Preventable death of trauma patients
Authors:
Jaromír Kočí 1,2; Tomáš Dědek 2; Jan Trlica 2; Eduard Havel 2
Authors place of work:
Oddělení urgentní medicíny, Fakultní nemocnice Hradec Králové
Department of Emergency Medicine, University Hospital Hradec Králové
1; Chirurgická klinika, Fakultní nemocnice Hradec Králové
Department of Surgery, University Hospital Hradec Králové
2
Published in the journal:
Úraz chir. 18., 2010, č.4
Summary
Background:
Continual evaluation of preventable death is one of choice in evaluation of Trauma system.
Methods:
In our paper we have found preventable death in population Triage positive patients primary transported from the scene of injury in rural area in the Trauma Center during the years 2003-2004. Every case of death was reviewed in the categories: 1. injury prevention, 2. prehospital care, 3. ER and hospital care and 4. provider education.
Results:
There was primary transported n=157 patients (øISS 19,7), n=24 of them died (øISS 43). We identified as preventable two deaths. There was problem in airway management in the scene of injury as a prevention of secondary brain injury. In cases of unpreventable deaths were found problems with identification of internal bleeding.
Conclusion:
Correct performance of ATLS protocol decreases the number of preventable death.
Key words:
preventable death, traumasystem.
Zdroje
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Štítky
Surgery Traumatology Trauma surgeryČlánok vyšiel v časopise
Trauma Surgery
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