CONTEXT Hunting continues to be a passion and common pastime for many US citizens, especially in rural areas. Unfortunately, with the large volume of hunters entering the woods each season, hunting injuries continue to be common. OBJECTIVE Review the experience of a level I trauma center during each of Wisconsin's 9-day deer firearm hunting seasons over a 6-year period and identify potential ...

BACKGROUND Regional differences in the care of severely injured patients remain problematic in industrial countries. METHODS In 2006, the German Society for Trauma Surgery initiated the foundation of regional networks between trauma centers in a TraumaNetwork (TNW). The TNW consisted of five major elements as follows: (a) a whitebook on the treatment of severely injured patients; (b) evidence...

BACKGROUND The frequency of penetrating trauma is low in Canada. Current recommendations for the care of patients with penetrating injuries originate from inner city trauma centres with a high volume of such injuries and may not apply to Canada. The purpose of this study was to review the incidence and treatment of penetrating thoracoabdominal injuries in the 4 tertiary trauma centres in Quebec...

OBJECTIVE Patients with traumatic brain injury (TBI) have a high mortality and morbidity. This pilot study was undertaken to identify contributors to outcome in the early management of patients with TBI and to investigate the feasibility of a larger study. METHODS Road trauma patients who died between January 1 and April 30, 2000 were selected from the Alfred Hospital's Intensive Care Traumat...

BACKGROUND Trauma is viewed by many as a global problem. The phenomenon of similar outcomes within differing healthcare delivery systems can illuminate the strengths and weaknesses of various trauma systems as well as the effects of these characteristics on patient outcome. OBJECTIVES To compare and contrast demographic and injury characteristics as well as patient outcomes of two urban/subur...

OBJECTIVES To estimate the costs of Canadian pediatric trauma and identify cost predictors. DESIGN A chart review. SETTING A regional trauma centre. STUDY MATERIAL The charts of all 221 children who suffered traumatic injuries with an Injury Severity Score (ISS) of 4 or more seen over 6 years at a regional trauma centre. MAIN OUTCOME MEASURES Patient data, injury data, all hospital-base...

The aim of the present study was to assess the prognostic significance of thoracic and abdominal trauma in severely injured patients. A retrospective analysis was performed based on data from the period from March 1 2006 to December 31 2007, taken from the Trauma Registry of the University Hospital "SantAndrea" in Rome. A total of 844 trauma patients were entered in a database created for this ...

BACKGROUND We examined the association between age, mechanism of injury, and Injury Severity Score (ISS) on mortality in major trauma. METHODS We used 9 years of population-based linked major trauma (ISS >15) registry data for Western Australia (N = 4,411). These were categorized using the Sampalis classification of injury severity: survivable (ISS 16-24), probably survivable (ISS 25-49), and...

In 2005, a major Level I trauma center closed in Los Angeles County, leading to media speculation that the sudden expansion of our catchment area would adversely affect outcome. We sought to determine whether the closure led to longer transport times and increased trauma morbidity and mortality at our Level I trauma center. Annual patient volume, paramedic transport times, injury severity score...

Objective—The research was undertaken to describe the injury severity score (ISS) and the new injury severity score (NISS) and to illustrate their statistical properties. Design—Descriptive analysis and assessment of the distribution of these scales. Methods—Three data sources—the National Pediatric Trauma Registry; the Massachusetts Uniform Hospital Discharge Data Set; and a trauma registry fr...