BACKGROUND The died of wounds (DOW) rate is cited as a measure of combat casualty care effectiveness without the context of injury severity or insight into lethality of the battlefield. The objective of this study was to characterize injury severity and other factors related to variations in the DOW rate. METHODS The highest monthly DOW (HDOW) and lowest monthly DOW (LDOW) rates from 2004 to ...

conclusions with regards to the predictive strength of the combination of gcs and iss, a predictive system for analyzing the clinical outcome may be provided. results 15496 traumatic patients referred to the hospital and traumatic deaths occurred in 289 patients. blunt trauma accounted for 286 (99%) of death and penetrating trauma for only 1%. our findings concerning the injury pattern, correla...

PURPOSE The proposed the thoracolumbar injury classification system (TLICS) for thoracolumbar injury cites the integrity of the posterior ligamentous complex (PLC). However, no report has elucidated the severity of damage in thoracic and lumbar injury with classification schemes by presence of the PLC injury. The purpose of this study was to accurately assess the severity of damage in thoracic ...

Materials and methods Between 2007 to 2008, 1611 elderly patients were admitted in our ER for traumatic injuries with moderate to severe prognosis. In our department there are an area of trauma with two Shock Rooms, where the Trauma Team evaluates clinical status and vital parameters using a “Trauma Complex table”. Survival probability (Ps) is evaluated by Triss (Trauma and Injury Severity Scor...

Objective: Thoracic trauma may be a life-threatening condition. Flail chest is a severe chest injury with high mortality rates. Surgery is not frequently performed and, in Literature, data are controversial. The authors report their experience in the treatment of flail chest by an extracortical internal-external stabilization technique with Kirshner’s wires (K-wires). <...

Introduction: Accurate evaluation of the extent and severity of neurologic injury is a key component in the care of the trauma patient as traumatic brain injury (TBI) is one of the leading causes of morbidity and mortality in trauma victims. EMS assessment of the severity of such injury affects such decisions as need for transfer to a trauma center. Currently, the Glasgow Coma Scale (GCS) is th...

The objective of this study was to verify if replacing the Injury Severity Score (ISS) by the New Injury Severity Score (NISS) in the original Trauma and Injury Severity Score (TRISS) form would improve the survival rate estimation. This retrospective study was performed in a level I trauma center during one year. ROC curve was used to identify the best indicator (TRISS or NTRISS) for survival ...

OBJECTIVE Patients with traumatic brain injury (TBI) have a high mortality and morbidity. This pilot study was undertaken to identify contributors to outcome in the early management of patients with TBI and to investigate the feasibility of a larger study. METHODS Road trauma patients who died between January 1 and April 30, 2000 were selected from the Alfred Hospital's Intensive Care Traumat...