OBJECTIVE To conduct a comparative analysis of the lesions found among motorcycle riders involved in traffic accidents and victims of other mechanisms of blunt trauma. METHODS Analysis of data prospectively collected on protocols for trauma patients older than 13 years, admitted from 06/10/2008 to 09/01/2009, victims of blunt trauma. Data collected included trauma mechanism, vital signs at ad...

Major injury is the sixth leading cause of death worldwide. Among those under 35 years of age, it is the leading cause of death and disability. Traffic accidents alone are the main cause, fundamentally in low-and middle-income countries. Patients over 65 years of age are an increasingly affected group. For similar levels of injury, these patients have twice the mortality rate of young individua...

Introduction: The Institute for Emergency Medical Assistance of Canton Sarajevo covers 1,777 square kilometers. All teams are physician staffed and organized in ten geographic points. Patients transported to a tertiary care level facility–University Clinical Center Sarajevo. Our objective was determine the association between total prehospital time severe trauma patient outcomes emergency medic...

Nonterrestrial communications have emerged as a key enabler for seamless connectivity in the upcoming generation networks. This kind of network can support high data rate among aerial platforms (i.e., unmanned vehicles (UAVs), high-altitude (HAPs), and satellites) cellular networks, achieving anywhere anytime connections. However, there are many practical implementation limitations, especially ...

OBJECTIVE To report the clinical and radiological characteristics, management and outcomes of traumatic ascending aorta and aortic arch injuries. METHODS Historic cohort multicentre study including 17 major trauma patients with traumatic aortic injury from January 2000 to January 2011. RESULTS The most common mechanism of blunt trauma was motor-vehicle crash (47%) followed by motorcycle cra...

STUDY OBJECTIVE To evaluate the cost-effectiveness of helicopter EMS for trauma patients. METHODS We applied a cost-effectiveness analysis from the service provider's perspective to cost and effectiveness estimates. The cost estimates comprise direct operating costs and additional survivors' hospital costs. The effectiveness estimates were calculated with the TRISS methodology from literature...

OBJECTIVE To assess whether the presence of a pelvic fracture is associated with greater severity and worse prognosis in victims of blunt trauma. METHODS A retrospective analysis of protocols and records of victims of blunt trauma admitted from June 2008 to March 2009 was separated into two groups: those with pelvic fracture (Group I) and those without it (Group II). Data were collected from ...

To evaluate the processes of care and outcomes of injured patients, many different models have been devised and "Trauma and Injury Severity Score" and "A Severity Characterization of Trauma" score have been among the most widely used models. We conducted this study to determine the effectiveness of these systems of evaluation to our setting in Iran, which is substantially different from the Nor...