Scand J Trauma Resus
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Scand J Trauma Resus · Sep 2021
Multicenter StudyUse of troponin assay after electrical injuries: a 15-year multicentre retrospective cohort in emergency departments.
Patients with electrical injury are considered to be at risk of cardiac arrhythmia. Assessing the risk of developing a major adverse cardiac event (MACE) is the cornerstone of patient management. The aim of this study was to assess the performance of initial troponin and troponin rise to predict Major Adverse Cardiac Events (MACEs) in all patients with electrical injuries admitted to the Emergency Department. ⋯ Troponin assay appears to be a predictive marker of MACE risk and should be considered in high-risk patients.
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Scand J Trauma Resus · Sep 2021
Letter Multicenter Study Observational StudyEffect of 2020 containment strategies on trauma workflow in Ile-de-France region: another benefit of lockdown?
During the SARS-CoV-2 pandemic, the French Government imposed various containment strategies, such as severe lockdown (SL) or moderate lockdown (ML). The aim of this study was to evaluate the effect of both strategies on severe trauma admissions and ICU capacity in Ile-de-France region (Paris Area). ⋯ The lockdown strategies during pandemic resulted in a reduction of severe trauma admissions. In addition to the social distancing effect, lockdown strategies freed up an important number of ICU beds in trauma centers, available for severe COVID-19 patients.
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Scand J Trauma Resus · Sep 2021
Multicenter StudyThe elderly age criterion for increased in-hospital mortality in trauma patients: a retrospective cohort study.
With an aging population, the number of elderly individuals exposed to traumatic injuries is increasing. The elderly age criterion for traumatic injuries has been inconsistent in the literature. This study aimed at specifying the elderly age criterion when the traumatic mortality rate increases. ⋯ This study found that the in-hospital mortality rate rose with increasing age and that the increase was the most rapid from the age of 65 years. We propose to define the elderly age criterion for traumatic injuries as ≥ 65 years of age.
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Scand J Trauma Resus · Sep 2021
Multicenter StudyTrauma care during the COVID-19 pandemic in the Netherlands: a level 1 trauma multicenter cohort study.
The coronavirus (COVID-19) pandemic has caused major healthcare challenges worldwide resulting in an exponential increase in the need for hospital- and intensive care support for COVID-19 patients. As a result, surgical care was restricted to urgent cases of surgery. However, the care for trauma patients is not suitable for reduction or delayed treatment. The influence of the pandemic on the burden of disease of trauma care remains to be elucidated. ⋯ The burden of disease and healthcare consumption of trauma patients remained high during the COVID-19 pandemic. Results of this study can be used to optimize the use of hospital capacity and anticipate health care planning in future outbreaks.
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Scand J Trauma Resus · Jul 2021
Multicenter StudyMobilisation of emergency services for chemical incidents in Sweden - a multi-agency focus group study.
In chemical incidents, infrequent but potentially disastrous, the World Health Organization calls for inter-organizational coordination of actors involved. Multi-organizational studies of chemical response capacities are scarce. We aimed to describe chemical incident experiences and perceptions of Swedish fire and rescue services, emergency medical services, police services, and emergency dispatch services personnel. ⋯ The flow of information may be improved by automation, public education, revised dispatcher education, and use of technical resources in the field. Future studies should independently assess these mechanism's degree of impact on mobilisation of emergency services in chemical incidents.