BACKGROUND Care process in tertiary trauma centers consists of a chain of care phases in different departments from the emergency department (ED) to post-operative rehabilitation. The historical evolution of healthcare systems and organizations has led to variations in trauma patient processes in different countries. The present study is aimed at revealing differences in the throughput and prod...

BACKGROUND Injury is a growing public health problem worldwide. Deaths due to injuries account for 10% of the world's mortality. More than 90% of the world's injury deaths occur in low and middle income countries. In Egypt, injury is a hidden epidemic and its related deaths are misclassified due to lack of accurate national data. Furthermore, as a research problem it has also been largely ignor...

BACKGROUND This study compared an intermittent feeding regimen (one-sixth of daily needs infused every 4 hours) with a continuous (drip) feeding regimen for critically ill trauma patients. There were two outcome variables: time to reach goal volume and the days on 100% of caloric needs via an enteral route in the first 10 days of the intensive care unit stay. Adverse events were also tallied. ...

BACKGROUND Identifying predictors of length of stay in the intensive care unit can help critical care clinicians prioritize care in patients with acute, life-threatening injuries. OBJECTIVE To determine if systemic inflammatory response syndrome scores are predictive of length of stay in the intensive care unit in patients with acute, life-threatening injuries. METHODS Retrospective chart r...

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...

Methods Data from the 315 (<17 years old) major trauma cases collected in the Emilia-Romagna trauma registry (RRTG) since 2006 to 2010 were analyzed. The inclusion criteria are ISS>15 or Intensive Care Unit (ICU) admission, which is decided by clinical judgment without standard criteria. In Emilia Romagna there are no Paediatric Trauma Centers. The main outcome measure [2] was mortality at disc...

The continued growth in emergency department (ED) use combined with limited inpatient bed availability often leads to boarding of patients needing inpatient or intensive care unit admission in the ED. Emergency department personnel are experienced in the rapid assessment of trauma patients but may be less prepared or comfortable with providing ongoing management of trauma patients, especially c...

Background Flail chest is the most serious complication that may occur after thoracic trauma. In this article, we present a case of flail chest caused by blunt chest trauma, which presented dramatic clinical improvement following rib fixation and chest wall reconstruction. Case Description A 53-year-old male patient with flail chest because of the trauma who had been followed in intensive care ...

Chemical injuries of the eye form a small but significant fraction of ocular trauma. Three recent studies'-3 put the incidence at 7, 8-7, and 9-9% of all ocular trauma, respectively. While many of these injuries are trivial, with no lasting adverse effects, others, notably those involving strong alkalis and to a less extent acids and other noxious substances, are potentially blinding. This stud...