BACKGROUND We hypothesized that the economic status of a region might influence quality of care and outcome of patients with severe brain trauma. METHODS Between January 2001 and December 2005, 13 centres enrolled patients with severe brain trauma. Data on accident, treatment and outcomes were collected prospectively. The regions were classified as 'high income' (Austria, five centres), 'uppe...

Trauma is prevalent in the lives of adults with an autism spectrum disorder (ASD). As a result, routine screening for trauma essential especially when autism-related symptoms are heightened or violence exhibited. Case studies and empirical analyses individuals ASD have indicated that traditional Post-Traumatic Stress Disorder (PTSD) as well PTSD characterized by hyperarousal, mood disorders bee...

Background Patient satisfaction is an important part of quality care, and patient backgrounds can influence satisfaction with care. Since trauma disproportionately affects the underserved, this study aimed to determine the effects of race and insurance status on trauma patient satisfaction. Methods The validated Trauma Patient Satisfaction Survey (TPSS) was administered to 143 hospitalized trau...

INTRODUCTION The Revised Trauma Score is used worldwide in the prehospital setting and provides a snapshot of patient's physiological state. Several studies have shown that the reliability of the RTS is high in trauma outcomes. In the Netherlands, Helicopter Emergency Medical Services (HEMS) are mostly used for delivery of specialized trauma teams on-scene and occasionally for patient transport...

introduction: management of pediatric blunt abdominal trauma in resource-restricted settings requires precise clinical expertise. in this study, we reviewed pediatric patients who were suspected to have blunt abdominal trauma in a level iii trauma center in iran. materials and methods: in a cross-sectional study, 66 injured children were studied from october 01, 2014 to october 01, 2015 in niks...

IMPORTANCE Trauma care capacity assessments in developing countries have generated evidence to support advocacy, detailed baseline capabilities, and informed targeted interventions. However, serial assessments to determine the effect of capacity improvements or changes over time have rarely been performed. OBJECTIVE To compare the availability of trauma care resources in Ghana between 2004 an...

BACKGROUND Dressings are the mainstay of wound care management; however, adherence of the dressing to the wound or periwound skin is common and can lead to dressing-related pain and trauma. Dressing-related trauma is recognized as a clinical and economic burden to patients and health care providers. This study was conducted to garner expert opinion on clinical sequelae and resource use associat...

BACKGROUND In the Netherlands prehospital trauma care is provided by emergency medical services (EMS) nurses. This care is extended by Physician staffed Helicopter Emergency Medical Services (P-HEMS) for the more severely injured patient. Prehospital communication is a factor of influence on the identification of these patients and the dispatch of P-HEMS. Though prehospital communication it is ...

OBJECTIVE To determine the incidence and effect on mortality of early acute kidney injury in severely injured trauma patients using the Acute Kidney Injury Network creatinine criteria. DESIGN A retrospective cohort study of severely injured trauma patients admitted to the shock trauma intensive care unit. SETTING Texas Trauma Institute, a state designated level I trauma unit certified by th...