Trauma team activation for'mechanism of injury'blunt trauma victims : time for a change ? Discussion.
American Association for the Surgery of Trauma. Annual session. New Orleans LA USA, 1993/09/23.
Excessive overtriage prompted a review of all stable blunt trauma victims ¾age 65 years transported to our trauma center from 1990 through 1992 only by virtue of mechanism of injury.
Of 4392 blunt trauma patients, 2298 (52%) met review criteria.
In this group 1712 (75%) were discharged home from the emergency room, and 586 were hospitalized : 367 (63%) for ¾1 day ; 465 (79%) for ¾2 days.
Of 93 ICU patients, 61 (66%) stayed ¾24 hours, and 78 (84%) ¾48 hours.
Most ICU admissions were for neurologic or cardiac monitoring.
The mean ISS of the population was ¾2.8 ; only 15 patients had an ISS=16.
No patient required urgent transfer from the emergency room to the operating room for hemodynamic or neurologic instability.
Mots-clés Pascal : Traumatisme, Forme clinique, Indice gravité, Triage, Orientation, Hospitalisation, Equipe soignante, Organisation hospitalière, Epidémiologie, Homme, Californie, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Trauma, Clinical form, Severity score, Sorting, Orientation, Hospitalization, Hospital staff, Hospital organization, Epidemiology, Human, California, United States, North America, America
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0589976
Code Inist : 002B16N. Création : 09/06/1995.