The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Aug 2019
Trauma system resource preservation: A simple scene triage tool can reduce helicopter emergency medical services overutilization in a state trauma system.
Helicopter emergency medical services improve survival in some injured patients but current utilization leads to significant overtriage with considerable numbers of transported patients discharged home from the emergency department or found to have non-time-sensitive injuries. Current triage models for utilization are complex and untested. ⋯ Prognostic/Epidemiological study, level IV. Economic and value based evaluation, level IV.
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J Trauma Acute Care Surg · Aug 2019
Ventilator-associated events, not ventilator-associated pneumonia, is associated with higher mortality in trauma patients.
Ventilator-associated events (VAE), using objective diagnostic criteria, are the preferred quality indicator for patients requiring mechanical ventilation (MV) for greater than 48 hours. We aim to identify the occurrence of VAE in our trauma population, the impact on survival, and length of stay, as compared to the traditional definition of ventilator-associated pneumonia (VAP). ⋯ Retrospective cohort study, level III.