introduction: more than 50 scoring systems have been published for classification of trauma patients in the field, emergency room, and intensive care settings, so far. the present study aimed to compare the ability of trauma injury severity score (triss) and acute physiology and chronic health evaluation (apache) iii in predicting mortality of intensive care unit (icu) admitted trauma patients....

Optimizing trauma care delivery is paramount to saving lives on the battlefield. During the past decade of conflict, trauma care performance improvement at combat support hospitals and forward surgical teams in Afghanistan and Iraq has increased through Joint Trauma System and DoD Trauma Registry data collection, analysis, and rapid evidence-based adjustments to clinical practice guidelines. Al...

Trauma is the major cause of death worldwide. Survival of the major trauma victims can be improved by the principles of damage control surgery. The vicious cycle of trauma triad, namely, hypothermia, coagulopathy and acidosis should be intercepted by the quick abbreviated laparotomy and subsequently physiological imbalance is corrected by secondary resuscitation in the surgical intensive care u...

An 18-year-old male soccer player was transferred from the clinic to our emergency center with suspected blunt renal trauma. A giant ureteropelvic junction (UPJ) obstructed hydronephrosis in blunt renal trauma was revealed by enhanced computed tomography and angiography. The patient then underwent insertion of a double “J” stent and was placed under close observation in the intensive care unit....

Emergency intravenous urography is considered an essential examination in the evaluation of any patient suspected of having suffered renal trauma (Editorial, 1979). This practice is derived from clinical experience in adults. The purpose of this paper is to evaluate the need for emergency urography in children, particularly those suffering from only minor renal trauma. It is based on a retrospe...

1 Departments of Emergency and Surgery, Emergency Surgery and Trauma Surgery Unit, Trauma Center, Maggiore Hospital–Bologna Local Health District, Bologna, Italy, 2 Department of Radiology, Maggiore Hospital–Bologna Local Health District, Bologna, Italy, 3 Department of Emergency and Transplant Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy, 4 Addington Hospital, Durban, KwaZul...

Management of facial soft tissue trauma requires complex reconstruction surgery. Animal bite on face is a common cause of facial tissue trauma with severe destruction. Evaluation of unit involvement is the first effort, followed by designation of reconstruction. In this case, we performed multiple reconstruction options.

BACKGROUND A comparison of the amount of and the kinetics of induction of procalcitonin (PCT) with that of C-reactive protein (CRP) during various types of and severities of multiple trauma, and their relation to trauma-related complications, was performed. METHODS Ninety adult trauma patients admitted to the intensive care unit of our tertiary care hospital were evaluated in a prospective ca...

OBJECTIVES To examine the prevalence of alcohol and drug use and abuse, to identify socio-demographic characteristics that correlated with injury and to identify risk factors for injury in a Nigerian Trauma unit. DESIGN Descriptive cross sectional study. SETTING The study was carried out a general hospital trauma unit in Nigeria. SUBJECTS One thousand one hundred and twenty one trauma pat...

OBJECTIVE To evaluate cross-sectional patient distribution and standardised 30-day mortality in the intensive care units (ICU) of an inclusive hub and spoke trauma system. SETTING ICUs of the Integrated System for Trauma Patient Care (SIAT) of Emilia-Romagna, an Italian region with a population of approximately 4.5 million. PARTICIPANTS 5300 patients with an Injury Severity Score (ISS) >15 ...