conclusions the mgap scoring system can be used as an appropriate scoring system to predict mortality in triage trauma patients. results patients were divided into three groups : scores of less than 18, 18 - 22 and greater than 22; in which the mortality rates were 75.2%, 9.5% and 0.1%, respectively (p < 0.0001). the best cut-off point was 22 in our study, and the mgap scoring system had 93.7% ...

OBJECTIVE To determine the frequency, types and complications of genital tract trauma during child birth. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Department of Obstetrics and Gynaecology, Unit I, Liaquat University of Medical and Health Sciences, Jamshoro, from June 2006 to May 2010. METHODOLOGY All women who sustained genital tract trauma during delivery at the study centre...

OBJECTIVE To determine the insertional and positional complications encountered by the placement of intercostal chest drains (ICDs) for trauma and whether further training is warranted in operators inserting intercostal chest drains outside level 1 trauma unit settings. METHODS Over a period of 3 months, all patients with or without an ICD in situ in the front room trauma bay of Tygerberg Hos...

OBJECTIVES We sought to characterise the prehospital experience of Tanzanian trauma patients, and identify barriers and facilitators to implement community-based emergency medical systems (EMS). SETTINGS Our study was conducted in the emergency department of an urban national referral hospital in Tanzania. PARTICIPANTS A convenience sample of 34 adult trauma patients, or surrogate family me...

Care by Gräsner and colleagues that strongly emphasizes the importance of encouraging attempts at cardiopulmonary resuscitation (CPR) in cardiac arrest caused by severe trauma [1]. Despite the interesting content, in our opinion the results presented by Gräsner and colleagues suff er by being derived from databases designed for diff erent purposes (Cardiac Arrest Registry and Trauma Registry). ...

conclusions this new suggested scale shows a better value to predict patients’ length of hospital stay compared to iss and niss. however, future studies with larger sample sizes and more confounding factors such as prehospital procedures, intubation and other procedures during admission, should be designed to examine these scoring systems and confirm the results of our study. background trauma ...

Each year, 70 000 South Africans are killed by trauma and a further 3.5 million seek trauma care. We analysed 1 465 trauma patients at the regional-level King Edward VIII hospital (KE8H) in eThekwini Municipality. Mean patient age was 29 years. Peaks in patient numbers were observed mid-month, at month-end, between 08h00 and 12h00 daily and on Saturday and Sunday nights. Most injuries occurred ...

Methods Descriptive and comparative study of polytraumatized patients admitted to two different ICUs. The Spanish unit is an 18 bed general ICU, and trauma referral centre for the region of Gerona. The Colombian ICU has 19 beds dedicated mainly to trauma patients. Both hospitals have the same level of complexity, and resources are similar. The records of 151 polytraumatized patients between Jan...

BACKGROUND This study was carried out to estimate the prevalence, severity and mode of splenic trauma and management technique from amongst the abdominal trauma cases admitted in Ayub Teaching Hospital. METHODS The study was carried out at Surgery units of Ayub Teaching Hospital, Abbottabad, the only referral hospital for major trauma cases, from July 2001 to Dec. 2002. One hundred consecutiv...