OBJECTIVES To analyze the mechanism of injury for foot and ankle fractures resulting from automobile accidents to create a basis for developing an improved design for protection. DESIGN Retrospective. SETTING Level I trauma center with accident research unit. PATIENTS Automobile accident reports and medical records of individuals injured in the accidents. MAIN OUTCOME MEASUREMENTS Techn...

BACKGROUND AND AIMS The coverage of the official statistics is poor in motorcycle and moped accidents. The aim of this study was to analyze the severity of motorcycle and moped crashes, and to define the degree of under-reporting in official statistics. MATERIAL AND METHODS All first attendances due to an acute motorcyclist or moped driver injury registered in the emergency department between...

Using data from the Trauma Audit Research Network, we investigated the costs of acute care in patients > or = 18 years of age hospitalised for traumatic brain injury between January 2000 and December 2005 in England and Wales. Traumatic brain injury patients were defined and stratified using the Abbreviated Injury Scale. A total of 6484 traumatic brain injury patients were identified; 22.3% had...

To study the characteristics of fatal vehicle-pedestrian accidents in China，a team was established and passenger car-pedestrian crash cases occurring between 2006 and 2011 in Beijing and Chongqing, China were collected. A total of 121 fatal passenger car-adult pedestrian collisions were sampled and analyzed. The pedestrian injuries were scored according to Abbreviated Injury Scale (AIS) and Inj...

STUDY OBJECTIVE Aeromedical crews offer an advanced level of practice and rapid transport to definitive care; however, their efficacy remains unproven. Previous studies have used relatively small sample sizes or have been unable to adequately control for the effect of other potentially influential variables. Here we explore the impact of aeromedical response in patients with moderate to severe ...

BACKGROUND Bicycle use has increased in some of France's major cities, mainly as a means of transport. Bicycle crashes need to be studied, preferably by type of cycling. Here we conduct a descriptive analysis. METHOD A road trauma registry has been in use in France since 1996, in a large county around Lyon (the Rhône, population 1.6 million). It covers outpatients, inpatients and fatalities. ...

INTRODUCTION Currently, there is little in the literature regarding the ability of rear seatbacks to act as a protective barrier from cargo in frontal crashes. However, it has been shown that unrestrained rear passengers pose a danger to front seat occupants. The association of rear seatback failures and intrusions with mortality and serious injury were examined. METHODS The Seattle CIREN dat...

objective: thoracic trauma may be a life-threatening condition. flail chest is a severe chest injury with high mortality rates. surgery is not frequently performed and, in literature, data are controversial. the authors report their experience in the treatment of flail chest by an extracortical internal-external stabilization technique with kirshner’s wires (k-wires). methods: from 2010 to 2015...

The aim of this letter is to facilitate the standardisation of Abbreviated Injury Scale (AIS) codesets used to code injuries in trauma registries. We have compiled a definitive list of the changes which have been implemented between the AIS 2005 and Update 2008 versions. While the AIS 2008 codeset appears to have remained consistent since its release, we have identified discrepancies between th...

BACKGROUND Anatomic injury severity scores can be grouped into two classes; consensus-derived and data-derived. The former, including the Injury Severity Score (ISS), the New Injury Severity Score (NISS), and the Anatomic Profile Score (APS), are based on the severity score of the Abbreviated Injury Scale (AIS), assigned by clinical experts. The latter, including the International Classificatio...