objective: to evaluate the effect of advance trauma life support (atls®) training on general surgery residents clinical reasoning skills using the national boards-style objective structured clinical examination (osce). methods: this cross-sectional single-center study was conducted in shiraz university of medical sciences including 51 surgery residents that participated in a mandatory national ...

introduction: more than 50 scoring systems have been published for classification of trauma patients in the field, emergency room, and intensive care settings, so far. the present study aimed to compare the ability of trauma injury severity score (triss) and acute physiology and chronic health evaluation (apache) iii in predicting mortality of intensive care unit (icu) admitted trauma patients....

IMPORTANCE In an effort to expedite delivery of plasma for patients requiring massive transfusions, US medical centers began keeping thawed plasma (TP) in their blood banks (BBs), markedly reducing time to release of plasma; however, the time to transfusion was still excessively long. OBJECTIVE To expedite delivery and transfusion of TP through implementation of an emergency department (ED) p...

BACKGROUND Haemorrhage is a common cause of death in trauma patients. Although transfusions are extensively used in the care of bleeding trauma patients, there is uncertainty about the balance of risks and benefits and how this balance depends on the baseline risk of death. Our objective was to evaluate the association of red blood cell (RBC) transfusion with mortality according to the predicte...

INTRODUCTION Retrospective studies have demonstrated a potential survival benefit from transfusion strategies using an early and more balanced ratio between fresh frozen plasma (FFP) concentration and packed red blood cell (pRBC) transfusions in patients with acute traumatic coagulopathy requiring massive transfusions. These results have mostly been derived from non-head-injured patients. The a...

INTRODUCTION Transfusion practices across the country are changing with aggressive use of plasma (fresh-frozen plasma [FFP]) and platelets during massive transfusion with current military recommendations to use component therapy at a 1:1:1 ratio of packed red blood cells to FFP to platelets. METHODS A massive transfusion protocol (MTP) was designed to achieve a packed red blood cell:FFP:plate...

INTRODUCTION We report the incidence, distribution, etiology, and outcome of the urogenital trauma in 8 major cities of Iran according to the database of national trauma project. MATERIALS AND METHODS Between 2000 and 2004, we prospectively collected the data of all the traumatic patients hospitalized for more than 24 hours in 8 cities (Tehran, Mashad, Ahwaz, Shiraz, Tabriz, Qom, Kermanshah, ...