BACKGROUND Blunt cardiac injury is a rare trauma entity. Here, we sought to evaluate the relevance and prognostic significance of blunt cardiac injury in severely injured patients. METHODS In a retrospective multicentre study, using data collected from 47,580 patients enrolled to TraumaRegister DGU (1993-2009), characteristics of trauma, prehospital / hospital trauma management, and outcome a...

OBJECTIVE To measure interobserver variation in recording injury from case notes and its effect on calculating injury severity scores (ISS) from identical data and predicting probabilities of survival by using the combined trauma and injury severity score (TRISS). DESIGN Observer variation study using injury severity scoring and subsequent calculation of probability of survival based on combi...

conclusions it seems that considering the clinical examination of patients before sa focusing on lumbar spinous process status, presence of lumbar deformity, calculation of bmi and radiological signs of lumbar vertebrae can be helpful in predicting sa difficulty. results hundred and one patients were enrolled. of these patients, 50 (49.5%) underwent sa by the first attempt of the first space, i...

Trauma and Injury Severity Score (TRISS) has been the benchmark of mortality risk in trauma centers for over 30 years. TRISS utilizes the Injury Severity Score (ISS) as an index of anatomical injury. This study investigated the efficacy of a new type of index of anatomical injury called the ICD-derived Injury Severity Score (ICISS) compared to the ISS using a logistic regression analysis and a ...

BACKGROUND Triage at the site of a major incident is key to effective scene management. A number of triage algorithms have been suggested to assist the triage officer to determine triage priorities. However, many advocated scores were not specifically developed for use in major incidents, nor are they designed for multiple age groups. Many of these algorithms have not been validated: those that...

This study aimed to describe the severity of injury (RTI), length of stay, costs, financial burden, and sources of payment for RTI patients in the Kunming area, Yunnan Province, China. Information was collected from interviewing 420 patients admitted with RTI during January to May 2005 and from medical records reviewed of all the patients admitted from January to 30 May 2005. The costs and fina...

The article is a bibliographic review which intends to present the actual range of researches comparing the Injury Severity Score (ISS) and the New Injury Severity Score (NISS). Databases were searched using the keyword NISS, with 42 articles, 23 of which didn't compare the two indexes. Most part of the 19 selected articles showed that NISS has been more accurate in predicting the outcomes (dep...

BACKGROUND To assess the pattern of mass casualty incidents managed at our hospital over the last eight years, and evolve a differentiating classification based on this pattern. A combination of retrospective and prospective assessment was made. MATERIAL AND METHODS All patients receiving injuries in mass casualty incidents and managed at our hospital. Patients with an injury severity score a...

BACKGROUND This study evaluates post-ICU outcomes of patients admitted with moderate and severe Traumatic Brain Injury (TBI) in a tertiary neurocritical care unit in an low middle income country and the performance of trauma scores: A Severity Characterization of Trauma, Trauma and Injury Severity Score, Injury Severity Score and Revised Trauma Score in this setting. METHODS Adult patients di...

INTRODUCTION Proper management of mass-casualty incidents (MCIs) relies on triage as a critical component of the disaster plan. OBJECTIVE [corrected] The objective of this study was to assess the precision of triage in mass-casualty incidents. METHODS The precision of decisions made by two experienced triage officers was examined in two large MCIs. These decisions were compared to the real ...