Routine Repeat Head Ct Is Unnecessary in Patients With Minor Head Injury and a Positive Initial Head Ct

Impact of Trauma Center Designation and Interfacility Transfer on Renal Trauma Outcomes: Evidence for Universal Management

“…We found that overall odds of morality were lower in those with level I transfers, compared with those managed at a non-level I trauma center. Data from a number of studies have demonstrated significantly lower mortality for trauma patients treated in designated trauma centers compared with those treated in nontrauma hospitals [1,2]; however, several large meta-analyses concluded that available evidence suggests that there is no difference in mortality between transfer and direct admissions [3,30]. Although the NTDB does not record the cause of death, renal trauma is rarely attributed to the cause of mortality, suggesting that other injuries may be driving the differences that we found in mortality [31].…”

“…Central to this system is the establishment of level I trauma centers and interfacility transfer protocols to ensure proper triage and treatment. Evidence has demonstrated that treatment at a level I trauma center yields better outcomes for patients with moderate-to-severe injury as compared with treatment in nontrauma centers [1,2]. Lower-level trauma facilities receiving patients meeting higher-level triage criteria must weigh potential detrimental effects of interfacility transfer against likely improved outcomes of care at a level I center [3].…”