scholarly journals Regional anesthesia for the trauma patient: improving patient outcomes

2015 ◽  
pp. 45 ◽  
Author(s):  
Jeff Gadsden ◽  
Alicia Warlick
2021 ◽  
pp. 000313482110110
Author(s):  
Adel Elkbuli ◽  
Scott Rowe ◽  
Shahm Raslan ◽  
Aleeza Ali ◽  
Brad Boserup ◽  
...  

Background Trauma patient care begins on-scene as field triage and mode of transportation are determinants of patient outcomes. This study evaluates the US national patterns of dead on arrival (DOA) among the trauma population. Methods A cross-sectional review of the American College of Surgeons (ACS) Trauma Quality Program Participant Use File (TQP-PUF) data set (2013-2017) was performed. Trauma patients reported as DOA were stratified by ISS into low (<15), intermediate (15-24), or high (≥25) severity. Each group was then subdivided by patient demographics, mechanism, type of injury, and mode of transportation. Results Of the 4 336 816 injury cases in the TQP-PUF data set, 33 199 were DOA (.77%). 77.1% (25 604/33 199) of DOAs were male. In the low-ISS group, .36% (13 272/3 639 811) were DOA; in the intermediate-ISS group, 1.2% (4868/421 994) were DOA; and in the high-ISS group, 5.5% (15 059/275 011) were DOA. Motor vehicle collisions (MVCs) (11 262) and firearms (8894) were the most common injury types, equating to 60.7% of DOAs. Falls accounted for 9.1% of all DOAs. The most common DOA age-group was 18-64 years, followed by ≥65 years. Conclusion DOA trauma patients are predominately adult men suffering fatal blunt force injuries most frequently via MVC. DOAs are caused by all ranges of injury severity. We recommend further development of prevention programs thereby reducing the prevalence of common traumatic injuries, notably MVC, falls, and firearms to improve survival. Future studies should also investigate the access to and distribution of trauma centers and the role of helicopter, ground, and police transport modalities and transport time on and reducing DOAs and improving trauma patient outcomes.


Trauma ◽  
2013 ◽  
Vol 15 (3) ◽  
pp. 239-244 ◽  
Author(s):  
Anahita Dua ◽  
Sapan Desai ◽  
Arshish Dua ◽  
Kristofer Charlton-Ouw ◽  
Sahana Pai Dongerkery ◽  
...  

2020 ◽  
Vol 10 (2) ◽  
pp. 204-208
Author(s):  
Jessica A. Lovich-Sapola ◽  
Jonathan A. Alter ◽  
Holger M. Baumann

Injury ◽  
2009 ◽  
Vol 40 (1) ◽  
pp. 99-103 ◽  
Author(s):  
Caesar Ursic ◽  
Kate Curtis ◽  
Yi Zou ◽  
Deborah Black

2013 ◽  
Vol 31 (1) ◽  
pp. 206-214 ◽  
Author(s):  
Kazuaki Kuwabara ◽  
Akihito Hagiwara ◽  
Shinya Matsuda ◽  
Kiyohide Fushimi ◽  
Koichi B. Ishikawa ◽  
...  

Author(s):  
Stephen D. ◽  
Linda Le-Wendling ◽  
F. Kayser

2019 ◽  
Vol 89 (11) ◽  
pp. 1475-1479
Author(s):  
Cedric L. H. Ng ◽  
Jason Kim ◽  
Ben Dobson ◽  
Don Campbell ◽  
Martin Wullschleger

2011 ◽  
Vol 18 (4) ◽  
pp. 197-201 ◽  
Author(s):  
Alejandrina Salazar ◽  
Alan H. Tyroch ◽  
David G. Smead

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