scholarly journals Craniofacial trauma in Brazilian child victims of traffic accidents: A single-trauma center analysis

2021 ◽  
Vol 58 (4) ◽  
pp. 0-0
Author(s):  
Isla Camilla Laureano ◽  
Tatiana Palitot ◽  
Alidianne Fabia Cavalcanti ◽  
Alessandro Cavalcanti
Keyword(s):  
Trauma Center ◽  
Traffic Accidents ◽  
Child Victims ◽  
Brazilian Child ◽  
Craniofacial Trauma

scholarly journals Observational study of patients with occipital condyle fracture at a brazilian referral trauma center

2021 ◽  
Vol 48 ◽  
Author(s):  
ANDREW VINÍCIUS DE SOUZA BATISTA ◽  
GUILHERME BRASILEIRO AGUIAR ◽  
PRISCILLA BENNETT ◽  
MÁRCIA RAMOS UMIGI ◽  
JOSÉ CARLOS ESTEVES VEIGA
Keyword(s):  
Observational Study ◽  
Trauma Center ◽  
Traffic Accidents ◽  
Cervical Collar ◽  
Occipital Condyle ◽  
Occipital Condyle Fracture ◽  
Condyle Fracture ◽  
Occipital Condyle Fractures ◽  
Type 3 ◽  
Epidemiological Characteristics

ABSTRACT Objective: to evaluate the clinical-epidemiological characteristics, treatment, and evolution of patients with occipital condyle fracture (OCF) at one of the largest referral trauma centers in Latin America. Methods: this was a retrospective observational study of OCF identified from trauma cases admitted between December 2011 and December 2019 by the neurosurgery team at a Type 3 trauma center. Results: a total of twenty-eight occipital condyle fractures were identified in twenty-six patients. The incidence was less than 0.2% per year and more common in male patients (4:1 ratio) involved in traffic accidents. The mean age was 42.08 years. Anderson and Montesano type II and Tuli type 1 were the most frequent (67.9% and 89.3%, respectively) and no case presented C0-C1-C2 instability. All patients were treated with a cervical collar for 3 to 6 months. About 65% of the patients exhibited good progression (Glasgow Outcome Scale equal to 4), and the severity of traumatic brain injury was the main determinant for negative outcomes. Conclusion: the findings of this study are in accordance with available literature data. The use of external stabilization with a cervical collar is reinforced for the treatment of stable lesions, even when these are bilateral. Assessment of the patients’ follow-up results in the studied sample may contribute with useful information for the treatment of occipital condyle fractures.

scholarly journals Patterns of injury detected by pan-computed tomography after road traffic accidents: retrospective review from a trauma center in Saudi Arabia

2018 ◽  
Vol 38 (4) ◽  
pp. 245-250 ◽  
Author(s):  
Ali Al Orf ◽  
Khawaja Bilal Waheed ◽  
Aftab Ahmed Baig ◽  
Khaled Saleh Mohammad ◽  
Mohamed Nasr El Sirafy ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Saudi Arabia ◽  
Retrospective Review ◽  
Trauma Center ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Patterns Of Injury

scholarly journals Characteristics of pediatric thoracic trauma: in view of before and after the establishment of a regional trauma center

2021 ◽  
Author(s):  
Pil Young Jung ◽  
Jae Sik Chung ◽  
Youngin Youn ◽  
Chang Wan Kim ◽  
Il Hwan Park ◽  
...  
Keyword(s):  
Trauma Center ◽  
Traffic Accidents ◽  
Thoracic Trauma ◽  
Injury Severity ◽  
Pediatric Trauma ◽  
Trauma Patients ◽  
Efficient Treatment ◽  
Before And After ◽  
Level 1 ◽  
Tissue Recovery

Abstract Purpose Pediatric thoracic trauma differs from those of adult in terms of the small anatomy and rapid tissue recovery. Therefore, it is important to know the characteristics of the pediatric thoracic trauma to improve treatment results. In addition, this study examined the changes in pediatric thoracic trauma features and results from the establishment of a level 1 regional trauma center. Methods Data of 168 patients’ ≤ 15 years old diagnosed with thoracic trauma between 2008 and 2019 were retrospectively analyzed. Results Pedestrian traffic accidents were the most common cause of chest injury. The average injury severity score was 17.1 ± 12.4 and the average pediatric trauma score was 5.6 ± 4.1. Lung contusion was the most common in 134 cases. There were 48 cases of closed thoracostomy. There was one thoracotomy for cardiac laceration, one case for extracorporeal membranous oxygenation, and six cases for embolization. Of all, 25 patients died, providing a mortality rate of 14.9%. In addition, independent risk factors of in-hospital mortality were hemopneumothorax and cardiac contusion. Since 2014, when the level 1 regional trauma center was established, more severely injured thoracic trauma patients came. However, the mortality was similar in the two periods. Conclusions Understanding the clinical features of pediatric thoracic trauma patients can help in efficient treatment. In addition, as the severity of pediatric thoracic trauma patients has increased due to the establishment of the regional trauma center, so pediatric trauma center should be organized in regional trauma center to improve the outcomes of pediatric thoracic trauma.

scholarly journals Craniofacial trauma in older adults victims of road traffic accidents: a cross-sectional study

2018 ◽  
Vol 3 (3) ◽  
pp. 43-48
Author(s):  
Natália Medeiros ANDRADE ◽  
Liege Helena Freitas FERNANDES ◽  
Alidianne Fabia Cabral CAVALCANTI ◽  
Catarina Ribeiro De Barros ALENCAR ◽  
Alessandro Leite CAVALCANTI
Keyword(s):  
Older Adults ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Cross Sectional Study ◽  
Road Traffic Accidents ◽  
Sectional Study ◽  
Cross Sectional ◽  
Craniofacial Trauma

scholarly journals Injuries in children and general principles of management

2015 ◽  
Vol 3 (5) ◽  
Author(s):  
Michael Khouli
Keyword(s):  
Public Health ◽  
Primary Prevention ◽  
Trauma Center ◽  
Traffic Accidents ◽  
Trauma Team ◽  
Morbidity And Mortality ◽  
Traumatic Injuries ◽  
Primary Survey ◽  
Health Initiatives ◽  
Public Health Initiatives

Traumatic injuries and accidents are a major cause of morbidity and mortality in children worldwide, with traffic accidents causing the majority of deaths due to trauma. When possible, children with injuries should be cared for at a dedicated trauma center, as outcomes have been shown to improve with the care of a specialized trauma team. General principles of management include a systematic, step by step approach beginning with the Pediatric Assessment Triangle. Once providers have performed a primary survey and stabilized the patient, more detailed secondary and tertiary surveys should be conducted. Specific treatments will vary depending on the nature of the injury. Public health initiatives in primary prevention to reduce the incidence of traumatic injuries and prevent injuries before they occur are also crucial.

scholarly journals Efficiency analysis of the early years of the first level trauma center in the Chelyabinsk region

2015 ◽  
Vol 96 (1) ◽  
pp. 100-104
Author(s):  
E V Shishkin
Keyword(s):  
Trauma Center ◽  
Traffic Accidents ◽  
Brain Injuries ◽  
Road Traffic ◽  
Early Years ◽  
Trauma Centers ◽  
Body Regions ◽  
Working Age ◽  
Isolated Injury ◽  
Chelyabinsk Region

Aim. To assess the efficiency of first level trauma center on the base of «Chelyabinsk Regional Hospital». Methods. The data were copied out from the medical charts of road accidents victims. The majority of patients who were admitted to the first level trauma center are young people of reproductive and working age, mostly males. In most of the cases, patients suffered from combined injuries involving multiple body regions (T00-T07). Results. Admission in every fourth patient of the trauma center was inappropriate, as patients had isolated injury not accompanied by shock. In 26.8% of the studied group, no surgery was performed, also stressing inappropriate admission. Spinal and brain injuries requiring neurosurgical aid were detected only in 36.8% of cases. The analysis showed miscommunication between trauma centers of levels I and II. Significant violations of road traffic accidents victims’ hospitalization orders, as well as the presence of inappropriate patients, were discovered. Conclusion. The findings highlight problems associated with trauma centers low functioning as a whole system, requiring introduction of real-time monitoring of their activities, as well as management decisions aimed at optimizing the communicative process between trauma centers, as well as with other medical institutions, which include trauma centers.

scholarly journals Epidemiology of trauma admissions in a level 1 trauma center in Northern Italy: a nine-year study

2021 ◽  
Author(s):  
Margherita Difino ◽  
Roberto Bini ◽  
Elisa Reitano ◽  
Roberto Faccincani ◽  
Fabrizio Sammartano ◽  
...  
Keyword(s):  
Trauma Center ◽  
Traffic Accidents ◽  
Injury Severity ◽  
Road Traffic ◽  
Age Distribution ◽  
Northern Italy ◽  
Number Of Patients ◽  
Level 1 ◽  
And Gender ◽  
Patterns Of Injury

AbstractThe aim of this study was to analyze the results of 9 years of trauma care and data collection in a level 1 urban trauma center in Northern Italy. Overall, 6065 patients have been included in the study; the number of patients managed yearly has doubled between 2011 and 2019. This rise mostly involved patients with injury severity score (ISS) < 16. Most injuries (94%) were blunt. Road traffic accidents, especially involving motorcycles, were the most common cause of injury. Self-inflicted injuries were responsible for less than 5% of trauma but they were severe in 56% of cases. The median age was 38 and it remained constant over the years; 43% of patients had 14–39 years of age. Different characteristics and patterns of injury were observed for each age group and gender. Males were more likely to be injured in the central years of life while females presented a trimodal pattern in the age distribution. Young adults (14–39 years old) were overall at higher risk of self-harm. Overall mortality was equal to 5.2%. Most deceased were male and ≥ 65 years of age.

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