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Aug 9, 2021 · The China Trauma Rescue & Treatment Association (CTRTA) and National Center for Trauma Medicine (NCTM) were founded in 2016 and 2019 to construct a trauma system adapted to Chinese specificities. In 2016, the “Chinese Regional Trauma Care System” (CRTCS) was created under the government’s auspices, and the first step called “100 Counties Project” was implemented (Fig. 1 b–d).
Jul 5, 2024 · Background In major trauma patients, hypocalcemia is associated with increased mortality. Despite the absence of strong evidence on causality, early calcium supplementation has been recommended. This study investigates whether calcium supplementation during trauma resuscitation provides a survival benefit. Methods We conducted a retrospective analysis using data from the TraumaRegister DGU® (2015–2019), applying propensity score matching to balance demographics, injury severity, and ...
Feb 16, 2024 · Introduction Trauma burden is one of the leading causes of young human life and economic loss in low- and middle-income countries. Improved emergency and trauma care systems may save up to 2 million lives in these countries. Method This is a comprehensive expert opinion participated by 4 experts analyzing 6 Asian countries compiling the most pressing trauma care issues in Asia as well as goal directed solutions for uplifting of trauma care in these countries. Result Lack of legislation ...
Dec 1, 2015 · 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 trauma system included 13 hospitals categorized as Level I, II or III trauma centers according to their ...
Jul 18, 2024 · Background Healthcare inequities for patients with traumatic brain injury (TBI) represent a major priority area for trauma quality improvement. We hypothesized a relationship between health insurance status and timing of withdrawal of life sustaining treatment (WLST) for adults with severe TBI. Methods This multicenter retrospective observational cohort study utilized data collected between 2017 and 2020. We identified adult (age ≥ 16) patients with isolated severe TBI admitted ...
May 18, 2024 · Background Critically injured patients need rapid and appropriate hemostatic treatment, which requires prompt identification of trauma-induced coagulopathy (TIC) upon hospital admission. We developed and validated the performance of a clinical score based on prehospital resuscitation parameters and vital signs at hospital admission for early diagnosis of TIC. Methods The score was derived from a level-1 trauma center registry (training set). It was then validated on data from two other level ...
Dec 21, 2022 · Background The Haemorrhage, Airway, Breathing, Circulation, Disability, Exposure/Environmental control approach to individual patient management in trauma is well established and embedded in numerous training courses worldwide. Further improvements in trauma outcomes are likely to result from a combination of system-level interventions in prevention and quality improvement, and from a sophisticated approach to clinical innovation. Top eleven trauma priorities Based on a narrative review of ...
Nov 6, 2001 · As the closest trauma center, it was quickly swamped with over 300 walking wounded and critical patients. Bellevue Hospital, a trauma center approximately 2.5 miles (4.0 km) northeast of the World Trade Center, also received some of the early injured patients both directly and in transfer.
Oct 7, 2005 · Trauma is a worldwide problem, with severe and wide ranging consequences for individuals and society as a whole. Hemorrhage is a major contributor to the dilemma of traumatic injury and its care. In this article we describe the international epidemiology of traumatic injury, its causes and its consequences, and closely examine the role played by hemorrhage in producing traumatic morbidity and mortality. Emphasis is placed on defining situations in which traditional methods of hemorrhage ...
Aug 5, 2024 · Penetrating trauma represents a significant percentage of the overall trauma case load in many trauma systems.For patients with penetrating injuries, a longer time to hospital is associated with an increase in risk-adjusted odds of death [1, 2]. Therefore, expedited treatment and transport of by Emergency Medical Services (EMS) crews, who are usually the first healthcare practitioners to attend these patients on scene, is warranted.
