From Trauma Scoring System to Early Appropriate Care

2019 ◽  
pp. 129-140
Author(s):  
Anna Mariani ◽  
Gianpaolo Casella ◽  
Paolo Aseni
Keyword(s):  
Scoring System ◽  
Appropriate Care ◽  
Trauma Scoring ◽  
Early Appropriate Care

A chest trauma scoring system to predict outcomes

Surgery ◽  
2014 ◽  
Vol 156 (4) ◽  
pp. 988-994 ◽  
Author(s):  
Jennifer Chen ◽  
Elan Jeremitsky ◽  
Frances Philp ◽  
William Fry ◽  
R. Stephen Smith
Keyword(s):  
Scoring System ◽  
Chest Trauma ◽  
Trauma Scoring

scholarly journals Mechanism of Injury, Glasgow Coma Scale, Age, and Systolic Blood Pressure: A New Trauma Scoring System to Predict Mortality in Trauma Patients

2015 ◽  
Vol 20 (3) ◽  
Author(s):  
Iraj Baghi ◽  
Leila Shokrgozar ◽  
Mohamad Rasoul Herfatkar ◽  
Kazem Nezhad Ehsan ◽  
Zahra Mohtasham Amiri
Keyword(s):  
Blood Pressure ◽  
Glasgow Coma Scale ◽  
Systolic Blood Pressure ◽  
Scoring System ◽  
Trauma Patients ◽  
Mechanism Of Injury ◽  
Coma Scale ◽  
Trauma Scoring

scholarly journals The Most Common Tools to Measure Trauma Severity: A review Study

2019 ◽  
Author(s):  
Abbasali Dehghani Tafti ◽  
Khadijeh Nasiriani ◽  
Majid Hajimaghsoudi ◽  
Mehri Maki ◽  
Samaneh Mirzaei ◽  
...  
Keyword(s):  
Injury Severity Score ◽  
Severity Score ◽  
Scoring System ◽  
Injury Severity ◽  
Physiological Parameters ◽  
Assessment Methods ◽  
Assessment Tools ◽  
Trauma Severity ◽  
Trauma Scoring ◽  
Trauma Score

Introduction: Due to the increasing mortality rate from trauma, determining the severity of injury has a very important role in the prognosis of the injured person. On the other hand, the quality of medical care provided to the casualties is evaluated using the Trauma Scoring System. Various scales were used to determine the trauma severity of injured. In this study, the most commonly used tools are investigated. Methods: This review was conducted by searching throughout the Persian data bases of Magiran, Barakat, SID and English databases of Scopus, Web of sciences, PubMed, and Google scholar. To conduct the search, the following keywords were used: "Severity of Trauma", "Trauma scoring", and "Trauma Scoring System" without considering any time intervals. Our early search resulted in 2125 articles. Finally, 17 articles were analyzed and different functions of traumatic assessment tools were compared and studied. Results: Traumatic assessment methods vary based on the anatomical and physiological parameters and composition of these two methods. In this study, the Abbreviated Injury Scale (AIS), Injury Severity Score (ISS), and New Injury Severity Score (NISS) were considered as anatomical parameters; Revised Trauma Score (RTS) as physiological parameters; Trauma Score Injury Severity Score (TRISS) and A Severity Characterization of Trauma (ASCOST) were mentioned as a hybrid ranking system. Conclusion: Application of accurate scientific evaluations in trauma severity assessment methods and application of each method in its appropriate position would result in appropriate improvements in the development of trauma care.  In addition, these systems can play an important role in providing care to patients with traumatic injuries in the present and future.

scholarly journals A prospective study on management of polytrauma with early appropriate care

2019 ◽  
Vol 5 (2) ◽  
pp. 118-122
Author(s):  
Vaibhav Bhadbhade ◽  
◽  
Sandeep DN ◽  
Keyword(s):  
Prospective Study ◽  
Appropriate Care ◽  
A Prospective Study ◽  
Early Appropriate Care

scholarly journals Comparison of Blunt Abdominal Trauma Scoring System (BATSS) versus FAST in assessment of Blunt Trauma Abdomen

2021 ◽  
Vol 14 (4) ◽  
pp. 2183-2189
Author(s):  
T S Subbiah ◽  
Athira Gopinathan ◽  
Balamurugan Ramachandran
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Scoring System ◽  
Point Of Care ◽  
Abdominal Injury ◽  
World Health ◽  
World Population ◽  
Emergency Rooms ◽  
The World ◽  
Trauma Scoring

Trauma is the second largest cause of disease worldwide accounting for more than 16 % of global burden 1. By the next decade, the World Health Organization (WHO) estimates that trauma will be the leading cause of Years of Potential Life Lost (YPLL) amongst the world population. With advancement in infrastructure and economic prosperity, accidental trauma due to vehicular accidents has become more commonplace. A majority of victims of motor vehicular accidents present with Blunt abdominal trauma, which due to the complexity in diagnosis and management, presents with significant morbidity and mortality2. Introduced in the 1970s in Europe, point of care Ultrasonographic examination of the abdomen in trauma called as FAST (Focussed Assessment with Sonography for Trauma) has become a routine in emergency rooms worldwide 3. The Blunt Abdominal Trauma scoring system was developed to better diagnose intra-abdominal injury after blunt abdominal trauma 4. This study is aimed in comparing the findings of FAST and BATSS in predicting intra-abdominal injury accurately.

Issues of comprehensive diagnostics and treatment of polytrauma

2021 ◽  
Vol 19 (3) ◽  
pp. 95-98
Author(s):  
G. V. LOBANOV ◽  
Keyword(s):  
Mortality Rate ◽  
Minimally Invasive ◽  
High Mortality ◽  
Functional Outcomes ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Appropriate Care ◽  
Safe Management ◽  
Definitive Surgery ◽  
Early Appropriate Care

High mortality rate and organizational problems in rendering assistance make researchers in many countries pay special attention to implement protocols and conception allowing to improve the early appropriate treating of polytrauma (Early Appropriate Care, EAC)), the strategy of safe operations (Safe Definitive Surgery, SDS), and prompt individual safe treatment (Prompt Individualised Safe Management, PR.I.S.M.). We propose the conception of «metabolic rehabilitation», which enables to significantly reduce the mortality and disability rates and improve the functional outcomes. Despite the recent advances, the problem of accurate diagnostics and minimally invasive treatment remains topical in polytrauma clinic.

scholarly journals Demystifying damage control in musculoskeletal trauma

2016 ◽  
Vol 98 (5) ◽  
pp. 291-294 ◽  
Author(s):  
P Bates ◽  
P Parker ◽  
I McFadyen ◽  
I Pallister
Keyword(s):  
Large Scale ◽  
Major Trauma ◽  
Damage Control ◽  
Trauma Surgery ◽  
Major Surgery ◽  
Surgical Trauma ◽  
Trauma Patients ◽  
Appropriate Care ◽  
Fracture Management ◽  
Early Appropriate Care

Trauma care has evolved rapidly over the past decade. The benefits of operative fracture management in major trauma patients are well recognised. Concerns over early total care arose when applied broadly. The burden of additional surgical trauma could constitute a second hit, fuelling the inflammatory response and precipitating a decline into acute respiratory distress syndrome, sepsis and multiple organ dysfunction syndrome. Temporary external fixation aimed to deliver the benefits of fracture stabilisation without the risk of major surgery. This damage control orthopaedics approach was advocated for those in extremis and a poorly defined borderline group. An increasing understanding of the physiological response to major trauma means there is now a need to refine our treatment options. A number of large scale retrospective reviews indicate that early definitive fracture fixation is beneficial in the majority of major trauma patients. It is recommended that patients are selected appropriately on the basis of their response to resuscitation. The hope is that this approach (dubbed ‘safe definitive fracture surgery’ or ‘early appropriate care’) will herald an era when care is individualised for each patient and their circumstances. The novel Damage Control in Orthopaedic Trauma Surgery course at The Royal College of Surgeons of England aims to equip senior surgeons with the insights and mindset necessary to contribute to this key decision making process as well as also the technical skills to provide damage control interventions when needed, relying on the improved techniques of damage control resuscitation and advances in the understanding of early appropriate care.

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