HYPOTHESIS The mechanism by which trauma systems improve mortality is unknown. Outcomes may be influenced by experienced trauma surgeons treating more patients (surgeon effect) or improving the overall system of care (system effect). We hypothesized that mortality is lower in patients treated by a fellowship-trained senior trauma program director (experienced) vs first-year general surgery atte...

BACKGROUND Globally, trauma represents a growing and significant burden of disease. Many health systems have limited metrics with which to guide development and appropriately inform policy and management decisions with regard to trauma related health care delivery. FINDINGS This paper outlines the establishment of need for improved trauma related metrics in the country of Bhutan and the proce...

The cervical collar has been routinely used for trauma patients for more than 30 years and is a hallmark of state-of-the-art prehospital trauma care. However, the existing evidence for this practice is limited: Randomized, controlled trials are largely missing, and there are uncertain effects on mortality, neurological injury, and spinal stability. Even more concerning, there is a growing body ...

This paper examines some problems related to trauma care, and, at the same time, discusses some solutions, particularly stressing the need for a trauma system in Great Britain.

The speakers on the second day of the trauma conference tackled questions related to the organisation of trauma systems and topical clinical subjects. Trauma organisation was addressed by speakers from very different perspectives. Professor Mark Midwinter, Defence Professor of Surgery spoke on Surgical Lessons from Recent Conflicts. He discussed the importance of managing trauma from the point ...

BACKGROUND Trauma systems are designed to deliver timely and appropriate care. Prehospital triage regulations and interfacility transfer guidelines are the primary determinants of system efficacy. We analyzed the effectiveness of the Florida trauma system in delivering trauma patients to trauma centers over time. STUDY DESIGN Injured patients were identified by ICD-9 codes from a statewide di...

objective: to examine the inter-rater reliability of triages performed by the electronic triage system (ets) which has recently developed and used in hospital emergency department (ed). methods: this cross-sectional study was conducted prospectively and studied 408 visitors of tabriz imam reza hospital’s ed. the variables of interest were age, sex, nurse-assigned triage category, physician-assi...