PURPOSE Intraoperative assessment of tissue perfusion is important to predict wound healing or improvement of symptoms in patients with peripheral arterial disease (PAD) or vascular trauma. There is no widely accepted standard for intraoperative measurement of tissue perfusion. Here, we report the use of indocyanine green (ICG)-based angiography to determine the blood flow in patients with PAD ...

BACKGROUND This study analyzes trends in hospitalization and outcome for adult, elderly, and pediatric trauma victims in the Florida Trauma System (FTS) from 1991 to 2003, during which time the number of centers nearly doubled from 11 to 20. METHODS Administrative data was queried for all admissions with at least one trauma related discharge. Patients were stratified by age as pediatric (age,...

BACKGROUND Rapid transport to definitive care ("scoop and run") versus field stabilization in trauma remains a topic of debate and has resulted in variability in prehospital policy. We aimed to identify trauma systems frequently using a true "scoop and run" police transport approach and to compare mortality rates between police and ground emergency medical services (EMS) transport. METHODS Us...

BACKGROUND Quality control of trauma care is essential to define the effectiveness of trauma center and trauma system. To identify the troublesome issues of the system is the first step for validation of the focused customized solutions. This is a comparative study of two level I trauma centers in Italy and Romania and it has been designed to give an overview of the entire trauma care program a...

INTRODUCTION The Revised Trauma Score is used worldwide in the prehospital setting and provides a snapshot of patient's physiological state. Several studies have shown that the reliability of the RTS is high in trauma outcomes. In the Netherlands, Helicopter Emergency Medical Services (HEMS) are mostly used for delivery of specialized trauma teams on-scene and occasionally for patient transport...

Abstract This paper uses the principles of trauma-informed care – safety, collaboration, choice, trustworthiness, and respect to reflect on quality veterans’ treatment within UK social security system. Drawing upon new data from qualitative longitudinal research with veterans in four geographical locations across England, UK, it explores their experiences system, highlighting specific issues re...

HYPOTHESIS Reticuloendothelial system function is altered in patients with multiple trauma and organ failure. DESIGN Prospective cohort study. SETTING Surgical intensive care unit at a level I trauma center. PATIENTS Patients with multiple blunt trauma and injury severity scores greater than 20, with no referrals. INTERVENTIONS Every second day reticuloendothelial system (RES) clearance...

The contemporary movement to ensure that health care delivery systems and rendered services be evidence-based suggests that research evaluating trauma system efficacy should be held to a new standard. In 1998, nationally recognized leaders in trauma system care gathered at the Academic Symposium to Evaluate Evidence Regarding the Effectiveness of Trauma Systems in Skamania, Washington. A primar...

second only to HIV/AIDS as a cause of death. Each year, worldwide, over three million people die as a result of trauma, many after reaching hospital.1 Among trauma patients who do survive to reach hospital, exsanguination is a common cause of death, accounting for nearly half of in-hospital trauma deaths.2 Central nervous system injury and multi-organ failure account for most of the remainder, ...

Coagulopathy remains the leading cause of illness and death in people with severe trauma.
 The aim was to study indicators vascular-platelet hemostasis trauma establish changes main pathophysiological mechanisms primary that occur patients trauma-induced coagulopathy, compared almost healthy individuals same age.
 Materials methods. included 44 aged 19 55 years (36.1 [28.7; 43.2] year...