BACKGROUND As part of the American College of Surgeons verification to be a Level 1 trauma center, centers are required to have the capacity to identify trauma patients with risky alcohol use and provide an intervention. Despite supporting scientific evidence and national policy statements encouraging alcohol Screening, Brief Intervention and Referral to Treatment (SBIRT), barriers still exist,...

OBJECTIVE To characterize deaths from trauma in a tertiary hospital and evaluate the quality of care provided to these victims. METHODS This was a retrospective study in a referral center for trauma in the period of one year. Through the methodology Trauma Score - Injury Severity Score and the review of medical records, preventable, potentially avoidable and non-preventable deaths were identi...

Background: In Peru, 11% of deaths are due to trauma. Iquitos is a large underserved Peruvian city isolated from central resources by its geography. Our objective was to implement a locally driven trauma registry to sustainably improve trauma healthcare in this region. Methods: All trauma patients presenting to the main regional referral hospital were included in the trauma registry. A pilot st...

Aim: Educational practitioners are increasingly aware of trauma experiences in students as a factor child disturbance and schooling problems. This discussion paper aims to clarify definitions differentiate them from other adverse childhood (ACE), describe impact terms clinical outcomes (PTSD, emotional behavioural disorder) how attachment factors mediate risk discuss the challenges ethics ident...

Masoudi M1, Asti P1, Hadizadegan A2 1. Instructor, Department of Midwifery, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences 2.GP Abstract Background: Trauma during pregnancy can lead to early complications such as abruption placenta, premature contraction and labor and at most, bleeding and fetus-maternal mortality. Trauma is one of the most causes of high risk pregn...

OBJECTIVES The primary aim of this study was to examine the impact of the introduction of an integrated adult critical care patient retrieval system in Victoria, Australia, on early clinical outcomes for major trauma patients who undergo interhospital transfer. The secondary aims were to examine the impact on quality and process measures for interhospital transfers in this population, and on lo...

OBJECTIVE To determine injury patterns and characteristics specific to domestic violence in women who present to the accident and emergency (A&E) department. DESIGN A retrospective case note review of all female assaults over a one year period. The subjects were women who disclosed that their injuries were due to assaults by either a current or a previous male partner. Controls were female as...

background: medical error is defined as an adverse event caused by medical management, which can be prevented. the aim of this study was to investigate the accuracy of diagnosis of oral and maxillofacial diseases made by health care practitioners. methods: a descriptive cross sectional study was done between apr. 2009 and mar.2010. 372 patients with oral and maxillofacial lesions who had referr...

anosmia following head trauma is relatively common and in many cases is persistent and irreversible. the ability to objectively measure such a decline in smelling, for both clinical and medicolegal goals, is very important. the aim of this study was to find results of brain single photon emission computed tomography (spect) in anosmic subjects after closed head trauma. this case-control cross s...