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 regist...

BACKGROUND On November 5, 2009, an army psychiatrist at Fort Hood in Killeen, TX, allegedly opened fire at the largest US military base in the world, killing 13 and wounding 32. METHODS Data from debriefing sessions, news media, and area hospitals were reviewed. RESULTS Ten patients were initially transferred to the regional Level I trauma center. The remainder of the shooting victims were ...

 T. O. White, FRCSEd(Tr&Orth), MD, FFTEd, Consultant Orthopaedic Trauma Surgeon  S. P. Mackenzie, MBChB, BSc MedSci (Hons), MRCS, Specialty Registrar  T. H. Carter, BSc(Hons), MBChB, MRCS(Ed), Specialty Registrar  O. R. Prescott, BSC BMBS PGCert, Foundation Doctor  A. D. Duckworth, BSc(Hons), MBChB, MSc, FRCSEd(Tr&Orth), PhD, Specialty Registrar  J. F. Keating, MPhil, FRCSEd(Tr&Orth), Con...

PURPOSE The Ministry of Health and Welfare recently designated 35 major trauma-specified centers (MTSC). The purpose of this study is to determine changes in patient flow and designated hospitals, and to describe the role of the emergency medical information center (EMIC) in a regional trauma care system. METHODS Data of trauma patient inter-facility transfer arrangement by one EMIC were revi...

conclusions young men form the target group for possible interventions to decrease the burden of trauma following falls and traffic accidents. materials and methods in a cross-sectional study, 19530 trauma cases admitted to the emergency department and hospital wards of shohada university hospital during 2007-2008 were assessed. results of the 19530 trauma cases, 14960(76.7%) were males. mean (...

BACKGROUND People who hunt deer from elevated tree stands may improve the chances of a successful hunt but also risk serious injury from a fall to the ground. PURPOSE The objective of the current investigation is to estimate the rates of injuries from falls from tree stands using a population-based study design. METHODS Annual and age-specific rates were calculated using injury data collect...

PURPOSE Sonography provides a fast, portable, and noninvasive method for patient assessment. However, the benefit of providing real-time ultrasound (US) imaging and fluid quantification shortly after patient arrival has not been explored. The objective of this study was to prospectively validate a US hemoperitoneum scoring system developed at our institution and determine whether sonography can...

OBJECTIVE To understand hospital-level variation in triage practices for patients with moderate-to-severe injuries presenting initially to nontrauma centers. BACKGROUND Many patients with moderate-to-severe traumatic injuries receive care at nontrauma hospitals, despite evidence of a survival benefit from treatment at trauma centers. METHODS We used claims from the Centers for Medicare and ...

Urologic trauma continues to be a dynamic and evolving subspecialty of urology. This is evident by the trauma papers published this past year. Highlights of the 2011 literature include a needed revision of renal trauma grading, increased use of large population-based datasets and multiple papers examining the use of angioembolization. Buckley and McAninch (1) revised the current American Associ...

PROVIDENCE – Hasbro Children’s Hospital, the pediatric division of Rhode Island Hospital, has been designated a Level 1 Pediatric Trauma Center by the American College of Surgeons (ACS). This is the first time the hospital has been verified specifically for the care of injured children. Rhode Island Hospital has been a Level 1 Adult Trauma Center for more than 20 years, and has been reverified....