As trauma surgeons, we are commonly engaged in treating injuries caused by impacts. For many years, advancements in the care and management of the injured were strongly linked to military conflicts (1). Injury is the number one public health problem in the USA, with a price tag of over $260 billion annually (2). In Iran, road accidents are still the most common cause of mortality among civilian...

OBJECTIVE The Trauma Quality Improvement Program has demonstrated existence of significant variations in risk-adjusted mortality across trauma centers. However, it is unknown whether centers with lower mortality rates also have reduced length of stay (LOS), with associated cost savings. We hypothesized that LOS is not primarily determined by unmodifiable factors, such as age and injury severity...

As one article in an ongoing series on Global Mental Health Practice, Etheldreda Nakimuli-Mpungu and colleagues describe a private-public partnership that implemented and scaled psycho-trauma centers in Northern Uganda.

BACKGROUND A trauma registry is an integral component of modern comprehensive trauma care systems. Trauma registries have not been established in most developing countries, and where they exist are often rudimentary and incomplete. This review describes the role of trauma registries in the care of the injured, and discusses how lessons from developed countries can be applied toward their design...

BACKGROUND Physical trauma is one of the major cause of mortality and morbidity among young and active age group and its increasing trend is of main concern. There are only few studies concerning the spectrum of physical trauma in Nepal. OBJECTIVE This study aims to evaluate the epidemiological spectrum, the extent, severity of the physical trauma and the outcome evaluation of patients with p...

This retrospective review of eight years of trauma registry data at an inner-city level-1 trauma center was undertaken to discover at what age urban children start to become at high risk of being victims of either a major gunshot wound or stabbing. We reviewed data from 2,191 patients who were the victim of either a gunshot wound or stabbing, were 18 years of age or under, and met pre-establish...

OBJECTIVE To describe the circumstances, severity, and outcomes of skating-related injuries among children admitted to trauma centers. DESIGN A cross-sectional comparison of roller skaters (n = 154), in-line skaters (n = 190), and skateboarders (n = 254) aged 5 to 19 years who were hospitalized with injuries. SETTING Seventy-nine hospitals and pediatric trauma centers participating in the N...

Over the past five years, trauma-center alcohol screening and brief intervention (SBI) implementation has advanced considerably. A key catalyst has been the willingness of the American College of Surgeons Committee on Trauma (ACS/COT) to consider policy guidelines based on empiric investigation. We summarized data on and policy discussions pertaining to the college’s current implementation of t...

A high rate of patients lost to follow-up is a common problem in orthopedic trauma surgery. This adversely affects the ability to produce accurate clinical outcomes research. The purpose of this project was to (1) evaluate the rate of loss to follow-up at an academic level I trauma center; (2) identify the patient-reported reasons for loss to follow-up; and (3) evaluate the efficacy of a routin...