The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Mar 2012
Randomized Controlled Trial Multicenter Study Comparative StudyImpact of prehospital mode of transport after severe injury: a multicenter evaluation from the Resuscitation Outcomes Consortium.
There is ongoing controversy about the relative effectiveness of air medical versus ground transportation for severely injured patients. In some systems, air medical crews may provide a higher level of care but may require longer transport times. We sought to evaluate the impact of mode of transport on outcome based on analysis of data from two randomized trials of prehospital hypertonic resuscitation. ⋯ III.
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J Trauma Acute Care Surg · Mar 2012
Multicenter Study Comparative StudyThe forgotten trauma patient: outcomes for injured patients evaluated by emergency medical services but not transported to the hospital.
Injured patients who are not transported by an ambulance to the hospital are often not included in trauma registries. The outcomes of these patients have until now been unknown. Understanding what happens to nontransports is necessary to better understand triage validity, patient outcomes, and costs associated with injury. We hypothesized that a subset of patients who were not transported from the scene would later present for evaluation and that these patients would have a nonzero mortality rate. ⋯ III, therapeutic study.
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J Trauma Acute Care Surg · Mar 2012
Multicenter Study Comparative StudyEvaluation of multidetector computed tomography for penetrating neck injury: a prospective multicenter study.
The purpose of this prospective multicenter study was to evaluate a clinical protocol integrating multidetector computed tomographic angiography (MDCTA) as the initial screening examination for the work-up of penetrating neck injury. ⋯ II, prospective study.
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J Trauma Acute Care Surg · Mar 2012
Multicenter Study Comparative StudyPrehospital injury deaths--strengthening the case for prevention: nationwide cohort study.
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J Trauma Acute Care Surg · Mar 2012
Comparative StudyPredictors of acute posttraumatic stress disorder symptoms following civilian trauma: highest incidence and severity of symptoms after assault.
Posttraumatic stress disorder (PTSD) is associated with significant morbidity following injury. The incidence and risk factors for PTSD are not well described in the civilian trauma population. We proposed to screen all trauma patients in the outpatient trauma clinic for acute PTSD symptoms and identify risk factors for PTSD. ⋯ II.