BACKGROUND Helicopters have become a major part of the modern trauma care system and are frequently used to transport patients from the scene of their injury to a trauma center. While early studies reported decreased mortality for trauma patients transported by helicopters when compared with those transported by ground ambulances, more recent research has questioned the benefit of helicopter tr...

PURPOSE The primary objective of this study was to determine the risk factors associated with undertriage and the risk factors for mortality among the undertriaged patients at a level I safety-net trauma center. METHODS A retrospective analysis was performed of all trauma patients who presented to a level I safety-net trauma center with an injury severity score >15 over a 2-year period (2013-...

BACKGROUND The majority of trauma deaths in the developing world occur outside of the hospital. In the mid-1990s, preliminary studies of prehospital trauma systems showed improvements in mortality. However, no empirical data are available to assess the overall benefit of these systems. We undertook a systematic review and meta-analysis to assess the effectiveness of prehospital trauma systems i...

BACKGROUND Needlestick injuries (NSIs) are a common occupational hazard with potential physical health effects, including viral infections such as hepatitis and HIV. Less appreciated are the psychiatric consequences of NSIs, potentially including post-traumatic stress disorder (PTSD) and adjustment disorder (AD). AIMS To study psychiatric consequences of NSIs by diagnosis, duration and severi...

BACKGROUND Child abuse, or nonaccidental trauma (NAT), is a major cause of pediatric morbidity and mortality, and is often unrecognized. Our hypothesis was that injuries due to accidental trauma (AT) and NAT are significantly different in incidence, injury, severity, and outcome, and are often unrecognized. OBJECTIVE Our aim was to carry out an examination of the differences between pediatric...

Current systems for the evaluation of trauma severity are tedious and difficult to apply in an actual emergency setting. We aimed to develop and assess the accuracy of a more efficient severity evaluation system, termed the Ugawa classification, using brain-type natriuretic peptide (BNP) measurement and the estimated glomerular filtration rate (eGFR). Two-hundred trauma patients were divided in...

BACKGROUND Traumatic injury is near the top of World Health Organization list of leading causes of death, and one of the major factors affecting mortality is the severity of the trauma. During medical intervention for trauma patients, some injuries may be overlooked, and this misstep may be the basis of a malpractice claim. The objective of this study was to provide a new approach to evaluating...

STUDY OBJECTIVE To document the validity of a Hospital Discharge Index (HDI) as a data base on injured patients. DESIGN Patient information in trauma registries was compared with information in HDI. POPULATION Injured patients admitted to trauma centers. METHODS Patients in HDI were crossmatched with individuals in one or two trauma registries using deterministic matching techniques. Agre...

Aim: This paper examines the prevalence of childhood trauma as well as its association with severity of psychotic symptoms in patients with first episode psychosis. Method: Eighty one patients on follow-up with the Singapore Early Psychosis Intervention Programme were recruited for the study. They were administered the Childhood Trauma Questionnaire Short Form (CTQ-SF) to assess history of chil...

Introduction Falling is reported to be the most common cause of mortality due to trauma in individuals over the age of 75 years. The present study is designed with the aim of determining the demographics of fall-related trauma among the elderly presenting to emergency department (ED). Methods The present prospective cross-sectional study was carried out on all elderly patients ≥ 60 years old ...