Seven Hundred Fifty-Three Consecutive Deaths in a Level I Trauma Center: The Argument for Injury Prevention

Stewart, Ronald M.; Myers, John G.; Dent, Daniel L.; Ermis, Peter; Gray, Gina A.; Villarreal, Roberto; Blow, Osbert; Woods, Brian; McFarland, Marilyn J.; Garavaglia, Jan C.; Root, Harlan D; Pruitt, Basil A.

doi:10.1097/00005373-200301000-00009

Cited by 224 publications

(152 citation statements)

References 13 publications

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“…In the current study, the final diagnosis, which was obtained on the basis of radiological finding or surgical operation, were pneumothorax, hemothorax, hemopneumothorax, tamponade, emphysema, cardiac rupture, pericardial effusion, and pleural effusion in the order of frequency. Thus, pneumothorax was the most frequent diagnosis, which is consistent with that of some other studies [16]. This shows that among the different types of chest traumas, the most common injuries were chest wall injuries, which were mostly superficial.…”

Section: Discussionsupporting

confidence: 90%

Evaluation of Injuries Caused by Penetrating Chest Traumas in Patients Referred to the Emergency Room

2012

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The aim of the study was to determine the frequency of different injuries caused by penetrating chest traumas, and also the cause and type of trauma and its accompanying injuries. This is a cross-sectional descriptive study, carried out on all patients referred to the emergency room of Shahid Bahonar Hospital, Kerman, from March 2000 to September 2008, due to penetrating chest trauma. The required information including age, sex, cause of trauma, type and site of injury, and accompanying injury was obtained and used to fill out a questionnaire and then was analyzed. 828 patients were included in the study; most of them were in the age range of 20-29. Of the patients, 97.6 % were males. The most frequent cause of trauma was stabbing, and the most frequent injuries following the trauma were pneumothorax and hemothorax. Orthopedic trauma was the most frequent accompanying injury. The most commonly used diagnostic method was plain chest radiography. In 93 % of the patients, the chest tube was placed and thoracotomy was performed for 97 % of the patients. Shahid Bahonar Hospital is a referral Trauma Centre and treats large number of chest trauma patients. Most patients need only chest tube placement as a definitive treatment.

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Section: Discussionsupporting

confidence: 90%

Evaluation of Injuries Caused by Penetrating Chest Traumas in Patients Referred to the Emergency Room

2012

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“…Alguns trabalhos apontam que mesmo um bom cuidado na fase pré-hospitalar não consegue reverter um quadro extremamente grave 6,13 . Estudo realizado em Londrina com vítimas de colisões de veículos, mostrou que quase a metade das mortes ocorreu na primeira hora 7 .…”

Section: Conclusões E Recomendaçõesunclassified

As causas externas no Brasil no ano 2000: comparando a mortalidade e a morbidade

2004

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Desde o início da década de 80, as causas externas representam a segunda causa de morte no Brasil. Também determinam crescente demanda aos serviços de saúde. O objetivo do presente trabalho é analisar a morbi-mortalidade por causas externas no Brasil. O material do estudo é composto pelas 118.367 mortes e 652.249 internações hospitalares por causas externas ocorridas no Brasil no ano 2000. Os dados são provenientes do Sistema de Informações de Mortalidade e Sistema de Informações Hospitalares. Entre os resultados destaca-se que o coeficiente de mortalidade por causas externas foi 69,7/100 mil (119,0/100 mil para os homens e 21,8/100 mil para as mulheres). Os homicídios lideraram as causas de morte (38,3% do total), com coeficiente alto, 26,7/100 mil e as quedas lideram as internações (42,8% do total). Os traumas e lesões relacionados ao transporte terrestre são importantes tanto na morbidade quanto na mortalidade. As fraturas representaram 42,6% das hospitalizações, mais freqüentes em membros superiores e inferiores. Aponta-se que os programas de prevenção devem ter impacto tanto na mortalidade quanto na morbidade, com destaque para os homicídios, transporte e quedas.

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“…1,2 Death from severe traumatic injuries occurs quickly, usually within 6 hours to 12 hours from hospital admission. [3][4][5][6] Strategies or therapeutic principles that can be rapidly applied have the potential to prevent death from hemorrhagic shock and have a significant impact on improving survival for patients with traumatic injuries. 7,8 According to Advanced Trauma Life Support guidelines, the standard approach to the resuscitation of patients with hemorrhagic shock includes the initial bolus of 2 L of crystalloid solutions and then red blood cell (RBC) transfusion.…”

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confidence: 99%

Effect of Plasma and Red Blood Cell Transfusions on Survival in Patients With Combat Related Traumatic Injuries

Spinella

Perkins

Grathwohl

et al. 2008

Journal of Trauma: Injury, Infection &Amp; Critical Care

159

108

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Seven Hundred Fifty-Three Consecutive Deaths in a Level I Trauma Center: The Argument for Injury Prevention

Cited by 224 publications

References 13 publications

Evaluation of Injuries Caused by Penetrating Chest Traumas in Patients Referred to the Emergency Room

Evaluation of Injuries Caused by Penetrating Chest Traumas in Patients Referred to the Emergency Room

As causas externas no Brasil no ano 2000: comparando a mortalidade e a morbidade

Effect of Plasma and Red Blood Cell Transfusions on Survival in Patients With Combat Related Traumatic Injuries

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