OBJECTIVE To study whether traditionally vulnerable populations have worse geographic access to trauma centers. DESIGN A cross-sectional analysis using data from the American Hospital Association Annual Survey from 2005 linked with zip code-level data from the US Census. We used a multinomial logit model to examine the odds of having difficult as opposed to easy access to trauma centers for a...

The rate of birth trauma in the US has been reported to range between 0.2 and 37 birth traumas per 1000 births. Because of the minimal number of population-based studies and the inconsistencies among the published birth trauma rates, the rate of birth trauma in the US remains unclear. This is a cross-sectional study that was conducted using 890 582 in-hospital birth discharges from the 2003 Hea...

BACKGROUND Administrative or quality improvement registries may or may not contain the elements needed for investigations by trauma researchers. International Classification of Diseases Program for Injury Categorisation (ICDPIC), a statistical program available through Stata, is a powerful tool that can extract injury severity scores from ICD-9-CM codes. We conducted a validation study for use ...

IMPORTANCE Trauma is the leading cause of potential years of life lost before age 65 years in the United States. Timely care in a designated trauma center has been shown to reduce mortality by 25%. However, many severely injured patients are not transferred to trauma centers after initially being seen at non–trauma center emergency departments (EDs). OBJECTIVES To determine patient-level and ...

The theatrical code is considered as a way of representing German history in Uwe Timm's novel «Halbschatten». manifestations theatricality the chronotope, organization artistic discourse, and system images are studied. fragmentary nature composition realizes author's perception trauma, which opposed by search for integrity that arises at level image. action implicates image th...

ethods: The U.S. Army’s Total Army Injury and Health Outcomes Database was searched for hospitalizations with ICD-9-CM codes for injury (800–959.9) between 1992 and 2002. Injury rates were calculated using yearly U.S. Army population data and compared using rate ratios. Injury characteristics were compared among categories of the Trauma Code (on duty; off duty; scheduled training, schemes, and ...

Nationally, mental health chief complaints accounts for 7-10% of emergency department patient visits. Agitated patients presenting to departments require increased ancillary staff resource utilization and contributes the incidence verbal physical attempted assaults on staff. Timely interventions are necessary reduce risk harm. Acutely agitated need be evaluated immediately in a coordinated effo...