A priority driven ABC approach to the emergency management of high energy pelvic trauma improves decision making in simulated patient scenarios

Injury ◽  
2015 ◽  
Vol 46 (2) ◽  
pp. 340-343 ◽  
Author(s):  
Jasvinder S. Daurka ◽  
Iain Rankin ◽  
M.K.J. Jaggard ◽  
Angus Lewis
Author(s):  
Sheng-Der Hsu ◽  
Cheng-Jueng Chen ◽  
Yu-Ching Chou ◽  
Sheng-Hao Wang ◽  
De-Chuan Chan

Background: We aimed to evaluate the effect of early pelvic binder use in emergency management of suspected pelvic trauma, compared with the conventional stepwise approach. Methods: We enrolled trauma patients with initial stabilization using a pelvic binder for suspecting pelvic injury. Inclusion criteria were traumatic injury requiring a trauma team and at least one of the following: loss of consciousness or Glasgow coma score (GCS) < 13; systolic blood pressure < 90 mmHg; falling from ≥6 m; injury to multiple vital organs; and suspected pelvic injury. Various parameters, including gender, age, mechanism of injury, GCS, mortality, hospital stay, initial vital sign, revised trauma score, injury severity score, and outcome, were assessed and compared with historical controls. Results: A total of 204 patients with high-energy multiple-trauma from single level I trauma center in North Taiwan were enrolled in the study from August 2013 to July 2014. The two group baseline patient characteristics were all collected and compared. The trauma patients with suspected pelvic fractures initially stabilized with a pelvic binder had shorter hospital and ICU stays. The study group achieved statistically significantly improved survival and lower mean blood transfusion volume and mortality rate although they were more severe in the trauma score. Conclusions: We recommend prompt pelvic binder use for suspected pelvic injury before definitive imaging is available, as a cervical spine collar is used to protect the cervical spine from further injury prior to definitive identification and characterization of an injury.


Author(s):  
Lindsay Trainham ◽  
Denise Rizzolo ◽  
Amna Diwan ◽  
Tyler Lucas

2006 ◽  
Author(s):  
Leigh A. Baumgart ◽  
Ellen J. Bass ◽  
Brenda Philips ◽  
Kevin Kloesel

2013 ◽  
Vol 6 (2) ◽  
pp. 110 ◽  
Author(s):  
Prasad Ellanti ◽  
Nikos Davarinos ◽  
Seamus Morris ◽  
JohnPaul McElwain

2016 ◽  
Vol 25 (sup1) ◽  
pp. 558-565 ◽  
Author(s):  
Nora McCarthy ◽  
Karen Neville ◽  
Andrew Pope ◽  
Anthony Gallagher ◽  
Alexander Nussbaumer ◽  
...  

2018 ◽  
Vol 10 (10) ◽  
pp. 3453 ◽  
Author(s):  
Jiyong Ding ◽  
Juefang Cai ◽  
Guangxiang Guo ◽  
Chen Chen

With the rapid development of the urbanization process, rainstorm water-logging events occur more frequently in big cities in China, which causes great impact on urban traffic safety and brings about severe economic losses. Water-logging has become a hot issue of widespread concern in China. As one kind of natural disasters and emergencies, rainstorm water-logging has the uncertainties of occurrence, development, and evolution. Thus, the emergency decision-making in rainstorm water-logging should be carried out in stages according to its development trend, which is very complicated. In this paper, an emergency decision-making method was proposed for urban water-logging with a hybrid use of dynamic network game technology, Bayesian analysis, and multi-attribute utility theory. The dynamic game process between “rainstorm water-logging” and “decision-making group” was established and the dynamic generation of emergency schemes was analyzed based on Bayesian analysis in various stages of water-logging. In terms of decision-making attributes, this paper mainly considered two goals, i.e., ensuring smooth traffic and controlling emergency cost. The multi-attribute utility theory was used to select the final scheme. An example analysis in Guangzhou of China showed that the method is more targeted and can achieve emergency management objectives more effectively when compared with traditional methods. Therefore, it can provide reference for the scientific decision-making of emergency management in urban rainstorm water-logging.


Kybernetes ◽  
2016 ◽  
Vol 45 (3) ◽  
pp. 461-473 ◽  
Author(s):  
Sun Bingzhen ◽  
Ma Weimin

Purpose – The purpose of this paper is to present a new method for evaluation of emergency plans for unconventional emergency events by using the soft fuzzy rough set theory and methodology. Design/methodology/approach – In response to the problems of insufficient risk identification, incomplete and inaccurate data and different preference of decision makers, a new model for emergency plan evaluation is established by combining soft set theory with classical fuzzy rough set theory. Moreover, by combining the TOPSIS method with soft fuzzy rough set theory, the score value of the soft fuzzy lower and upper approximation is defined for the optimal object and the worst object. Finally, emergency plans are comprehensively evaluated according to the soft close degree of the soft fuzzy rough set theory. Findings – This paper presents a new perspective on emergency management decision making in unconventional emergency events. Also, the paper provides an effective model for evaluating emergency plans for unconventional events. Originality/value – The paper contributes to decision making in emergency management of unconventional emergency events. The model is useful for dealing with decision making with uncertain information.


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