scholarly journals A look on trauma code activation in a major trauma centre in UAE: a descriptive study

2020 ◽  
Vol 6 (2) ◽  
pp. 82-86
Author(s):  
Mustafa Mahmood Eid ◽  
Maythem Al-Kaisy
Keyword(s):  
Injury Severity ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Descriptive Study ◽  
Trauma Centre ◽  
Hospital Policy ◽  
Principal Mechanism ◽  
Imaging Results ◽  
Major Trauma Centre ◽  
More Care

Objective: Trauma is considered to be a major cause of morbidity and mortality all over the world. This descriptive study has an emphasize on the epidemiology, mechanism and patterns of trauma, with a consideration of why trauma code was activated, and the imaging results in regard to the severity of the trauma. Methods: A descriptive study was conducted in Al Ain Hospital over the year of 2017. Totally 886 patients were included who presented with a trauma and considered dangerous according to hospital guidelines. They underwent a full body trauma CT, and were admitted to the hospital. We looked at the mechanisms, patterns, time of the day and radiological findings. Injury severity score (ISS) and Revised trauma score (RTS) were calculated, and the cause of trauma code activation was evaluated. Results: The study showed that; positive imaging findings were found in 364 (41%) of patients while 522 (59%) had normal radiological tests. The principal mechanism of injury was motor vehicle accident (54.4%) followed by falls (21.4%) and pedestrian accidents (10.2%). Overall, 69.75% (618 patients) were admitted to the hospital, 22 patients (2.5%) needed immediate interventions and 36 patients (4%) needed ICU admission. Only 2 patients (0.25 %) died in the emergency room. Conclusion: The hospital policy in activating a trauma code should be revised, with more care being paid to the mechanisms of injury and the condition of the patient, without missing any injury that could harm the patient. So, the emergency physician should be better prepared to do a detailed physical examination and weigh the risk of radiation against missing a dangerous injury.

scholarly journals A look on Trauma Code Activation in a Major Trauma Centre in UAE, A Descriptive Study.

2020 ◽  
Vol 4 (2) ◽  
pp. 661-664
Author(s):  
Mustafa Mahmood EID ◽  
Maythem AL-KAISY
Keyword(s):  
Injury Severity ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Descriptive Study ◽  
Trauma Centre ◽  
Hospital Policy ◽  
Principal Mechanism ◽  
Imaging Results ◽  
Major Trauma Centre ◽  
More Care

Introduction; Trauma is considered to be a major cause of morbidity and mortality all over the world. This is a descriptive study that emphasizes on the mechanism and patterns of trauma, with a consideration of why trauma code was activated, and the imaging results in regard to the severity of the trauma.  Material and Methods; A descriptive study was conducted in Al Ain Hospital over the year of 2017. 886 patients were included who presented with trauma and considered dangerous according to hospital guidelines. They underwent a full-body trauma CT and got admitted to the hospital. We looked at the mechanisms, patterns, time of the day, and radiological findings. Injury severity score (ISS) and Revised trauma score (RTS) were calculated, and the cause of trauma code activation was evaluated. Results: The study shows that; Positive imaging findings were found in 364 (41%) of patients while 524 (59%) had normal radiological tests. The principal mechanism of injury was motor vehicle accident (54.4%) followed by falls (21%) then pedestrian accidents (10.1%). Overall, 69.75% (618 patients) were admitted to hospital, 22 patients needed immediate interventions and 36 patients needed ICU admission. Only 2 patients died in the emergency room Conclusions; The hospital policy in activating a trauma code should be revised, with more care being paid to the mechanisms of injury and the condition of the patient, without missing any injury that could harm the patient. So, the emergency physician should be better prepared to do a detailed physical examination and weigh the risk of radiation against missing a dangerous injury.  

scholarly journals P.136 Type III odontoid fracture with C1 and C2 distraction injury manifesting as a variant of occipital-cervical dissociation

2016 ◽  
Vol 43 (S2) ◽  
pp. S51-S52
Author(s):  
AH Naeem ◽  
G Alrumaihi ◽  
C Bailey
Keyword(s):  
Injury Severity ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Trauma Centre ◽  
Pulmonary Contusion ◽  
Cervical Fusion ◽  
Pattern Of Injury ◽  
Type Iii ◽  
Peripheral Hospital ◽  
C2 Fracture

Background: Isolated odontoid type III fractures are usually stable with surgical fixation reserved for significant fracture displacement or inability to maintain alignment with external immobilization. We present a rare but important pattern of injury involving a C2 fracture with C1 and C2 distraction behaving as a variant of occipital-cervical dissociation. Methods: Case Report Results: An 88-year-old female was involved in a motor vehicle accident and was transferred to a trauma centre from a peripheral hospital intubated. She was diagnosed with a significant injury to the C2 vertebral body with distraction between C1 and C2, which is a variant of an occipital-cervical dissociation. This patient had significant facial injuries, a zygomatic fracture, multiple lacerations, and a pulmonary contusion. Her ISS (Injury Severity Score) was greater than 16. She was however from a spine perspective neurologically intact. She required stabilization in the form of an occiput-cervical fusion. Conclusions: We present a polytrauma patient with a C2 distraction type injury and atlantoaxial dissociation manifesting more like an occipital-cervical dissociation injury with very good pre-operative imaging. These injury patterns are critical to recognize as they are unstable requiring occiput-cervical fusion instead of a cervical fusion alone which is reserved for some cases of odontoid Type III fractures.

Drug use in motor vehicle drivers presenting to an Australian, adult major trauma centre

2007 ◽  
Vol 19 (4) ◽  
pp. 359-365 ◽  
Author(s):  
Chin Wei Ch?ng ◽  
Mark Fitzgerald ◽  
Jim Gerostamoulos ◽  
Peter Cameron ◽  
Dinh Bui ◽  
...  
Keyword(s):  
Drug Use ◽  
Major Trauma ◽  
Motor Vehicle ◽  
Trauma Centre ◽  
Major Trauma Centre

scholarly journals Did Amendments to the Ontario Highway Traffic Act in 2009-2010 Affect the Proportion of Alcohol-Related Motor Vehicle Collisions Seen at a Level I Trauma Centre over a 10-year Period?

CJEM ◽  
2016 ◽  
Vol 19 (2) ◽  
pp. 106-111
Author(s):  
Meghan Garnett ◽  
Tanya Charyk Stewart ◽  
Michael R Miller ◽  
Rodrick Lim ◽  
Kristine Van Aarsen ◽  
...  
Keyword(s):  
Injury Severity ◽  
Trauma Registry ◽  
Motor Vehicle ◽  
Trauma Centre ◽  
Trauma Patients ◽  
Highway Traffic ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions ◽  
Level I ◽  
Legislative Amendments

AbstractObjectivesTo determine if changes to the Ontario Highway Traffic Act (OHTA) in 2009 and 2010 had an effect on the proportion of alcohol-related motor vehicle collisions (MVCs) presenting to a trauma centre over a 10-year period.MethodsA retrospective review of the trauma registry at a Level I trauma centre in southwestern Ontario was undertaken. The trauma registry is a database of all trauma patients with an injury severity score (ISS) ≥12 and/or who had trauma team activation. Descriptive statistics were calculated. Interrupted time series analyses with ARIMA modeling were performed on quarterly data from 2004-2013.ResultsA total of 377 drivers with a detectable serum ethanol concentration (SEC) were treated at our trauma centre over the 10-year period, representing 21% of all MVCs. The majority (330; 88%) were male. The median age was 31 years, median SEC was 35.3 mmol/L, and median ISS was 21. A total of 29 (7.7%) drinking drivers died from their injuries after arriving to hospital. There was no change in the proportion of drinking drivers after the 2009 amendment, but there was a significant decline in the average SEC of drinking drivers after changes to the law. There was no difference in the proportion of drinking drivers ≤21 years after introduction of the 2010 amendment for young and novice drivers.ConclusionsThere was a significance decline in the average SEC of all drinking drivers after the 2009 OHTA amendment, suggesting that legislative amendments may have an impact on drinking before driving behaviour.

scholarly journals Maxillofacial Fractures of Pedestrians Injured in a Motor Vehicle Accident

2013 ◽  
Vol 6 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Kazuhiko Yamamoto ◽  
Yumiko Matsusue ◽  
Satoshi Horita ◽  
Kazuhiro Murakami ◽  
Yoshihiro Ueyama ◽  
...  
Keyword(s):  
Injury Severity ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
The Body ◽  
Facial Injury ◽  
Severity Scale ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions ◽  
Vehicle Accident ◽  
Maxillofacial Fractures

Maxillofacial fractures of pedestrians injured in a motor vehicle accident were retrospectively analyzed. The patients were 38 males and 26 females, and their age was distributed almost evenly from 1 to 91 years old (average 45.9 ± 24.8 years old). Motor vehicle collisions were with an automobile in 46 patients (71.9%), a motorcycle in 17 (26.6%), and a train in 1 (1.6%). The midface was involved in 32 patients (50.0%), the mandible in 19 (29.7%), and both the mandible and the midface in 13 (20.3%). Fractures were frequently observed in the zygoma and alveolus in the midface and in the condyle, symphysis, and body in the mandible. The facial injury severity scale (FISS) rating ranged from 1 to 9 (average 2.30 ± 1.79). Injuries to other sites of the body occurred in 29 patients (45.3%). Observation was most frequently chosen in 26 patients (40.6%), followed by open reduction and internal fixation (ORIF) in 18 (28.1%), and maxillomandibular fixation (MMF) in 8 (12.5%). The FISS rating was higher in patients treated with ORIF and MMF. Injuries to other sites of the body were observed at a higher rate in patients who collided with an automobile and were also treated by ORIF.

scholarly journals 1213 Cycling-related Trauma Admissions to the Major Trauma Centre in the Cycling Capital of the United Kingdom

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
Z Arshad ◽  
M majeed ◽  
A Thahir ◽  
F Anwar ◽  
J Rawal ◽  
...  
Keyword(s):  
United Kingdom ◽  
Major Trauma ◽  
Injury Severity ◽  
Trauma Centre ◽  
Vehicle Group ◽  
Mechanism Of Injury ◽  
Helmet Use ◽  
The United Kingdom ◽  
Body Regions ◽  
Major Trauma Centre

Abstract Aim The number of cyclists travelling on roads in the United Kingdom (UK) is increasing. The government has recently introduced initiatives to promote cycling uptake and so these numbers are likely to increase. This study aims to characterise cycling related injuries presenting to a major trauma centre located within a region with the highest rates of cycling in the UK. Method A retrospective review of cycling related trauma admissions occurring between January 2012 and June 2020 was performed. All patients were split into three groups based on the mechanism of injury. Our institution’s electronic patient record system was used to collect data including age, gender, mechanism of injury, Glasgow coma scale score on arrival, incident date and time, injured body regions, 30-day mortality, helmet use, and length of stay. Results A total of 606 cycling related trauma cases were identified, with 52 being excluded due to incomplete data. The ‘cyclist v vehicle’ group was associated with a significantly higher Injury Severity score (ISS), lower GCS and longer hospital stay than the other two groups. Helmet wearers were significantly older than non-wearers and helmet use was associated with a significantly reduced risk of head injury, lower ISS and higher GCS. Conclusions With a likely increase in future cycling uptake, it is crucial that effective interventions are put in place to improve the safety of cyclists. A multi-faceted strategy involving driver and cyclist education, road infrastructure changes and helmet promotion campaigns targeting the younger generation could be employed.

The sensitivity of pre-hospital and in-hospital tools for the identification of major trauma patients presenting to a major trauma centre.

2013 ◽  
Vol 99 (1) ◽  
pp. 16-19
Author(s):  
D Potter ◽  
A Kehoe ◽  
JE Smith
Keyword(s):  
Major Trauma ◽  
Injury Severity ◽  
Trauma Centre ◽  
Research Network ◽  
Trauma Network ◽  
Trauma Patients ◽  
Major Trauma Centre ◽  
Injury Assessment ◽  
Trauma Response ◽  
Retrospective Database

AbstractThe identification of major trauma patients before arrival in hospital allows the activation of an appropriate trauma response. The Wessex triage tool (WTT) uses a combination of anatomical injury assessment and physiological criteria to identify patients with major trauma suitable for triage direct to a major trauma centre (MTC), and has been adopted by the South-West Peninsula Trauma Network (PTN). A retrospective database review, using the Trauma Audit Research Network (TARN) database, was undertaken to identify a population of patients presenting to Derriford Hospital with an injury severity score (ISS) > 15. The WTT was then applied to this population to identify the sensitivity of the tool. The sensitivity of the WTT at identifying patients with an ISS>15 was 53%. One of the reasons for this finding was that elderly patients who are defined as having major trauma due to the nature of their injuries, but who did not have a mechanism to suggest they had sustained major trauma (such as a fall from standing height), were not identified by these triage tools. The implications of this are discussed.

Epidemiology and aetiology of paediatric traumatic cardiac arrest in England and Wales

2018 ◽  
Vol 104 (5) ◽  
pp. 437-443 ◽  
Author(s):  
James Vassallo ◽  
Melanie Webster ◽  
Edward B G Barnard ◽  
Mark D Lyttle ◽  
Jason E Smith
Keyword(s):  
Cardiac Arrest ◽  
Injury Severity ◽  
Road Traffic ◽  
Population Based ◽  
Trauma Centre ◽  
Research Network ◽  
Common Mechanism ◽  
England And Wales ◽  
Traumatic Cardiac Arrest ◽  
Major Trauma Centre

ObjectiveTo describe the epidemiology and aetiology of paediatric traumatic cardiac arrest (TCA) in England and Wales.DesignPopulation-based analysis of the UK Trauma Audit and Research Network (TARN) database.Patients and settingAll paediatric and adolescent patients with TCA recorded on the TARN database for a 10-year period (2006–2015).MeasuresPatient demographics, Injury Severity Score (ISS), location of TCA (‘prehospital only’, ‘in-hospital only’ or ‘both’), interventions performed and outcome.Results21 710 paediatric patients were included in the database; 129 (0.6%) sustained TCA meeting study inclusion criteria. The majority, 103 (79.8%), had a prehospital TCA. 62.8% were male, with a median age of 11.7 (3.4–16.6) years, and a median ISS of 34 (25–45). 110 (85.3%) had blunt injuries, with road-traffic collision the most common mechanism (n=73, 56.6%). 123 (95.3%) had severe haemorrhage and/or traumatic brain injury. Overall 30-day survival was 5.4% ((95% CI 2.6 to 10.8), n=7). ‘Pre-hospital only’ TCA was associated with significantly higher survival (n=6) than those with TCA in both ‘pre-hospital and in-hospital’ (n=1)—13.0% (95% CI 6.1% to 25.7%) and 1.2% (95% CI 0.1% to 6.4%), respectively, p<0.05. The greatest survival (n=6, 10.3% (95% CI 4.8% to 20.8%)) was observed in those transported to a paediatric major trauma centre (MTC) (defined as either a paediatric-only MTC or combined adult-paediatric MTC).ConclusionsSurvival is possible from the resuscitation of children in TCA, with overall survival comparable to that reported in adults. The highest survival was observed in those with a pre-hospital only TCA, and those who were transported to an MTC. Early identification and aggressive management of paediatric TCA is advocated.

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