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Critical care clinics · Apr 1991
Evaluation of a blunt and penetrating trauma algorithm for truncal injury.
- M Bishop, W C Shoemaker, G Jackson, D Williams, H B Kram, and A W Fleming.
- King/Drew Medical Center, Los Angeles, California.
- Crit Care Clin. 1991 Apr 1;7(2):383-99.
AbstractThe authors objective was to develop and test a single branch-chain decision tree for blunt and penetrating truncal injury. Over the 4-month study period there were 979 patients evaluated in the emergency department; 674 of these patients were admitted to the hospital. Thirty-four (5%) of the 674 admitted patients died of truncal injury. The study group consisted of 239 of the most severely injured patients; 41 of these (17%) died. Of the 44 patients managed with major deviations from the algorithm, 27 (61%) died. Only 14 of the 195 patients (7%) whose management complied with the algorithm died. The authors conclude that following the specific management criteria outlined by the algorithm may improve the survival of severely traumatized patients.
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