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https://www.readbyqxmd.com/read/28526053/pre-hospital-triage-performance-after-standardized-trauma-courses
#1
Maria Lampi, Johan Junker, Peter Berggren, Carl-Oscar Jonson, Tore Vikström
BACKGROUND: The pre-hospital triage process aims at identifying and prioritizing patients in the need of prompt intervention and/or evacuation. The objective of the present study was to evaluate triage decision skills in a Mass Casualty Incident drill. The study compares two groups of participants in Advanced Trauma Life Support and Pre-Hospital Trauma Life Support courses. METHODS: A questionnaire was used to deal with three components of triage of victims in a Mass Casualty Incident: decision-making; prioritization of 15 hypothetical casualties involved in a bus crash; and prioritization for evacuation...
May 19, 2017: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/28512475/risk-factors-for-road-traffic-injuries-among-different-road-users-in-the-gambia
#2
Edrisa Sanyang, Corinne Peek-Asa, Paul Bass, Tracy L Young, Babanding Daffeh, Laurence J Fuortes
We identified risk factors for road traffic injuries among road users who received treatment at two major trauma hospitals in urban Gambia. The study includes pedestrians, bicyclists, motorcyclists, and drivers/passengers of cars and trucks. We examined distributions of injury by age, gender, collision vehicle types and vehicle category, and driver and environment factors. Two hundred and fifty-four patients were included in the study. Two-thirds were male and one-third female. Two-thirds (67%) of road traffic injuries involved pedestrians, bicyclists, and motorcyclists; and these were more common during weekdays (74%) than weekends...
2017: Journal of Environmental and Public Health
https://www.readbyqxmd.com/read/28507999/risk-factors-of-road-traffic-accidents-associated-mortality-in-northern-iran-a-single-center-experience-utilizing-oaxaca-blinder-decomposition
#3
Faranak Sherafati, Enayatollah Homaie-Rad, Abolhassan Afkar, Ramin Gholampoor-Sigaroodi, Soheil Sirusbakht
OBJECTIVES: To investigate the differences in death after receiving emergency services in traffic accidents between urban and rural regions, and decompose factors of the gap in Langerood, Northern Iran. METHODS: This cross-sectional study was conducted in Langrood, Northern Iran during a 1-year period from 2013 to 2014. The hospital data of traffic crashes were used. Data contained those patients who survived at the scene of accident. Injury severity score, time to admission, age, gender, season of crash and type of collision were variables used in this study...
April 2017: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/28506480/the-epidemiology-of-inpatient-pediatric-trauma-in-united-states-hospitals-2000-to-2011
#4
Jamie Oliver, Jacob Avraham, Spiros Frangos, Sandra Tomita, Charles DiMaggio
BACKGROUND: This study provides important updates to the epidemiology of pediatric trauma in the United States. METHODS: Age-specific epidemiologic analysis of the Healthcare Cost and Utilization Project's Nationwide Inpatient Sample, representing 2.4 million pediatric traumatic injury discharges in the US from 2000 to 2011. We present yearly data with overlying loess smoothing lines, proportions of common injuries and surgical procedures, and survey-adjusted logistic regression analysis...
April 30, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28499141/can-vehicle-longitudinal-jerk-be-used-to-identify-aggressive-drivers-an-examination-using-naturalistic-driving-data
#5
Fred Feng, Shan Bao, James R Sayer, Carol Flannagan, Michael Manser, Robert Wunderlich
This paper investigated the characteristics of vehicle longitudinal jerk (change rate of acceleration with respect to time) by using vehicle sensor data from an existing naturalistic driving study. The main objective was to examine whether vehicle jerk contains useful information that could be potentially used to identify aggressive drivers. Initial investigation showed that there are unique characteristics of vehicle jerk in drivers' gas and brake pedal operations. Thus two jerk-based metrics were examined: (1) driver's frequency of using large positive jerk when pressing the gas pedal, and (2) driver's frequency of using large negative jerk when pressing the brake pedal...
May 9, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28492937/association-between-medication-use-for-attention-deficit-hyperactivity-disorder-and-risk-of-motor-vehicle-crashes
#6
Zheng Chang, Patrick D Quinn, Kwan Hur, Robert D Gibbons, Arvid Sjolander, Henrik Larsson, Brian M D'Onofrio
Importance: Motor vehicle crashes (MVCs) are a major public health problem. Research has demonstrated that individuals with attention-deficit/hyperactivity disorder (ADHD) are more likely to experience MVCs, but the effect of ADHD medication treatment on the risk of MVCs remains unclear. Objective: To explore associations between ADHD medication use and risk of MVCs in a large cohort of patients with ADHD. Design, Setting, and Participants: For this study, a US national cohort of patients with ADHD (n = 2 319 450) was identified from commercial health insurance claims between January 1, 2005, and December 31, 2014, and followed up for emergency department visits for MVCs...
May 10, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28489657/the-pattern-of-orbital-fractures-managed-at-two-referral-centers-in-nairobi-kenya
#7
Wayne Manana, Walter A Odhiambo, Mark L Chindia, Kennedy Koech
Orbital fractures are one of the commonest injuries in mid-face trauma and can lead to significant functional and cosmetic defects. This study was aimed at analyzing the pattern of orbital fractures at 2 referral centers in Nairobi. It was a descriptive prospective hospital-based study of the demographics, etiology, clinico-radiological features, and management modalities among patients presenting with orbital fractures at the University of Nairobi Dental Hospital and Kenyatta National Referral Hospital in Nairobi, Kenya...
May 9, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28486151/causal-inference-framework-for-generalizable-safety-effect-estimates
#8
Jonathan S Wood, Eric T Donnell
This study integrates a causal inference framework to the Empirical Bayes (EB) before-after method to develop generalizable safety effect estimates (i.e., crash modification factor (CMF)). The method considers approaches to estimate the average treatment effect for the treated (ATT), average treatment effect for the untreated (ATU), and average treatment effect (ATE). The current EB method is shown to estimate ATT while ATE is what is typically desired in traffic safety research. Modifications to the current EB method to estimate ATU and ATE are provided...
May 6, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28484993/hip-fracture-pattern-at-a-major-tanzanian-referral-hospital-focus-on-fragility-hip-fractures
#9
Munyaradzi Tsabasvi, Sonya Davey, Rogers Temu
This study examined hip fractures during a 5-year period at Kilimanjaro Christian Medical Center (KCMC). There was a general increase in proportions of fragility hip fractures during this period. PURPOSE: Fragility hip fractures are expected to increase in low-resource countries. This study examined hip fractures in the osteoporotic age group during a 5-year period at the Kilimanjaro Christian Medical Center (KCMC), which is located in Moshi, Tanzania. METHODS: We conducted a retrospective study of all hip fracture patients above the age of 50 who were admitted to KCMC between January 1, 2011 and December 31, 2015...
December 2017: Archives of Osteoporosis
https://www.readbyqxmd.com/read/28482177/-outta-my-way-individual-and-environmental-correlates-of-interactions-between-pedestrians-and-vehicles-during-street-crossings
#10
Marie-Soleil Cloutier, Ugo Lachapelle, Andrée-Anne d'Amours-Ouellet, Jacques Bergeron, Sébastien Lord, Juan Torres
Because pedestrian crash rates remain lower than other collision types, surrogate measures such as traffic interactions are now used in road safety research to complement crash history. Using naturalistic data collection, we sought to assess 1) the likelihood of occurrence of interactions between pedestrians and vehicles based on individual and crossing characteristics; and 2) differences in interaction characteristics between children, adult and senior pedestrians. Observations of pedestrian crossing behaviours (n=4687) were recorded at 278 crossings...
May 5, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28464812/predictors-of-seeking-financial-compensation-following-motor-vehicle-trauma-inception-cohort-with-moderate-to-severe-musculoskeletal-injuries
#11
Darnel Murgatroyd, Ian A Harris, Jian Sheng Chen, Sam Adie, Rajat Mittal, Ian D Cameron
BACKGROUND: Compensation related factors have been repeatedly associated with poor recovery following orthopaedic trauma. There is limited research into the factors associated with seeking financial compensation. Further understanding of these factors could facilitate injury recovery by purposeful compensation scheme design. The aim of this study was to investigate the predictors of seeking financial compensation, namely making a claim and seeking legal representation, following motor vehicle related orthopaedic trauma...
May 2, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28463097/road-traffic-injury-in-lagos-nigeria-assessing-prehospital-care
#12
Nasiru A Ibrahim, Abdul Wahab O Ajani, Ibrahim A Mustafa, Rufai A Balogun, Mobolaji A Oludara, Olufemi E Idowu, Babatunde A Solagberu
Introduction Injuries are the third most important cause of overall deaths globally with one-quarter resulting from road traffic crashes. Majority of these deaths occur before arrival in the hospital and can be reduced with prompt and efficient prehospital care. The aim of this study was to highlight the burden of road traffic injury (RTI) in Lagos, Nigeria and assess the effectiveness of prehospital care, especially the role of Lagos State Ambulance Service (LASAMBUS) in providing initial care and transportation of the injured to the hospital...
May 2, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28454865/the-impact-of-the-2007-graduated-driver-licensing-law-in-massachusetts-on-the-rate-of-citations-and-licensing-in-teenage-drivers
#13
Christopher DePesa, Toby Raybould, Shelley Hurwitz, Jarone Lee, Alice Gervasini, George C Velmahos, Peter T Masiakos, Haytham M A Kaafarani
OBJECTIVE: We recently demonstrated that the 2007 Massachusetts Graduated Driving Licensing (GDL) law decreased the rate of motor vehicle crashes in teenage drivers. To better understand this decrease, we sought to examine the law's impact on the issuance of driving licenses and traffic citations to teenage drivers. METHODS: Citation and license data were obtained from the Massachusetts Department of Transportation. Census data were obtained from the Census Data Center...
June 2017: Journal of Safety Research
https://www.readbyqxmd.com/read/28452289/road-traffic-injury-among-child-motorcyclists-in-vientiane-capital-laos-a-cross-sectional-study-using-a-hospital-based-injury-surveillance-database
#14
Tomoki Wada, Shinji Nakahara, Bouasone Bounta, Kheuamai Phommahaxay, Vanhnasith Phonelervong, Sysavanh Phommachanh, Mayfong Mayxay, Tavanh Manivong, Phisith Phoutsavath, Masao Ichikawa, Akio Kimura
This study investigated the distribution of motorcyclists, including drivers and passengers, who were involved in road traffic crashes and admitted to hospital in Vientiane Capital, Laos. The focus was on child motorcycle drivers and passengers under 15 years. A hospital-based injury surveillance database in Vientiane Capital was used. The surveillance was performed in two hospitals. From 1 September to 31 December 2009, 3968 patients were admitted to the participating hospitals with road traffic injuries. Patients under 15 years accounted for 10...
June 2017: International Journal of Injury Control and Safety Promotion
https://www.readbyqxmd.com/read/28451067/prolonged-grief-depression-and-posttraumatic-stress-in-disaster-bereaved-individuals-latent-class-analysis
#15
Lonneke I M Lenferink, Jos de Keijser, Geert E Smid, A A A Manik J Djelantik, Paul A Boelen
Background: Hundreds of individuals lost one or more significant others in the MH17 plane crash in 2014 in Ukraine. The current study is the first to explore subgroups of disaster-bereaved individuals based on presence of psychopathology clusters. This may inform the development of diagnostic instruments and tailored interventions. Objective: Aims of the current study were to examine (1) subgroups based on presence of prolonged grief disorder (PGD), major depressive disorder (MDD), and posttraumatic stress disorder (PTSD) symptom clusters and (2) associations between class membership, disaster-related variables (i...
2017: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/28443338/child-passenger-safety-technician-consultation-in-the-pediatric-primary-care-setting
#16
Dina Burstein, Mark R Zonfrillo, Janette Baird, Michael J Mello
Correct use of a child safety seat (CSS) can reduce the risk of fatal motor vehicle crash-related injury by up to 71%; however, misuse rates for CSS are as high as 70%. We recruited 189 caregivers at 2 large suburban pediatric office practices; 94 in the intervention group and 95 in the control group. All participants completed a baseline survey and received a CSS safety brochure. Intervention participants had their CSS installation checked at enrollment by a certified child passenger safety (CPS) technician...
April 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28436734/effects-of-speed-control-measures-on-the-safety-of-unsignalized-mid-block-street-crossings-in-china
#17
Chao Wang, Zhirui Ye, Xinyi Wang, Wenting Li
OBJECTIVE: The primary objective of this study was to evaluate the effects of different speed control measures on the safety of unsignalized mid-block street crossings. METHODS: In China, it is quite difficult to obtain traffic crash and conflict data for pedestrians using such crossings, mainly due to the lack of traffic data management and organizational issues. In light of this, the proposed method did not rely on such data, but considered vehicle speed, which is a leading contributing factor of pedestrian safety at mid-blocks...
February 16, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28436733/social-and-hospital-costs-of-patients-admitted-to-a-university-hospital-in-brazil-due-to-motorcycle-crashes
#18
Katia Campos Dos Anjos, Marcelo Rosa de Rezende, Rames Mattar
OBJECTIVE: This study aimed to investigate the social and hospital costs of patients treated at a public hospital who were motorcycle crash victims. METHOD: This prospective study was on 68 motorcycle riders (drivers or passengers), who were followed up from hospital admission to 6 months after the crash. A questionnaire covering quantitative and qualitative questions was administered. RESULTS: Motorcycle crash victims were responsible for 12% of the institution's hospital admissions; 54...
February 13, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28429962/predictors-of-restraint-use-among-child-occupants
#19
Marco Benedetti, Kathleen D Klinich, Miriam A Manary, Carol A Flannagan
OBJECTIVES: Identify factors that predict restraint use and optimal restraint use among children aged 0 to 13 years. METHODS: The dataset is a national sample of police-reported crashes for years 2010-2014 in which type of child restraint is recorded. The dataset was supplemented with demographic census data linked by driver zip code, as well as a score for the state child restraint law during the year of the crash relative to best practice recommendations for protecting child occupants...
April 21, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/28424128/analysis-of-all-terrain-vehicle-trauma-data-implications-for-increased-regulation-and-injury-prevention
#20
COMPARATIVE STUDY
Cathy V Ho, James R Dunne, Wesley R Stroud, Alvaro H Fonseca, Frank E Davis, William J Bromberg
To determine the incidence and severity of all-terrain vehicle crashes (ATVCs) compared with motorcycle crashes (MCCs) in all critically injured patients. Prospective data were retrospectively reviewed on 1840 patients involved in ATVCs and MCCs admitted to a rural level one trauma center over 16 years. ATVC patients (n = 655) were younger (25 vs 38, P < 0.0001), more likely female (20% vs 11%, P < 0.001), less severely injured (13.5 vs 16, P < 0.0001), had similar Glasgow Coma Score (13.3 vs 13.4, p = NS), less helmet use (6% vs 69%, P < 0...
April 1, 2017: American Surgeon
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