THE SYSTEMS APPROACH TO THE delivery of trauma care is widely accepted as an effective strategy for reducing death due to injury. A critical component of this systems approach is the designation or verification of trauma center hospitals equipped to treat more severely injured patients. Although the overall number of trauma centers has increased over the last decade, recent studies have shown t...

Violent trauma and road traffic injuries kill more than 2.5 million people in the world every year, for a combined mortality of 48 deaths per 100,000 population per year. Most trauma deaths occur at the scene or in the first hour after trauma, with a proportion from 34% to 50% occurring in hospitals. Preventability of trauma deaths has been reported as high as 76% and as low as 1% in mature tra...

PURPOSE Substantial evidence supports the benefits of an intensivist model of critical care delivery. However, currently, this mode of critical care delivery has not been widely adopted in Korea. We hypothesized that intensivist-led critical care is feasible and would improve ICU mortality after major trauma. MATERIALS AND METHODS A trauma registry from May 2009 to April 2011 was reviewed ret...

On June 14, 2006, the Institute of Medicine released a three-part report on the future of emergency care, underscoring the evolving crisis in access to urgent medical care in the United States.1 The clear threat of future terrorist activity and recent experience with natural disasters highlight the need to develop a comprehensive response system based on the integration of civilian and military...

Road traffic injuries as a man-made calamity impose great burden on poor people and needs to be addressed through social justice and end of poverty. Pointing out that around 186,300 children under the age of 18 are killed every year, and much more are injured, urgent need to work on road safety measures will be revealed. Although preventing road traffic crashes from occurring should be the main...

INTRODUCTION Trauma remains the primary cause of death in individuals under 40 years of age in Canada. In Quebec, the Trauma Care Continuum (TCC) has been demonstrated to be effective in decreasing the mortality rate among trauma victims. Although rural citizens are at greater risk for trauma and trauma death, no empirical data concerning the effectiveness of the TCC for the rural population in...

OBJECTIVE to identify the prevalence of trauma in elderly people and how they accessed the health system through pre-hospital care. METHOD documentary and retrospective study at a mobile emergency care service, using a sample of 400 elderly trauma victims selected through systematic random sampling. A form validated by experts was used to collect the data. Descriptive statistical analysis was...