Improvements in trauma survival in Leeds

The Role of Maxillofacial Surgeon in Treatment of Patients with Combined Trauma. Algorithm for a Complex Diagnostic Evaluation

“…According to bibliographic information, severe trauma is the most common reason for lethal outcome at patients under 40 years of age [20]. A research was conducted in the United Kingdom, according to which 1 on 1000 traumatic patients has had multiple trauma and at the larger hospitals emergency centres, there is at least one such case a week [7]. Medical care expenses, economic activity losses both from financial and from social point of view, are assessed to 102 880 £ per case (Valuation of Road Accidents.…”

Management of major trauma: changes required for improvement

“…The results of the study should, however, be interpreted cautiously as they were obtained retrospectively from a small number (n=10) of interviewees. Having determined that outcomes had improved, 11 this was considered to be the most appropriate method for a study to describe the components of change. To obtain data as reliably as possible the interviewers repeatedly reminded interviewees that they should base their comments and reflections on the specific timescales.…”

“…This study examined mortality data on patients treated at the two hospitals in Leeds which have designated accident and emergency facilities (Leeds General Infirmary and St James' University Hospital). 11 Major trauma was defined as an injury severity score of 16 and greater. 12 The significant improvements (box 2) in observed mortality outcome suggests that the Our Healthier Nation target for mortality is achievable.…”

“…More recently, a report from the UK's major trauma outcome study group has shown similar reductions in accidental death rates in children and young adults, 13 thus strengthening this conclusion. Both reports hint at mechanisms by which the observed reductions have come about, 11 13 but these are not fully defined or explored. Since the pivotal 1988 Royal College of Surgeons' report, interacting factors, both medical and organisational, have been put into place which may have been responsible for this observed improvement in major trauma outcome.…”

Approach for Initial Treatment of Combined Trauma Patients. Treatment Protocol in Maxillofacial Trauma Patients Admitted at Department of Maxillofacial Surgery

“…Therefore, some authors [9,27,15,29] emphasizes that these are more common in mid-face traumas, which is confirmed by our results as well, and according to other authors -in upper face part traumas [36,12]. For the clinical practice, it is important to note the opinion of Grover &Antonyshyn [17], that during the following MFFs, optical nerve injury is more possible: maxilla fractures -Le Fort II and III, nasoethmoidal, nasofrontoethmoidal, zygomatic complex fractures, which is confirmed by our study as well, according to which ophthalmology combined traumas are most often observed in orbital floor fractures.…”