PURPOSE The primary objective of this study was to determine the risk factors associated with undertriage and the risk factors for mortality among the undertriaged patients at a level I safety-net trauma center. METHODS A retrospective analysis was performed of all trauma patients who presented to a level I safety-net trauma center with an injury severity score >15 over a 2-year period (2013-...

study of correlation of glasgow coma score and bispectral index in mild and moderate traumatic brain injuries     feizi a [1] , jarineshin h* [2] , estabragnia h [3] , mahoori a [4] , khalkhali h [5] , sattari s [6]     received: 3july, 2011 accepted: 23september, 2011     abstract   background & aims : it is important to monitor the state of consciousness in patients suffering from traumatic b...

BACKGROUND To date, the benefit of prehospital advanced life-support programs on trauma-related mortality and morbidity has not been established METHODS The Ontario Prehospital Advanced Life Support (OPALS) Major Trauma Study was a before-after systemwide controlled clinical trial conducted in 17 cities. We enrolled adult patients who had experienced major trauma in a basic life-support phase...

An elderly patient with altered mental status, brain abscesses, ventriculitis, and empyemas died of septic shock and brain abscesses secondary to Streptococcus anginosus despite aggressive treatment. An imaging severity index score with a better prognostic value than the Glasgow coma scale predicted mortality in this patient.

A 44 year old woman was admitted to our intensive care unit five hours after ingestion of amitriptyline. She was comatose (Glasgow coma score 3) with dilated pupils non-reactive to light and accommodation. Biochemical findings and serum electrolytes were normal. Arterial blood gas measurements revealed a slight metabolic acidosis. She was immediately intubated and mechanically ventilated. Gastr...

BACKGROUND Hydrocephalus following spontaneous aneurysmal sub-arachnoid hemorrhage (SAH) is often associated with unfavorable outcome. This study aimed to determine the potential risk factors and outcomes of shunt-dependent hydrocephalus in aneurysmal SAH patients but without hydrocephalus upon arrival at the hospital. METHODS One hundred and sixty-eight aneurysmal SAH patients were evaluated...

BACKGROUND This study aimed to determine predictive factors of mortality after posttraumatic brain injury. METHODS A retrospective study conducted over a 3-year period (1997-1999) involved 437 adult patients with head injury admitted to the intensive care unit of a university hospital in Sfax, Tunisia. Basic demographic, clinical, biologic, and radiologic data were recorded at admission and d...

BACKGROUND AND PURPOSE There are no standard screening guidelines to evaluate blunt cerebrovascular injury in children. The purpose of this retrospective study was to understand the clinical and radiologic risk factors associated with pediatric blunt cerebrovascular injury on CTA of the neck with primary attention to the cervical "seatbelt sign." MATERIALS AND METHODS Radiology reports from 2...

Restrictions in the application of the Galveston Orientation and Amnesia Test and questionings about the relationship between conscience and post-traumatic amnesia motivated this study, which aims to identify, through the Glasgow Coma Scale scores, when to initiate the application of this amnesia test, as well to verify the relationship between the results of these two indicators. The longitudi...