Police Transport for Penetrating Trauma

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Injury-adjusted mortality of patients transported by police following penetrating trauma.

BACKGROUND More than a decade ago, the city of Philadelphia began allowing police transport of penetrating trauma patients. OBJECTIVES   The objective was to determine the relation between prehospital mode of transport (police department [PD] vs. Philadelphia Fire Department (PFD) emergency medical services [EMS]) and survival in subjects with proximal penetrating trauma. METHODS The author...

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Penetrating Abdominal Trauma

MANAGEMENT The history and physical examination give a very good indication of the presence of significant visceral injury. Initially, management should include simultaneous evaluation and treatment, and begins with ABC’s.1 The key factor in deciding the immediate management of a case of penetrating abdominal trauma is the patient’s haemodynamic stability.1 Regardless of injury type, if the pat...

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Penetrating trauma in children.

Penetrating injuries account for 10% to 20% of all pediatric trauma admissions at most centers. Gunshot wounds are responsible for the overwhelming majority of penetrating traumatic injuries and have a significantly higher mortality rate than do blunt injury mechanisms. The management of penetrating injuries can be quite challenging and often requires rapid assessment and intervention. Specific...

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77 - Penetrating Neck Trauma

• Bruit or thrill suggestive of a traumatic arteriovenous fistula • Expanding or pulsatile hematoma • Pulsatile or severe hemorrhage • Pulse deficit—pulses may be normal in patients with nonocclusive injuries that require surgical repair, such as intimal flaps or pseudoaneurysms • Thorough vascular and esophageal evaluation is required, even with minor neck wounds, if any abnormalities are evid...

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ژورنال

عنوان ژورنال: Journal of the American College of Surgeons

سال: 2020

ISSN: 1072-7515

DOI: 10.1016/j.jamcollsurg.2020.07.674