BACKGROUND Trauma system expansion is a complex process often governed by financial and health care system imperatives. We sought to propose a new, informed approach to trauma system expansion through the use of geospatial mapping. We hypothesized that geospatial mapping set to specific parameters could effectively identify optimal placement of new trauma centers (TC) within an existing trauma ...

OBJECTIVE To clarify the relationship between presenting clinical condition and blood alcohol concentration (BAC) among adult patients admitted to a resuscitation room (RR) of an emergency department (ED) in order to help guide clinical practice. METHOD Single-site prospective cohort study of all patients admitted to the RR of an inner-city hospital over a one-year period. The study sample co...

PURPOSE This study aimed to evaluate the situations and problems of the current health insurance fees for trauma surgeries. METHODS We reviewed the medical records and billing data from trauma surgeries performed in the hospital from August 2012 to July 2014. The name and number of surgeries were investigated and the code and number of operations prescribed by surgeons were compared with the ...

of general surgery “at the feet of primary care.” Having been involved in an effort to undo the flawed sustainable growth rate system for the past decade, I know that the system is broken. In a rational world, specialties would unite to correct this flawed system, which seems cynically designed to pit specialties against each other. The calculations for physician compensation used in the cited ...

PURPOSE The purpose of this study was to verify the utility of existing Trauma and Injury Severity Score (TRISS) coefficients and to propose a new prediction model with a new set of TRISS coefficients or predictors. MATERIALS AND METHODS Of the blunt adult trauma patients who were admitted to our hospital in 2014, those eligible for Korea Trauma Data Bank entry were selected to collect the TR...

S1 Summary: The purpose of this new classification compendium is to republish the Orthopaedic Trauma Association’s (OTA) classification. The OTA classification was originally published in a compendium of the Journal of Orthopaedic Trauma in 1996. It adopted The Comprehensive Classification of the Long Bones developed by Müller and colleagues and classified the remaining bones. In this compendiu...

by the year 2020, the incidence of trauma has been predicted to rise worldwide and the death rate is expected to increase from 5.1 million to 8.4 million. the most important cause of death and severe morbidity up to the age of 45 years is traumatic brain injury, with or without polytrauma. since the early 1970s, traffic-related deaths in germany have dropped continuously—with the exception of t...

trauma is a leading cause of death and disability around the world. injuries are responsible for about six million deaths annually, of which ninety percent occur in developing countries. in iran, injuries are the most common cause of death among age groups below fifty. trauma system development is a systematic and comprehensive approach to injury prevention and treatment whose effectiveness has...

BACKGROUND Brain injury is the most important independent predictor of mortality and morbidity in pediatric trauma. The Glasgow Coma Score (GCS) is the commonly used clinical instrument to assess brain injury. However, the GCS or one of its components is often not applicable in children under a certain age or cannot be computed reliably because of the patient's condition or the circumstances su...

conclusions complications of trauma-related injuries are significant factors affecting the outcome of patients. there has been limited research directly exploring this topic, possibly due to the difficulty of undertaking such studies. a particularly important research topic is the prevention and management of complications in elderly trauma patients with comorbidities. in conclusion, complicati...