Evaluation of injury mechanism as a criterion in trauma triage

Lowe, Daniel K.; Oh, George R.; Neely, Keith W.; Peterson, Clare G.

doi:10.1016/0002-9610(86)90128-5

Cited by 73 publications

(34 citation statements)

References 8 publications

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“…These patients had a mean age of 47.2 (±26.4) years and a mean ISS of 20.9 (±4.6; range [16][17][18][19][20][21][22][23][24][25][26][27][28][29]. Almost two-third of these false negatives incurred extremity (66.7%) injuries, whereas only 39.6% of the other major trauma patients, the true positives, sustained extremity injuries (p=0.068).…”

Section: Resultsmentioning

confidence: 99%

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Prehospital identification of major trauma patients

Ocak

Sturms

Hoogeveen

et al. 2008

Langenbecks Arch Surg

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Background and aims Prehospital triage is aimed at getting the right patient to the right hospital. Evaluations on the performance of prehospital triage tools are scarce. This study examines the ability of the American College of Surgeons' Committee on Trauma (ACSCOT) triage guidelines to identify major trauma patients in a European trauma system. Furthermore, this study evaluates the predictive power of other prehospital measurements. Materials and methods Prehospital data of 151 minor (Injury Severity Score (ISS) 1-15) and 151 major trauma patients, (ISS>15) treated at a Dutch trauma center, were collected. Logistic regression analysis was used to identify predictors of major trauma patients. Results The major trauma patients particularly incurred severe head injuries (45.7%) and severe thorax injuries (21.9%). The ACSCOT guidelines had a sensitivity of 84.1% and a specificity of 77.5%. A new prehospital trauma triage model was constructed including nine predictors of major trauma. This model identified more major trauma patients than the ACSCOT (sensitivity 92.1%, p=0.023) and resulted in a comparable specificity (79.5%; p=0.711). Conclusion The new triage model outperforms the ACS COT triage guidelines in identifying major trauma patients in the prehospital setting. The new triage guidelines may improve patient outcomes but needs to be validated in a prospective study.

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Section: Resultsmentioning

confidence: 99%

“…Previous studies have also questioned the significance of the mechanistic criteria because these are prone to false positives [21][22][23][24]. For example, people involved in severe car crashes may be uninjured.…”

Section: Discussionmentioning

confidence: 99%

Prehospital identification of major trauma patients

Ocak

Sturms

Hoogeveen

et al. 2008

Langenbecks Arch Surg

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“…The range of ISS was 1-59, and the average was 16. Fifty-nine (39%) cases had an ISS of 15 and over, that is, had major trauma (Lowe et al, 1986), and 30 of these presented during 08.30-17.30. Eight (5%) cases had an ISS of greater than 40 and four of these died (before review at 48h).…”

Section: Use Of the Resuscitation Room 87mentioning

confidence: 99%

Use of the resuscitation room for trauma.

O'Byrne¹,

Bodiwala²

1987

Emergency Medicine Journal

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SUMMARYThis study was designed to assess the use of the resuscitation room for trauma cases, the information being used to identify particular problem areas and put forward possible solutions. One hundred and fifty consecutive resuscitation room trauma patients were studied prospectively, with details being obtained both at the time of admission and 48 h later.The results have highlighted the importance of all patients with major trauma being assessed and treated by senior medical staff. In addition, the presence of more than one doctor when managing any resuscitation room trauma patient was shown to be beneficial. Many cases were seen by SHO only, and there is a need for more senior medical staff to be informed of every trauma patient entering the resuscitation room. Recording of vital signs was found to be less than satisfactory and there is a necessity for a departmental policy on this.

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“…[12] The severity of the injury depends on the speed and weight of the automobile. [13] Pedestrian injuries have three phases; the bumper impact, hood and windscreen impact and ground impact.…”

Section: Introductionmentioning

confidence: 99%

Profiling pediatric patients involved in automobile crashes in Japan

Yanagawa

2011

J Emerg Trauma Shock

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Introduction:There is little data concerning the injuries induced by being run over in children.Problem:Characteristics of injuries suffered in children by being run over were investigated.Materials and Methods:Between January 1998 and December 2007, the medical charts were retrospectively reviewed to investigate characteristics of the injuries in pediatric patients run over by a car. Patients meeting the following criteria were included: (1) age ≤ 12 years old; (2) the patient was struck by an automobile. The subjects were divided into three groups by the mechanisms of injury: (1) run over; (2) carried away; (3) contact.Results:Twelve patients had been run over, 44 patients were carried away and 44 patients had been hit by a car (contact). The average age in the run over group was the lowest, followed by that in the carried away group and that in the contact group was the highest. The children's coma score and injury severity score were not significantly different among the three groups; however, the average chest abbreviated injury score was the highest in the run over group, followed by that in the carried away group and that in the contact group was the lowest. The average duration of admission and survival rate among three groups, were not significantly different.Conclusion:The patients who were injured due to being run over by a car, tended to be younger and to have severe chest injury.

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Evaluation of injury mechanism as a criterion in trauma triage

Cited by 73 publications

References 8 publications

Prehospital identification of major trauma patients

Prehospital identification of major trauma patients

Use of the resuscitation room for trauma.

Profiling pediatric patients involved in automobile crashes in Japan

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