Acute and chronic (see also BRAIN INJURIES, CHRONIC) injuries to the brain, including the cerebral hemispheres, CEREBELLUM, and BRAIN STEM. Clinical manifestations depend on the nature of injury. Diffuse trauma to the brain is frequently associated with DIFFUSE AXONAL INJURY or COMA, POST-TRAUMATIC. Localized injuries may be associated with NEUROBEHAVIORAL MANIFESTATIONS; HEMIPARESIS, or other focal neurologic deficits.
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
A plant genus of the family RANUNCULACEAE that contains protoanemonin, anemonin, and ranunculin.
Method of analyzing chemicals using automation.
Conditions characterized by persistent brain damage or dysfunction as sequelae of cranial trauma. This disorder may result from DIFFUSE AXONAL INJURY; INTRACRANIAL HEMORRHAGES; BRAIN EDEMA; and other conditions. Clinical features may include DEMENTIA; focal neurologic deficits; PERSISTENT VEGETATIVE STATE; AKINETIC MUTISM; or COMA.
Elements of limited time intervals, contributing to particular results or situations.
Liquid chromatographic techniques which feature high inlet pressures, high sensitivity, and high speed.
Systemic inflammatory response syndrome with a proven or suspected infectious etiology. When sepsis is associated with organ dysfunction distant from the site of infection, it is called severe sepsis. When sepsis is accompanied by HYPOTENSION despite adequate fluid infusion, it is called SEPTIC SHOCK.
Infection of the lung often accompanied by inflammation.
Inflammation of the lung parenchyma that is caused by bacterial infections.
Statements of goals for the delivery of health services pertaining to the Health Systems Agency service area, established under PL 93-641, and consistent with national guidelines for health planning.
The restoration to life or consciousness of one apparently dead. (Dorland, 27th ed)
Diversion of the flow of blood from the pulmonary veins directly to the aorta, avoiding the left atrium and the left ventricle (Dorland, 27th ed). This is a temporary procedure usually performed to assist other surgical procedures.
The artificial substitution of heart and lung action as indicated for HEART ARREST resulting from electric shock, DROWNING, respiratory arrest, or other causes. The two major components of cardiopulmonary resuscitation are artificial ventilation (RESPIRATION, ARTIFICIAL) and closed-chest CARDIAC MASSAGE.
Specialized hospital facilities which provide diagnostic and therapeutic services for trauma patients.
Volume of circulating BLOOD. It is the sum of the PLASMA VOLUME and ERYTHROCYTE VOLUME.
Therapy whose basic objective is to restore the volume and composition of the body fluids to normal with respect to WATER-ELECTROLYTE BALANCE. Fluids may be administered intravenously, orally, by intermittent gavage, or by HYPODERMOCLYSIS.
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.
A theorem in probability theory named for Thomas Bayes (1702-1761). In epidemiology, it is used to obtain the probability of disease in a group of people with some characteristic on the basis of the overall rate of that disease and of the likelihood of that characteristic in healthy and diseased individuals. The most familiar application is in clinical decision analysis where it is used for estimating the probability of a particular diagnosis given the appearance of some symptoms or test result.
Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.
Systems for assessing, classifying, and coding injuries. These systems are used in medical records, surveillance systems, and state and national registries to aid in the collection and reporting of trauma.
Injuries caused by impact with a blunt object where there is no penetration of the skin.
Multiple physical insults or injuries occurring simultaneously.
An acquired organic mental disorder with loss of intellectual abilities of sufficient severity to interfere with social or occupational functioning. The dysfunction is multifaceted and involves memory, behavior, personality, judgment, attention, spatial relations, language, abstract thought, and other executive functions. The intellectual decline is usually progressive, and initially spares the level of consciousness.
A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)
A large collection of DNA fragments cloned (CLONING, MOLECULAR) from a given organism, tissue, organ, or cell type. It may contain complete genomic sequences (GENOMIC LIBRARY) or complementary DNA sequences, the latter being formed from messenger RNA and lacking intron sequences.
Amino acids with uncharged R groups or side chains.
A family of neurotransmitter transporter proteins that facilitate NEUROTRANSMITTER reuptake into PRESYNAPTIC TERMINALS. They may play a role in regulating the intensity and duration of neurotransmission.

Use of ultrasonography in the patient with acute renal trauma. (1/646)

The purpose of this study was to assess the use of emergent ultrasonographic examination in acute traumatic renal injuries. Over a 3 year period, prospective data of all patients who had an emergency ultrasonogram were recorded. Thirty-two patients with 37 renal injuries were studied retrospectively to identify in how many patients the sonogram detected free fluid or a renal parenchymal abnormality. Free fluid in the abdomen was identified in 19 of 32 patients (59%). However, 12 of these 19 patients had concomitant injury, such as splenic rupture requiring splenectomy, severe liver lacerations, or bowel lacerations requiring repair, that were possible causes of the free fluid. Eliminating these patients, only seven of 20 patients with isolated renal injuries had free fluid in the abdomen (35%), whereas 13 of 20 patients (65%) had no evidence of free fluid. All seven patients with free fluid had moderate or severe renal injuries. Renal parenchymal abnormalities were identified on ultrasonograms in eight of 37 (22%) of injured kidneys. The abnormalities were detected more commonly in cases of severe injury (60%). In conclusion, acute injuries of the kidney from blunt abdominal trauma often are associated with significant splenic, hepatic, or bowel trauma. Isolated renal injuries frequently occur without the presence of free fluid in the abdomen. Furthermore, the ultrasonogram of the kidney often is normal with acute renal injuries, but it is more likely to be abnormal with severe (grade II or greater) renal injuries. Sonography may be used in the triage of patients with blunt abdominal trauma and possible renal injury. However, a negative ultrasonogram does not exclude renal injury, and, depending on clinical and laboratory findings, other imaging procedures such as computed tomography should be performed.  (+info)

Employment of trauma and injury severity score and a severity characterization of trauma in the outcome evaluation of trauma care and their research advances. (2/646)

OBJECTIVE: To review the application of trauma and injury severity score (TRISS) and a severity characterization of trauma (ASCOT) in the outcome evaluation of trauma care and their research advances. DATA SOURCES: Both Chinese- and English-language literature searched by using MEDLINE/CD-ROM (1985-1996) and Index of Chinese-Language Literature (1985-1996). STUDY SELECTION: Over fifty papers and reviews published over the past ten years were selected. RESULTS AND CONCLUSION: TRISS can be employed for different purposes, that is, preliminary outcome-based evaluation (PRE) and definitive outcome-based evaluation (DEF). TRISS is a method which is now the most extensively used for the outcome evaluation of trauma. Even so, it still has some shortcomings, e.g., trauma can not be given the weights that should be given, and the section of age is too simple. ASCOT is also a physiologic and anatomic combined method for the evaluation of injury severity and outcome. To some extent, this method obviates the shortcomings of TRISS in the calculation of probability of survival (Ps) with injury severity score (ISS). Therefore, ASCOT is considered to be superior to TRISS in the evaluation of Ps. However, TRISS is still now more extensively used than ASCOT just because ASCOT was recently developed.  (+info)

Relation of a TNF gene polymorphism to severe sepsis in trauma patients. (3/646)

OBJECTIVE: To investigate the relation of the biallelic Nco1 restriction fragment length polymorphism in the first intron of the tumor necrosis factor (TNF) beta gene with the development of severe sepsis in multiply injured patients. SUMMARY BACKGROUND DATA: The biallelic Nco1 polymorphism of the TNFbeta gene has been described to be associated with autoimmune diseases and with the mortality rate in severe sepsis. Therefore, the Nco1 polymorphism may be associated with the clinical finding that despite comparable risk factors, posttraumatic sepsis develops in some patients but not others. METHODS: The study group consisted of 110 patients with severe blunt trauma (Injury Severity Score > or = 17). Typing of each patient for the biallelic Nco1 polymorphism was performed by analyzing restriction fragments of an Nco1-digested DNA fragment obtained using polymerase chain reaction. Genotypes were then related to the occurrence of severe posttraumatic sepsis and TNFalpha serum concentrations. RESULTS: Fifty-seven patients showed an uncomplicated posttraumatic recovery, and severe sepsis developed in 53 patients. The overall allele frequency (TNFB1 0.29, TNFB2 0.71) and genotype distribution (TNFB1 homozygous 7.3%, TNFB1/TNFB2 42.7%, TNFB2 homozygous 50%) were in agreement with the distribution in healthy volunteers. Genotype distribution in patients with an uncomplicated clinical course was significantly different from that in patients with severe posttraumatic sepsis. Development of severe posttraumatic sepsis was significantly increased in patients homozygous for the allele TNFB2. In patients with severe posttraumatic sepsis, TNFalpha serum concentrations were significantly higher in TNFB2-homozygous individuals compared with heterozygous and TNFB1 -homozygous individuals. The age- and injury-matched odds ratio for the homozygous TNFB2 genotype compared with the heterozygous genotype was 5.22 (p = 0.007, 95% confidence interval 1.6 to 17.9). CONCLUSIONS: In multiply injured patients, the Nco1 polymorphism within the TNFbeta gene is associated with the development of severe posttraumatic sepsis and with increased TNFalpha serum levels when severe sepsis has occurred. This suggests a genetic determination of the individual inflammatory response after infection or tissue damage, which significantly influences susceptibility to severe nosocomial infections.  (+info)

The effect of recall on estimation of incidence rates for injury in Ghana. (4/646)

BACKGROUND: Injury is a major public health problem in many developing countries. Due to limitations of vital registry and health service data, surveys are an important tool to obtain information about injury in these countries. The value of such surveys can be limited by incomplete recall. The most appropriate recall period to use in surveys on injury in developing countries has not been well addressed. METHODS: A household survey of injury in Ghana was conducted. Estimated annual non-fatal injury incidence rates were calculated for 12 recall periods (1-12 months prior to the interview, with each successively longer period including the preceding shorter periods). RESULTS: There was a notable decline in the estimated rate from 27.6 per 100 per year for a one-month recall period to 7.6 per 100 per year for a 12-month recall period (72% decline). The extent of this decline was not influenced by age, gender, rural versus urban location, nor by type of respondent (in-person versus proxy). Rate of decline was influenced by severity of injury. Injuries resulting in <7 days of disability showed an 86% decline in estimated rates from a one-month to a 12-month recall period, whereas injuries resulting in > or =30 days of disability showed minimal decline. CONCLUSIONS: In this setting, longer recall periods significantly underestimate the injury rate compared to shorter recall periods. Shorter recall periods (1-3 months) should be used when calculating the overall non-fatal injury incidence rate. However, longer recall periods (12 months) may be safely used to obtain information on the more severe, but less frequent, injuries.  (+info)

Local mitochondrial function following traumatic brain injury in rats. (5/646)

The effect of lateral fluid percussion injury on mitochondrial function in the rat brain was investigated by quantitative imaging of changes in the regional activity of succinate dehydrogenase (SDH), a mitochondrial enzyme of the tricarboxylic acid cycle for adenosine triphosphate production. Regional SDH was measured in the frontal, parietal, temporal, and occipital cortices, CA1 and CA2-3 of the hippocampus, thalamus, corpus callosum, caudate/putamen, and cerebellum 1 hour and 72 hours after low, medium, and high pressure injury. No regional difference between the hemispheres in the activity of SDH was observed in the sham group. The hippocampus showed high SDH activity. The CA2-3 regions showed the highest activity among the regions examined. The corpus callosum, which is white matter, showed the lowest. One hour after low pressure fluid percussion injury, only the frontal lobe showed significantly lower SDH activity than the sham control in the ipsilateral hemisphere, whereas after 72 hours SDH activity was significantly lower in the frontal, parietal, and temporal lobes. SDH activity was significantly lower in the frontal, parietal, and temporal lobes in the medium and high pressure injury groups than in the sham control 1 hour after injury, and SDH activity in the CA1 and CA2-3 of the hippocampus was significantly decreased 72 hours after injury. No decrease in SDH activity was observed in any region of the contralateral hemisphere either 1 hour or 72 hours after injury. Mitochondrial dysfunction of the ipsilateral cortex and hippocampus following fluid percussion injury is correlated with the severity of injury and advances with time after injury. The results suggest that progression of mitochondrial dysfunction is associated with secondary bioenergetic deterioration.  (+info)

Decision analytic approach to severe head injury management. (6/646)

Severe head injury management in the intensive care unit is extremely challenging due to the complex domain, the uncertain intervention efficacies, and the time-critical setting. We adopt a decision analytic approach to automate the management process. We document our experience in building a simplified influence diagram that involves about 3000 numerical parameters. We identify the inherent problems in structuring a model with unclear domain relationships, numerous interacting variables, and real-time multiple inputs. We analyze the effectiveness and limitations of the decision analytic approach and present a set of desiderata for effective knowledge acquisition in this setting. We also propose a semi-qualitative approach to parameter elicitation.  (+info)

Air bags and ocular injuries. (7/646)

PURPOSE: This investigation retrospectively examined ocular injuries associated with air bag deployment to gain a better appreciation of potential risk factors in motor vehicle accidents. National statistics regarding the efficacy of air bags were reviewed. METHODS: Review of the literature from 1991 to 1998 identified 44 articles describing 97 patients with air-bag-induced ocular injuries. Variables extracted from each case were age, sex, height, position in the car, eye wear, vehicle impact speed, visual acuity, and specific ocular injuries. RESULTS: Corneal abrasions occurred in 49% of occupants, hyphemas in 43%, vitreous or retinal hemorrhages in 25%, and retinal tears or detachments in 15%. The globe was ruptured in 10 patients. Patients involved in higher-speed accidents (over 30 mph) sustained a greater percentage of vitreous or retinal hemorrhages and traumatic cataracts, while those at slower speeds were more prone to retinal tears or detachments. In a subset of 14 patients with serious ocular injuries, the impact speed of 11 patients was recorded at 30 mph or less. Slower speed may be a risk factor for some ocular injuries. Occupant height was not a significant factor. National statistics confirm that air bags reduce fatalities in motor vehicle accidents. However, children sitting in the front seat without a seat belt and infants in passenger-side rear-facing car seats are at risk for fatal injury. CONCLUSION: Air bags combined with seat belts are an effective means of reducing injury and death in adults during motor vehicle accidents. However, this study has documented a wide variety of ocular injuries associated with air bag deployment. It is hoped that researchers can develop modifications that continue to save lives while minimizing additional harm.  (+info)

The devastating potential of blunt vertebral arterial injuries. (8/646)

OBJECTIVE: To formulate management guidelines for blunt vertebral arterial injury (BVI). SUMMARY BACKGROUND DATA: Compared with carotid arterial injuries, BVIs have been considered innocuous. Although screening for BVI has been advocated, particularly in patients with cervical spine injuries, the appropriate therapy of lesions is controversial. METHODS: In 1996 an aggressive arteriographic screening protocol for blunt cerebrovascular injuries was initiated. A prospective database of all screened patients has been maintained. Analysis of injury mechanisms and patterns, BVI grades, treatment, and outcomes was performed. RESULTS: Thirty-eight patients (0.53% of blunt trauma admissions) were diagnosed with 47 BVIs during a 3.5-year period. Motor vehicle crash was the most common mechanism, and associated injuries were common. Cervical spine injuries were present in 71% of patients, but there was no predilection for cervical vertebral level or fracture pattern. The incidence of posterior circulation stroke was 24%, and the BVI-attributable death rate was 8%. Stroke incidence and neurologic outcome were independent of BVI injury grade. In patients treated with systemic heparin, fewer overall had a poor neurologic outcome, and fewer had a poor outcome after stroke. Trends associated with heparin therapy included fewer injuries progressing to a higher injury grade, fewer patients in whom stroke developed, and fewer patients deteriorating neurologically from diagnosis to discharge. CONCLUSIONS: Blunt vertebral arterial injuries are more common than previously reported. Screening patients based on injury mechanisms and patterns will diagnose asymptomatic injuries, allowing the institution of therapy before stroke. Systemic anticoagulation appears to be effective therapy: it is associated with improved neurologic outcome in patients with and without stroke, and it appears to prevent progression to a higher injury grade, stroke, and deterioration in neurologic status.  (+info)

Characterization of injury severity is crucial to the scientific study of trauma, yet the actual measurement of injury severity began only 50 years ago. In 1969, researchers developed the Abbreviated Injury Scale (AIS) to grade the severity of individual injuries.
To introduce the Hemorrhage Intensive Severity and Survivability (HISS) score, based on the fusion of multi-biomarker data; glucose, lactate, pH, potassium, and oxygen tension, to serve as a patient-specific attribute in hemorrhagic trauma. One hundred instances of Sensible Fictitious Rationalized Patient (SFRP) data were synthetically generated and the HISS score assigned by five clinically active physician experts (100 [5]). The HISS score stratifies the criticality of the trauma patient as; low(0), guarded(1), elevated(2), high(3) and severe(4). Standard classifier algorithms; linear support vector machine (SVM-L), multi-class ensemble bagged decision tree (EBDT), artificial neural network with bayesian regularization (ANN:BR) and possibility rule-based using function approximation (PRBF) were evaluated for their potential to similarly classify and predict a HISS score. SVM-L, EBDT, ANN:BR and PRBF generated score predictions with testing accuracies (majority vote) corresponding to 0.91 ± 0.06, 0.93
Pediatric Trauma Score answers are found in the Calculators powered by Unbound Medicine. Available for iPhone, iPad, Android, and Web.
Comparisons of Patient Severity Indices: 10.4018/978-1-61520-905-7.ch012: In this section, we will briefly discuss two methods of ranking patient severity. The first method we consider is the AHRQ comorbidities, which is a
This revised trauma score calculator is one of the physiological scoring systems and assesses the severity and outcome of traumatic injuries in triage.
Apply ATLS/APLS protocol: primary survey to exclude life-threatening injuries, secondary survey, re-evaluation and definitive care.
The new model has enabled us to include most of the cases that were excluded under the TRISSs inclusion criteria, less missing data are incurred and the predictive performance was significantly better than that of the TRISS model as shown by the AROC curves.
Layer prosciutto slices in a medium skillet over medium heat for 30 seconds. Flip once and cook an additional 20-30 seconds or until crispy. Set aside.. Arrange fruit slices on a plate, top with a bunch of arugula, and 1/4 of the prosciutto. Drizzle with dressing, and sprinkle with pine nuts.. **Wild arugula is a svelter version of regular arugula and has a slightly more peppery flavor; it can be found in most organic stores such as Whole Foods. Of course, regular arugula can be substituted ...
Adel Hamed Elbaih1, Islam Mohamed Elshabowry1, Nancy Gharib Kalil2, Hamdy El-Aouty2 1) Department of Emergency, Faculty of Medicine, Suez Canal U...
Regions Hospital is Minnesotas first Level 1 Pediatric Trauma Center. Our expert, specially trained team can care for your childs most serious injuries.
Wstęp: Urazy pozostają główną przyczyną zgonów u osób poniżej 45. r.ż. Jedną czwartą wszystkich urazów stanowią urazy jamy brzusznej. Skale kliniczne stosowane w urazach są niezbędne dla oceny ich ciężkości i wcześniejszego zorganizowania środków w oczekiwaniu na przyjazd chorego. |br /|Cel: Celem badania była ocena zastosowania skal RTS, ISS, CASS i TRISS w urazach tępych jamy brzusznej.|br /|Materiały i metody: Przeprowadzono prospektywne jednoośrodkowe badanie kliniczne na 43 pacjentach z urazem tępym jamy brzusznej. Obliczono wyniki w: skali oceny ciężkości urazów (RTS), skali oceny ciężkości mnogich obrażeń ciała (ISS), klinicznej skali oceny jamy brzusznej (CASS) oraz w skali ciężkości urazu i obrażeń (TRISS), a także porównano je z punktami końcowymi, takimi jak: potrzeba leczenia zabiegowego, powikłania pooperacyjne i zgon.|br /|Wyniki: W niniejszym badaniu większość stanowili mężczyźni (83,7%). Uraz jamy brzusznej był głównie wynikiem
Objective : To validate the TRISS method as an audit system on a group of patients with severe trauma admitted to an Italian general intensive care unit ICU. Design : Prospective, cohort study of consecutive admissions to the ICU. Setting : A 6-bed general ICU in a 500-bed general hospital. Patients : 190 patients with severe trauma admitted...
Now that we finally have our casting pick for Netflixs The Witcher television series Triss Merigold, its the perfect time to celebrate the character from the beloved fantasy franchise even more through some incredible cosplay!View this post on InstagramWorking around the clock to get Several [...]
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The Injury Severity Score (ISS) is an established medical score to assess trauma severity. It correlates with mortality, morbidity and hospitalization time after trauma. It is used to define the term major trauma. A major trauma (or polytrauma) is defined as the Injury Severity Score being greater than 15. The AIS Committee of the Association for the Advancement of Automotive Medicine (AAAM) designed and improves upon the scale. The Abbreviated Injury Scale (AIS) is an anatomically based consensus-derived global severity scoring system that classifies each injury in every body region according to its relative severity on a six-point ordinal scale: Minor Moderate Serious Severe Critical Maximal (currently untreatable). There are nine AIS chapters corresponding to nine body regions: Head Face Neck Thorax Abdomen Spine Upper Extremity Lower Extremity External and other. The ISS is based (see below) upon the Abbreviated Injury Scale (AIS). To calculate an ISS for an injured person, the body is ...
UH Rainbow Babies & Childrens Hospital has received re-verification as a Level I pediatric trauma center from the American College of Surgeons (ACS) Committee on Trauma (COT). UH Rainbow Babies & Childrens Hospital has been a continuously verified Level I pediatric trauma center for more than two decades, and is the only designated Level I pediatric trauma center in northern Ohio.. We are proud to once again be recognized as a Level I pediatric trauma center by the American College of Surgeons Committee on Trauma, said Mike Dingeldein, MD, Medical Director of the pediatric trauma center at UH Rainbow Babies & Childrens Hospital.. A Level I pediatric trauma center offers the highest level of trauma care across the continuum from injury prevention through rehabilitation. At UH Rainbow Babies & Childrens Hospital, board-certified trauma surgeons, supported by pediatric nurses and a pediatric emergency department team specially trained in the care of injured children, are all ready to respond ...
Section 515.2045 Level II Pediatric Trauma Center a) The Level II Pediatric Trauma Director shall advise the Trauma Center Medical Director and shall be a member of the Regional Trauma Advisory Board. b) The Pediatric Trauma Center Medical Director shall be board certified in pediatric surgery or be a general surgeon, with at least two years of experience in pediatric trauma care, and have 10 hours per year of trauma-related CME, and 24-hour independent operating privileges, as evidenced by either: 1) responsibility for 50 pediatric trauma cases per year; or 2) both: A) responsibility for 10 percent of the total number of pediatric trauma cases at the trauma center per year; and B) ongoing involvement in pediatric trauma care. c) The trauma center shall provide a pediatric trauma service separate from the general surgery service. The pediatric trauma service shall be staffed by pediatric trauma surgeons who have one year of experience in trauma, who have 24-hour independent operating privileges, ...
The incidence of open globe injuries decreased in the US from 2006 to 2014, according to a recent study published in |em|JAMA Ophthalmology. |/em||br /|  
GERE VE Y NTEM: 2010 ila 2011 y llar aras nda Rasht, Poursina Hastanesi ne kabul edilmi 352 ya l travma hastas n n kay tlar nda yap lm enine kesit al mas d r. Hastan n prognozuna ili kin ROC analizini kullanarak yaralanmay skorlama sistemleri zg ll k, duyarl l k ve kesim de erleri a s ndan kar la t r ld ...
TY - JOUR. T1 - Improving outcomes in pediatric trauma care. T2 - Essential characteristics of the trauma center. AU - Knudson, M. Margaret. AU - McGrath, Jennifer. PY - 2007/12. Y1 - 2007/12. N2 - The best outcome after pediatric injury can be anticipated when the entire trauma team is prepared, knowledgeable, and appreciative of the unique aspects of pediatric trauma and pays strict attention to all aspects of the care of the injured child. Five aspects should be considered essential elements in the delivery of care by any trauma team: preparation, equipment, and training; prevention of secondary insults after brain injury; the ability to recognize when nonoperative therapy should not be attempted or when it should be abandoned; consideration of the psychological impact of injury on a child; and, the role of trauma centers in injury prevention. Each of these areas encompasses important unanswered questions.. AB - The best outcome after pediatric injury can be anticipated when the entire trauma ...
LOWELL -- A woman who appeared to be in her 20s was flown to a Boston trauma center with potentially life-threatening injuries after she was struck by a Toyota Corolla on Stevens Street Monday night.
Firefighters had to extricate a worker who suffered life-threatening injuries after his arm became trapped inside a large machine near Woodstock.
Erkan Oymac , Murat Kapka , Yavuz U ar, Hikmet Ertan, Emin zdedeli, Yaman Tokat. The Effects Of Gunshot And Shotgun Wounds To Mortality And Morbidity. Ulus Travma Acil Cerrahi Derg. 1997; 3(2): 132- ...
Trauma is the primary cause of mortality and morbidity in the pediatric population. Great efforts have been made to educate the public on many safety issues. However, unintentional injury and death rates in children remain high. Pediatric trauma should be considered a preventable disease. In caring for the injured child, it is imperative that the healthcare provider consider the unique anatomic and physiologic parameters of children. These factors predispose the child to unique patterns of injury as well as unique resuscitative requirements. This course will focus on the patterns of childhood trauma and measures to reduce the mortality and morbidity of these devastating injuries.
People who experience an accident or other trauma can find specialized care in the regions only level I trauma center at USA Health University Hospital in Mobile, Ala.
NICK BLACKWELL is desperate that Eduard Gutknecht can follow his lead and make a full recovery after he was rushed to hospital following his bout with George Groves.
Im looking around and Im getting really sleepy, University of Houston cornerback D.J. Hayden recounted to The Morning Journal s Jeff Schudel during Februarys NFL Scouting Combine...
The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin. We support a shared mission of patient care, innovation, medical research and education. Our health network includes eight hospital locations, nearly 2,000 physicians and more than 45 health centers and clinics. We operate eastern Wisconsins only academic medical center and adult Level I Trauma Center at Froedtert Hospital, Milwaukee. It is an internationally recognized training and research center engaged in thousands of clinical trials and studies.. ...
The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin. We support a shared mission of patient care, innovation, medical research and education. Our health network includes eight hospital locations, nearly 2,000 physicians and more than 45 health centers and clinics. We operate eastern Wisconsins only academic medical center and adult Level I Trauma Center at Froedtert Hospital, Milwaukee. It is an internationally recognized training and research center engaged in thousands of clinical trials and studies.. ...
Background: Anatomy-based injury severity scores are commonly used with physiological scores for reporting severity of injury in a standardized manner. However, there is lack of consensus on choice of scoring system, with the commonly used injury severity score (ISS) performing poorly for certain sub-groups, eg head-injured patients. We hypothesized that adding a dichotomous variable for polytrauma (yes/no for Abbreviated Injury Scale (AIS) scores of 3 or more in at least two body regions) to the New Injury Severity Score (NISS) would improve the prediction of in-hospital mortality in injured patients, including head-injured patients-a subgroup that has a disproportionately high mortality. Our secondary hypothesis was that the ISS over-estimates the risk of death in polytrauma patients, while the NISS under-estimates it. Methods: Univariate and multivariable analysis was performed on retrospective cohort data of blunt injured patients aged 18 and over with an ISS over 9 from the Singapore ...
Background: Trauma is the leading cause of death in the developed world. In Mulago hospital, it is the single most common indication for admission in the surgical wards. The Kampala Trauma Score II , recommended for use in resource poor setting is a modification of the Injury Severity Score and the Revised Trauma Score and it compares well with the New Injury Severity Score. Objective of this study was to determine the diagnostic accuracy of admission venous lactate levels for injury severity and predict early outcome. Methods: This was a mixed design study with both a cross-sectional design to determine injury severity and prospective cohort design to predict early outcome. A total of 502 trauma patients were conveniently and consecutively recruited daily over a period of 2 months from the A and E department of Mulago Hospital. Pre-resuscitation venous lactate levels were determined on arrival to the emergency department and the patient concurrently given a KTS II score .Admitted patients were ...
In this study, we found that the trauma volume of our regional trauma center was appropriate, comparable to that in level I trauma centers in the US. The American College of Surgeons Committee on Trauma criteria for level I trauma center verification include an annual number of at least 1,200 patients, of which at least 240 must have an ISS ,15 [8]. Before the establishment of the regional trauma center, there were about 250 patients with severe trauma (ISS ,15) annually in GMC Trauma Center. Previous studies have shown that the establishment of a designated trauma center and the centralization of the management of severely injured patients can result in better outcomes [5,9]. Therefore, an increased patient volume after trauma center establishment could help in fulfilling the purpose of the plan. In addition, an increasing rate of direct transportation of severely injured patients via emergency medical services (EMS) was observed in this study. In one study from Korea, the proportion of ...
Vol 15: Successful Conviction of Intoxicated Drivers at a Level I Trauma Center.. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
SAVANNAH, Ga. - Savannah Chatham Metro Police Department is currently investigating a shooting that left one person with life-threatening injuries. Just after 11:00 p.m. SCMPD reported a shooting at the McDonalds located at the corner of Abercorn Street and Apache Avenue. One male was shot and currently faces life-threatening injuries. First responders are currently on-scene […]
Methods We conducted a retrospective cohort validation study of 40 418 patients with injury using a large regional trauma registry. ICDPIC-generated AIS scores for each body region were compared with trauma registry AIS scores (gold standard) in adult and paediatric populations. A separate analysis was conducted among patients with traumatic brain injury (TBI) comparing the ICDPIC tool with ICD-9-CM embedded severity codes. Performance in characterising overall injury severity, by the ISS, was also assessed.. ...
Objectives 1. To understand the incidence and epidemiology of pediatric trauma. 2. To understand pediatric anatomic and physiologic factors relevant to pediatric trauma resuscitation. 3. To understand the current approach to management of pediatric solid organ injury 3
Investigators are asking for the publics help locating a suspect in an assault that left a victim with life-threatening injuries last week in the Mission District, according to San Francisco Police.. The assault occurred at the intersection of 16th and Valencia streets around 2:12 a.m. Sunday, March 27.. The suspect was seen headed east toward Mission Street with two women. They crossed from the south side of 16th Street to the north side of the street near Julian Avenue, according to police.. He was described as a Latino man, roughly 25 to 30 years old, wearing a light blue t-shirt. The women involved are also persons of interest, police said.. Investigators are asking anyone who knows the identity of the suspect or may have been near the scene of the crime and observed suspicious activity to call Sgt. Benzinger at (415) 558-5400 during business hours.. ...
BACKGROUND: The state of Floridas trauma system is organized into seven regions, two of which lack designated pediatric trauma centers. Injured children residing in these regions often require transfer out of their home region for definitive care. The purpose of this study was to evaluate the effectiveness and efficiency of the current regionalization approach, focusing on variations between regions. METHODS: Using the Florida Agency for Health Care Administration database, we identified all trauma patients 15 years old or younger admitted between 2009 and 2014. Patients with high-risk injury (ICD-9 Injury Severity Score < 0.85) who did not receive definitive treatment at a pediatric trauma center (PTC) were considered undertriaged. Outcomes of interest included mortality and long-term disability. Patients who were definitively treated at a facility outside their home region, but who had low risk injuries (ICD-9 Injury Severity Score > 0.9), required no procedures or ICU monitoring, and were ...
The regionalization of trauma care, the Emergency Medical Treatment and Active Labor Act of 1986, the advent of Accountable Care Organizations and bundled payments have brought Level 1 trauma centers (TC) to a new crossroads. By protocol, injured patients are preferentially transferred to designated TCs when a higher level of care is indicated. Trauma transfers frequently come during off hours and may not always appear to be related to injury severity. Based on this observation, we hypothesized patients transferred from regional hospitals to Level 1 TCs would have lower injury severity scores (ISS) and unfavorable payor status. We queried our TC registry to identify trauma transfers (TTP) and primary trauma patients (PTP) treated at our level 1 TC between 2004 and 2012. Demographics, payor status, length of stay (LOS), injury severity score (ISS), and discharging service were compared. 5699 TTP and 11147 PTP were identified. Uninsured patients comprised 11 % (n = 602) of TTP compared with 15 % ...
Trauma research - UT Trauma & Emergency Surgery, Department of Surgery - UT School of Medicine San Antonio. In partnership with University Health System, UT Trauma provides physician services to a 22-county region Level I Trauma Center, including pediatric trauma.
BACKGROUND: Pediatric unintentional falls are the leading cause of injury-related emergency visits for children , 5 years old. The purpose of this study was to identify population characteristics, injury mechanisms, and injury severities and patterns among children , 5 years to better inform age-appropriate falls prevention strategies. METHODS: This retrospective database study used trauma registry data from the lead pediatric trauma system in Georgia. Data were analyzed for all patients , 5 years with an international classification of disease, 9th revision, clinical modification (ICD-9 CM) external cause of injury code (E-code) for unintentional falls between 1/1/2013 and 12/31/2015. Age (months) was compared across categories of demographic variables, injury mechanisms, and emergency department (ED) disposition using Kruskal-Wallis ANOVA and the Mann Whitney U test. The relationships between demographic variables, mechanism of injury (MOI), and Injury Severity Score (ISS) were evaluated using ...
Atıf İçin Kopyala Tok O. Y. , TÖK L. , ERASLAN E., Ozkaya D. , ÖRNEK F., Bardak Y. JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, cilt.71, ss.1794-1800, 2011 (SCI İndekslerine Giren Dergi) ...
Pain management information for pain medicine healthcare professionals in treating and caring for their patients. Clinical Pain Advisor offers news, case studies and more.
The goal of this study is to guide further policy development regarding effective alcohol screening by: (a) comparing the effectiveness of two new, shorter screening tools for risky drinking patterns with the longer screening tool in current use; (b) assessing the outcomes of two different brief counseling interventions (BIs) with trauma patients screened to have risky drinking behaviors; and (c) examining the impact of the implementation of this new policy in a Level I Trauma Center.. The Specific Aims will be accomplished by:. ...
Diana Kraus, RN, Manager of the Level One Trauma Program at St. Louis Childrens Hospital, helps differentiate between an adult and pediatric trauma program, explaining the different services required to provide quality care to a child.. ...
Diana Kraus, RN, Manager of the Level One Trauma Program at St. Louis Childrens Hospital, helps differentiate between an adult and pediatric trauma program, explaining the different services required to provide quality care to a child.. ...
As a level I pediatric trauma center, we are committed to providing the best pediatric trauma care possible. If you have an immediate concern about the care of a patient, please call 215-590-CHOP (215-590-2467) to discuss the situation with the trauma control physician, who is a pediatric emergency medicine physician trained and experienced in pediatric trauma care.. ...
Transfusion requirements in septic shock (TRISS) trial - comparing the effects and safety of liberal versus restrictive red blood cell transfusion in septic shock patients in the ICU: protocol for a randomised controlled ...
Naik-Mathuria BJ, Rosenfeld EH, Gosain A, Burd R, Falcone RA, Thakkar R, Gaines B, Mooney D, Escobar M, Jafri M, Stallion A, Klinkner DB, Russell R, Campbell B, Burke RV, Upperman J, Juang D, St Peter S, Fenton SJ, Beaudin M, Wills H, Vogel A, Polites S, Pattyn A, Leeper C, Veras LV, Maizlin I, Thaker S, Smith A, Waddell M, Drews J, Gilmore J, Armstrong L, Sandler A, Moody S, Behrens B, Carmant L. Proposed clinical pathway for nonoperative management of high-grade pediatric pancreatic injuries based on a multicenter analysis: A pediatric trauma society collaborative. J Trauma Acute Care Surg. 2017 10; 83(4):589-596 ...
Ask anyone on the front lines of emergency medicine and theyll tell you, teamwork is essential to a patients survival. It requires lots of training, trust, collaboration and education. Thats why, for the past 15 years, OSF HealthCare Saint Anthony Medical Center, a Level I Trauma Center, has hosted an annual Trauma Symposium. The most rec...
The article by Nathens et al found that lack of insurance was an independent predictor for transfer to a trauma center after adjusting for differences in injury severity. An injury severity score of 36 represents a patient that has sustained life-threatening polytrauma and should be transferred to a Level 1 trauma center ...
Sitting on the Bakersfield bench with the puck still entangled in his gear from the damaging play, Bunz felt as if something in his throat had collapsed. Having difficulty breathing and speaking, Bunz was immediately given a steroid injection to ease the swelling. Minutes later, when Bunz began coughing up blood, he was rushed to a hospital in Bakersfield and then sent about an hour and a half away to Fresno, where ear, nose and throat specialists would better explain the extent of his career-threatening injury ...
Its not whether you get knocked down, its whether you get up. A trusty sports adage, good for any circumstance. The game is cruelly binary in its
Jun 27, 2020 , Upcoming Events. Brain Injury Association of the Ottawa Valley Annual General Meeting Brain Injury Association of the Ottawa Valleys ONLINE Annual General Meeting 2020 is on Tuesday June 2, 2020 at 5:00 pm. Click here at the meeting time to join the meeting ...
HypothesisFemale sex imparts a survival benefit after traumatic injury in children.Design, Setting, and PatientsReview of patients (aged 0-17 years) included in
The severity levels of brain injuries ranges from mild to moderate through moderate to severe. View this video to learn more about brain injury severity.
Westchester Medical Center is a Level I trauma center. At Westchester Medical Center, three helicopters bring patients from a roughly 100-mile radius serving 3.
F 703-761-0755. For Brain Injury Information Only 1-800-444-6443. © 2020 Brain Injury Association of America. All Rights Reserved.. LEGAL NOTICES. ...
SAN ANTONIO, June 15 /PRNewswire-USNewswire/ -- National Trauma Institute Seeks Trauma Studies Eligible for $2.8 Million in Research Funding.
BIASL offers Dual Membership with the Ontario Brain Injury Association for $30.00 a year for ABI survivors the membership may be subsidized for $5/ year. Fill in and drop off or mail membership to BIASL 1705 London Line, Sarnia, ON N7W ...
By maximally using relevant available positive evidence, the Mayo system classifies a larger number of cases than single indicator systems with reasonable accuracy. This system may be of use in retrospective research and for determination of TBI severity for planning postacute clinical care.
2 Answers - Posted in: skin, recovery, scar - Answer: Hi, last year, i spilled boiling water on to my hand. I lost all the skin ...
1 Which of the following is NOT a high risk factor for life-threatening injury in trauma? (a) GCS |13 (b) Falls 2m or more (c) Two or more proximal
Selecting the right bath bench for your situation can help you or your loved ones prevent life-threatening injuries due to falls in the bathroom - something that happens thousands of times a day across the world.. Bathing is a necessary part of everyones life. However, it happens to be one of the most dangerous activities that someone with limited mobility (due to age or disability) has to complete on a regular basis. Choosing the right tub bench is a very important task.. ...
So...Ive been working on a trauma unit (not ER) for the past three years. I have floated to ICU several times with mostly good experiences (except last night...looooong story :eek:), they almost
My husband had a severe injury to his back 15 years ago (L3 through S1 are involved). 10 years ago, he had a laminectomy - Answered by a verified Neurologist
I just got hired this week at a trauma ICU as an RN in a level 1 trauma center. My training with a preceptor is only 6-8 weeks. Can anyone provide me with any tips? I have already bought AACN
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MENS risk-taking behaviour ensures they are far more likely than women to be involved in major trauma incidents, new figures show.
... trauma severity indices MeSH G03.850.520.308.940.984 - nursing records MeSH G03.850.520.308.970 - registries MeSH G03.850. ...
... trauma severity indices MeSH N05.715.360.300.715.500.800.100 - abbreviated injury scale MeSH N05.715.360.300.715.500.800.325 - ... injury severity score MeSH N05.715.360.300.715.550 - nursing records MeSH N05.715.360.300.715.700 - registries MeSH N05.715. ...
... trauma severity indices MeSH L01.280.900.968.875.125 - abbreviated injury scale MeSH L01.280.900.968.875.250 - glasgow coma ... scale MeSH L01.280.900.968.875.260 - glasgow outcome scale MeSH L01.280.900.968.875.500 - injury severity score MeSH L01.280. ...
... trauma severity indices MeSH N04.452.859.564.800.125 - abbreviated injury scale MeSH N04.452.859.564.800.250 - glasgow coma ... trauma centers MeSH N04.452.442.422.374 - hospital food service MeSH N04.452.442.422.412 - hospital housekeeping MeSH N04.452. ... scale MeSH N04.452.859.564.800.260 - glasgow outcome scale MeSH N04.452.859.564.800.500 - injury severity score MeSH N04.452. ...
... trauma severity indices MeSH E05.318.308.940.968.875.125 - abbreviated injury scale MeSH E05.318.308.940.968.875.250 - glasgow ... severity of illness index MeSH E05.318.308.250.475.547.500 - karnofsky performance status MeSH E05.318.308.250.475.730 - ... coma scale MeSH E05.318.308.940.968.875.260 - glasgow outcome scale MeSH E05.318.308.940.968.875.500 - injury severity score ...
Norrholm, S.; Jovanovic, Tanja (2011). "Translational fear inhibition models as indices of trauma-related psychopathology". ... "Posttraumatic stress disorder may be associated with impaired fear inhibition: relation to symptom severity". Psychiatry ... "Fear extinction in traumatized civilians with posttraumatic stress disorder: relation to symptom severity". Biological ...
Norrholm, S.; Jovanovic, Tanja (2011). "Translational fear inhibition models as indices of trauma-related psychopathology". ... relation to symptom severity". Psychiatry Research. 167 (1-2): 151-160. doi:10.1016/j.psychres.2007.12.014. PMC 2713500. PMID ... relation to symptom severity". Biological Psychiatry. 69 (6): 556-563. doi:10.1016/j.biopsych.2010.09.013. PMC 3052965. PMID ...
Molar Hypomineralisation Severity Index (MHSI): This set of criteria has been developed to address deficiencies in indices ... Trauma to primary incisors resulting in discolouration of permanent incisors. Administration of tetracycline during pregnancy ... There is currently a lack of standardisation in the scoring system and severity indices used to record the diagnosis of MIH. ... "Distribution and severity of molar hypomineralisation: trial of a new severity index". International Journal of Paediatric ...
The uncertainty of these results would somewhat complicate the doctors judgment about the factual level of severity of the ... Sharabiani, M.; Aylin, P.; Bottle, A. (2012). "Systematic review of comorbidity indices for administrative data". Medical Care ... This score has been tested and validated extensively in the trauma population, demonstrating good correlation with mortality, ... comorbidity can be evaluated as of moderate severity (16 out of 36 points), however its prognostic value is unclear, because of ...
Triggers are sets of events or actions that can remind someone of a previous trauma. This could lead that person to have an ... Standardized rating scales can be used to screen for social anxiety disorder and measure the severity of anxiety. Blushing is a ... weakly associated with blushing as measured by physiological indices such as temperature and blood flow to the cheeks and ... Age, culture, and gender impact the severity of this disorder. The function of social anxiety is to increase arousal and ...
... axonal injury is a common occurrence in both focal as well as diffuse brain trauma and can be found in TBI of all severities [ ... that correlate with currently available and commonly accepted TBI patient outcome indices (such as Glasgow Outcome Scale [GOS] ... 2) The biomarker levels must be elevated in various forms and/or severities of human TBI in the acute phase (3-24 h post-injury ... Due to the extended length of axonal fiber tracks, axons are particularly vulnerable to physical trauma to the brain. Thus, ...
Using this method patient S's, age 73, comorbidity can be evaluated as of moderate severity (16 out of 36 points), however its ... In addition, a systematic review and comparative analysis shows that among various comorbidities indices, Elixhauser index is a ... This score has been tested and validated extensively in the trauma population, demonstrating good correlation with mortality, ... The uncertainty of these results would somewhat complicate the doctors judgment about the factual level of severity of the ...
It also contains 3 validity indices, similar to the MMPI. However, while useful, this inventory is now out of print.[16] ... The Suicide Intent Scale (SIS) was developed in order to assess the severity of suicide attempts. The scale consists of 15 ... trans-generational trauma, and high rates of alcoholism.[23] A link may be identified between depression and stress, and ... Completed suicides ranked higher in the severity of the logistics than attempted suicides (it was impossible to measure intent ...
Orthodontic indices can be useful for an epidemiologist to analyse prevalence and severity of malocclusion in any population.[ ... 4.f Increased and complete overbite with gingival or palatal trauma 4.g Less extensive hypodontia requiring pre-restorative ... Orthodontic indicesEdit. Orthodontic indices are one of the few tools that are available for orthodontists to grade and assess ... "An Overview of Orthodontic Indices".. *^ a b MASSLER, M.; FRANKEL, J. M. Prevalence of malocclusion in children aged 14 to 18 ...
To reduce the severity of these reactions, pirfenidone is to be taken after meals. Pirfenidone is known to cause ... Coadjuvant treatment with surgery and pirfenidone in severe facial trauma due to dog bite. The journal of Craniofacial Surgery ... pirfenidone displays a systemic antifibrotic activity and has been shown to reduce biochemical and histopathological indices of ...
The type and severity of neuropsychiatric symptoms also varies significantly between patients, with 33% of patients reporting ... Prolonged suppression leads to inadequate responses to physical and emotional stresses, such as illness and trauma. Suppression ... Anticoagulants Anticoagulants exhibit variable interactions; monitoring coagulation indices is recommended to achieve the ...
D. Occlusal trauma In 2018 a new classification of periodontal disease was announced. It was determined that the previous AAP ... Indices such as periodontal screening record (PSR) and the Community Periodontal Index of Treatment Needs (CPITN) are also used ... Treatment is determined on the severity of the disease and the age of the patient. Usually supra gingival (above gums) and sub ... Therefore, pathogenic bacteria are able to destruct the periodontal tissues more rapidly and escalate the severity of disease.[ ...
Nasalance measurements as outcome indices for palatal lift management: lift in versus lift out. Journal of Medical Speech- ... or trauma can necessitate the fabrication of successive palatal lift prostheses that may be deemed too costly and/or time ... depending upon its severity, can render speakers difficult to understand or unintelligible. The potential for compromised ...
These traumas may also be isolated or associated with other facial trauma. Luxation injury and root fractures of teeth can ... Moreover, the severity of tooth mobility caused by bruxism also varies depending on the teeth grinding pattern and intensity of ... ISBN 9780443068959.CS1 maint: extra text: authors list (link) Dental Indices. In Marya, CM, editor. A Textbook of Public Health ... Occlusal trauma occurs when excessive force is put on teeth. With periodontal disease there can be irreversible trauma to teeth ...
In fact, whereas the reduction in time domain measures of HRV seemed to parallel the severity of the disease, the relationship ... Işler Y, Kuntalp M (October 2007). "Combining classical HRV indices with wavelet entropy measures improves to performance in ... "Analysis of heart rate variability in posttraumatic stress disorder patients in response to a trauma-related reminder". ... suggesting disease severity influences HRV. Different ranges of HRV can be observed between cancer types. Interventions that ...
Symptoms vary in severity, even in the same disorder, and the frequency of complications varies. Some people have negligible ... Henderson F (2015). "Indices of Cranio-vertebral Instability". Funded Research. Chiari & Syringomyelia Foundation. Archived ... In vascular EDS, signs of chest or abdominal pain are considered trauma situations. Cannabinoids and medical marijuana have ... EDS may be far more common than the currently accepted estimate due to the wide range of severities with which the disorder ...
August 1985). "Prediction of severity in acute pancreatitis: prospective comparison of three prognostic indices". Lancet. 2 ( ... The mnemonic GETSMASHED is often used to remember the common causes of pancreatitis: G-gallstones, E-ethanol, T-trauma, S- ... The physical examination will vary depending on severity and presence of internal bleeding. Blood pressure may be elevated by ... Several scoring systems are used to predict the severity of an attack of pancreatitis. They each combine demographic and ...
Tracheal and laryngeal trauma leading to an intubation granuloma are caused by traumas during the intubation processes, ... Furthermore, granuloma severity can be determined using screening images of laryngoscopy and graded in accordance to Farwell's ... "Ultrasonographic Estimation of Endotracheal Tube Size in Paediatric Patients and its Comparison with Physical Indices Based ... Intubation granuloma is a benign growth of granulation tissue in the larynx or trachea, which arises from tissue trauma due to ...
The severity of the 1997 Central Texas tornado outbreak was predicated on an unusual spatial and temporal alignment of weather ... Other metrics and indices used to diagnose tornado potential, such as the Energy Helicity Index, storm-relative helicity, and ... Most of the deaths were attributed in the Morbidity and Mortality Weekly Report to multiple trauma, though one death was ... The Jarrell tornado damage was classified as F5 severity throughout most of the tornado's path. However, a critique of the ...
A new instrument, the Occupational Depression Inventory (ODI), quantifies the severity of work-attributed depressive symptoms ... and Unspecified Trauma- and Stressor-Related Disorder in some cases reflect the condition. The Royal Dutch Medical Association ... Calculating and interpreting statistical indices. Psychological Methods, 21, 137-150. ...
A higher share of women than of men are poor, women undergo greater depth or severity of poverty than men, women are likely to ... Often aggregate indices are criticized for their concentration on monetary issues, especially when data on women's income is ... Trauma. 15 (3-4): 155-178. doi:10.1080/10926770802097327. S2CID 143872427.(subscription required) Stillwaggon E (2008). "Race, ... The first two are gendered- indices, in that they specifically gather data on women to evaluate gender inequalities, and are ...
Trauma Score and the Injury Severity Score". The Journal of Trauma. 27 (4): 370-378. doi:10.1097/00005373-198704000-00005. PMID ... The reason these indices of fit are referred to as pseudo R² is that they do not represent the proportionate reduction in error ... For example, the Trauma and Injury Severity Score (TRISS), which is widely used to predict mortality in injured patients, was ... Four of the most commonly used indices and one less commonly used one are examined on this page: Likelihood ratio R²L Cox and ...
Bovine colostrum can be used to reduce the duration and severity of infections so it can be a useful tool to include in the ... Failure of homeostasis due to trauma, drugs and infectious microbes not only damages the gut but can lead to influx of damaging ... 6-week bovine colostrum supplementation maintains performance and attenuates inflammatory indices following a Loughborough ...
The IPCC Fifth Assessment Report had stated in September of the same year that "Time series of cyclone indices such as power ... As the storm continued to approach the country, warnings expanded into Luzon and increased in severity for eastern areas. By ... Julie Hall noted that while many survivors requiring medical attention in the first week suffer from trauma and fractures, the ... Typhoon Haiyan has been acknowledged as a sort of "trauma milestone" for mental health awareness in the Philippines - where ...
Paper-based indices involve one or more of a variety of methods of responding. In some experiments, subjects are required to ... Broken homes, childhood trauma, lack of parenting and many other factors can influence the connections in the brain which a ... Activity in this area was inversely related to symptom severity in the social domain, suggesting that a dysfunctional mirror ... Some research has also found that empathy can be disrupted due to trauma in the brain such as a stroke. In most cases, empathy ...
The amount of plaque present is inconsistent with the amount and severity of tissue destruction [26][27] but with a high plaque ... Schaeken, M. J.; Creugers, T. J.; Van der Hoeven, J. S. (September 1987). "Relationship between dental plaque indices and ... The amount of bacteria is out of proportion to the severity of periodontal tissue destruction.[15] ... depending on the severity of the disease.[32] There may be a combination of vertical and horizontal bone loss defects.[32] ...
Finally, sexual trauma is a major risk factor for IBS, with as many as 33% of those affected reporting such abuse. Because ... Reducing stress may reduce the frequency and severity of IBS symptoms. Techniques that may be helpful include: Relaxation ... and also affecting coeliac diagnostic indices.3,4 Misdiagnosis of intestinal diseases can lead to secondary problems such as ... Studies of females with IBS show symptom severity often fluctuates with the menstrual cycle, suggesting hormonal differences ...
It also plays a significant role in half of trauma deaths. Findings on the frequency of each level of severity vary based on ... Copplestone, S; Welbourne, J (February 2018). "A narrative review of the clinical application of pressure reactiviy indices in ... Coma, as it is closely related to severity, is a strong predictor of poor outcome. Prognosis differs depending on the severity ... ISBN 978-0-7817-6135-2. Smith DH, Meaney DF, Shull WH (2003). "Diffuse axonal injury in head trauma". Journal of Head Trauma ...
Trauma severity indices / Trauma severity scores Restrepo-Álvarez, Camilo Andrés; Valderrama-Molina, Carlos Oliver; Giraldo- ... several methods have been developed to help determine injury severity and obtain accurate prognoses in trauma patients. Trauma ... There is a wide range of severity scores used in trauma patients for anticipating clinically significant outcomes with varying ... To conduct a review of the most relevant literature on trauma and to make a description of each of the scoring tools, focusing ...
A retrospective review of the medical records of blunt trauma patients with sternal fracture admitted to a level 1 trauma ... Trauma Severity Indices * Wounds, Nonpenetrating / classification * Wounds, Nonpenetrating / diagnosis* Substances * Isoenzymes ... A retrospective review of the medical records of blunt trauma patients with sternal fracture admitted to a level 1 trauma ... Sternal fractures in blunt chest trauma: a practical algorithm for management Am J Emerg Med. 1997 May;15(3):252-5. doi: ...
Trauma severity indices. Glasgow Coma score. Outcome assessment. mortality. computer models. decision modeling. linear models. ...
Trauma Severity Indices. Chemical. Reg. No./Substance: 0/Biological Markers; 0/Macrophage Migration-Inhibitory Factors; 0/ ...
Trauma Severity Indices. 3. 2018. 474. 0.820. Why? Hip Dislocation. 2. 2017. 194. 0.820. Why? ...
Injury severity; Trauma severity indices; ICDPIC; Occupational injuries; Workers compensation; Work disability ... Injury severity should be considered as a potential confounder for occupational injury intervention, program evaluation, or ... PURPOSE: Acute work-related trauma is a leading cause of death and disability among US workers. The research objectives were to ... For a subset of 4,301 claims linked to the Washington State Trauma Registry (WTR), there was moderate agreement between WC- ...
Field triage helps to determine the severity of injury and identify patients with poorer prognosis and affects how and where ... A key component of field triage for patients with suspected blunt head trauma is level of consciousness assessment, which is ... 13 to facilities providing the highest level of trauma care. ... rapidly triage care for individuals who have undergone trauma ... exp Trauma Severity Indices/ (26003). *((glasgow adj3 coma*) or tgcs or mgcs or gcs).mp. [mp=title, abstract, original title, ...
Two new burn severity indices. Journal of trauma, 1983, 23:1023-9. ... Clinical assessment of the wound: site affected, total surface area burnt (TSAB), degree, depth, severity, complications. ... depth and severity of the burn wound; flame burns tended to cause mixed second and third degree, deep and severe burns. A ... depth and severity of the burn wound, delay in seeking medical care and occurrence of inhalation burns. ...
Algorithms, Emergency medical services, Quality assurance, Trauma centers, Trauma severity indices Persistent URL ... An Injury Severity Score (ISS) ≥ 18 was recorded in 41 cases. 69 ABC stabilizing interventions were identified by the forum for ... Frankema, S.P.G, Edwards, M.J.R, & van Vugt, A.B. (2002). Quantifying the quality of extra- and intramural trauma care on an ... Quantifying the quality of extra- and intramural trauma care on an individual basis: A pilot study. Publication. Publication. ...
... trauma severity indices, injury severity score, Cuba ... clinical indicators of severity GCS ,8 points (severe trauma),[ ... Working Group on Multiple Trauma of the German Society of Trauma. Mortality in severely injured elderly trauma patients when ... J Head Trauma Rehabil. 2010 Mar Apr;25(2):72 80. 2. Kissinger DB. Traumatic brain injury and employment outcomes: Integration ... Validation of the Simplifi ed Motor Score for the prediction of brain injury outcomes after trauma. Ann Emerg Med. 2007 Jul;50( ...
... trauma severity indices MeSH G03.850.520.308.940.984 - nursing records MeSH G03.850.520.308.970 - registries MeSH G03.850. ...
... trauma severity indices MeSH N05.715.360.300.715.500.800.100 - abbreviated injury scale MeSH N05.715.360.300.715.500.800.325 - ... injury severity score MeSH N05.715.360.300.715.550 - nursing records MeSH N05.715.360.300.715.700 - registries MeSH N05.715. ...
The new RISC II model consists of the following predictors: worst and second-worst injury (AIS severity level), head injury, ... has used the Revised Injury Severity Classification (RISC) score for outcome adjustment since 2003. In recent years, however, ... Trunkey DD, Siegel J, Baker SP, Gennarelli TA: Panel: Current status of trauma severity indices. J Trauma. 1983, 23: 185-201. ... New Injury Severity Score; RISC (II), Revised Injury Severity Classification (II); TRISS, Trauma and Injury Severity Score. ...
How can you tell when a young child has recovered from the trauma of a car accident? This study used an alternative algorithm ... With respect to other risk factors, the relationship between trauma severity indices and PTSD-AA was mainly limited to the 6- ... Baseline parent posttraumatic stress relating to the childs trauma, and not trauma severity, was correlated with optimal- ... Finally, it is essential to identify early demographic, trauma severity, and familial predictors of PTSD/PTSD-AA. These data ...
The primary aims of trauma resuscitation are to restore intravascular volume and to optimize both organ perfusion and tissue ... Trauma is a leading cause of pediatric morbidity and mortality. ... Comparison of indices of traumatic brain injury severity as ... Trauma is a leading cause of pediatric morbidity and mortality. The primary aims of trauma resuscitation are to restore ... Wetzel RC, Burns RC (2002) Multiple trauma in children: critical care overview. Crit Care Med 30:S468-S477PubMedCrossRefGoogle ...
Energy expenditure and severity of injury and illness indices in multiple trauma patients. Crit Care Med 1999;27(12):2684-2689. ... 4.3.5 Monitoring of the severity of pulmonary disease36,37 and evaluating the response to therapy, especially therapies ... Prognostic value of different dead space indices in mechanically ventilated patients with acute lung injury and ARDS. Chest ... Reliability of the arterial to end-tidal carbon dioxide gradient in mechanically ventilated patients with multisystem trauma. J ...
Trauma Severity Indices. en_US. dc.subject.mesh. Equipment Design. en_US. ...
Brain Injuries; Humans; Prognosis; Trauma Severity Indices Main Research Area: Medical science Publication Status: Published ...
Multiple Trauma/etiology , Multiple Trauma/therapy , Glasgow Coma Scale , Survival Analysis , Trauma Severity Indices , ... Emergencies , Emergency Medical Services , Emergency Service, Hospital , Korea , Trauma Centers , Trauma Severity Indices ... Trauma Centers/statistics & numerical data , Trauma Severity Indices , Wounds, Nonpenetrating/diagnosis ... Trauma Centers , Trauma Severity Indices , Triage , Wounds and Injuries ...
Trauma Severity Indices, Abdominal Injuries, Brain Injuries, Cardiopulmonary Resuscitation, Hemorrhage, Shock, Heart Failure, ...
J Trauma. 1990 Nov;30(11):1356-65. Research Support, U.S. Govt, P.H.S. ... Trauma Severity Indices. *United States/epidemiology. *Wounds and Injuries/diagnosis. *Wounds and Injuries/epidemiology ... J Trauma. 1990 Nov;30(11):1356-65.. The Major Trauma Outcome Study: establishing national norms for trauma care.. Champion HR1 ... The Major Trauma Outcome Study (MTOS) is a retrospective descriptive study of injury severity and outcome coordinated through ...
The purpose of this study was to develop a model for predicting in-hospital trauma deaths based on this method and to compare ... using data from the National Trauma Data Bank (NTDB). They evaluated discrimination using area under the receiver operating ... its performance with the ICD-9-based Injury Severity Score (ICISS). Methods: The authors used Bayesian logistic regression to ... International classification of diseases; Predictive value of tests; Survival rate; Trauma severity indices ...
Trauma Severity Indices*. LinkOut - more resources. Full Text Sources. *Atypon - PDF. Medical. * ... To develop a single TBI severity classification system based on commonly used TBI severity measures and indicators that (1) ... The mayo classification system for traumatic brain injury severity.. Malec JF1, Brown AW, Leibson CL, Flaada JT, Mandrekar JN, ... Single measures of TBI severity were not available in a large percentage of these events, i.e., Glasgow Coma Scale (GCS) was ...
Trauma Severity Indices Adrenergic beta-Antagonists Burns Propranolol Cardiovascular Diseases Pediatrics Safety ...
Indices, Trauma Severity Severity Index, Trauma Severity Indexes, Trauma Severity Indices, Trauma Trauma Severity Index Trauma ... Trauma Severity. Indices, Trauma Severity. Severity Index, Trauma. Severity Indexes, Trauma. Severity Indices, Trauma. Trauma ... Trauma Severity Indices Entry term(s). Index, Trauma Severity Indexes, Trauma Severity ... Trauma Severity Indices - Preferred Concept UI. M0023944. Scope note. Systems for assessing, classifying, and coding injuries. ...
Trauma Severity Indices",. author = "Shih-Chi Wu and Tzu-Liang Chen and Hui-Han Lin and Chih-Yuan Fu and Yu-Chun Wang and Hung- ... Extracorporeal life support in pulmonary failure after trauma (1999) J Trauma, 46, pp. 638-645; Wolf, M.J., Chanani, N.K., ... Extracorporeal life support in pulmonary failure after trauma (1999) J Trauma, 46, pp. 638-645; Wolf, M.J., Chanani, N.K., ... 29-32; Ried, M., Bein, T., Philipp, A., M{u}ller, T., Graf, B., Schmid, C., Extracorporeal lung support in trauma patients ...
Trauma Severity Indices. 1. 2016. 120. 0.180. Why? Endotoxins. 2. 2014. 250 ...
Trauma Severity Indices , Injury Severity Score , Spain , Algorithms , Adult , Female , Aged , Retrospective Studies , Software ... Trauma Severity Indices , Brain Injuries - diagnosis , Injury Severity Score , Brain , Care and treatment , Research , Injuries ... 5. Full Text The thorax trauma severity score and the trauma and injury severity score: Do they predict in-hospital mortality ... The penetrating abdominal trauma index (PATI) and the injury severity score (ISS) are severity-measures most often used to ...
Trauma Severity Indices (1) * Glasgow Coma Scale (1) * Injury Severity Score (1) ...
  • The causes of the injuries included penetrating gunshot wounds (GSW) in five patients and motor vehicle accidents (blunt trauma) in three patients. (
  • Determine the value of admission results (clinical, laboratory and imaging) and severity scales, for predicting mortality in traumatic brain injury patients. (
  • Severe trauma has serious consequences for the victims with a still considerable mortality rate and often long-lasting physical and mental problems for the survivors. (
  • Therefore, improvement of quality of care and reduction of mortality and morbidity in severe trauma cases is an important aim of health care policy. (
  • Trauma is a leading cause of pediatric morbidity and mortality. (
  • Backrounds: Multiple traumas are a leading cause of mortality among young adults worldwide. (
  • The aim of the current study is to determine the independent prognostic factors of mortality in cases with thoracic trauma (isolated or with accompanying organ injuries) who were admitted to the intensive care unit (ICU). (
  • Multivariate regression analyses were also performed, in which every increment in age was associated with a 1.025-fold increase in the odds of mortality due to thoracic trauma. (
  • Conclusion: Results of this study indicate that advanced age, the presence of pulmonary contusion, and accompanying central nervous system trauma are independent predictors of mortality in patients with thoracic trauma in the ICU. (
  • The AUC-ROC for mortality for Trauma and Injury Severity Score (TRISS) was AUC: 0,922 (95% CI: 0.899 0.946). (
  • On multivariate regression analysis, each age increasing was associated with a 1.025-fold, presence of central nerveous system (CNS) trauma associated with a 2.147-fold, presence of pulmonary contusion associated with a 1.752-fold increase in predicting thorax trauma mortality. (
  • We would recommend use of the Denver score since it is simplest to calculate, identifies a high-risk group of patients, and has the strongest association with early trauma mortality. (
  • By doing so, trauma systems have been shown to reduce injury related morbidity and mortality. (
  • While overtriage may unnecessarily tax the resources of the higher level trauma centers, undertriage can result in unnecessary morbidity or mortality to patients. (
  • Prehospital trauma care reduces mortality. (
  • During the ten-year study period trauma mortality was reduced from 17% (95% CI 15 -19) to 4% (95% CI 3.5 - 5), survival especially improving in major trauma victims. (
  • In case of long prehospital transit times simple life support measures by paramedics and lay first responders reduce trauma mortality in major injuries. (
  • Introduction: Trauma is the fifth leading cause of death in the elderly (60 or older), with blunt trauma being the most frequent.Objective: To describe characteristics, Trauma Severity Indices (TSI) and morbidity and mortality in hospitalized elderly for Thoracic Trauma (TT).Materials and Method: Crosssectional descriptive study was carried out. (
  • We have previously shown that blood transfusion in the first 24 hours is an independent predictor of mortality, intensive care unit (ICU) admission, and increased ICU length of stay in the acute trauma setting when controlling for Injury Severity Score, Glasgow Coma Scale score, and age. (
  • Blood transfusion is confirmed as an independent predictor of mortality, ICU admission, ICU LOS, and hospital LOS in trauma after controlling for severity of shock by admission base deficit, lactate, shock index, and anemia. (
  • shock (T/HS), continues to be the most common cause of Trauma acts as a trigger of a complex cascade of post- death for young people and constitutes a significant traumatic events that can be divided into a hemodynamic, source of morbidity and mortality for all ages [1,2,151]. (
  • PURPOSE: This study aimed to determine the mortality rate in patients with severe trauma and the risk factors for trauma mortality based on 3 years' data in a regional trauma center in Korea. (
  • To identify factors associated with mortality after severe trauma , multivariate logistic regression was performed. (
  • CONCLUSION: In severe trauma patients, age, initial SBP, GCS score , head or neck AIS score , and ISS were associated with mortality. (
  • PURPOSE: Various scoring systems have been introduced in grading severity and predicting mortality of trauma patients. (
  • CONCLUSION: The new trauma scoring systems (EMTRAS, BIG, MGAP) were good predictors of mortality in adult major trauma patients on admission. (
  • No difference between both periods was found concerning in-hospital times, patient characteristics, stroke/mimic diagnosis, stroke severity, and mortality. (
  • In circumstances when a total score cannot be accurately obtained (e.g., trauma victims who are intoxicated, intubated, or whose other injuries influence response), the motor component alone (mGCS) is sometimes used. (
  • Applicability is impacted by the acute and emergent nature of traumatic injuries, which occur in heterogeneous settings that are often chaotic in nature (e.g., motor vehicle crashes, assault, sports, falls), as well as differences in patient populations related to demographics, presence and severity of intoxication, and medical comorbidities. (
  • In addition, trauma is often complicated by the co-occurrence of multiple injuries, and by variations in mechanisms of injury. (
  • In the history of trauma severity scores the description of anatomical injuries was the starting point. (
  • An anatomic severity scale based on the Abbreviated Injury Scale (AIS) and developed specifically to score multiple traumatic injuries. (
  • 1-3 The majority of duodenal injuries are caused by penetrating trauma that requires immediate exploratory laparotomy. (
  • spinal or spine* or back) adj2 (contusion* or injury or injuries or trauma* or laceration* or transection*)).tw. (
  • Despite the proven value of trauma systems, challenges remain to full implementation allowing all citizens immediate access to this lifesaving public health safety net.13 If fully incorporated into a system of injury prevention, acute care and rehabilitation, trauma systems not only serve those in need of acute care for injuries but also become the framework for disaster response as well as models and infrastructure for other acute timesensitive conditions. (
  • 37% of the study patients had serious injuries with Injury Severity Score ≥ 9. (
  • Between July 2006 and December 2008, a total of 982 patients with suspected severe injuries underwent single-pass pan-scanning at a metropolitan trauma centre. (
  • The pan-scan algorithms reduce, but do not eliminate, the risk of missed injuries, and they should not replace close monitoring and clinical follow-up of patients with major trauma. (
  • 1 According to a report from the Canadian National Trauma Registry, 14 065 major injuries with an Injury Severity Score above 12 occurred between 2008 and 2009 in the eight provinces that contribute to the National Trauma Registry. (
  • We designed the PATRES (Pan-Scan for Trauma Resuscitation) study to assess the accuracy of the pan-scan in detecting injuries to different body regions in patients with suspected major blunt trauma. (
  • [ 9 ] Permanent disability in survivors ranges from 10-100%, depending on the severity of the injuries. (
  • The prognosis is affected by many factors, including (1) the type of injury (penetrating vs blunt), (2) severity of the injury and accompanying neurological deficit, (3) the age of the patient, (4) comorbid conditions, and (5) secondary injuries. (
  • Throughout the years, several methods have been developed to help determine injury severity and obtain accurate prognoses in trauma patients . (
  • A retrospective review of the medical records of blunt trauma patients with sternal fracture admitted to a level 1 trauma center from June 1990 to June 1993 was undertaken to determine the relationship between sternal fractures and clinically significant myocardial injury, and to assess the usefulness of cardiac evaluation and monitoring in these patients. (
  • Predicting work-related disability and medical cost outcomes: estimating injury severity scores from workers' compensation data. (
  • RESULTS: Work disability and medical costs increased monotonically with injury severity. (
  • Injury severity should be considered as a potential confounder for occupational injury intervention, program evaluation, or outcome studies, and can be estimated using existing software when ICD-9-CM codes are available. (
  • Field triage helps to determine the severity of injury and identify patients with poorer prognosis and affects how and where patients are transported and treated. (
  • However, in clinical practice, the GCS is often used for field assessment of any traumatic injury, and research studies often do not separate TBI from trauma without brain injury. (
  • An Injury Severity Score (ISS) ≥ 18 was recorded in 41 cases. (
  • Globally, traumatic brain injury (TBI) is one of the main causes of death and permanent disability in young adults,[1] and is responsible for almost half the deaths from multiple trauma and 60% of accidental deaths. (
  • The TraumaRegister DGU™ (TR-DGU) has used the Revised Injury Severity Classification (RISC) score for outcome adjustment since 2003. (
  • In order to reach these aims, it is absolutely necessary to be able to accurately describe injury severity, or the risk of death, on an individual basis. (
  • The Trauma and Injury Severity Score (TRISS) developed with data from the Major Trauma Outcome Study did consider these aspects, and it became the most frequently used tool for outcome adjustment and benchmarking in trauma registries [ 3 ]. (
  • Recent data suggests that therapeutic interventions to improve multisystem trauma and traumatic brain injury outcomes will target oxidative stress. (
  • McDonald CM, Jaffe KM, Fay GC, Polissar NL, Martin KM, Liao S, Rivara JB (1994) Comparison of indices of traumatic brain injury severity as predictors of neurobehavioral outcome in children. (
  • The Major Trauma Outcome Study (MTOS) is a retrospective descriptive study of injury severity and outcome coordinated through the American College of Surgeons' Committee on Trauma. (
  • Survival probability norms use the Revised Trauma Score, Injury Severity Score, patient age, and injury mechanism. (
  • Bayesian logistic injury severity score: A method for predicting morta" by Randall S. Burd, Ming Ouyang et al. (
  • The mayo classification system for traumatic brain injury severity. (
  • Severe lung injury with respiratory failure is often encountered in trauma patients. (
  • The median age was 38 years (25-58 years), the median injury severity score was 29(25-34), the median admission Acute Physiology and Chronic Health Evaluation II (APACHE II) score was 25(21-36), and the median blood transfusion volume was 5500 mL (3500-13 000). (
  • Injury Severity Score" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings) . (
  • This graph shows the total number of publications written about "Injury Severity Score" by people in this website by year, and whether "Injury Severity Score" was a major or minor topic of these publications. (
  • Below are the most recent publications written about "Injury Severity Score" by people in Profiles. (
  • Negative Focused Abdominal Sonography for Trauma examination predicts successful nonoperative management in pediatric solid organ injury: A prospective Arizona-Texas-Oklahoma-Memphis-Arkansas + Consortium study. (
  • The time elapsed until surgery was longer in the blunt trauma group, while in one patient, the gunshot injury was initially missed and thus the procedure was carried out 36 hours after the original injury. (
  • Injury severity scoring again. (
  • Does turning trauma patients with an unstable spinal injury from the supine to a lateral position increase the risk of neurological deterioration? (
  • We aimed to analyze the usefulness of the head abbreviated injury score (AIS), the injury severity score (ISS), and the Glasgow Coma Scale (GCS) as measures of injury severity and predictors of outcome after traumatic brain injury (TBI). (
  • From the records, we collected the patients' demographical data, comorbid diseases, primary trauma as an indication for ICU admission, other traumas accompanying thoracic trauma, type of thoracic injury and therapeutic interventions. (
  • Our non-invasive approach is further supported by the Trauma and Injury Severity Score (TRISS) scoring system, which is one of the latest scoring systems used in trauma cases. (
  • The purpose of this study was to determine whether there are underlying dimensions common among traditional traumatic brain injury (TBI) severity indices and, if so, the extent to which they are interchangeable when predicting short-term outcomes. (
  • Inclusive trauma care systems are decreasing the number of preventable deaths by 15-20 percent.3, 4, 5, 6, 7 Since serious injury is a time-sensitive condition, a public health safety net in the form of a trauma system must already be in place at the time of injury to get the right patient to the right place in the right amount of time. (
  • Injury is now the fourth leading cause of global deaths, and up to 2030 WHO estimates a further 40% increase in trauma fatalities. (
  • Prospective data were collected on 15,534 patients admitted to a Level I trauma center over a 3-year period (1998-2000) and stratified by age, gender, race, Glasgow Coma Scale score, and Injury Severity Score. (
  • Evaluation and management of blunt traumatic aortic injury: a practice management guideline from the Eastern Association for the Surgery of Trauma. (
  • Age, blunt trauma , systolic blood pressure (SBP) at admission, Glasgow Coma Scale (GCS) at admission, head or neck Abbreviated Injury Scale (AIS) score , and ISS were significantly different between the groups. (
  • Injury Severity System (ISS), Revised Trauma Score (RTS), and Trauma and Injury Severity Score (TRISS). (
  • We analysed factors affecting the severity of injury in order to investigate risk factors for subsequent traumatic threats. (
  • This study was designed to create a rat model of abdominal surgery using anesthetic methods and perioperative treatment similar to those used in the clinic and to investigate the effects of different injury severities and depths of anesthesia and analgesia on surgical stress and postoperative recovery. (
  • Of these, 360 patients had an Injury Severity Score greater than 15. (
  • The relationship between posttraumatic stress pathology and systemic inflammation has not, however, been consistently replicated and is potentially confounded by comorbid illness or injury, common complications of trauma exposure. (
  • [ 9 ] Traumatic brain injury (TBI) results in more deaths than does trauma to other specific body regions. (
  • Head injury significantly contributes to deaths from trauma. (
  • A primary injury results from the initial anatomical and physiological insult, which is usually direct trauma to the head, regardless of cause. (
  • Most patients require physical and occupational therapy, depending on the severity of the head injury. (
  • Quantifying human post-traumatic shock based on base deficit and adjusting for Glasgow Coma Scale score, prothrombin time, Injury Severity Score and age is demonstrated to be superior to anatomic injury severity alone or in combination with Trauma and Injury Severity Score. (
  • 6 The 2011 field triage guidelines from the Centers for Disease Control and Prevention (CDC) National Expert Panel recommend transferring patients with tGCS scores of ≤13 to facilities providing the highest level of trauma care. (
  • This study had an observational design, and took place in United States trauma centers reporting to the National Trauma Data Bank (NTDB). (
  • Studies of Western trauma scenarios consistently report that reduced prehospital transport times and level I trauma centers and are the essential components of a good trauma system [ 2 ]. (
  • The chain-of-survival for prehospital trauma management comprises of three elements: lay trauma first responders at village level, trained paramedics at rural health centers, and emergency room staff at referral hospitals. (
  • Baseline parent posttraumatic stress relating to the child's trauma, and not trauma severity, was correlated with optimal-report child PTSD-AA at each assessment ( r values = 0.29-0.31) and accounted for unique variance in logistic regression models o f t his outcome at each assessment. (
  • The Major Trauma Outcome Study: establishing national norms for trauma care. (
  • Admission hypothermia and outcome after major trauma. (
  • Validation of TRISS and ASCOT using a non-MTOS trauma registry. (
  • Traditional trauma scoring systems were each calculated to have an area under the curve of ISS 0.72 [95% confidence interval (CI): 0.67-0.77], TRISS 0.91 (95% CI: 0.88-0.94), and RTS 0.90 (95% CI: 0.86-0.93). (
  • They performed well compared to traditional trauma scoring systems (ISS, RTS, TRISS). (
  • A key component of field triage for patients with suspected blunt head trauma is level of consciousness assessment, which is associated with prognosis. (
  • 6,7] They confirmed the association of low GCS scores, absence of pupil reaction, hyperglycemia and certain trauma mechanisms with poor prognosis. (
  • This work aimed to determine the relationship between the visual prognosis according to the Ocular Trauma Score (OTS) and visual acuity (AV) 6 months after the ocular trauma in patients treated at the Eye Trauma Unit from the Hospital del Salvador, in Santiago, Chile. (
  • Though prevalent and impairing conditions, data on the long-term prognosis (course) of trauma-related disorders and personality disorders are scarce, in particular among survivors of chronic childhood traumatization. (
  • METHODS: An observational cohort study was performed at a UK trauma center on major trauma patients requiring intensive care unit admission from 2003 to 2011. (
  • Indices of shock such as base deficit, serum lactate level, and admission hemodynamic status (systolic blood pressure, heart rate) and admission hematocrit were considered potential confounding variables in that study. (
  • Traumatic optic neuropathy prediction after blunt facial trauma: derivation of a risk score based on facial CT findings at admission. (
  • Sixty adult patients with abdominal trauma who received 2 or more units of red blood cell transfusion within 24 hours of admission were studied. (
  • Thoracic Trauma Severity score on admission allows to determine the risk of delayed ARDS in trauma patients with pulmonary contusion. (
  • The main objective of this study was to assess the performance of the Thoracic Trauma Severity (TTS) score upon admission in predicting delayed ARDS in blunt trauma patients with pulmonary contusion. (
  • All blunt thoracic trauma patients admitted consecutively to our trauma centre between January 2005 and December 2009 were retrospectively included if they presented a pulmonary contusion on the admission chest computed tomography scan. (
  • An extreme TTS score on admission accurately predicts the occurrence of delayed ARDS in blunt thoracic trauma patients affected by pulmonary contusion. (
  • A single portable anteroposterior view of the pelvis was obtained in the trauma room on admission in all patients. (
  • The cognitive test scores were not independently associated with gender, admission GCS, associated trauma, and Marshal CT classification. (
  • The Mayo Classification System for TBI Severity was developed to classify cases based on available indicators that included death due to TBI, trauma-related neuroimaging abnormalities, GCS, PTA, loss of consciousness and specified post-concussive symptoms. (
  • There is a wide range of severity scores used in trauma patients for anticipating clinically significant outcomes with varying degrees of accuracy. (
  • The aims of this study were to report on a series of eight cases of duodenal repairs using pyloric exclusion and to describe reported complications or improvements in clinical outcomes among patients with complex duodenal trauma. (
  • Despite improvements in patient outcomes demonstrated by trauma system development over the past three decades, much of the United States remains outside any organized system of trauma care and many difÀculties and challenges remain.12 Further Introduction - 1 Introduction regionalization of trauma care can only be accomplished by health care professionals working in collaboration with their public health colleagues at the local, state, regional and national levels in championing development. (
  • In the present study, we assessed the utilization of the protocol in abdominal trauma management by comparing outcomes of patients admitted before and after implementation of the protocol. (
  • Severity of illness is an omnipresent confounder in any study of patient outcomes or of the effectiveness of medical care. (
  • However, there are few reports outlining the natural history and outcomes of severe blunt hepatic and splenic trauma. (
  • We're starting to link these hot flashes to various different health indices and outcomes, including women's cardiovascular health," she said. (
  • However, a person's self-perception of the malocclusion may not always be related to malocclusion severity, and outcomes related to patients' values or perceptions of malocclusions are often lacking. (
  • In this study, we included data from 1000 consecutive patients with blunt trauma who were transferred directly from the scene to the emergency department of our institution, a metropolitan trauma centre, between July 2006 and November 2008. (
  • It is the close congruence of O 2 D and related metabolic acidemia that permits precise quantification of the severity of the ischemic shock process in both animals and humans. (
  • It also examines the use of metabolic correlates of O 2 D as indices of the severity of the shock process in two mammalian species and in humans, and the value of these correlates as guides to the adequacy of volume-mediated resuscitation. (
  • Trauma scores that have been used for more than 40 years are extremely useful in clinical practice as well as in research . (
  • To conduct a review of the most relevant literature on trauma and to make a description of each of the scoring tools, focusing on their limitations and their application in clinical trials. (
  • We accessed registers of clinical patients attended for severe eye trauma from 1 January 2014 to 15 March 2015. (
  • This system may be of use in retrospective research and for determination of TBI severity for planning postacute clinical care. (
  • Participants will be assessed after 2 years of treatment through measures that have been completed at baseline, including structured clinical interviews to measure childhood histories of trauma and neglect, (symptoms of) trauma-related disorders and personality disorders, and psychological questionnaire measures (e.g., general psychopathology, depressive symptoms and personality features). (
  • Identifying predictors of the course of trauma-related and personality disorders will allow to differentiate clinical profiles and will offer indicators for treatment. (
  • The radiographs of the lumbar spine were ordered for patients when the trauma team believed that there was high clinical index of suspicion for lumbar spine fracture. (
  • However, indices that quantitate the clinical trial in hfpef, the i n po n l e a year old man with mild to moderate uc. (
  • The most commonly cited hospital resource consumption measure is the case mix index (CMI) and the best-known illustration of the CMI is the Diagnosis Related Group (DRG) CMI used by Medicare in the U.S. For countries that do not have DRG type CMIs, the adjustment for severity has been troublesome for either reimbursement or research purposes. (
  • Wetzel RC, Burns RC (2002) Multiple trauma in children: critical care overview. (
  • Treatment results of patients with multiple trauma: an analysis of 3406 cases treated between 1972 and 1991 at a German Level I Trauma Center. (
  • The search terms 'oxygen debt or deficit', 'base excess or deficit', 'lactate', 'hemorrhagic shock' and 'multiple trauma' were used. (
  • Evidence is increasing that oxygen debt and its metabolic correlates are important quantifiers of the severity of hemorrhagic and post-traumatic shock and and may serve as useful guides in the treatment of these conditions. (
  • The aim of this review is to demonstrate the similarity between experimental oxygen debt in animals and human hemorrhage/post-traumatic conditions, and to examine metabolic oxygen debt correlates, namely base deficit and lactate, as indices of shock severity and adequacy of volume resuscitation. (
  • Thoracic trauma has been reported to be the cause of approximately 25% of all trauma-associated deaths. (
  • Methods: We retrospectively reviewed data from patients with thoracic trauma who were admitted to our ICU between 2007 and 2016. (
  • Results: Of the 8,063 patients admitted to the ICU between 2007 and 2016, 616 (7.6%) had thoracic trauma. (
  • Se revisaron las histrias clínicas de 41 pacientes sometidos a éste tipo de cirugía en el período comprendido entre marzo de 2011 y octubre de 2017 en el Hospital Municipal de Urgencias de la ciudad de Córdoba, 29 hombres y 12 mujeres, en cuanto al mecanismo lesional 23 casos fueron por trauma cerrado y 18 penetrantes. (
  • Laplace C, Huet O, Vicaut E, Ract C, Martin L, Benhamou D, Duranteau J (2005) Endothelial oxidative stress induced by serum from patients with severe trauma hemorrhage. (
  • In most patients with airway problems, in chest injured, and in patients with external hemorrhage, simple life support measures were sufficient to improve physiological severity indicators. (
  • Severity of illness is an omnipresent confounder in health services research. (
  • Severity of illness measurements can be separated into two levels: individual level and hospital level. (
  • whereas hospital severity of illness describes the aggregate difficulty in the treatment of the diseases presenting themselves at each hospital as compared to other hospitals and most of the information utilized for this purpose comes from administrative data. (
  • What we are interested in, from the perspective of healthcare system management and health service research, is how the aggregate severity of illness at the hospital level can be easily derived from the administrative data. (
  • PURPOSE: Acute work-related trauma is a leading cause of death and disability among US workers. (
  • Trauma registries are able to provide an important contribution to quality assessment and scientific research in the area of acute care where classical randomized trials are difficult to perform. (
  • PTSD-AA in young children can persist for years but is underrecognized by parents despite its being shaped to a large extent by parents' own acute traumatic stress in response to the child's trauma. (
  • J Trauma Acute Care Surg. (
  • Pulmonary contusion is a major risk factor of acute respiratory distress syndrome (ARDS) in trauma patients. (
  • These systems are used in medical records, surveillance systems, and state and national registries to aid in the collection and reporting of trauma. (
  • European Journal of Trauma , 28 (5), 295-303. (
  • Damaage control surgery (CCD) arises with the aim of imporving the poor results obtained with the traditional surgical approach in severe and exanguinating abdominal trauma in critically ill patients with scarce physiological reserve. (
  • Severe trauma is one of the 10 leading causes of burden of disease in North America and Europe. (
  • [ 12 ] Alcohol or drug use contributes to as many of 38% of cases of severe head trauma in younger patients. (
  • Identification of Risk Factors for the Development of Pressure Ulcers Despite Standard Screening Methodology and Prophylaxis in Trauma Patients. (
  • PURPOSE: To present information about a study of risk factors for development of pressure ulcers (PrUs) in trauma patients. (
  • Explain the results of the study identifying PrU risk factors for trauma patients. (
  • Field triage of trauma patients based upon the ability to follow commands: a study in 29,573 injured patients. (
  • The publication of the ISS was a landmark article, and still today this score is the most frequently used trauma score worldwide [ 2 ]. (
  • El objetivo de este trabajo fue determinar la relación entre el pronóstico visual según el Ocular Trauma Score (OTS) y la agudeza visual (AV) a los 6 meses de ocurrido el trauma ocular, en pacientes atendidos en la Unidad de Trauma Ocular del Hospital del Salvador, Santiago de Chile. (
  • rating or asia or injur* or trauma*) adj2 (score* or scale or severit*)).tw. (
  • New trauma scoring systems were calculated to have an area under the curve of EMTRAS 0.91 (95% CI: 0.87-0.94), BIG score 0.90 (95% CI: 0.86-0.93), PS12 0.91 (95% CI: 0.87-0.94), and MGAP 0.89 (95% CI: 0.85-0.93). (
  • a lo largo de la historia se han creado varios métodos para evaluar la gravedad de las lesiones y brindar un pronóstico exacto en pacientes con trauma . (
  • existe una gran variedad de puntajes de gravedad para pacientes con trauma que permiten anticipar con diferente exactitud los desenlaces clínicamente significativos. (
  • Introducción: Los traumatismos constituyen la quinta causa de muerte en el adulto mayor (60 años o más), siendo los traumatismos contusos los más frecuentes.Objetivo: Describir características, índices de gravedad de traumatismo (IGT), morbilidad y mortalidad en adultos mayores (AM) hospitalizados con traumatismo torácico (TT).Material y Método: Estudio descriptivo transversal. (
  • Methods: We analyzed a large naturalistic cohort sharing a discrete physical and mental health trauma from the destruction of the World Trade Center (WTC) towers on September 11, 2001 (n = 641). (
  • Trauma-related disorders and personality disorders are prevalent in survivors of chronic childhood trauma and neglect. (
  • The first aim of the current study is to identify two-year course trajectories of pathology in patients with trauma-related disorders and personality disorders. (
  • This study provides insight in the two-year course of (comorbid) trauma-related disorders and personality disorders. (
  • Forum-based case-to-case evaluation will be used as a surveillance tool to evaluate the adequacy of interventions and to quantify the quality of trauma care. (
  • If you have never felt the need for any type of severity scoring system, then you probably have never had to explain how it is that survival rate of 85% in your trauma center is actually better than the survival rate of 97% in some other hospital where the patients are much less seriously injured ' [ 1 ]. (
  • The Model Trauma Care System Plan provides useful guidelines for trauma system development.8 Both the American College of Emergency Physicians and the American College of Surgeons Committee on Trauma have provided decades of leadership in the promulgation of trauma system development. (
  • Resuscitation followed the ATLS algorithm ( ) developed by the American College of Surgeons and involved a team of trauma and orthopedic surgeons, anesthesiologists and nursing staff. (
  • Se accedió a los registros clínicos de pacientes atendidos por trauma ocular grave entre el 1 de enero de 2014 al 15 de marzo 2015. (
  • La cirugía de control de daños (CCD), surge con el afán de mejorar los pobres resultados obtenidos con el abordaje quirúrgico tradicional en traumatismos abdominales graves y exanguinantes en pacientes críticos con escasa reserva fisiológica. (
  • La edad promedio fue de 30 años, 28 pacientes presentaron lesiones asociadas, siendo las más frecuentes las torácicas en 14 pacientes y la mortalidad global de la serie del 41% (17 pacientes). (
  • O objetivo deste estudo é relatar uma série de oito casos de reparo duodenal utilizando a exclusão pilórica e descrever a evolução dos pacientes com trauma duodenal complexo submetidos a este procedimento. (
  • Foram coletadas e analisadas as informações de oito pacientes com trauma duodenal submetidos à exclusão pilórica em um período de 17,5 anos. (
  • Os mecanismos de trauma envolvidos foram ferimentos por projétil de arma de fogo em cinco pacientes e acidente automobilístico em três pacientes. (
  • O atraso do tratamento cirúrgico foi maior nos pacientes vítimas de trauma fechado, e em um paciente a lesão pelo projétil passou despercebida, sendo o procedimento cirúrgico realizado em nova laparotomia após 36 horas. (
  • 3 , 4 Standardized algorithms, such as Advanced Trauma Life Support (ATLS), typically comprise physical examination, focused thoracoabdominal ultrasonography and plain radiography of the chest, spine and pelvis, followed by computed tomography (CT) of the head and other selected body areas. (
  • 0.001) when stratified by indices of shock (base deficit, serum lactate, shock index, and anemia). (
  • The most common organ system injured in pediatric trauma is the brain, suffering direct mechanical insult and indirect reperfusion insult from rapid fluid resuscitation. (
  • Krug SE, Tuggle DW (2008) Management of pediatric trauma. (
  • A Multicenter Prospective Study of In-Hospital Opioid Use in Pediatric Trauma Patients in the Midwest. (
  • Emergency Medical Services (EMS) providers must rapidly triage care for individuals who have undergone trauma in challenging environments. (
  • Interfacility Trauma Triage & Transfer Guidelines Trauma Reference Manual Acknowledgements A collaborative effort between Oklahoma Institute for Disaster and Emergency Medicine and the Oklahoma State Department of Health. (
  • Pre-hospital emergency anaesthesia in awake hypotensive trauma patients: beneficial or detrimental? (
  • Undertriage of major trauma patients in the US emergency departments. (
  • A truly mature trauma system can also have a potentially positive impact through prevention initiatives. (
  • Several indices exist to assess orthodontic treatment need in terms of the severity of a malocclusion. (
  • Se define con una "cirugía por etapas", con un primer tiempo quirúrgico corto para controlar el sangrado y la contaminación con cierre temporario abdominal, seguido de un período de reanimación en unidad de cuidados intensivos y, finalmente, de reparación definitiva de las lesiones. (
  • Variability in the evalution of pediatric blunt abdominal trauma. (
  • This retrospective cohort study aimed to determine if goal-directed transfusion protocol based on standard thrombelastography (TEG) is feasible and beneficial in patients with abdominal trauma. (
  • Goal-directed transfusion protocol via standard TEG was achievable in patients with abdominal trauma. (
  • We aimed to determine if the novel transfusion protocol could be successfully integrated in abdominal trauma management, and identify potential benefits of the protocol compared to conventional transfusion management. (
  • Many, if not most of these studies focusing on course of PTSD make no clear distinction between the type of trauma (simple or chronic, interpersonal or not), nor between the onset of trauma (in childhood or adulthood). (
  • Association studies between hospitalization variables and cognitive impairment after TBI are frequently retrospective, including non-consecutive patients showing variable degrees of TBI severity, and poor management of missing (drop out) cases. (