Keywords
Trauma CT
Radiological findings
Hospital policy
Injury severty index
How to Cite
Abstract
Introduction; Trauma is considered to be a major cause of morbidity and mortality all over the world. This is a descriptive study that emphasizes on the mechanism and patterns of trauma, with a consideration of why trauma code was activated, and the imaging results in regard to the severity of the trauma.
Material and Methods; A descriptive study was conducted in Al Ain Hospital over the year of 2017. 886 patients were included who presented with trauma and considered dangerous according to hospital guidelines. They underwent a full-body trauma CT and got admitted to the hospital. We looked at the mechanisms, patterns, time of the day, and radiological findings. Injury severity score (ISS) and Revised trauma score (RTS) were calculated, and the cause of trauma code activation was evaluated.
Results: The study shows that; Positive imaging findings were found in 364 (41%) of patients while 524 (59%) had normal radiological tests. The principal mechanism of injury was motor vehicle accident (54.4%) followed by falls (21%) then pedestrian accidents (10.1%). Overall, 69.75% (618 patients) were admitted to hospital, 22 patients needed immediate interventions and 36 patients needed ICU admission. Only 2 patients died in the emergency room
Conclusions; The hospital policy in activating a trauma code should be revised, with more care being paid to the mechanisms of injury and the condition of the patient, without missing any injury that could harm the patient. So, the emergency physician should be better prepared to do a detailed physical examination and weigh the risk of radiation against missing a dangerous injury.
References
Ronald M, Michael F et al. Advanced Trauma Life Support 10th edition, 2018, Chicago, American College of Surgeons.
Heim C, Bosisio F et al. Is trauma in Switzerland any different? epidemiology and patterns of injury in major trauma - a 5-year review from a Swiss trauma centre, Swiss Med Wkly. 2014, 144:w13958.
Bolandparvaz S, Yadollahi M et al. Injury patterns among various age and gender groups of trauma patients in southern Iran: A cross-sectional study, Medicine (Baltimore).2017, 96(41): e7812.
Yadollahi M, Ghiassee A et al.Analysis of Shahid Rajaee hospital administrative data on injuries resulting from car accidents in Shiraz, Iran: 2011-2014 data, Chin J Traumatol. 2017 Feb; 20(1):27-33.
Rameshbabu Homanna Javali, Krishnamoorthy et al. Comparison of Injury Severity Score, New Injury Severity Score, Revised Trauma Score, and Trauma and Injury Severity Score for Mortality Prediction in Elderly Trauma Patients, Indian J Crit Care Med. 2019 Feb; 23(2): 73–77.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.