Genitourinary trauma is a common finding in the patient with multi-trauma, and includes injuries to the kidneys, bladder, ureters, urethra, penis, and scrotum. This article describes the care of the patient with genitourinary trauma focusing on assessments, diagnostic testing, and patient care. Nurses working with trauma patients need to monitor these patients carefully for genitourinary involv...

Optimal care of the injured patient requires an organized approach, dedicated resources and clinical expertise. Victims of major trauma, however, frequently present to rural and suburban hospitals regardless of whether a dedicated trauma system in place. Immediate consultation by a trauma expert could potentially expedite effective evaluation and management of trauma victims, reducing the occur...

The elderly constitute the fastest growing sector of the population of the United Stated and geriatric trauma patients are presenting for care with increasing frequency. These patients are challenging particularly because of their vulnerability to severe injury, limited physiologic response to stress, and frequent presence of comorbid medical conditions complicating care. Many elderly trauma vi...

The study evaluates (1) health care provider perception of the Rural Trauma Team Development Course (RTTDC); (2) improvement in acute trauma emergency care knowledge; and (3) early transfer of trauma patients from rural emergency departments (EDs) to a verified trauma center. A 1-day, 8-hour RTTDC was given to 101 nurses and other health care providers from nine rural community hospitals from 2...

growing body of research demonstrates that individuals who experience trauma, particularly in childhood, have much higher incidences of chronic disease and behavioral health issues.1,2,3 Advocates of trauma‐informed care suggest that to fully address patients’ needs, health care providers and delivery systems must recognize the role that trauma plays in the lives of their patients and adjust tr...

IMPORTANCE In trauma populations, improvements in outcome are documented in institutions with higher case volumes. However, it is not known whether improved outcomes are attributable to the case volume within specific higher-risk groups, such as the elderly, or to the case volume among all trauma patients treated by an institution. OBJECTIVE To test the hypothesis that outcomes of trauma care...

Background Trauma systems have improved the quality of trauma care during the last four decades. However, the implementation of these principles has been far more difficult to achieve than the mere consensus among health care providers. In 2007 national recommendations for trauma systems in Norway were published. We wanted to assess the implementation of the recommendations three years after th...

BACKGROUND The objective was to determine the average cost per quality-adjusted life year (QALY) gained of treating trauma victims at a tertiary trauma hospital and to determine the cost-effectiveness of trauma care at this center. The setting was a tertiary trauma center in the province of Ontario, Canada. The study population consisted of consecutive trauma admissions with ISS > 12 from April...

Advanced Trauma Life Support (ATLS) training of medical staff did not improve outcome of the trauma victim. Potential benefit of this course may have been masked by weak links in the trauma care chain such as pre-hospital care and in hospital investigative and therapeutic facilities.