• The incidence of injuries by body region and rates for specific types of wounds were determined. (usuhs.edu)
  • An increased incidence of PTSD is associated with physical problems and chronic health conditions after combat-related injury. (health.mil)
  • The incidence of electric scooter-related injuries appears to be on the rise and may potentially incur significant morbidity and healthcare costs. (smj.org.sg)
  • There have been numerous media reports of e-scooter-related accidents involving both pedestrians and other road vehicles that resulted in injuries and death, reflecting an increased incidence of e-scooter-related injuries with time. (smj.org.sg)
  • In Singapore, as strict laws are a strong deterrent against armed violence, little is known about the epidemiology of penetrating stab wound injuries. (smj.org.sg)
  • Our study aimed to investigate the epidemiology of stab wound injuries at a major trauma centre in Singapore and determine if there was a difference in severity between self-inflicted stab wound (SI) injuries and those inflicted by others (IO). (smj.org.sg)
  • Little is known about the epidemiology of stab wound injuries in Singapore. (smj.org.sg)
  • The aim of our study was to investigate the epidemiology of stab wound injuries at a major trauma centre in Singapore and determine if there was a difference in severity between SI and IO injuries. (smj.org.sg)
  • Although, decisions for individual patients should never be based solely on a statistically derived injury severity score, scoring systems can nonetheless serve to estimate quantitatively the level of acuity of injured patients that are applied to adjustments in hospital outcome assessments. (medscape.com)
  • Researchers use multiple independent variables (eg, age, injury severity) to predict the dependent variable (or outcome). (medscape.com)
  • Basic demographic information, injury severity characteristics and outcome data were compared between these two groups. (smj.org.sg)
  • The ability to predict outcome from trauma (ie, mortality) is perhaps the most fundamental use of injury severity scoring, a use that arises from the patient's and the family's desires to know the prognosis. (medscape.com)
  • However, scoring systems can serve to estimate quantitatively the level of acuity of injured patients that are applied to adjustments in hospital outcome assessments. (medscape.com)
  • Treatment and outcome depend on how severe the injury is. (rxwiki.com)
  • Sina Trauma and Surgery Research Centre, of injury, severity of injury and outcome. (who.int)
  • However, trauma mortality prediction in individual patients by any scoring system is limited and is in general no better than good clinical judgment. (medscape.com)
  • between the ages of 15 and 44 years--the Data collection for this study was most economically productive members of performed around the clock by 5 general the population--account for almost 50% of practitioners who had undergone a special the world's injury-related mortality [ 3 ]. (who.int)
  • Early hemorrhage control, blood product resuscitation, and other lifesaving interventions should be established and maintained as a standard prehospital practice to mitigate fatalities with potentially survivable injuries. (bvsalud.org)
  • This study aimed to investigate whether resuscitation after a hemorrhagic shock (HS) and/or mild cerebral ischemia caused by a unilateral common carotid artery occlusion (UCCAO) can cause brain injury and concomitant neurological dysfunction, and explore the potential mechanisms. (medsci.org)
  • A resuscitation from an HS regards as a reperfusion insult which may induce neurological injury in patients with an UCCAO disease. (medsci.org)
  • The resuscitation after an HS causes a reperfusion or reoxygenation insult [ 2 - 4 ], gut injury, and multiple organ dysfunctions [ 5 , 6 ]. (medsci.org)
  • However, it is not known whether resuscitation after a [ 10 - 12 ] HS can cause cerebral injury and concomitant neurological dysfunction, and its potential mechanisms. (medsci.org)
  • Given the severity of open fractures, maximizing the effectiveness of current prophylactic procedures is essential. (biomedcentral.com)
  • Field trauma scoring also is used to facilitate rational prehospital triage decisions, thereby minimizing the time from injury occurrence to definitive management. (medscape.com)
  • This finding may be useful in the triage of patients with stab wound injuries. (smj.org.sg)
  • As we all know too well if the triage teams don't see an injury, the pace of combat will continue on, leaving those warriors with "invisible wounds" vulnerable to developing the "flash" of this post-combat demon. (burrisinstitute.com)
  • Parameters collected include demographics, mode of arrival to the ED, triage category, mechanism of injury, injuries sustained, investigations performed and the clinical course of the patient within the ED and hospital. (smj.org.sg)
  • To evaluate a classification system to support clinical decisions for treatment of contaminated deep wounds at risk for an invasive fungal infection (IFI), we studied 246 US service members (413 wounds) injured in Afghanistan (2009-2014) who had laboratory evidence of fungal infection. (cdc.gov)
  • The ability to predict survival after trauma is perhaps the most fundamental use of injury severity scoring, Furthermore, injury severity scoring can provide objective correlations with resource utiliziation such as length of stay and costs of treatment, as well as inform clinical decisions regarding management of injuries of specific severity. (medscape.com)
  • Injury severity scoring is indispensable in stratifying patients into comparable groups for prospective clinical trials. (medscape.com)
  • There are several clinical classifications for brain injuries. (asbmb.org)
  • A TBI can cause brain-cell death and tissue degeneration, potentially leading to many negative clinical symptoms for the patient, depending on the severity of the injury. (asbmb.org)
  • Unfortunately, current clinical scores and biomarkers used in trauma clinical trials have typically lacked adequate predictive ability. (nih.gov)
  • A score system based on clinical and metabolic condition with total 5 items and the highest score of 6 was designed and applied to predict esophageal stricture and medical assessment after corrosive injury. (omicsonline.org)
  • Moreover, wounded participants had significantly higher scores than their noninjured counterparts on all clinical measures. (burrisinstitute.com)
  • A total of 1972 US military personnel who sustained a blast-related injury during military operations in Iraq and Afghanistan were identified from clinical records. (biomedcentral.com)
  • 1. Apply clinical practice recommendations related to the use of electrical stimulation in the treatment of pressure injuries. (nursingcenter.com)
  • To summarize evidence regarding the use of electrical stimulation for pressure injury (PI) management with a systematic review of randomized clinical trials. (nursingcenter.com)
  • Included articles were full-text reports of randomized clinical trials involving patients with PIs that had at least two patient groups, detailed how wounds healed, and were written in English. (nursingcenter.com)
  • Patient demographics, circumstances of the accident, injuries sustained and clinical progress were analysed. (smj.org.sg)
  • in the PICU are influenced by intrinsic factors to The improvement of specialised care the patient, such as pre-existing comorbidities, for seriously ill children began in 1980 and the clinical severity on admission, and number of these units growth throughout the age. (bvsalud.org)
  • Generally, the complexity and severity of a patient's clinical condition should dictate the selection of appropriate imaging procedures or treatments. (bvsalud.org)
  • Conclusions: The reduced severity of injury in helmeted patients is because of protection of the head and not other body regions. (uaeu.ac.ae)
  • Objectives: To identify factors that affect the severity of bicycle-related injuries in patients with head injury compared with those without, so as to find whether the effect of using helmets extends beyond head protection, and to explore a direct protective effect of helmets on head injuries. (uaeu.ac.ae)
  • A logistic regression model was used to define the factors that contribute to head injury, while adjusting for ISS. (uaeu.ac.ae)
  • Results: Factors affecting ISS in the generalized linear model in those who had head injury were: cause of injury (P = 0.01) and there was a trend for helmet use (P = 0.06). (uaeu.ac.ae)
  • The significant factors that have affected ISS in the no head injury group were age (P = 0.002) and place of accident (P = 0.03). (uaeu.ac.ae)
  • Abu-Zidan, FM , Nagelkerke, N & Rao, S 2007, ' Factors affecting severity of bicycle-related injuries: The role of helmets in preventing head injuries ', EMA - Emergency Medicine Australasia , vol. 19, no. 4, pp. 366-371. (uaeu.ac.ae)
  • Statistical analysis showed significant risk factors for stricture were hyperthermia (P= 0.011), hyperglycemia (P=0.001), and high grade burn injury (P=0.001). (omicsonline.org)
  • The score system included metabolic factors provide an objective way for predict stricture formation. (omicsonline.org)
  • Logistic regression analysis identified history of drug abuse, lowest recorded ED systolic blood pressure, and injury severity score as 3 independent factors predictive of VAP. (elsevierpure.com)
  • Major trauma is injury that can potentially lead to serious outcomes. (wikipedia.org)
  • Assessing outcomes objectively is challenging, but the evolution of injury severity scoring systems with sufficient precision and reproducibility now permits trauma centers to compare their processes and outcomes, facilitating identification of best practices that form the foundations of quality improvement programs. (medscape.com)
  • Further, gender differences in societal expectations of self-care after injury and the rate of recovery may potentiate negative patient outcomes for men. (asbmb.org)
  • Patient outcomes following a minor polytrauma are often worse than those with a single severe injury. (medsci.org)
  • Blast injury emerged as a primary source of morbidity among US military personnel during the recent conflicts in Iraq and Afghanistan, and led to an array of adverse health outcomes. (biomedcentral.com)
  • Data were collected from the Wounded Warrior Recovery Project (WWRP), a longitudinal examination of patient-reported outcomes among service members injured on deployment in post-9/11 conflicts. (health.mil)
  • Research suggests that approximately one-third of individuals 65 years and older will fall annually with the physical outcomes of each fall event ranging in severity from no injury to death [ 3 ]. (springer.com)
  • Advances in combat casualty care, medical transport, and personal protective equipment led to a greater survivability from wounds, and the US Military Health System subsequently faced a growing number of service members and veterans with injury-related sequelae [ 3 ]. (biomedcentral.com)
  • Statistically significant associations between rank, location of injury, manner of injury, body region involved, and injury mechanism were assessed using χ analysis. (usuhs.edu)
  • Therefore, decisions for individual patients should never be based solely on a statistically derived injury severity score. (medscape.com)
  • It reportedly handles the highest number of trauma patients in Singapore, admitting over 1,000 serious trauma patients yearly (Injury Severity Score [ISS] 9 and above), hence may be considered the busiest trauma and acute care hospital in Singapore. (smj.org.sg)
  • Between November 2002 and August 2005, 80 retrievable inferior vena cava filters (68 Optease and 12 Gunther-Tulip) were inserted into critically injured trauma patients (mean injury severity score 33.5). (tau.ac.il)
  • Warning: A Lund & Browder Visual assessment chart with more than 0% TBSA will overwrite the data previously entered in the Burn Injury fields. (evolutionhealthcaresystems.co.uk)
  • SF/SD (Superficial or Superficial/mid-dermal thickness) BSA (Burn Service Assessment) - Enter the TBSA (Total Burn Surface Area) of the superficial and superficial dermal portion of the injury, as assessed at the burn service. (evolutionhealthcaresystems.co.uk)
  • This characterises the area of skin injury that is, on assessment felt to be capable of spontaneous recovery. (evolutionhealthcaresystems.co.uk)
  • This characterises the area of skin injury that is, on assessment felt not capable of spontaneous recovery and is likely to require resurfacing or a protracted period of dressings. (evolutionhealthcaresystems.co.uk)
  • Contamination - Choose from drop down list the severity of contamination present at time of assessment. (evolutionhealthcaresystems.co.uk)
  • Non-burn Trauma - Tick box if the patient has a none burn wound at the time of assessment. (evolutionhealthcaresystems.co.uk)
  • ISS Value - Enter the Injury Severity Score if know at the time of assessment. (evolutionhealthcaresystems.co.uk)
  • 7,8 Moreover, assessment of PTSD following combat-related injury is essential for planning appropriate treatment protocols and improving long-term well-being. (health.mil)
  • The total possible score for the NDI assessment ranges from 0 to 50 points. (who.int)
  • According to the organizations, the existing definition of "trauma" is too narrow and "excludes burn centers from participating in federal programs designed to support emergency medical care for those suffering from traumatic injuries or to compete for federal research support targeting trauma. (wikipedia.org)
  • The AIS is the basis for the Injury Severity Score (ISS), which is the most widely used measure of injury severity in patients with trauma. (medscape.com)
  • This places adolescents, young adults and elderly patients at the highest risk for TBI-related injuries. (asbmb.org)
  • The Hope Network , a nonprofit service provider for people with brain and spinal cord injuries, reports that elderly patients (age 65 and older) are at greater risk for hospitalization and death after sustaining a TBI. (asbmb.org)
  • The fact that male patients ignore medical advice more often , opting to leave the hospital earlier than recommended after injury, plainly illustrates this phenomenon. (asbmb.org)
  • After obtaining exempt status from our institutional review board, we reviewed the TTSH Trauma Registry, a prospectively maintained database, and identified all patients with penetrating injuries who were admitted to TTSH from 1 January 2005 to 31 December 2010. (smj.org.sg)
  • Subsequently, we identified all stab wound injuries and classified these patients into two groups, SI and IO. (smj.org.sg)
  • Methods: A total of 297 patients with bicycle-related injuries were studied. (uaeu.ac.ae)
  • A generalized linear model was used to test the effect of age, sex, helmet use, cause of injury, year of injury, place of injury and whether the injury occurred on public or school holidays on the Injury Severity Score (ISS) in those patients who had head injury and those without. (uaeu.ac.ae)
  • Patients: A total of 12 489 patients with DM from January 1984 to December 2002 were matched by sex, age, and Injury Severity Score with 12 489 patients who did not have DM. (psu.edu)
  • By our scoring system, the positive prediction of stricture formation was: 3 of 4 patients (75%) scored 6, 6 of 10 patients (60%) scored 5 or higher, 11 of 20 patients (55%) scored 4 or higher, 14 of 29 patients (48%) scored 3 or higher, and 14 of 43 patients (33%) scored 2 or higher. (omicsonline.org)
  • Specific Hand Notes - Free type field for any additional information regarding the patients hand injury. (evolutionhealthcaresystems.co.uk)
  • 001). Neither 30-day readmissions nor rates of sternal wound infection differed significantly between patients who received blood products and those who did not. (aacnjournals.org)
  • Epidemiologic reports from various countries estimate that pressure injuries (PIs) develop in as many as 31% to 52% of patients with central nervous system injuries, 1,2 4.1% to 32.2% of older adults in residential care facilities, 3-5 and 13.1% to 45.5% of patients in intensive care wards. (nursingcenter.com)
  • Injury severity characteristics included anatomic and physiologic measures of injury severity, namely ISS and Revised Trauma Score (RTS), respectively. (smj.org.sg)
  • In addition, an extensive battery of self-report questionnaires was given to assess severity of PTSD, anxiety, depression, and dissociative symptoms. (burrisinstitute.com)
  • The Noorbhai Maharaj (NM) score was used to assess and grade the quality of reporting RESULTS: Each of the five hospitals has different endoscopic reporting systems. (scielo.org.za)
  • A 15-point test, called the Glasgow Coma Scale, helps a doctor or other emergency medical personnel assess the initial severity of a brain injury by checking a person's ability to follow directions and move their eyes and limbs. (rxwiki.com)
  • Doctors determine the severity of the injury using the Glasgow coma scale , which examines motor response, verbal ability and eye opening - ranking patient responses with a total score between 3 and 15. (asbmb.org)
  • A mild TBI lands on the higher side of the scale, whereas a severe TBI results in a lower score. (asbmb.org)
  • ABSTRACT In Saudi Arabia, road traffic crashes are becoming a serious public health problem and there are no recent, large-scale, published reports discussing maternal and fetal injuries. (who.int)
  • Today, I bring some additional insight that would suggest injury received in combat may actually serve as a risk factor for developing the signs and symptoms of PTSD. (burrisinstitute.com)
  • The aim of the present study was to isolate the unique contribution of physical injury to the subsequent development of posttraumatic stress disorder (PTSD). (burrisinstitute.com)
  • Finally, the presence of PTSD was not related to severity of injury or severity of the trauma. (burrisinstitute.com)
  • The findings clearly indicate that bodily injury is a major risk factor-rather than a protective one-for PTSD. (burrisinstitute.com)
  • Post-traumatic stress disorder (PTSD) is frequently reported among military personnel, particularly those with combat-related injury. (health.mil)
  • 5 hypothesized multiple etiologies for the relationship between combat-related injury and PTSD, including increased levels of perceived threat to life and peritraumatic dissociation (i.e., feeling emotionally numb or separated from a traumatic event) among injured relative to non-injured personnel. (health.mil)
  • This report describes the prevalence of screening positive for PTSD and the association with injury severity and time since injury among U.S. military personnel injured during combat operations. (health.mil)
  • Hemorrhagic shock in combat trauma remains the greatest life threat to casualties with potentially survivable injuries. (bvsalud.org)
  • abstract = "BACKGROUND: Previous studies regarding combat wounding have a limited translational capacity due to inclusion of soldiers from all military branches and occupational specialties as well as a lack of information regarding soldiers who died in theater. (usuhs.edu)
  • In it's complete abstract form, taken from the American Journal of Psychiatry, scientists compare warriors wounded vs those not wounded from identical combat situations in an effort to observe those more likely to develop post combat disorders. (burrisinstitute.com)
  • The golden hour, emergency responders say, is the small window immediately after a severe injury in which it is critical to get the victim to a medical facility for the best chance of survival. (go.com)
  • 2.01-6.79) and severe injury score (OR 6.78, 95% CI: 4.04-11.37). (who.int)
  • Similarly, this technique can be used retrospectively to identify and control for differences in baseline injury severity between patient populations. (medscape.com)
  • The mechanism and anatomical region of the injury were registered and an injury severity score (ISS), revised trauma score (RTS) and probability of survival score were calculated. (tidsskriftet.no)
  • Associations between ISS, rank, manner of injury, and survival were evaluated by t test with Satterthwaite correction. (usuhs.edu)
  • The revised estimated survival probability index of trauma severity. (cdc.gov)
  • 555 Airway management, monitoring, and management of injuries are all key guidelines when it comes to medical trauma care. (wikipedia.org)
  • The leading causes of hospitalisation were respiratory disease (pneumonia, bronchiolitis, and asthma), sepsis, and head injury, which was the major cause of the trauma motivated by violence. (bvsalud.org)
  • A retrospective review of case records was performed for all injuries sustained by e-scooter users who presented to the ED from 2015 to 2016. (smj.org.sg)
  • There are three levels of TBI severity: mild, moderate and severe. (asbmb.org)
  • An HS caused a moderate cerebral ischemia (52% of the original CBF levels), a moderate hypotension (MABP downed to 22 mmHg), systemic inflammation, and peripheral organs injuries. (medsci.org)
  • However, combined an UCCAO and an HS caused a severe cerebral ischemia (18% of the original CBF levels), a moderate hypotension (MABP downed to 17 mmHg), systemic inflammation, peripheral organs damage, and neurological injury, which can be attenuated by whole body cooling. (medsci.org)
  • A manual search was conducted for each record identified, and age, rank, location and manner of injury, mechanism of injury, Injury Severity Score (ISS), and extent of wounding were abstracted. (usuhs.edu)
  • Explosions were the most common mechanism of injury (70%), while 18% of wounds occurred owing to gunshot. (usuhs.edu)
  • In medicine, traumatology (from Greek trauma, meaning injury or wound) is the study of wounds and injuries caused by accidents or violence to a person, and the surgical therapy and repair of the damage. (wikipedia.org)
  • Medical traumatology can be defined as the study of specializing in the treatment of wounds and injuries caused by violence or general accidents. (wikipedia.org)
  • The combination of injuries often occurs in modern warfare and automobile and industrial accidents [ 13 - 15 ]. (medsci.org)
  • Further efforts at safety education and enforcement should be made to prevent accidents and minimise the impact of these injuries. (smj.org.sg)
  • RÉSUMÉ En Arabie saoudite, les accidents de la circulation deviennent un problème de santé publique majeur. (who.int)
  • Road traffic accidents, falls and interpersonal violence were the most common mecha- nisms of injury. (who.int)
  • 11 ) To address the gap in the existing literature regarding this growing problem, our study aimed to characterise the spectrum and severity of e-scooter-related injuries presenting to an emergency department (ED), as well as to examine the consequent burden on health resource utilisation. (smj.org.sg)
  • In the post, Amerine told the story of when his Army Special Forces team, along with 'scores' of allied Afghan fighters, reportedly was hit by friendly fire in December 2001, just weeks after the initial invasion of Afghanistan. (go.com)
  • Penetrating trauma typically involves the violation of a body cavity (e.g. thoracic or abdominal) by a gunshot or stab wound. (smj.org.sg)
  • Since its introduction, by the Association for the Advancement of Automotive Medicine (AAAM) International Injury Scaling Committee (IISC), the parent organization of the AIS modified the AIS, most recently in 2005 (AIS-2005). (medscape.com)
  • More recently, physicians suggested that injury severity scoring can provide objective information for end-of-life decision-making and resource allocation. (medscape.com)
  • Head injuries are one of the major causes of trauma related death and disabilities worldwide. (wikipedia.org)
  • World War I presented physicians with scores of severe facial wounds and burns, changing the history of plastic surgery. (markedbyteachers.com)
  • Logistic regression has shown that with each increase of 1 point in the ISS the odds of head injury increases by a factor of 1.22 (95% confidence interval 1.13-1.31) and the use of helmets reduces the odds of head injury by a factor of 0.48 (95% confidence interval 0.23-1.03). (uaeu.ac.ae)