BACKGROUND Historically, surgical physicians staff trauma centers, which provide trauma patients with improved outcomes. Such benefits fuel the expansion of designated trauma centers. Cutbacks in residency programs of surgical specialties, however, necessitate substitutions for traditional trauma providers. METHODS A literature and record review was conducted to examine the use of physician a...

HYPOTHESIS We hypothesized that patients with diabetes mellitus (DM) have worse outcomes following trauma compared with patients without a history of DM. DESIGN Retrospective data analysis of the Pennsylvania Trauma Systems Foundation database that compiles data from 27 accredited trauma centers in Pennsylvania. SETTING We used the Pennsylvania Trauma Systems Foundation database of 295 561 ...

BACKGROUND Optimizing human resources at trauma facilities may increase quality of care. The purpose of this study was to assess whether staffing changes within a Level I trauma center improved mortality and shortened length of stay (LOS) for trauma patients. METHODS Mortality, hospital LOS, and intensive care unit LOS were evaluated during three time periods: trauma service coverage by in-ho...

Occupational therapists commonly work with children with autism spectrum disorder, attention deficit disorder, learning disabilities, and other developmental disorders. Although many of these children have difficulties with sensory integration, they also may have trauma or attachment disorders that may or may not be formally identified. Early childhood trauma includes early loss or lack of cons...

objective: to assess the availability of trauma care services in a district referral hospital of southern india. methods: this was a cross-sectional study being performed during 2013 in a tertiary healthcare centre in southern indian. a detailed assessment of trauma care services was done in a 400 bed speciality hospital which is an apex referral hospital in the public health system using a che...

INTRODUCTION Trauma is a leading cause of death in most countries. Different patterns of trauma deaths are recorded in different countries. The purpose of this study was to evaluate retrospectively the pattern of trauma deaths in the emergency unit of a University Teaching Hospital in Nigeria. METHODS This is a descriptive, retrospective study. The data were obtained from patient case files a...

Abstract Aim An increasing number of elderly patients require admission to Trauma & Orthopaedic units throughout Scotland with admissions often complex and lengthy. We aimed assess the current standard care within a west trauma unit against 2019 British Associations Standard Care (BOAST) - “The older or frail orthopaedic patient” devise multi-disciplinary quality improvement strategy. Metho...

Background This study shows how emotions are expressed in a trauma team setting and assesses their influence and importance with regard to team performance. The term ”Team emotion” can be interpreted as the emotions that trauma team members do/do not display in a trauma receiving unit. Health care professionals are expected to refrain from showing emotion in the presence of patients and colleag...

Methods In a retrospective cohort from October 2013 to October 2014 we included patients over 14 years old, admitted by the emergency service with surgical penetrating trauma and attended in the intensive care unit. At least one measurement of lactate at recruitment was required, as well as information on the mechanism of trauma, injured body area, revised trauma score (RTS), APACHE II, length ...