scholarly journals The Intensive Care Unit Perspective of Becoming a Level I Trauma Center: Challenges of Strategy, Leadership, and Operations Management

2018 ◽  
Vol 11 (1) ◽  
pp. 65 ◽  
Author(s):  
RichardH Savel ◽  
Wess Cohen ◽  
Dena Borgia ◽  
RonaldJ Simon
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Operations Management ◽  
Trauma Center ◽  
Level I

Sturgeons versus Surgeons: Leaping Fish Injuries at a Level I Trauma Center

2009 ◽  
Vol 75 (3) ◽  
pp. 220-222
Author(s):  
Jason P. Wilson ◽  
George Burgess ◽  
Robert D. Winfield ◽  
Lawrence Lottenberg
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Trauma Center ◽  
Public Awareness ◽  
Closed Head Injury ◽  
Facial Trauma ◽  
Closed Head ◽  
Secondary Injuries ◽  
Level I

We have recently noted an increase in patients injured by an unusual mechanism and source: leaping sturgeon. We present our experience with eight cases of sturgeon related injuries. Between January 2006 and June 2007, there were eight patients evaluated at our Level I trauma center for sturgeon related injuries. Injuries included isolated fractures, liver lacerations, severe facial trauma, and a closed head injury. The overall length of stay was 6 days (range 0-20) and 50 per cent of patients required an intensive care unit stay. For comparative purposes, injuries were classified as primary sturgeon injuries (injuries where the sturgeon directly impacted the patient) and secondary sturgeon injuries (injuries related to the sturgeon but not resultant from direct impact). There were five primary injuries and three secondary injuries in our series. Patients with secondary injuries had a longer length of stay (12 days vs 3 days) and a higher intensive care unit utilization (100 % vs 20%) when compared with patients having primary injuries. This is the first report of sturgeon-related injuries in the medical literature. These peculiar insults seem to have increased in recent years. Public awareness and proper boat safety are vital in reducing the number and severity of these incidents.

Applications: An Application of the Distance Formula to Medical Science

1984 ◽  
Vol 77 (1) ◽  
pp. 27-29
Author(s):  
William Sacco ◽  
Clifford W. Sloyer
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Trauma Center ◽  
Medical Science ◽  
Considerable Time ◽  
Biochemical Variables ◽  
Physiological And Biochemical ◽  
Distance Formula

When a patient arrives in an intensive care unit or a trauma center, numerous tests and evaluations lead to a large accumulation of data. A problem that physicians have faced is the following: How does one turn this data into information that can be useful in terms of medical action? Teams of physicians and mathematicians have devoted considerable time and effort to distilling, from as many as sixty different physiological and biochemical variables, those that contain the most useful information.

scholarly journals Management of traumatic flail chest in intensive care unit: An experience from trauma center ICU

2019 ◽  
Vol 13 (3) ◽  
pp. 179 ◽  
Author(s):  
Manjaree Mishra ◽  
ShashiP Mishra ◽  
Noor Bano ◽  
MohammadZ Hakim
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Trauma Center ◽  
Flail Chest

scholarly journals The impact of prehospital management of trauma patients on outcome of ICU treatment at Emergency center CC "Vojvodina" - one - year experience

2016 ◽  
Vol 63 (2) ◽  
pp. 19-26
Author(s):  
Vesna Pajtic ◽  
Dunja Mihajlovic ◽  
Vladimir Vrsajkov ◽  
Aleksandar Gluhovic ◽  
Slavko Lovrencic
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Trauma Center ◽  
Venous Access ◽  
Emergency Center ◽  
Prehospital Treatment ◽  
Clinical Center ◽  
One Year ◽  
Injured Patients ◽  
The Impact

Impact of prehospital treatment of traumatized patients on treatment outcome in intensive care unit at Emergency center Clinical center of Vojvodina-one year experience Introduction: Trauma is the leading cause of death in 1-44 years old population. Recommendations of prehospital treatment of injured patients rely on the speed of response and transport to referent trauma center, where the patient will be adequately treated. Aim: The aim of our study was to investigate the impact of prehospital treatment and characteristics of patients before admission of patients to Emergency center-Clinical center of Vojvodina on survival of these patients in intensive care unit of Emergency center in order to improve the treatment and outcome of these patients. Material and methods: 209 patients who were treated in intensive care unit after the initial resuscitation in Emergency center-Clinical center of Vojvodina were included in our study. Data were analyzed using SPSS 20.0 software. Differences between groups of patients were assessed by Mann-Whitney U test. Categorical variables were compared using chi-square test. Statistical significance (p) was set at a value of 0.05. Results; Patients with worse outcome were significantly older than patients who had good outcome (49.4?18.5 vs. 63?14.7, p<0.05). Patients with manifestations of hypovolemic shock, respiratory distress and with GCS=8 on admission to Emergency center also had significantly worse outcome. Patients who had been intubated before admission to Emergency center had significantly better outcome in comparison to patients who did not have secured airway (p<0.05). However the placement of venous accessin prehospital setting did not impact survival significantly. Patients who were initially treated in regional hospitals had venous access and airway placement significantly in higher percent than patients treated by emergency medical service. Conclusion: While there is no strong evidence to support the benefits of airway and venous access management in injured patients in prehospital setting, our results suggest that these interventions can be beneficial if the transport to referent trauma center is long and if they are completed by educated medical staff.

ENTEROBACTER INFECTIONS IN INTENSIVE CARE UNIT PATIENTS AT AN URBAN TRAUMA CENTER

1999 ◽  
Vol 27 (Supplement) ◽  
pp. A93
Author(s):  
Denise H Rhoney ◽  
Dennis Parker ◽  
Christine M Karam ◽  
Kellie R Murry
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Trauma Center
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