Trauma is a major public health problem worldwide. More than 5 million people die every year as a consequence of traumatic injuries. This disease does not distinguish between developed or underdeveloped countries; it is a major challenge to modern societies. In many instances, injuries occur due to their responsible actions such as drug abuse, drinking and driving, etc. Interpersonal violence, ...

OBJECTIVE The objectives this study are to elucidate the advantages and disadvantages of the panel method for evaluating the quality of trauma care and to review the individual and collective evidence in support of regionalized trauma care derived from these studies. METHOD A review of the published literature was conducted and identified 10 panel studies that compared appropriateness of care...

UNLABELLED There is very little data on the value of specialized intensive care unit (ICU) care in the literature. To determine if specialize ICU care for the trauma patient improved outcomes in this patient population. Level I Trauma Center Compared outcomes of trauma patients treated in a surgical trauma ICU (STICU) to those treated in non- trauma ICUs (non-STICU). Retrospective review of tra...

OBJECTIVES To explore injured patients' experiences of trauma care to identify areas for improvement in service delivery. DESIGN, SETTING AND PARTICIPANTS Qualitative study using in-depth, semi-structured interviews, conducted from 1 April 2011 to 31 January 2012, with 120 trauma patients registered by the Victorian State Trauma Registry and the Victorian Orthopaedic Trauma Outcomes Registry ...

Many of injured children will require surgical treatment with involvement of the anesthesiologist. The anesthesia providers may have to take care of pediatric patients on following occasions: 1- Initial stabilization in the emergency department 2- Providing sedation and monitoring for imaging 3- Preoperative management of emergent surgical procedures such as laparotomy or craniotomy 4- Manageme...

PURPOSE OF REVIEW This review focuses on development and maturation of the tactical evacuation and en route care capabilities of the military trauma system in Afghanistan and discusses hard-learned lessons that may have enduring relevance to civilian trauma systems. RECENT FINDINGS Implementation of an evidence-based, data-driven performance improvement programme in the tactical evacuation an...

TBE-CiTE Journal Club attended by the following institutions: Sunnybrook Health Sciences Centre Trauma Program, Department of Surgery, University of Toronto, Canada; Division of Trauma Surgery, University of Campinas, Campinas, SP, Brazil; Trauma and Acute Care Surgery, Risoleta T. Neves Hospital, Belo Horizonte, MG, Brazil; Base Hospital São José do Rio Preto, SP, Brazil. 1. Associate Professo...

In the last two decennia, the mixed population general intensive care unit (ICU) with a "closed format" setting has gained in favour compared to the specialized critical care units with an "open format" setting. However, there are still questions whether surgical patients benefit from a general mixed ICU. Trauma is a significant cause of morbidity and mortality throughout the world. Major or se...

BACKGROUND Road traffic injuries are a major global public health problem. Improvements in pre-hospital trauma care can help minimize mortality and morbidity from road traffic injuries (RTIs) worldwide, particularly in low- and middle-income countries (LMICs) with a high rate of RTIs such as Iran. The current study aimed to explore pre-hospital trauma care process for RTI victims in Iran and to...

BACKGROUND Approximately 10% of the Norwegian population is injured every year, with injuries ranging from minor injuries treated by general practitioners to major and complex injuries requiring specialist in-hospital care. There is a lack of knowledge concerning the caseload of potentially severely injured patients in Norwegian hospitals. Aim of the study was to describe the current status of ...