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
1. American College of Surgeons Com-mittee on Trauma. Resources for Optimal Care of the Injured Patient: 1993. Chicago: American College of Surgeons 1993.
2. Baker, SP., O´Neil, B., Haddon, W., Long, WB. The Injury Severity Score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974, 14, 187–196.
3. Biffl, WL., Harrington, DT., Majercik, SD. et al. The evolution of trauma care at a Level I Trauma Center. J Am Coll Surg. 2005, 200, 922–929.
4. Boyd, CR., Tolson, MA., Copes, WS. Evaluating Trauma Care. The TRISS method. J Trauma. 1987, 27, 370–378.
5. Dedek, T, Koci, J, Trlica J. et al. Triage of injury severity – for trauma center sort, but time cut short! Proceedings of the 7th European Trauma Congress. Medimont. 2006, 99–102.
6. Demetriades, D., Martin, M., Salim, A. et al. Relationship between American College of Surgeons Trauma center designation and mortality in patients with severe trauma (Injury severity score > 15). J Am Coll Surg. 2006, 202, 212–215.
7. Hoyt, DB., Coimbra, R., Potenza, BM. Trauma systems, triage, and transport. In: Moore EE, Feliciano DV, Mattox KL: Trauma. 5th ed., New York, McGraw-Hill. 2004, 1469 s.
8. Hoyt, DB., Hollingsworth-Fridlund, P., Fortlage, D. et al. An evaluation of provider-related and disease-related morbidity in a Level I University Trauma service: Directions for quality improvement. J Trauma. 1992, 33, 586–593.
9. Hoyt, DB., Hollingsworth-Frilund, P., Winchell, RJ. et al. Analysis of recurrent process errors leading to provider-related complications on an organized trauma service: Direction for care improvement. J Trauma. 1994, 36, 377–384.
10. Hoyt, DB., Coimbra, R., Potenza, B. et al. A twelve-year analysis of disease and provider complications on an organized Level I Trauma Service: As good as it gets? J. Trauma 2003, 54, 26–37.
11. Koci, J., Dedek, T., Trlica, J. et al. Categorization and lethality of the Triage positive patients in regions of East Bohemia in the years 1999 and 2003. Eur J Trauma. 2004, 30 (Suppl 1), 188 (abstract).
12. Shackford, SR., Mackersie, RC., Holbrook, TL. et al. The epidemiology of traumatic death. A population-based analysis. Arch Surg. 1993, 128, 571–575.
13. Stewart, RM., Myers, JG., Dent, DL. et al. Seven hundert fifty-three consecutive deaths in a Level I Trauma Center: The argument for injury prevention. J Trauma. 2003, 54, 66–71.
Štítky
Surgery Traumatology Trauma surgeryČlánok vyšiel v časopise
Trauma Surgery
2010 Číslo 4
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole vs. Tramadol in Postoperative Analgesia
- Spasmolytic Effect of Metamizole
- Possibilities of Using Metamizole in the Treatment of Acute Primary Headaches
- Current Insights into the Antispasmodic and Analgesic Effects of Metamizole on the Gastrointestinal Tract
Najčítanejšie v tomto čísle
- Long-term consequences of complex talus fracture – case report
- Our Experience With Wound Healing Using the Controlled Vacuum Method at the Traumatology Centre of the University Hospital Ostrava
- Preventable death of trauma patients