conclusions urban rtas are one of the most important problems in kashan and aran-bidgol cities, which impose a great economic burden on health system. motorcyclists are the most vulnerable victims and multiple trauma and head injury are seen among them extensively. patients and methods during a retrospective study, data including age, sex, injury type and pattern, outcome, hospital stay and tre...

introduction: acute coronary syndrome (acs) includes st segment elevation myocardial infarction (stemi), non- st segment elevation myocardial infarction (nstemi), and unstable angina. it is among the leading causes of death. registry systems are designed and implemented to collect and analyze the data related to a specific disease. decreasing the burden acs would need some strategies such as de...

AIM The benefit of a well organised trauma system is acknowledged but doubts remain concerning the optimal pre-hospital trauma care model. We hypothesise that the treatment of life-threatening events before arrival at trauma centre--either pre-hospital or first hospital--may be more relevant to decreasing mortality than shortening the time to trauma centre. METHODS A cohort of 727 trauma pati...

BACKGROUND The aim of this study was to establish the profile and outcomes of paediatric major trauma care (PTMC) within an integrated inclusive regionalised trauma system. METHODS Prospectively collected data from July 2001 to June 2009 from the Victorian State Trauma Registry of patients aged <18 years were reviewed. RESULTS There were 1634 major trauma cases with a median (IQR) age of 13...

Introduction This study describes the relationship between falls from standing height, or greater, and mortality in ambulance-transported patients with major trauma falls. Methods Road ambulance records 1 January 2013 to 31 December 2016 were linked WA State Trauma Registry identify trauma. Results Of who fell level, 114/460 (25%) died within 30 days, compared 47/222 (21%) height (p=0.64). Conc...

conclusions vacuum-assisted abdominal closure is a good technique for temporary abdominal closure. in patients who are unable to achieve fascial closure, skin closure alone is safe. results after 157 trauma laparotomies, 35 (22%) were open abdomen cases with an average injury severity score was 35. ninety-four percent of open abdomens occurred after damage-control surgery. temporary vacuum-assi...

BACKGROUND Injured children represent 25% of all injured patients in the United States and have unique needs that may require treatment at a pediatric trauma center or a trauma center with pediatric commitment. This work attempts to determine if there is existing evidence that pediatric trauma centers, trauma centers with pediatric commitment, or trauma systems have improved the care of injured...

INTRODUCTION Pre-hospital triage is a key element in a trauma system that aims to admit patients to the most suitable trauma center, and may decrease intra-hospital mortality. We evaluated the performance of a pre-hospital procedure in a regional trauma system through measurements of the quality of pre-hospital medical assessment and the efficacy of a triage protocol. METHODS Our regional tra...

Abdominal trauma is present in 7-10% of all trauma victims, and in cases of severe trauma is often found together with orthopedic, thoracic or central nervous system (CNS) injuries. The aim of the present study was to perform a comparative analysis of abdominal trauma and trauma involving other body regions, evaluating the prognostic significance of abdominal injuries in patients with severe tr...