نتایج جستجو برای: trauma centers
تعداد نتایج: 207489 فیلتر نتایج به سال:
OBJECTIVE To study whether traditionally vulnerable populations have worse geographic access to trauma centers. DESIGN A cross-sectional analysis using data from the American Hospital Association Annual Survey from 2005 linked with zip code-level data from the US Census. We used a multinomial logit model to examine the odds of having difficult as opposed to easy access to trauma centers for a...
BACKGROUND Trauma systems are designed to deliver timely and appropriate care. Prehospital triage regulations and interfacility transfer guidelines are the primary determinants of system efficacy. We analyzed the effectiveness of the Florida trauma system in delivering trauma patients to trauma centers over time. STUDY DESIGN Injured patients were identified by ICD-9 codes from a statewide di...
BACKGROUND Trauma resuscitation involves multidisciplinary teams under surgical leadership in most US trauma centers. Because many trauma centers have also incorporated emergency department (ED) physicians, shared and cross-disciplinary leadership structures often occur. Our study identifies leadership structures and examines the effects of cross-disciplinary leadership on trauma teamwork. ME...
More than 1000 patients die each day from out-of-hospital cardiac arrest. Although the reasons are multifactorial, it is remarkable that more than 50% of patients who are brought to the hospital alive after immediate resuscitation never survive to hospital discharge. Ultimate functional survival after an out-of-hospital cardiac arrest in the United States is approximately 5%. Patients die from ...
As described in more detail in the accompanying article by D’Onofrio and Degutis, many patients admitted to emergency departments (EDs) and trauma centers have positive blood alcohol levels at the time of their visit. (For more information on the dis tinction between EDs and trauma centers and the patients they treat, see the textbox “Emergency Departments Versus Trauma Centers.”) Research has...
The relationship between information and communication technology (ICT) and trauma work coordination has long been recognized. The purpose of the study was to investigate the type and frequency of use of various ICTs to activate and organize trauma teams in level I/II trauma centers. In a cross-sectional survey, questionnaires were mailed to trauma directors and clinicians in 457 trauma centers...
BACKGROUND/PURPOSE Following publication of American Pediatric Surgical Association (APSA) hospital benchmarks for the operative management of blunt splenic trauma in specialized centers, it was found that most hospitals exceeded these benchmarks. We sought to determine if benchmarks were being met a decade later and to identify factors associated with splenectomy in injured children. METHODS...
BACKGROUND On 21 June 2005, a passenger train collided with a truck near Revadim, Israel. The collision resulted in a multiple-scene mass-casualty incident in an area characterized by difficult access and a relatively long distance from trauma centers. A major disaster response was initiated by civilian and military medical forces including the Israeli Air Force (IAF) Search and Rescue teams. T...
Preliminary results from a study of trauma patients in Southern Nevada are yielding some unexpected findings with implications for both trauma centers and the growing Hispanic population. Hispanic patients are more likely to be self pay irrespective of income level and employment status when compared to non-Hispanic patient groups. Further, self pay Hispanics, unlike their non-Hispanic, self pa...
BACKGROUND Trauma is the most common cause of mortality among people between the ages of 1 and 45 years, costing Canadians 19.8 billion dollars a year (2004 data), yet half of all patients with major traumatic injuries do not receive evidence-based care, and significant regional variation in the quality of care across Canada exists. Accordingly, our goal is to lead a research project in which s...
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