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The influence of inter-hospital transfers on mortality in severely injured patients
PurposeThe importance of treating severely injured patients in higher-level trauma centers is undisputable. However, it is uncertain whether severely...
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Outcome of severely injured patients in a unique trauma system with 24/7 double trauma surgeon on-call service
BackgroundThe presence of in-house attending trauma surgeons has improved efficiency of processes in the treatment of polytrauma patients. However,...
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Influencing factors for delayed diagnosed injuries in multiple trauma patients – introducing the ‘Risk for Delayed Diagnoses Score’ (RIDD-Score)
PurposeDelayed diagnosed injuries (DDI) in severely injured patients are an essential problem faced by emergency staff. Aim of the current study was...
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Do admission glucose levels independently predict coagulopathy in multiple trauma patients? A retrospective cohort analysis
BackgroundCoagulopathy is prevalent in multiple trauma patients and worsens bleeding complications, leading to higher morbidity and mortality rates....
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Possible advantages of early stabilization of spinal fractures in multiply injured patients with leading thoracic trauma - analysis based on the TraumaRegister DGU®
BackgroundMajor trauma often comprises fractures of the thoracolumbar spine and these are often accompanied by relevant thoracic trauma. Major...
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Thromboembolic complications among multiple injured patients with pelvic injuries: identifying risk factors for possible patient-tailored prophylaxis
BackgroundPatients with pelvic and/or acetabular fractures are at high risk of develo** thromboembolic (TE) complications. In our study we...
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Indications for prehospital intubation among severely injured children and the prevalence of significant traumatic brain injury among those intubated due to impaired level of consciousness
BackgroundPrehospital endotracheal intubation (PEI) of head injured children with impaired level of consciousness (LOC) aims to minimize secondary...
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What trauma patients need: the European dilemma
There is a need for implementation and maturation of an inclusive trauma system in every country in Europe, with patient centered care by dedicated...
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Epidemiology and predictors of traumatic spine injury in severely injured patients: implications for emergency procedures
PurposeThis study aimed to identify the prevalence and predictors of spinal injuries that are suitable for immobilization.
MethodsRetrospective...
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Early surgery versus conservative treatment in patients with traumatic intracerebral hematoma: a CENTER-TBI study
PurposeEvidence regarding the effect of surgery in traumatic intracerebral hematoma (t-ICH) is limited and relies on the STITCH(Trauma) trial. This...
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Pre-hospital tranexamic acid administration in patients with a severe hemorrhage: an evaluation after the implementation of tranexamic acid administration in the Dutch pre-hospital protocol
PurposeTo evaluate the pre-hospital administration of tranexamic acid in ambulance-treated trauma patients with a severe hemorrhage after the...
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Venous thromboembolism chemoprophylaxis in geriatric trauma patients with isolated severe traumatic brain injury
PurposeLow-molecular-weight-heparin (LMWH) has been shown to be associated with a decreased risk of venous thromboembolism (VTE) and mortality...
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Weaning Outcomes in Patients with Brain Injury
BackgroundDespite the need for specific weaning strategies in neurological patients, evidence is generally insufficient or lacking. We aimed to...
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Time to definitive care among severely injured farmers compared to other work-related injuries in a Midwestern state
BackgroundFarming is a high risk occupation that predisposes workers to injury, but may also lead to barriers in reaching trauma care. Little is...
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Assessing the safety of physical rehabilitation in critically ill patients: a Delphi study
BackgroundPhysical rehabilitation of critically ill patients is implemented to improve physical outcomes from an intensive care stay. However, before...
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Diagnostic accuracy of clinical examination to identify life- and limb-threatening injuries in trauma patients
BackgroundTimely and accurate identification of life- and limb-threatening injuries (LLTIs) is a fundamental objective of trauma care that directly...
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Provision of acute care pathways for older major trauma patients in the UK
BackgroundThe introduction of specific pathways of care for older trauma patients has been shown to decrease hospital length of stay and the overall...
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Surgical load in major fractures — results of a survey on the optimal quantification and timing of surgery in polytraumatized patients
PurposeIt is known that the magnitude of surgery and timing of surgical procedures represents a crucial step of care in polytraumatized patients. In...
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Management of Orthopaedic Injuries in Multiply Injured Child
Multiply injured child is a unique challenge to the medical communities worldwide. It is a leading cause of preventable mortality and morbidity in...
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KL-6 in adult polymyositis and dermatomyositis patients and its correlation with interstitial lung disease
BackgroundPulmonary involvement is still regarded as a common cause of morbidity in Polymyositis/Dermatomyositis. Interstitial lung disease can...
