BACKGROUND Care process in tertiary trauma centers consists of a chain of care phases in different departments from the emergency department (ED) to post-operative rehabilitation. The historical evolution of healthcare systems and organizations has led to variations in trauma patient processes in different countries. The present study is aimed at revealing differences in the throughput and prod...

BACKGROUND Injury is a major contributor to morbidity and mortality in the United States. Accordingly, expanding access to trauma care is a Healthy People priority. The extent to which disparities in access to trauma care exist in the US is unknown. Our objective was to describe geographic, demographic, and socioeconomic disparities in access to trauma care in the United States. METHODS Cross...

Trauma is a major cause of morbidity and mortality; hence severity scales are important adjuncts to trauma care in order to characterize the nature and extent of injury. Trauma scoring models can assist with triage and help in evaluation and prediction of prognosis in order to organise and improve trauma systems. Given the wide variety of scoring instruments available to assess the injured pati...

Injury is the fourth leading cause of death in the US, and the leading cause of death in younger age. Trauma is primarily a disease of the young and accounts for more years of productive life lost than any other illness. Consequently, almost every health care provider encounters trauma patients from time to time. Many of these patients are critically ill and pose several challenges in the acute...

Any doctor who has worked in an A&E Department will recall the relative ease with which clinical and radiological errors can occur; indeed all grades of medical staff are at risk. The medical defence organisations have been aware of this problem for many years and examples of A&E errors are highlighted in their annual reports. This excellent pocket size paperback written by an experienced A&E C...

Grieving Patients and Families Statistics on how often critical care patients must be informed of the death of a loved one are not generally tracked. However, at Regions Hospital in St. Paul, Minnesota, a level I trauma center, the Trauma Registry does track the number of patients with trauma due to motor vehicle accidents (ranging from minor injuries to critical injuries) in which a fatality h...

OBJECTIVE To describe the scientific knowledge produced about trauma in the elderly caused by traffic accidents in healthcare area studies. METHODS :Integrative review of studies from 2003 to 2013 searched in LILACS, SciELO, PubMed and CINHAL databases. We used combination of the descriptors injuries, wounds and accidents, in English, Portuguese and Spanish languages. RESULTS 32 studies were ...

background activities of daily living (adl) are an important indicator of health and independence in the elderly. it provides useful information for proper planning in the field of elderly care. trauma in the elderly population is frequent and negatively affects the independence in adl. objectives the purpose of the present study was to evaluate elderly independence in activities of daily livin...

Road traffic injuries and injuries from other causes have become significant public health problems throughout the world, particularly in lowand middleincome countries (1). Each year, about 20 million people are killed or injured on the roads (2). This increasing burden of death, disability and pain can be averted through appropriate preventive measures, if taken together with accessible and af...

BACKGROUND Accidents are the leading cause of death in adults prior to middle age. The care of severely injured patients is an interdisciplinary challenge. Limited evidence is available concerning pre-hospital trauma care training programs and the advantage of such programs for trauma patients. The effect on trauma care procedures or on the safety of emergency crews on the scene is limited; how...