Trauma Specialist Centres

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Improving spinal trauma management in non-specialist centres

Fractures of the vertebral column are increasing in incidence. Even though spinal trauma is increasingly being managed in specialist units, these patients often still initially present to district general hospitals. Due to lack of exposure to these patients, the attending Orthopaedic Senior House Officer may not always be aware of current best practice in the acute management of these patients ...

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Validity of vascular trauma codes at major trauma centres.

BACKGROUND The use of administrative databases in vascular injury research has been increasing, but the validity of the diagnosis codes used in this research is uncertain. We assessed the positive predictive value (PPV) of International Classification of Diseases, tenth revision (ICD-10), vascular injury codes in administrative claims data in Ontario. METHODS We conducted a retrospective vali...

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HCV infection should be managed in specialist centres.

Chronic hepatitis C virus (HCV) infection may cause slowly progressive chronic hepatitis, cirrhosis, advanced liver failure, and hepatocellular carcinoma. These varying outcomes of type C hepatitis pose a challenge and responsibility which requires firstly, that antiviral treatment is targeted as precisely as possible to those who have progressive disease, and secondly, that patients with advan...

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Piloting a trauma surveillance tool for primary healthcare emergency centres.

OBJECTIVE We aimed to pilot a trauma surveillance tool for use in a primary healthcare emergency centre to provide a risk profile of injury patterns in Elsies River, Cape Town. METHODS Healthcare workers completed a one-page questionnaire capturing demographic and injury data from trauma patients presenting to the emergency unit of the Elsies River Community Health Centre over a period of 10 ...

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Guideline for the assessment of trauma centres for South Africa.

INTRODUCTION Trauma is a well-known leading cause of unnatural death and disability in South Africa. Internationally the trend is moving toward systematised care. AIM To revise the Trauma Centre Criteria of the Trauma Society of South Africa and align these with the terminology and modern scope of emergency care practice, using best-care principles as a prelude to the development of trauma sy...

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ژورنال

عنوان ژورنال: The Bulletin of the Royal College of Surgeons of England

سال: 2007

ISSN: 1473-6357,1478-7075

DOI: 10.1308/147363507x216681