BACKGROUND Few data exist supporting a survival benefit to prehospital endotracheal intubation (ETI) over bag-valve-mask ventilation (BVM) in trauma patients. METHODS Data were reviewed from all trauma patients transported to our Level I trauma center receiving prehospital ETI or BVM. Mortality was adjusted by age, Revised Trauma Score, Injury Severity Score, and mechanism of injury (penetrat...

Study Design Survey of 100 worldwide spine surgeons. Objective To develop a spine injury score for the AOSpine Thoracolumbar Spine Injury Classification System. Methods Each respondent was asked to numerically grade the severity of each variable of the AOSpine Thoracolumbar Spine Injury Classification System. Using the results, as well as limited input from the AOSpine Trauma Knowledge Forum, t...

HYPOTHESIS The incidence and severity of postinjury multiple organ failure (MOF) has decreased over the last decade. DESIGN A prospective 12-year inception cohort study ending December 31, 2003. SETTING Regional academic level I trauma center. PATIENTS One thousand three hundred forty-four trauma patients at risk for postinjury MOF. Inclusion criteria were aged older than 15 years, admiss...

BACKGROUND Initial management of solid organ injuries in hemodynamically stable patients is nonoperative. Therefore, early identification of those injuries likely to require surgical intervention is key. We sought to identify factors predictive of the need for nephrectomy after trauma. METHODS This is a retrospective review of renal injuries admitted over a 12-year period to a Level I trauma ...

BACKGROUND The aim of this study was to investigate and compare the injury pattern, mechanisms, severity, and mortality of adolescents and adults hospitalized for treatment of trauma following motorcycle accidents in a Level I trauma center. METHODS Detailed data regarding patients aged 13-19 years (adolescents) and aged 30-50 years (adults) who had sustained trauma due to a motorcycle accide...

conclusions the results suggest no significant relationship between the severity of injury and risk of rsd occurrence, although the mean injury severity score was higher in patients with rsd than in those without rsd in this study population. the lower score of local circulation in patients with rsd than in those without rsd is a statistically significant finding and can be attributed to change...

OBJECTIVE The sub-axial injury classification (SLIC) and severity scale was developed to decide whether to operate the cervical injured patient or not, but the reliability of SLIC and severity scale among the different physicians was not well known. Therefore, we evaluated the reliability of SLIC among a spine surgeon, a resident of neurosurgery and a neuro-radiologist. METHODS In retrograde ...