Epidemiology of trauma in the subarctic regions of the Nordic countries.

Background: The northern regions of the Nordic countries have common challenges of sparsely populated areas, long distances, and an arctic climate. The aim of this study was to compare the cause and rate of fatal injuries in the northernmost area of the Nordic countries over a 5-year period.

Methods: In this retrospective cohort, we used the Cause of Death Registries to collate all deaths from 2007 to 2011 due to an external cause of death.

Clinical guided computer tomography decisions are advocated in potentially severely injured trauma patients: a one-year audit in a level 1 trauma Centre with long pre-hospital times.

Background: The International Commission on Radiological Protection's (ICRP) justification principles state that an examination is justified if the potential benefit outweighs the risk for radiation harm. Computer tomography (CT) contributes 50% of the radiation dose from medical imaging, and in trauma patients, the use of standardized whole body CT (SWBCT) increases. Guidelines are lacking, and reviews conclude conflictingly regarding the benefit.

Injury coding in a national trauma registry: a one-year validation audit in a level 1 trauma centre.

Background: Hospitals must improve patient safety and quality continuously. Clinical quality registries can drive such improvement. Trauma registries code injuries according to the Abbreviated Injury Scale (AIS) and benchmark outcomes based on the Injury Severity Score (ISS) and New ISS (NISS).

Treatment of splenic trauma in Norway: a retrospective cohort study.

Background: Non-operative management of splenic injuries has become the treatment of choice in hemodynamically stable patients over the last decades. The aim of the study is to describe the incidence, initial treatment and early outcome of patients with splenic injuries on a national level.

Methods: All hospitals in Norway admitting trauma patients were invited to participate in the study.

Evaluation of a trauma team activation protocol revision: a prospective cohort study.

Background: Correct triage based on prehospital information contributes to a better outcome for potentially seriously injured patients. In 2011 we changed the trauma team activation (TTA) criteria in our center in order to improve the high over- and undertriage properties of the protocol. Five criteria that were unable to predict severe injury were removed.

The treatment of spleen injuries: a retrospective study.

Background: Hemorrhage after blunt trauma is a major contributor to death after trauma. In the abdomen, an injured spleen is the most frequent cause of major bleeding. Splenectomy is historically the treatment of choice.

Sphincter training or anal injections of dextranomer for treatment of anal incontinence: a randomized trial.

Objective: The objective is to test if the injection of a bulking agent in the anal canal is superior to sphincter training with biofeedback in the treatment of anal incontinence.

Background: Anal incontinence is traditionally treated with conservative measures, such as pads and constipating medicine. If this fails, sphincter training with biofeedback is often offered before more advanced surgical procedures are considered.

Evaluation of a university hospital trauma team activation protocol.

Background: Admission with a multidisciplinary trauma team may be vital for the severely injured patient, as this facilitates rapid diagnosis and treatment. On the other hand, patients with minor injuries do not need the trauma team for adequate care. Correct triage is important for optimal resource utilization.

[Seriously injured patients transferred from local hospitals to a university hospital].

Background: We studied diagnostics and stabilizing surgery in severely injured patients transferred from local hospitals to a university hospital. The purpose was to identify a potential for improvement of regional trauma care.

Material And Methods: The material comprises all severely injured patients (Injury Severity [ISS] Score > 15) transferred from local hospitals to the University Hospital of Northern Norway in the period 01.

[Assessment of anal incontinence in adults].

Background: Anal incontinence is involuntary loss of stool and flatus through the anal canal. The condition can be severely debilitating to those affected.

Material And Methods: The article is based on relevant literature and the authors' clinical experience.

[Anal incontinence--assessment of a new treatment].

Background: Anal incontinence affects 1.4 % of the general population. Anal injections is a new treatment option for this condition; different techniques and bulking agents are used.

[Results of surgical treatment of ventral hernia].

Background: The aim of this study was to examine the results of incisional hernia repair in our institution.

Material And Methods: Repairs performed in from the start of 1998 to the end of 2001 were identified and the case notes reviewed. Some patients were also interviewed by telephone.