The use of high ratios of red blood cells to platelets and plasma in trauma resuscitation protocols is quickly gaining favor in civilian trauma centers. The use of higher ratios of coagulation factors to red blood cells has been shown to improve outcomes in both military and civilian centers, but does the evidence support the use of a 1:1:1 ratio, as has been suggested? There is growing evidenc...

INTRODUCTION Terrorist attacks have occurred in Tel-Aviv that have caused mass-casualties. The objective of this study was to draw lessons from the medical response to an event that occurred on 19 January 2006, near the central bus station, Tel-Aviv, Israel. The lessons pertain to the management of primary triage, evacuation priorities, and rapid primary distribution between adjacent hospitals ...

The number of patients 65 years and older has been rising steadily every year at our Level I trauma center. Our clinical experience demonstrated that once discharged, some of these patients were not managing well. Postdischarge portrait is difficult to ascertain because this information is not captured in the trauma registry database. The purpose of this study was to describe the experiences of...

OBJECTIVE To determine whether heart period variability provides added value in identifying the need for lifesaving interventions (LSI) in individual trauma patients with normal standard vital signs upon early medical assessment. DESIGN Retrospective database review. SETTING Helicopter transport to Level 1 trauma center and first 24 hrs of in-hospital care. PATIENTS Prehospital trauma pat...

Background It is estimated that, in Italy, by 2050 almost 35% of the population will be older than 65 years and 14% will be older than 80 years. As the elderly population grows, the fraction of geriatric trauma patients seen in trauma centers is rapidly increasing. Traumatic injuries in the elderly often represent a major medical and surgical challenge. Even a condition as simple as an isolated...

OBJECTIVE Estimate the effectiveness of brief interventions in reducing trauma recidivism in hospitalized trauma patients who screened positive for alcohol and/or illicit drug use. METHODS Dynamic cohort study based on registry data from 1818 patients included in a screening and brief intervention program for alcohol and illicit drug use for hospitalized trauma patients. Three subcohorts emer...

BACKGROUND In this study, we aimed to investigate preventable deaths due to trauma among cases in whom autopsy and postmortem examinations were performed in Diyarbakir Council of Forensic Medicine. METHODS In this study, which was planned as retrospectively descriptive, demographic data, type of injury, cause of injury, locations of injuries, cause of death, and scene of death data were withd...

BACKGROUND Adult respiratory distress syndrome is often refractory to treatment and develops after entering the health care system. This suggests an opportunity to prevent this syndrome before it develops. The objective of this study was to demonstrate that early application of airway pressure release ventilation in high-risk trauma patients reduces hospital mortality as compared with similarly...

The overall incidence of all acute vascular trauma, including subclavian vessel injury, is approximately 5% [3, 4, 6, 7]. The majority of subclavian vessel injuries in the civilian population is the result of penetrating trauma. Subclavian artery injury in particular, accounts for 1-2% of all acute vascular injuries in major trauma centers [3, 4, 6, 7]. In this case report, we present a case of...