Materials and methods Between 2007 to 2008, 1611 elderly patients were admitted in our ER for traumatic injuries with moderate to severe prognosis. In our department there are an area of trauma with two Shock Rooms, where the Trauma Team evaluates clinical status and vital parameters using a “Trauma Complex table”. Survival probability (Ps) is evaluated by Triss (Trauma and Injury Severity Scor...

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 ...

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 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...

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...

BACKGROUND Aboriginal Canadians are considered to be at increased risk of major trauma. However, population-based studies characterizing the distribution, determinants and outcomes of major trauma in this group are lacking. We sought to measure the impact of ethnicity, as reflected by Aboriginal status, on the incidence of severe trauma and to broadly define the epidemiologic characteristics of...

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...

BACKGROUND AND AIM To asses the nutritional status of hospitalised trauma patients and the repercussion on the clinical follow up. METHODS In a prospective way 161 adult patients admitted to the units of Intensive Care (ICU), General Surgery, Maxillofacial Surgery and Orthopedics of the Centro de Emergencias Médicas in Asunción, Paraguay, from March 2002 to March 2004 were evaluated at admiss...