiratory bursts of activated PMNs. With the use of sodium dodecyl sulfate-polyacrylamide gel electrophoresis, PMN extracts from PT patients were found to contain a clear protein band not seen in control PMNs from healthy volunteers. This band was identified by amino acid sequencing and Western blotting as pyruvate kinase (PK). Enzymatic assays revealed a 600-fold increase in PK activity in PMNs of PT patients, with the highest levels occurring between the fifth and seventh posttraumatic day. In lymphocytes, no such increase was detectable. As PK is a major regulatory enzyme in glycolysis, glucose-dependent lactate production in PMNs from PT patients was assayed. These cells showed a higher glycolytic lactate production than controls. It was additionally demonstrated that acute activation of respiratory burst activity depends mainly on breakdown of glucose to lactate via the pentose-phosphate pathway and glycolysis. In PMNs from PT patients, this glucose-dependent respiratory burst activity was more than twofold higher than in controls. The increase in expression and activity of PK in PMNs from PT patients may contribute to the high glucose-dependent respiratory burst activity seen in these cells.  (+info)

Multiple trauma, also known as polytrauma, is a medical term used to describe severe injuries to the body that are sustained in more than one place or region. It often involves damage to multiple organ systems and can be caused by various incidents such as traffic accidents, falls from significant heights, high-energy collisions, or violent acts.

The injuries sustained in multiple trauma may include fractures, head injuries, internal bleeding, chest and abdominal injuries, and soft tissue injuries. These injuries can lead to a complex medical situation requiring immediate and ongoing care from a multidisciplinary team of healthcare professionals, including emergency physicians, trauma surgeons, critical care specialists, nurses, rehabilitation therapists, and mental health providers.

Multiple trauma is a serious condition that can result in long-term disability or even death if not treated promptly and effectively.

The Injury Severity Score (ISS) is a medical scoring system used to assess the severity of trauma in patients with multiple injuries. It's based on the Abbreviated Injury Scale (AIS), which classifies each injury by body region on a scale from 1 (minor) to 6 (maximum severity).

The ISS is calculated by summing the squares of the highest AIS score in each of the three most severely injured body regions. The possible ISS ranges from 0 to 75, with higher scores indicating more severe injuries. An ISS over 15 is generally considered a significant injury, and an ISS over 25 is associated with a high risk of mortality. It's important to note that the ISS has limitations, as it doesn't consider the number or type of injuries within each body region, only the most severe one.

Nonpenetrating wounds are a type of trauma or injury to the body that do not involve a break in the skin or underlying tissues. These wounds can result from blunt force trauma, such as being struck by an object or falling onto a hard surface. They can also result from crushing injuries, where significant force is applied to a body part, causing damage to internal structures without breaking the skin.

Nonpenetrating wounds can cause a range of injuries, including bruising, swelling, and damage to internal organs, muscles, bones, and other tissues. The severity of the injury depends on the force of the trauma, the location of the impact, and the individual's overall health and age.

While nonpenetrating wounds may not involve a break in the skin, they can still be serious and require medical attention. If you have experienced blunt force trauma or suspect a nonpenetrating wound, it is important to seek medical care to assess the extent of the injury and receive appropriate treatment.

Hemoperitoneum is a medical condition characterized by the presence of blood in the peritoneal cavity, which is the space between the lining of the abdominal wall and the organs within it. This can occur due to various reasons such as trauma, rupture of an abdominal aortic aneurysm, ectopic pregnancy, or other conditions that cause bleeding into the abdomen.

The accumulation of blood in the peritoneal cavity can lead to symptoms such as abdominal pain, tenderness, distension, and hypovolemic shock due to blood loss. Hemoperitoneum is a serious medical condition that requires prompt diagnosis and treatment to prevent further complications.

Thoracic injuries refer to damages or traumas that occur in the thorax, which is the part of the body that contains the chest cavity. The thorax houses vital organs such as the heart, lungs, esophagus, trachea, and major blood vessels. Thoracic injuries can range from blunt trauma, caused by impacts or compressions, to penetrating trauma, resulting from stabbing or gunshot wounds. These injuries may cause various complications, including but not limited to:

1. Hemothorax - bleeding into the chest cavity
2. Pneumothorax - collapsed lung due to air accumulation in the chest cavity
3. Tension pneumothorax - a life-threatening condition where trapped air puts pressure on the heart and lungs, impairing their function
4. Cardiac tamponade - compression of the heart caused by blood or fluid accumulation in the pericardial sac
5. Rib fractures, which can lead to complications like punctured lungs or internal bleeding
6. Tracheobronchial injuries, causing air leaks and difficulty breathing
7. Great vessel injuries, potentially leading to massive hemorrhage and hemodynamic instability

Immediate medical attention is required for thoracic injuries, as they can quickly become life-threatening due to the vital organs involved. Treatment may include surgery, chest tubes, medications, or supportive care, depending on the severity and type of injury.

Abdominal injuries refer to damages or traumas that occur in the abdomen, an area of the body that is located between the chest and the pelvis. This region contains several vital organs such as the stomach, liver, spleen, pancreas, small intestine, large intestine, kidneys, and reproductive organs. Abdominal injuries can range from minor bruises and cuts to severe internal bleeding and organ damage, depending on the cause and severity of the trauma.

Common causes of abdominal injuries include:

* Blunt force trauma, such as that caused by car accidents, falls, or physical assaults
* Penetrating trauma, such as that caused by gunshot wounds or stabbing
* Deceleration injuries, which occur when the body is moving at a high speed and suddenly stops, causing internal organs to continue moving and collide with each other or the abdominal wall

Symptoms of abdominal injuries may include:

* Pain or tenderness in the abdomen
* Swelling or bruising in the abdomen
* Nausea or vomiting
* Dizziness or lightheadedness
* Blood in the urine or stool
* Difficulty breathing or shortness of breath
* Rapid heartbeat or low blood pressure

Abdominal injuries can be life-threatening if left untreated, and immediate medical attention is necessary to prevent complications such as infection, internal bleeding, organ failure, or even death. Treatment may include surgery, medication, or other interventions depending on the severity and location of the injury.

Equipment safety in a medical context refers to the measures taken to ensure that medical equipment is free from potential harm or risks to patients, healthcare providers, and others who may come into contact with the equipment. This includes:

1. Designing and manufacturing the equipment to meet safety standards and regulations.
2. Properly maintaining and inspecting the equipment to ensure it remains safe over time.
3. Providing proper training for healthcare providers on how to use the equipment safely.
4. Implementing safeguards, such as alarms and warnings, to alert users of potential hazards.
5. Conducting regular risk assessments to identify and address any potential safety concerns.
6. Reporting and investigating any incidents or accidents involving the equipment to determine their cause and prevent future occurrences.

A femoral fracture is a medical term that refers to a break in the thigh bone, which is the longest and strongest bone in the human body. The femur extends from the hip joint to the knee joint and is responsible for supporting the weight of the upper body and allowing movement of the lower extremity. Femoral fractures can occur due to various reasons such as high-energy trauma, low-energy trauma in individuals with weak bones (osteoporosis), or as a result of a direct blow to the thigh.

Femoral fractures can be classified into different types based on their location, pattern, and severity. Some common types of femoral fractures include:

1. Transverse fracture: A break that occurs straight across the bone.
2. Oblique fracture: A break that occurs at an angle across the bone.
3. Spiral fracture: A break that occurs in a helical pattern around the bone.
4. Comminuted fracture: A break that results in multiple fragments of the bone.
5. Open or compound fracture: A break in which the bone pierces through the skin.
6. Closed or simple fracture: A break in which the bone does not pierce through the skin.

Femoral fractures can cause severe pain, swelling, bruising, and difficulty walking or bearing weight on the affected leg. Diagnosis typically involves a physical examination, medical history, and imaging tests such as X-rays or CT scans. Treatment may involve surgical intervention, including the use of metal rods, plates, or screws to stabilize the bone, followed by rehabilitation and physical therapy to restore mobility and strength.

Multiple Organ Failure (MOF) is a severe condition characterized by the dysfunction or failure of more than one organ system in the body. It often occurs as a result of serious illness, trauma, or infection, such as sepsis. The organs that commonly fail include the lungs, kidneys, liver, and heart. This condition can lead to significant morbidity and mortality if not promptly diagnosed and treated.

The definition of MOF has evolved over time, but a widely accepted one is the "Sequential Organ Failure Assessment" (SOFA) score, which evaluates six organ systems: respiratory, coagulation, liver, cardiovascular, renal, and neurologic. A SOFA score of 10 or more indicates MOF, and a higher score is associated with worse outcomes.

MOF can be classified as primary or secondary. Primary MOF occurs when the initial insult directly causes organ dysfunction, such as in severe trauma or septic shock. Secondary MOF occurs when the initial injury or illness has been controlled, but organ dysfunction develops later due to ongoing inflammation and other factors.

Early recognition and aggressive management of MOF are crucial for improving outcomes. Treatment typically involves supportive care, such as mechanical ventilation, dialysis, and medication to support cardiovascular function. In some cases, surgery or other interventions may be necessary to address the underlying cause of organ dysfunction.

A wound is a type of injury that occurs when the skin or other tissues are cut, pierced, torn, or otherwise broken. Wounds can be caused by a variety of factors, including accidents, violence, surgery, or certain medical conditions. There are several different types of wounds, including:

* Incisions: These are cuts that are made deliberately, often during surgery. They are usually straight and clean.
* Lacerations: These are tears in the skin or other tissues. They can be irregular and jagged.
* Abrasions: These occur when the top layer of skin is scraped off. They may look like a bruise or a scab.
* Punctures: These are wounds that are caused by sharp objects, such as needles or knives. They are usually small and deep.
* Avulsions: These occur when tissue is forcibly torn away from the body. They can be very serious and require immediate medical attention.

Injuries refer to any harm or damage to the body, including wounds. Injuries can range from minor scrapes and bruises to more severe injuries such as fractures, dislocations, and head trauma. It is important to seek medical attention for any injury that is causing significant pain, swelling, or bleeding, or if there is a suspected bone fracture or head injury.

In general, wounds and injuries should be cleaned and covered with a sterile bandage to prevent infection. Depending on the severity of the wound or injury, additional medical treatment may be necessary. This may include stitches for deep cuts, immobilization for broken bones, or surgery for more serious injuries. It is important to follow your healthcare provider's instructions carefully to ensure proper healing and to prevent complications.

Vena cava filters are medical devices that are implanted into the inferior vena cava, which is the largest vein in the body that returns blood from the lower half of the body to the heart. These filters are designed to trap blood clots that form in the deep veins of the legs (deep vein thrombosis or DVT) and prevent them from traveling to the lungs (pulmonary embolism or PE), which can be a life-threatening condition.

The filter is typically implanted using a catheter-based procedure, and it has legs or arms that extend out to trap the blood clots as they flow through the vein. Over time, the trapped clots may dissolve on their own or become organized and incorporated into the wall of the vein.

Vena cava filters are typically used in patients who are at high risk for PE but cannot take anticoagulation medication or have failed anticoagulation therapy. However, there is some controversy surrounding the use of these devices due to concerns about their long-term safety and effectiveness.

Critical care, also known as intensive care, is a medical specialty that deals with the diagnosis and management of life-threatening conditions that require close monitoring and organ support. Critical care medicine is practiced in critical care units (ICUs) or intensive care units of hospitals. The goal of critical care is to prevent further deterioration of the patient's condition, to support failing organs, and to treat any underlying conditions that may have caused the patient to become critically ill.

Critical care involves a multidisciplinary team approach, including intensivists (specialist doctors trained in critical care), nurses, respiratory therapists, pharmacists, and other healthcare professionals. The care provided in the ICU is highly specialized and often involves advanced medical technology such as mechanical ventilation, dialysis, and continuous renal replacement therapy.

Patients who require critical care may have a wide range of conditions, including severe infections, respiratory failure, cardiovascular instability, neurological emergencies, and multi-organ dysfunction syndrome (MODS). Critical care is an essential component of modern healthcare and has significantly improved the outcomes of critically ill patients.

A Trauma Center is a hospital that has specialized resources and capabilities to provide comprehensive care for severely injured patients. It is a designated facility that has met strict criteria established by the American College of Surgeons (ACS) and/or state or regional trauma systems. These criteria include having a dedicated trauma team, available 24/7, with specially trained healthcare professionals who can promptly assess, resuscitate, operate, and provide critical care to patients suffering from traumatic injuries.

Trauma centers are categorized into levels (I-V), based on the resources and capabilities they offer. Level I trauma centers have the highest level of resources and are capable of providing comprehensive care for all types of traumatic injuries, including conducting research and offering education in trauma care. In contrast, lower-level trauma centers may not have the same extent of resources but still provide essential trauma care services to their communities.

The primary goal of a trauma center is to ensure that severely injured patients receive prompt, high-quality care to minimize the risk of complications, reduce long-term disability, and improve overall outcomes.

An Intensive Care Unit (ICU) is a specialized hospital department that provides continuous monitoring and advanced life support for critically ill patients. The ICU is equipped with sophisticated technology and staffed by highly trained healthcare professionals, including intensivists, nurses, respiratory therapists, and other specialists.

Patients in the ICU may require mechanical ventilation, invasive monitoring, vasoactive medications, and other advanced interventions due to conditions such as severe infections, trauma, cardiac arrest, respiratory failure, or post-surgical complications. The goal of the ICU is to stabilize patients' condition, prevent further complications, and support organ function while the underlying illness is treated.

ICUs may be organized into different units based on the type of care provided, such as medical, surgical, cardiac, neurological, or pediatric ICUs. The length of stay in the ICU can vary widely depending on the patient's condition and response to treatment.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.

Another composer on the project was Shingo Yasumoto, who had worked on Persona 3 for Atlus and multiple games for Grasshopper ... Trauma Center: Second Opinion is a simulation video game developed by Atlus for the Wii. The second entry in the Trauma Center ... "Trauma Center: Second Opinion - What Is Trauma Center". Atlus. Archived from the original on 2008-02-05. Retrieved 2018-11-05. ... Second Opinion is the second game in the Trauma Center series and the first produced for the Wii. Following the release of the ...
PMID 23662602.{{cite journal}}: CS1 maint: multiple names: authors list (link) Cooper; et al. (2013). "Minority trauma patients ... S2CID 35366355.{{cite journal}}: CS1 maint: multiple names: authors list (link) "Trauma Quality Improvement Program (TQIP)". ... The Trauma Quality Improvement Program (TQIP) was initiated in 2008 by the American College of Surgeons Committee on Trauma. ... The Major Trauma Outcome Study (MTOS) of 1982-1989 subsequently established the national standards for trauma care. The MTOS ...
Progress may require multiple sessions and is reviewed frequently. In a systematic review on psychotherapies targeting PTSD, ... that targets children and adolescents with trauma experiences, including sexual trauma. It aims to reduce trauma symptoms and ... 2012). Trauma-focused cognitive behavioral therapy for children affected by sexual abuse or trauma. Washington, DC: U.S. ... "About Trauma-Focused Cognitive Behavior Therapy (TF-CBT)". Trauma-Focused Cognitive Behavioral Therapy. Retrieved 2021-03-31. ...
... interested in trauma, but no longer interested in multiple personality, had switched their allegiance. "Unfortunately," Barach ... "Journal of Trauma & Dissociation". Retrieved January 20, 2012. Ross, C. A. (2009). "Errors of Logic and Scholarship Concerning ... The US-based ISSTD was officially formed in 1984 under the name of the International Society for the Study of Multiple ... In the 1980s, the ISSMP&D, the International Society for the Study of Multiple Personality and Dissociation, grouped clinicians ...
While multiple operation types are carried over from Trauma Center: Under the Knife, different operations such as skin grafts ... It is the fourth game in the Trauma Center series and a direct sequel to Trauma Center: Under the Knife (2005). Set three years ... Trauma Center: Under the Knife 2 is a 2008 simulation video game developed by Vanguard for the Nintendo DS (DS), and published ... While Trauma Center series composer Kenichi Tsuchiya was contacted about working on Under the Knife 2, his other work at the ...
S2CID 7468554.{{cite journal}}: CS1 maint: multiple names: authors list (link) Briere, J. (2011). Trauma Symptom Inventory-2 ... "Evaluation of the Swedish Trauma Symptom Inventory-2 in a clinical and a student population". European Journal of Trauma & ... The Trauma Symptom Inventory (TSI) is a psychological evaluation/assessment instrument that taps symptoms of Posttraumatic ... Briere, J. (1995). Trauma Symptom Inventory professional manual. Psychological Assessment Resources. Elhai, J. D., Gray, M. J ...
Official website 39°17′17″N 76°37′28″W / 39.28806°N 76.62444°W / 39.28806; -76.62444 (CS1 maint: multiple names: authors ... R Adams Cowley Shock Trauma Center (also referred to simply as Shock Trauma) is a free-standing trauma hospital in Baltimore, ... Shock Trauma was founded by R Adams Cowley, considered the father and major innovator of trauma medicine. While serving in the ... "Shock Trauma Center Fact Sheet" (PDF). R Adams Cowley Shock Trauma Center. Archived (PDF) from the original on 29 March 2020. ...
CS1 maint: multiple names: authors list, Wikipedia articles with style issues from November 2021, All articles with style ... "Trauma among children who are victims of violence". WHO: Regional Office for Africa. Archived from the original on 2021-10-07. ... Childhood trauma can entail a wide variety of experiences including death, divorce, violence, sexual abuse, illness and others ... Childhood trauma affects vulnerability to different forms of psychopathology and traits associated with it. Parental behaviors ...
CS1 maint: multiple names: authors list, Articles with short description, Short description matches Wikidata, Deception, Trauma ... Betrayal trauma is defined as a trauma perpetrated by someone with whom the victim is close to and reliant upon for support and ... Low betrayal trauma (LBT) are conceptualized as no less severe than high betrayal trauma (HBT), yet are posited to lack the ... Some trauma victims deploy a protective response such as dissociation or repression to block awareness of the trauma. BTT ...
Bombay, Amy; Matheson, Kim; Anisman, Hymie (2009). "Intergenerational Trauma: Convergence of Multiple Processes among First ... Symptoms of racial trauma can arise at any age, but the symptoms of racial trauma seem to differ across the lifespan. A 2020 ... "Racial Trauma in the Lives of Black Children and Adolescents". Journal of Child & Adolescent Trauma. 4: 123-141. 2011. doi: ... When an individual experiences racism, they can develop racial trauma. Racial trauma can be caused by racial discrimination and ...
Articles with multiple maintenance issues, Use mdy dates from October 2023, Trauma types, Media coverage and representation, ... and intrusive images of the trauma. As research on vicarious trauma has expanded, researchers and journalists have begun to ... "Is Viewing Mass Trauma Television Coverage Associated With Trauma Reactions in Adults and Youth? A Meta‐Analytic Review". ... Research on vicarious trauma has focused on how mental health providers, medical workers, and first responders respond to the ...
During this study, new paramedic students were evaluated based on multiple factors. These factors included things like: their ... Trauma in first responders refers to the psychological trauma experienced by first responders, such as police officers, ... REGEHR, CHERYL (2005-02-16). "Bringing the Trauma Home: Spouses of Paramedics". Journal of Loss and Trauma. 10 (2): 97-114. doi ... Furthermore, Police Complex Spiral Trauma (PCST) addresses the cumulative effect of trauma experienced by police officers over ...
Most patients presenting to trauma centers have multiple injuries involving different organ systems, so the care of such ... Courses in the UK for aspiring trauma surgeons include the [[advanced trauma life support and Definitive Surgical Trauma Skills ... Archived 2019-08-24 at the Wayback Machine a website dedicated to trauma National foundation for Trauma Care (CS1 ... major association of trauma surgeons in the US. "Trauma and orthopaedics Course - NHS". "Trauma and orthopaedics - Royal ...
Prolonged inflammation may cause multiple organ dysfunction syndrome or systemic inflammatory response syndrome. Immediately ... chest trauma, 10%, abdominal trauma, and 2%, extremity trauma. Various scales exist to provide a quantifiable metric to measure ... About half of trauma deaths are in people aged between 15 and 45 years and trauma is the leading cause of death in this age ... Major trauma is any injury that has the potential to cause prolonged disability or death. There are many causes of major trauma ...
... a retrospective study using multiple logistic regression analysis". Auris Nasus Larynx. 28 (2): 117-120. doi:10.1016/S0385-8146 ... "Acoustic trauma - What is an acoustic trauma? , Learn more!". Retrieved 2020-11-12. SpeakerMasters (2019-04-04 ... "Acoustic trauma: MedlinePlus Medical Encyclopedia". Retrieved 2020-11-12. "Acute acoustic trauma , Evidence- ... There are various treatment methods available depending on how severe the acoustic trauma is. Acoustic trauma cannot be ...
Furthermore, elderly people frequently take multiple medications for control of various diseases and conditions. The side ... Committee on Trauma, American College of Surgeons (2008). "Chapter 10: Extremes of Age". ATLS: Advanced Trauma Life Support ... One significant problem in the acute assessment of geriatric trauma patients is under-triage. Trauma team activation (TTA) must ... 2008). "Chapter 48: Geriatric Trauma". The Trauma Manual (3rd ed.). Philadelphia: Lippincott Williams & Wilkins. pp. 524-32. ...
Medical trauma may occur as a response to a single or multiple medical events. In children, they are still developing cognitive ... Children who experience trauma but also experience healthy attachment with multiple groups of people (in essence, adults, peers ... Complex trauma occurs from exposure to multiple and repetitive episodes of victimization or other traumatic events. Individuals ... to multiple forms of trauma often display a wide range of difficulties compared to those who have only had one of few trauma ...
"Trauma-Informed Pedagogy , Barnard College". Retrieved 2023-02-08. (CS1 maint: multiple names: authors list, ... Recognizing the signs of trauma, having a system which can Respond to trauma, and Resisting re-traumatization." Trauma-informed ... Trauma-informed pedagogy stemmed from trauma-informed care during the 1970s. TI care was first implemented by doctors with ... For teachers to be able to apply trauma-informed teaching they must first be able to recognize early signs of trauma in ...
Most trauma centers have multiple tiers, meaning not every member of a trauma team needs to respond to every emergency. Trauma ... "The Trauma Team". Retrieved 2019-08-24. Pickard, Gina; Price, Lisa (2013). Trauma Activation Guidelines. Texas ... Trauma (Moore)). McGraw-Hill Professional. ISBN 978-0-07-166351-9. - Trauma Team (CS1 maint: location missing ... Trauma teams are assessed in multiple ways: by video, simulators, and third party observers. All three are used to identify ...
Psychological Trauma: Theory, Research, Practice and Policy. 28 (2): 441-462.{{cite journal}}: CS1 maint: multiple names: ... Feminist theory argues that betrayal trauma is inherently different from single-incident trauma, mainly because betrayal trauma ... In psychology, Trauma-informed feminist therapy is a model of trauma for both men and women that incorporates the client's ... Trauma-informed feminist therapy encourages therapists to take an eclectic approach to trauma treatment, allowing the service ...
... a method for describing patients with multiple injuries and evaluating emergency care". The Journal of Trauma. Lippincott ... Blunt trauma Riot control Stab vest Personal protective equipment Baker, S.P.; B. O'Neill; W. Haddon Jr; W.B. Long (1974). "The ... Blunt trauma PPE generally involves a balance between protection and function; some compromises can be made in the protection ... Blunt trauma personal protective equipment (PPE) protects the wearer against injuries caused by blunt impacts. For law ...
... a method for describing patients with multiple injuries and evaluating emergency care". The Journal of Trauma. 14 (3): 187-96. ... Blunt trauma Blast injury Geriatric trauma Penetrating trauma Pediatric Advanced Life Support Dickinson E, Limmer D, O'Keefe MF ... Trauma in children, also known as pediatric trauma, refers to a traumatic injury that happens to an infant, child or adolescent ... "Pediatric Trauma at an Adult Trauma Center" (PDF). Søreide, Kjetil; Krüger, Andreas J.; Ellingsen, Christian L.; ...
A shattered kidney is one with multiple lacerations and an associated fragmentation of the kidney tissue. The small intestine ... People with abdominal trauma frequently need CT scans for other trauma (for example, head or chest CT); in these cases ... While penetrating abdominal trauma (PAT) is usually diagnosed based on clinical signs, diagnosis of blunt abdominal trauma is ... Fabian TC, Bee TK (2004). "Liver and biliary trauma". In Moore EJ, Feliciano DV, Mattox KL (eds.). Trauma. New York: McGraw- ...
It is crucial to monitor medication half-lives and potential harmful interactions when taking multiple medications. " ... Psychological trauma in adults who are older (usually more than 60 years), is the overall prevalence and occurrence of trauma ... The term psychological trauma is sometimes hereinafter referred to as trauma). This should not be confused with geriatric ... Adulthood-based trauma considerations introduce the complexity of the interaction between an older adult's trauma presentation ...
Each operation tasks players with curing the patient of one or multiple ailments within a time limit. Operations take place ... Trauma Center: Under the Knife is a simulation video game developed by Atlus for the Nintendo DS. The debut entry in the Trauma ... the direct sequel Trauma Center: Under the Knife 2, released in 2008 for the DS; and Trauma Team for the Wii in 2010. A remake ... Trauma Center is set in a near future Earth of 2018, where medical science has advanced to the point that previously major ...
... is serious and altering physical injury experienced by the skin or multiple layers of epithelial tissues. This can ... Pearson, AS; Wolford, RW (2000). "Management of skin trauma". Primary Care: Clinics in Office Practice. 27 (2): 475-492. doi: ...
Psychologists of religion have performed multiple studies to measure the positive and negative effects of this coping style. ... Religious trauma syndrome Spiritual crisis Pargament, K. I. (1997). The psychology of religion and coping: Theory, research, ... One of the most common ways that people cope with trauma is through the comfort found in religious or spiritual practices. ... Research also shows that people also use religious coping to deal with everyday stressors in addition to life-changing traumas ...
While foster care placements are intended to be temporary, multiple placements often occur because of a child's multifaceted ... Betrayal trauma occurs when youth are exposed to traumatic events by parents, caregivers, or legal guardians and is processed ... Youth exposed to trauma experience low self-esteem, high self-criticism, shame, difficulties in forming and maintaining ... Ninety percent of foster care youth are exposed to trauma with the most common type of maltreatment being neglect or abuse. ...
... multiple myeloma; or trauma. A normal thoracic spine extends from the 1st thoracic to the 12th thoracic vertebra and should ...
Vallier HA, Wang X, Moore TA, Wilber JH, Como JJ (2013). "Timing of orthopaedic surgery in multiple trauma patients; ... Early appropriate care (EAC) is a system in orthopaedic trauma surgery aiming to identify serious major trauma patients and ... All articles with unsourced statements, Articles with unsourced statements from February 2022, Traumatology, Trauma surgery). ... parts of the Trauma triad of death) would also be indications for DCO with external fixation.[citation needed] Early total care ...

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