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Predicting severe outcomes in pediatric trauma patients: Shock index pediatric age-adjusted vs. age-adjusted tachycardia.
Am J Emerg Med
September 2024
Peyton Manning Children's Hospital, 2001 W. 86(th) Street, Indianapolis, IN 46260, USA. Electronic address:
Introduction: When an injured patient arrives in the Emergency Department (ED), timely and appropriate care is crucial. Shock Index Pediatric Age-Adjusted (SIPA) has been shown to accurately identify pediatric patients in need of emergency interventions. However, no study has evaluated SIPA against age-adjusted tachycardia (AT).
View Article and Find Full Text PDFCutoff of the reverse shock index multiplied by the Glasgow coma scale for predicting in-hospital mortality in adult patients with trauma: a retrospective cohort study.
BMC Emerg Med
April 2024
Department of Emergency Medicine, Yonsei University College of Medicine, 50-1 Yonsei-Ro, Seodaemun-Gu, 03722, Seoul, Republic of Korea.
Article Synopsis
- * This study analyzed data from 318,506 trauma patients across 23 South Korean emergency departments to determine rSIG cutoff values corresponding to increased in-hospital mortality.
- * Findings suggest an rSIG cutoff of 16.5 indicates higher risk of mortality in trauma patients, while in those with traumatic brain injuries, an rSIG over 25 shows a similar trend, highlighting the need for future research on specific cutoffs for this group.
Performance Assessment of Out-of-Hospital Use of Pelvic Circumferential Compression Devices for Severely Injured Patients in Switzerland: A Nationwide Retrospective Cross-Sectional Study.
J Clin Med
August 2023
Department of Visceral Surgery, Lausanne University Hospital and University of Lausanne, Rue du Bugnon 46, 1011 Lausanne, Switzerland.
Background: Patients with severe pelvic fractures carry a greater risk of severe bleeding, and pelvic compression devices (PCCD) are used to stabilize the pelvis on the pre-hospital scene. The aim of this study was to describe the use of PCCD in the pre-hospital setting on a nationwide scale (Switzerland) and determine the sensitivity, specificity and rates of over- and under-triage of the current application practices. The secondary objective was to identify pre-hospital factors associated with unstable pelvic fractures.
View Article and Find Full Text PDFEarly identification of bleeding in trauma patients: external validation of traumatic bleeding scores in the Swiss Trauma Registry.
Crit Care
September 2022
Department of Emergency Medicine, Lausanne University Hospital, University of Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland.
Background: Early identification of bleeding at the scene of an injury is important for triage and timely treatment of injured patients and transport to an appropriate facility. The aim of the study is to compare the performance of different bleeding scores.
Methods: We examined data from the Swiss Trauma Registry for the years 2015-2019.
Article Synopsis
- Older adults with major trauma often receive inadequate triage, which may lead to serious health complications and higher mortality rates; this review aims to identify specific risk factors for better elderly triage tools.* -
- The review analyzed multiple studies that explored various predictors of major trauma in elderly patients, highlighting the significance of vital signs, EMS provider judgment, and certain crash scene conditions.* -
- The findings suggest that current triage methods could be improved for older patients by incorporating age-specific thresholds and calling for future research with more relevant standards for evaluation.*
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