Background: The Trauma is one of the most important health problems and a leading cause of death in 4th decade of life. Mortality due to accidents has a critical situation in Iran and mortality rate is increasing10-15% annually. Aim: To assess the relationship of shock index with trauma patient’s mortality after first 24 hours of admission at Khatam-al-Anbia Hospital in Iranshahr. Method A cros...

BACKGROUND Shock index [SI = the ratio of heart rate (HR) to systolic arterial pressure (SAP)] is a metric used to diagnose patients at risk of impending hemorrhagic shock. We hypothesized that a metric called the compensatory reserve index (CRI), derived using computer modeling with continuous feature extraction from arterial waveforms, would provide an earlier indicator of cardiovascular inst...

BACKGROUND Several studies have revealed that high shock index (SI) is a risk factor for acute myocardial infarction (AMI) patients. These studies do not give a systematic review in this issue. Therefore, we conducted a systematic review and meta-analysis to determine the effect of high SI on the prognosis of AMI patients. METHODS We did a systematic search of PubMed, Embase, and the Cochrane...

INTRODUCTION To assess the ability of the shock index (SI) to predict 28-day mortality in traumatic hemorrhagic shock patients treated in the diaspirin cross-linked hemoglobin (DCLHb) resuscitation clinical trials. METHODS We used data from two parallel DCLHb traumatic hemorrhagic shock efficacy trials, one in U.S. emergency departments, and one in the European Union prehospital setting to as...

the relation of shock index (si) and revised trauma score (rts) with trauma patients mortality after first 24 hours of admission at khatam-al anbia hospital in iranshahr heydarikhayat n[1], rezaee hematabadi ma[2], rasouli d[3], kalbali a[4] received: 11 ay , 2012 accepted: 5aug, 2012abstract background & aims: trauma is one of the most important health problems and a leading cause of death in ...

The shock index (SI), modified shock index (MSI), and age multiplied by SI (Age SI) are used to assess the severity and predict the mortality of trauma patients, but their validity for geriatric patients is controversial. The purpose of this investigation was to assess predictive value of the SI, MSI, and Age SI for geriatric trauma patients. We used the Emergency Department-based Injury In-dep...

BACKGROUND A new classification of hypovolemic shock based on the shock index (SI) was proposed in 2013. This classification contains four classes of shock and shows good correlation with acidosis, blood product need and mortality. Since their applicability was questioned, the aim of this study was to verify the validity of the new classification in multiple injured patients with traumatic brai...

We appreciate the work of Mutschler and colleagues regarding shock index (SI) in trauma patients [1]; however, we would like to discuss a few points of interest. The SI obtained at the scene differed from the SI obtained in the emergency department (ED). Patients with SI category III had a SI at the scene of 0.7 to 1.5. This indicates that SI can vary with time and vary with changes in medical ...

Submit Manuscript | http://medcraveonline.com 8]. The concept of shock index, defined as the ratio of heart rate and systolic blood pressure, first introduced by Allgower et al, in 1967 as a simple and effective means for gauging the degree of hypovolemia in hemorrhagic and infectious shock states [9]. Subsequently, experimental and clinical studies demonstrated that SI was inversely related to...

INTRODUCTION AND AIMS The use of intravenous oxygen carriers (packed red blood cells (PRBC), whole blood and synthetic haemoglobins (HBOCs) for selected pre-hospital trauma resuscitation cases has been reported, despite a lack of validated clinical indications. The aim of this study was to retrospectively identify a sub-group of adult major trauma patients most likely to benefit from pre-hospit...