Journal of Trauma Management and Outcomes via MedWorm.com

Trauma center accessibility for road traffic injuries in Hanoi, Vietnam

Journal of Trauma Management and Outcomes — Fri, 30 Sep 2011 04:00:00 +0100

Conclusions: Geographical patterns of RTIs in Hanoi city differed by gender, time, and injury mechanism; such information may be useful for injury prevention. Specifically, RTIs occurring along the two north-south main roads have lower accessibility to trauma centers, thus an emergency medical service system should be established. (Source: Journal of Trauma Management and Outcomes)

International benchmarking of tertiary trauma centers: productivity and throughput approach

Journal of Trauma Management and Outcomes — Tue, 02 Aug 2011 23:00:00 +0100

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Patients Referred to a Norwegian Trauma Centre: effect of transfer distance on injury patterns, use of resources and outcomes

Journal of Trauma Management and Outcomes — Wed, 15 Jun 2011 23:00:00 +0100

Conclusion: This study shows heterogeneous characteristics and high injury severity among interhospital transfers. The rate of trauma team assessment was low and should be further examined. The mortality differences should be interpreted with caution as patients were in different phases of management. The descriptive characteristics outlined may be employed in the development of triage protocols and transfer guidelines. (Source: Journal of Trauma Management and Outcomes)

HIV seroprevalence and its effect on outcome of moderate to severe burn injuries: A Ugandan experience

Journal of Trauma Management and Outcomes — Wed, 08 Jun 2011 23:00:00 +0100

Conclusion: HIV infection is prevalent among burn injury patients in our setting and thus presents an occupational hazard to health care workers who care for these patients. All burn health care workers in this region need to practice universal precautions in order to reduce the risk of exposure to HIV infection and post-exposure prophylaxis should be emphasized. The outcome of burn injury in HIV infected patients is dependent upon multiple variables such as age of the patient, inhalation injury and %TBSA and not the HIV status alone. (Source: Journal of Trauma Management and Outcomes)

Etiological spectrum, injury characteristics and treatment outcome of maxillofacial injuries in a Tanzanian teaching hospital

Journal of Trauma Management and Outcomes — Wed, 01 Jun 2011 23:00:00 +0100

Conclusion: Road traffic crashes remain the major etiological factor of maxillofacial injuries in our setting. Measures on prevention of road traffic crashes should be strongly emphasized in order to reduce the occurrence of these injuries. (Source: Journal of Trauma Management and Outcomes)

Intraoperative angioembolization in the management of pelvic-fracture related hemodynamic instability

Journal of Trauma Management and Outcomes — Thu, 12 May 2011 23:00:00 +0100

Conclusions: IAE for severe pelvic hemorrhage can be successfully performed concurrently with exploratory laparotomy, pelvic packing or other resuscitative procedures. Patients most likely to benefit have a base deficit (Source: Journal of Trauma Management and Outcomes)

Improving prehospital trauma management for skiers and snowboarders - need for on-slope triage?

Journal of Trauma Management and Outcomes — Mon, 25 Apr 2011 23:00:00 +0100

This article can assist in understanding the characteristics of injured winter sportsmen and exigencies for future on-slope triage protocols. Methods: Six-year review of trauma cases in a tertiary trauma centre. Consecutive inclusion of all injured skiers and snowboarders aged >15 (total sample) years with predefined, severe injury to the head, spine, chest, pelvis or abdomen (study sample) presenting at or being transferred to the study hospital. Descriptive analysis of age, gender and injury pattern. Results: Amongst 729 subjects (total sample) injured from skiing or snowboarding, 401 (55%, 54% of skiers and 58% of snowboarders) suffered from isolated limb injury. Amongst the remaining 328 subjects (study sample), the majority (78%) presented with monotrauma. In the study sample, injury ...

Protective and risk factors in amateur equestrians and description of injury patterns: A retrospective data analysis and a case - control survey

Journal of Trauma Management and Outcomes — Fri, 04 Feb 2011 00:00:00 +0100

Conclusions: : Experience with riding and having passed a diploma in horse riding seem to be protective factors. Educational levels and injury risk should be graded within an educational level-injury risk index. (Source: Journal of Trauma Management and Outcomes)

Treatment course and outcomes following drug and alcohol-related traumatic injuries

Journal of Trauma Management and Outcomes — Thu, 20 Jan 2011 00:00:00 +0100

Conclusion: This study suggests that pre-injury drug use is associated with a significantly higher complication rate. In particular, infection during hospitalization is a significant risk for both alcohol and drug related trauma visits, and drug-related trauma incidents are associated with increased risk for additional circulatory complications. Although drug and alcohol related trauma incidents are not associated with appreciably worse clinical outcomes, patients experiencing such complications are associated with significantly greater length of stay and higher hospitalization costs. Therefore significant benefits to trauma patients could be gained with enhanced surveillance for pre-injury substance use upon admission to the ED, and closer monitoring for infection or circulatory complicat...

The efficacy of four-slice helical CT in evaluating pancreatic trauma: a single institution experience

Journal of Trauma Management and Outcomes — Fri, 07 Jan 2011 00:00:00 +0100

Conclusion: Four-slice helical CT can detect most pancreatic trauma and provide practical therapeutic guidance. Delayed operation might result in complications and is associated with prolonged hospital stays. (Source: Journal of Trauma Management and Outcomes)

Antithrombotic therapy and outcomes of cervical arterial dissection in the trauma patient: a case series

Journal of Trauma Management and Outcomes — Mon, 13 Dec 2010 00:00:00 +0100

Conclusion: In so far as antithrombotic therapy may offer benefit in preventing early ischemic stroke following cervical artery dissection, these data suggest withholding antiplatelet or other antithrombotics following trauma may not be warranted, even in the setting of intracranial hemorrhage. From a safety perspective, this registry-based case series indicates antithrombotic management of arterial injury did not contribute to development or progression of ICH, even in patients with pre-existing ICH. This data suggest that instituting early antithrombotic therapy presents a low risk of ICH or hemorrhage extension among traumatic cervical dissection patients. (Source: Journal of Trauma Management and Outcomes)

Occult pneumothorax, revisited

Journal of Trauma Management and Outcomes — Thu, 28 Oct 2010 23:00:00 +0100

Pneumothorax is a recognized cause of preventable death following chest wall trauma where a simple intervention can be life saving. In cases of trauma patients where cervical spine immobilization is mandatory, supine AP chest radiograph is the most practical initial study. It is however not as sensitive as CT chest for early detection of a pneumothorax. "Occult" pneumothorax is an accepted definition of an existing but usually a clinically and radiologically silent disturbance that in most patients can be tolerated while other more urgent trauma needs are attended to. However, in certain patients, especially those on mechanical ventilation (with subsequent increase of intrapleural air with positive pressure ventilation), missing the diagnosis of pneumothorax can be deleterious with fatal c...

Mind your hand during the energy crunch: Functional Outcome of Circular Saw Hand Injuries

Journal of Trauma Management and Outcomes — Sun, 05 Sep 2010 23:00:00 +0100

Conclusion: The everyday occurrence of circular saw-related hand injuries followed by relatively short periods of in-house treatment might distort the real dimension of the patients' remaining disability and impairment. While the trauma surgeon's view is generally confined to the patients' clinical course, the outcome parameters in this follow-up investigation, with loss of working time as the key factor, confirm that the whole socioeconomic burden is much greater than the direct cost of treatment. (Source: Journal of Trauma Management and Outcomes)

Resource utilization and outcomes of intoxicated drivers

Journal of Trauma Management and Outcomes — Wed, 04 Aug 2010 23:00:00 +0100

Background: The high risk behavior of intoxicated drivers, impaired reaction time, lack of seat belt use, and increased incidence of head injury raises questions of whether pre-hospital use of alcohol leads to a higher injury severity score and worse clinical outcomes. We therefore compared intoxicated and non-intoxicated drivers of motor vehicle crashes with respect to outcome measurements and also describe the resources utilized to achieve those outcomes at our Level 1 trauma center. Methods: Retrospective descriptive study (Jan 2002-June 2007) of our trauma registry and financial database comparing intoxicated drivers with blood alcohol levels (BAC) > 80 mg/dl (ETOH>80) with drivers who had a BAC of 0 mg/dl (ETOH=0). Drivers without a BAC drawn or who had levels ranging from 1 mg/dL to ...

Editorial Commentary: Resource utilization and outcomes of intoxicated drivers: does evidence of alcohol-impaired driving affect road traffic crash injury outcomes?

Journal of Trauma Management and Outcomes — Wed, 04 Aug 2010 23:00:00 +0100

Cherry et al. report the results of a retrospective hospital-based study among a sample of 623 alcohol-impaired drivers versus 364 sober drivers, all of which suffered from road traffic injury and were documented with a comparable mean Injury Severity Score (ISS). As for the key results, the alcohol-impaired drivers were more likely to be admitted to the ICU, but less likely to go to the operating room. In addition, they were registered with less ICU days, ventilator days, and hospital days. On the other hand, the impaired drivers were less likely to utilize follow-up care (e.g. rehabilitation) and generate payments for hospital fees. (Source: Journal of Trauma Management and Outcomes)

Measuring attitudes, behaviours, and influences in inner city victims of interpersonal violence (VIVs) - A Swiss emergency room pilot study

Journal of Trauma Management and Outcomes — Mon, 05 Jul 2010 23:00:00 +0100

DiscussionYouth violence is a health issue, which concerns us globally. The human and economic toll of violence on victims and offenders, their families, and on society in general is high. The economic costs associated with violence-related illness and disability is estimated to be millions of Swiss francs each year. Physicians and psychologists are compelled to identify the factors, which cause young people to be violent, to find out which interventions prove to be successful, and to design effective prevention programs. The identification of effective programs depends on the availability of reliable and valid measures to assess changes in violence-related attitudes. In our efforts to create healthier communities, we need to investigate; document and do research on the causes and circumst...

Psychometric properties of questionnaires evaluating health-related quality of life and functional status in polytrauma patients with lower extremity injury

Journal of Trauma Management and Outcomes — Sun, 27 Jun 2010 23:00:00 +0100

Conclusion The SF-36 and the GARS appear to be preferable for use in polytrauma patients over the SIP-136. (Source: Journal of Trauma Management and Outcomes)

Effects of acute substance use and pre-injury substance abuse on traumatic brain injury severity in adults admitted to a trauma centre

Journal of Trauma Management and Outcomes — Tue, 25 May 2010 23:00:00 +0100

Conclusions: Acute substance use was more frequent in patients with less severe TBI caused by low-energy events such as falls, violence and sport accidents. Pre-injury substance abuse increased the probability of more severe TBI caused by high-energy trauma such as motor vehicle accidents and falls from higher levels. Preventive efforts to reduce substance consumption and abuse in at-risk populations are needed. (Source: Journal of Trauma Management and Outcomes)

500 ml of blood loss does not decrease non-invasive tissue oxygen saturation (StO2) as measured by near infrared spectroscopy - A hypothesis generating pilot study in healthy adult women

Journal of Trauma Management and Outcomes — Wed, 12 May 2010 23:00:00 +0100

Conclusion: StO2 measured at the thenar eminence seems to be insensitive to blood loss of 500 ml in this setting. Probably blood loss greater than this might lead to detectable changes guiding the treating physician. The exact cut off for detectable changes and the time effect on repeated vascular occlusion tests should be explored further. Until now no such data exist. (Source: Journal of Trauma Management and Outcomes)

Trauma management incorporating focused assessment with computed tomography in trauma (FACTT) - potential effect on survival

Journal of Trauma Management and Outcomes — Sun, 09 May 2010 23:00:00 +0100

Conclusion: Trauma management incorporating FACTT enhances a rapid response to life-threatening problems and enables a comprehensive assessment of the severity of each relevant injury. Due to its speed and accuracy, FACTT during primary trauma survey supports rapid decision-making and may increase survival.KeywordsPolytrauma, major trauma, trauma resuscitation, algorithm, multi-slice computed tomography (MSCT), multi-detector computed tomography (MDCT), whole-body computed tomography (WBCT), outcome. (Source: Journal of Trauma Management and Outcomes)

A decade of experience with injuries to the gallbladder

Journal of Trauma Management and Outcomes — Wed, 14 Apr 2010 23:00:00 +0100

Conclusion: Injuries to the gallbladder are rare even in the busiest urban trauma centers. Almost all patients have associated intra-abdominal injuries, and nearly 50% of patients are hemodynamically unstable on admission. Rapid cholecystectomy is the treatment of choice for all mechanisms of injury, except when the first operative procedure is of the damage control type. (Source: Journal of Trauma Management and Outcomes)

Real-world car-to-pedestrian-crash data from an urban centre

Journal of Trauma Management and Outcomes — Tue, 16 Feb 2010 00:00:00 +0100

Conclusion: The real-world data from this study is in agreement with previous findings from biomechanical models and other simulations. This data suggest that there may be reason to include further pedestrian regulations in EuroNCAP. (Source: Journal of Trauma Management and Outcomes)

Complications related to deep venous thrombosis prophylaxis in trauma: a systematic review of the literature

Journal of Trauma Management and Outcomes — Wed, 06 Jan 2010 00:00:00 +0100

Deep venous thrombosis prophylaxis is essential to the appropriate management of multisystem trauma patients. Without thromboprophylaxis, the rate of venous thrombosis and subsequent pulmonary embolism is substantial. Three prophylactic modalities are common: pharmacologic anticoagulation, mechanical compression devices, and inferior vena cava filtration. A systematic review was completed using PRISMA guidelines to evaluate the potential complications of DVT prophylactic options. Level one evidence currently supports the use of low molecular weight heparins for thromboprophylaxis in the trauma patient. Unfortunately, multiple techniques are not infrequently required for complex multisystem trauma patients. Each modality has potential complications. The risks of heparin include bleeding and...

Autologous bone graft versus demineralized bone matrix in internal fixation of ununited long bones

Journal of Trauma Management and Outcomes — Tue, 15 Dec 2009 00:00:00 +0100

Conclusions: With the use of DBM, the costs for augmentation of the non-union-site are more expensive compared to ICABG (calculated difference: 160 Euro/case). Nevertheless, this study demonstrated that the application of DBM compared to ICABG led to an advanced outcome in the treatment of non-unions and simultaneously to a decreased quantity of adverse effects. Therefore we conclude that DBM should be offered as an alternative to ICABG, in particular to patients with elevated comorbidity and those with limited availability or reduced quality of autologous-bone graft material. (Source: Journal of Trauma Management and Outcomes)

Free Abdominal Fluid without obvious Solid Organ Injury upon CT imaging: an actual problem or simply over-diagnosing?

Journal of Trauma Management and Outcomes — Tue, 15 Dec 2009 00:00:00 +0100

Whereas a non-operative approach for hemodynamically stable patients with free intraabdominal fluid in the presence of solid organ injury is generally accepted, the presence of free fluid in the abdomen without evidence of solid organ injury not only presents a challenge for the treating emergency physician but also for the surgeon in charge. Despite recent advances in imaging modalities, with multi-detector computed tomography (CT) (with or without contrast agent) usually the imaging method of choice, diagnosis and interpretation of the results remains difficult. While some studies conclude that CT is highly accurate and relatively specific at diagnosing mesenteric and hollow viscus injury, others studies deem CT to be unreliable. These differences may in part be due to the experience and...

Impact of falls on early mortality from severe traumatic brain injury

Journal of Trauma Management and Outcomes — Wed, 29 Jul 2009 23:00:00 +0100

This study is based on 2779 patients with severe TBI treated at 24 trauma centers enrolled in a New York State quality improvement program. The prospectively collected database includes information on age, sex, mechanism of injury, initial Glasgow Coma Scale score, blood pressure, pupillary assessment, and CT scan findings. This multi-center study was conducted to explore the impact of falls on early mortality from severe TBI among the elderly. Results: After exclusion criteria were applied, a total of 2162 patients were eligible for analysis. Falls contributed to 21% of all severe TBI, 12% occurring from > 3 meters and 9% from < 3 meters. Two-week mortality ranged from 18% due to injuries other than falls to 31% due to falls from < 3 meters (p= (Source: Journal of Trauma Management and Ou...

Hospital mortality among major trauma victims admitted on weekends and evenings: a cohort study

Journal of Trauma Management and Outcomes — Sun, 26 Jul 2009 23:00:00 +0100

Conclusions: In our region, the time of admission during the day or day of the week does not influence the risk for adverse outcome and may reflect our highly developed multi-hospital acute care and trauma system. (Source: Journal of Trauma Management and Outcomes)

A multicenter review of deep venous thrombosis prophylaxis practice patterns for blunt hepatic trauma

Journal of Trauma Management and Outcomes — Wed, 03 Jun 2009 04:00:00 +0100

Conclusions: Practice patterns indicate that chemical DVT prophylaxis initiated within 48 hours of admission may be safe in patients with significant blunt hepatic trauma. Delays in prevention result in venothromboembolic events, but not in fewer blood transfusions or a decreased need for subsequent angiographic or operative therapies. (Source: Journal of Trauma Management and Outcomes)

Advocating "spine damage control" as a safe and effective treatment modality for unstable thoracolumbar fractures in polytrauma patients: a hypothesis

Journal of Trauma Management and Outcomes — Mon, 11 May 2009 04:00:00 +0100

Background: The "ideal" timing and modality of fracture fixation for unstable thoracolumbar spine fractures in multiply injured patients remains controversial. The concept of "damage control orthopedics" (DCO), which has evolved globally in the past decade, provides a safe guidance for temporary external fixation of long bone or pelvic fractures in multisystem trauma. In contrast, "damage control" concepts for unstable spine injuries have not been widely implemented, and the scarce literature in the field remains largely anecdotal. The current practice standards are reflected by two distinct positions, either (1) immediate "early total care" or (2) delayed spine fixation after recovery from associated injuries. Both concepts have inherent risks which may contribute to adverse outcome. Pres...

Outcome after severe head injury: focal surgical lesions do not imply a better Glasgow Outcome Score than diffuse injuries at 3 months

Journal of Trauma Management and Outcomes — Fri, 03 Apr 2009 04:00:00 +0100

Conclusions: The assumption in the past has always been that patients presenting in coma from traumatic diffuse brain injury will do worse than those that have a mass lesion amenable to surgical decompression. Our series would suggest that this is not the case and all severely head injured patients should expect similar outcome when cared for in a neuroscience centre. (Source: Journal of Trauma Management and Outcomes)

Severe traumatic injury during long duration spaceflight: Light years beyond ATLS.

Journal of Trauma Management and Outcomes — Wed, 25 Mar 2009 04:00:00 +0100

Traumatic injury strikes unexpectedly among the healthiest members of the human population, and has been an inevitable companion of exploration throughout history. In space flight beyond the Earth's orbit, NASA considers trauma to be the highest level of concern regarding the probable incidence versus impact on mission and health. Because of limited resources, medical care will have to focus on the conditions most likely to occur, as well as those with the most significant impact on the crew and mission. Although the relative risk of disabling injuries is significantly higher than traumatic deaths on earth, either issue would have catastrophic implications during space flight. As a result this review focuses on serious life threatening injuries during space flight as determined by a NASA c...

Ten years of major equestrian injury: are we addressing functional outcomes?

Journal of Trauma Management and Outcomes — Thu, 19 Feb 2009 05:00:00 +0100

Conclusions: Rehabilitation therapy is significantly underutilized following severe equestrian trauma. Increased therapy services should target patients with brain, neck and skull injuries. Improvements in the initial provision, and follow-up of rehabilitation therapy could enhance functional outcomes in the treatment resistant Western equestrian population. (Source: Journal of Trauma Management and Outcomes)

Cost-effectiveness of an integrated 'fast track' rehabilitation service for multi-trauma patients involving dedicated early rehabilitation intervention programs: design of a prospective, multi-centre, non-randomised clinical trial

Journal of Trauma Management and Outcomes — Fri, 30 Jan 2009 05:00:00 +0100

DiscussionThe study will yield results on the efficiency of an adapted care service for multi-trauma patients (SFTRS) featuring earlier (and condensed) involvement of specialised rehabilitation treatment. Results will show whether improved SFTRS logistics, combined with shorter stays in hospital and rehabilitation clinic and specialised early rehabilitation training modules are more (cost-) effective, relative to CTCS. Trial registration: This trial is registered both at the Current Controlled Trials register (ISRCTN68246661) and at the Netherlands Trial Register (NTR139). (Source: Journal of Trauma Management and Outcomes)

Strategic emergency department design: An approach to capacity planning in healthcare provision in overcrowded emergency rooms

Journal of Trauma Management and Outcomes — Mon, 17 Nov 2008 05:00:00 +0100

Healthcare professionals and the public have increasing concerns about the ability of emergency departments to meet current demands. Increased demand for emergency services, mainly caused by a growing number of minor and moderate injuries has reached crisis proportions, especially in the United Kingdom. Numerous efforts have been made to explore the complex causes because it is becoming more and more important to provide adequate healthcare within tight budgets. Optimisation of patient pathways in the emergency department is therefore an important factor.This paper explores the possibilities offered by dynamic simulation tools to improve patient pathways using the emergency department of a busy university teaching hospital in Switzerland as an example. (Source: Journal of Trauma Management...

Strategic emergency department design: An approach to capacity planning in healthcare provision in overcrowded emergency rooms

Journal of Trauma Management and Outcomes — Mon, 17 Nov 2008 05:00:00 +0100

Healthcare professionals and the public have increasing concerns about the ability of emergency departments to meet current demands. Increased demand for emergency services, mainly caused by a growing number of minor and moderate injuries has reached crisis proportions, especially in the United Kingdom. Numerous efforts have been made to explore the complex causes because it is becoming more and more important to provide adequate healthcare within tight budgets. Optimisation of patient pathways in the emergency department is therefore an important factor. This paper explores the possibilities offered by dynamic simulation tools to improve patient pathways using the emergency department of a busy university teaching hospital in Switzerland as an example. (Source: Journal of Trauma Managemen...

Evaluation of the safety of high-frequency chest wall oscillation (HFCWO) therapy in blunt thoracic trauma patients

Journal of Trauma Management and Outcomes — Mon, 06 Oct 2008 04:00:00 +0100

Conclusions: This study suggests that HFCWO treatment is safe for trauma patients with lung and chest wall injuries. These findings support further work to demonstrate the airway clearance benefits of HFCWO treatment. (Source: Journal of Trauma Management and Outcomes)

The BHU bicentric bipolar prosthesis in fracture neck femur in active elderly

Journal of Trauma Management and Outcomes — Thu, 25 Sep 2008 04:00:00 +0100

Conclusion: Thus at follow up of 4 year the BHU bicentric bipolar prosthesis has been shown to be a good option for intracapsular fractures of neck femur with encouraging results. (Source: Journal of Trauma Management and Outcomes)

Outcomes of Ilizarov ring fixation in recalcitrant infected tibial non-unions – a prospective study

Journal of Trauma Management and Outcomes — Wed, 23 Jul 2008 04:00:00 +0100

Conclusion: Treatment of infected non-unions of Tibia with Ilizarov ring fixation is effective but for optimal results the treatment needs to be individualised by the treating surgeon with due consideration of the socio-economic factors. (Source: Journal of Trauma Management and Outcomes)

Investment in online self-evaluation tests: A theoretical approach

Journal of Trauma Management and Outcomes — Tue, 15 Apr 2008 04:00:00 +0100

Conclusion: The identification of individuals at risk for PTSD following a disaster may help organizations prevent both the human and the economic costs of this disease. Consequently future research on mental health issues should put more emphasis on the importance of monitoring to detect early PTSD and focus the most effective resources within early treatment and morbidity prevention. (Source: Journal of Trauma Management and Outcomes)

'Damage control orthopaedics' in patients with delayed referral to a tertiary care center: experience from a place where Composite Trauma Centers do not exist

Journal of Trauma Management and Outcomes — Tue, 29 Jan 2008 05:00:00 +0100

Conclusion: In situations of delayed referral in areas where composite trauma centers do not exist the damage control modality provides an acceptable method of treatment in the management of polytrauma cases. (Source: Journal of Trauma Management and Outcomes)

The beneficial effects of inhaled nitric oxide in patients with severe traumatic brain injury complicated by acute respiratory distress syndrome: a hypothesis

Journal of Trauma Management and Outcomes — Mon, 14 Jan 2008 05:00:00 +0100

Background: The Iraq war has vividly brought the problem of traumatic brain injury to the foreground. The costs of death and morbidity in lost wages, lost taxes, and rehabilitative costs, let alone the emotional costs, are enormous. Military personnel with traumatic brain injury and acute respiratory distress syndrome may represent a substantial problem. Each of these entities, in and of itself, may cause a massive inflammatory response. Both presenting in one patient can precipitate an overwhelming physiological scenario. Inhaled nitric oxide has recently been demonstrated to have anti-inflammatory effects beyond the pulmonary system, in addition to its ability to improve arterial oxygenation. Furthermore, it is virtually without side effects, and can easily be applied to combat casualtie...

Complex proximal femoral fractures in the elderly managed by reconstruction nailing – complications & outcomes: a retrospective analysis

Journal of Trauma Management and Outcomes — Mon, 10 Dec 2007 05:00:00 +0100

Conclusion: Favourable fixation of unstable complex femoral fractures in the elderly population can be achieved with the Russell-Taylor reconstruction nail. However, use of this device in this frail population was associated with a high implant complication and mortality rate that undoubtedly reflected the severity of the injury sustained, co-morbidity within the group and the stress of a major surgical procedure. (Source: Journal of Trauma Management and Outcomes)

Specialisation of spinal services: consequences for cervical trauma management in the district hospital

Journal of Trauma Management and Outcomes — Fri, 30 Nov 2007 05:00:00 +0100

Conclusion: The lack of equipment and expertise to apply the halo vest device for unstable cervical spine injuries is highlighted in this study. Training of all trauma surgeons in the application of the halo device would overcome this deficiency. (Source: Journal of Trauma Management and Outcomes)

Sledding injuries: is safety in this winter pastime overlooked? A three-year survey in South-Tyrol

Journal of Trauma Management and Outcomes — Wed, 28 Nov 2007 05:00:00 +0100

Conclusion: Sledding is rarely thought of as a potentially dangerous activity, but it can result in serious injury. Better public awareness of the risks of sledding injuries is required and preventive measures like the use of helmet, soft-side protections on the tracks, regular checks of the track conditions and good lightning for night sledding should be enforced. (Source: Journal of Trauma Management and Outcomes)

Journal of Trauma Management & Outcomes: a new platform for interdisciplinary, outcome-oriented research in trauma

Journal of Trauma Management and Outcomes — Mon, 26 Nov 2007 05:00:00 +0100

No abstract (Source: Journal of Trauma Management and Outcomes)

The floating knee: epidemiology, prognostic indicators & outcome following surgical management

Journal of Trauma Management and Outcomes — Mon, 26 Nov 2007 05:00:00 +0100

Conclusion: The associated injuries and the type of fracture (open, intra-articular, comminution) are prognostic indicators in the Floating knee. Appropriate management of the associated injuries, intramedullary nailing of both the fractures and post operative rehabilitation are necessary for good final outcome. (Source: Journal of Trauma Management and Outcomes)

A geographic information system to study trauma epidemiology in India

Journal of Trauma Management and Outcomes — Mon, 26 Nov 2007 05:00:00 +0100

Conclusion: GIS is a promising technology for geo-referencing accident data, and may be a valuable tool to identify areas of priority for injury prevention in India. (Source: Journal of Trauma Management and Outcomes)

Is mechanism of injury alone in the prehospital setting a predictor of major trauma – a review of the literature

Journal of Trauma Management and Outcomes — Mon, 26 Nov 2007 05:00:00 +0100

Conclusion: This study identified only five articles on the predictability of the mechanism of injury criteria alone. All studies stated that the mechanism of injury criteria alone are not good predictors of major trauma or the need for trauma team activation. This study was the precursor of a Victorian prehospital study to determine the predictability of the mechanism of injury alone criteria for trauma patients in the Australian context. (Source: Journal of Trauma Management and Outcomes)