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MeSH Review

Trauma Centers

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Disease relevance of Trauma Centers

  • PATIENTS: We reviewed the charts of 173 consecutive pediatric patients with moderate to severe head trauma (Glasgow Coma Scale score of < or = 11) that survived the first 24 hrs after being admitted to five Israeli trauma centers [1].
  • This data appears to support the recommendation of the American College of Surgeons Committee on Trauma in their most recent bulletin, "Resources for the Optimal Care of the Injured Patient," that a history of cirrhosis in an injured patient should alert prehospital providers to contact medical control and consider transport to a trauma center [2].
  • METHODS: We prospectively studied patients who presented to our urban Level I trauma center with a history of loss of consciousness after blunt trauma and a Glasgow Coma Scale score of 15 [3].
  • Subjects for this study were 100 consecutive patients with traumatic, closed head injury (CHI) admitted to a regional Level I Trauma Center with a Glasgow Coma Scale score of less than 8, who had more than one hour of coma, and who required more than one week of hospitalization [4].
  • From the period of 1 January 1993 to 31 December 2002, 3756 cases of facial fractures were treated at the Trauma Center, Faculty of Medicine, Siriraj Hospital. There were 14 life-threatening hemorrhage cases and 9 patients survived [5].

Psychiatry related information on Trauma Centers


High impact information on Trauma Centers

  • SETTING--UCLA Emergency Medicine Center, a level I trauma center, Los Angeles, Calif. PARTICIPANTS--Hispanic and non-Hispanic white patients presenting to the emergency department with extremity trauma when research assistants were present [7].
  • SETTING--The UCLA Emergency Medicine Center, a level I trauma center [8].
  • MATERIALS AND METHODS: The population was selected from the National Trauma Data Bank, a voluntary data repository containing all trauma admissions to 268 participating trauma centers [9].
  • METHOD: Children without preinjury ADHD 5-14 years old with TBI from consecutive admissions (n = 143) to five trauma centers were observed prospectively for 6 months (baseline and 6 months), with semistructured psychiatric interviews [10].
  • SETTING: Thirty-four academic trauma centers in the United States PATIENTS: All patients admitted with a presenting Glasgow Coma Scale score < or = 8 [11].

Chemical compound and disease context of Trauma Centers

  • METHODS: We retrospectively reviewed patients receiving heparin or coumadin who had head trauma and who subsequently underwent cranial CT at a level I trauma center within a 4-year period [12].
  • To examine the relationship between serum glucose and the outcome of patients suffering from head injury, the authors retrospectively reviewed the clinical course of 169 patients admitted for treatment to Harborview Medical Center (a regional trauma center) [13].

Biological context of Trauma Centers

  • In a 28-mo period 14 multiple-casualty terror events occurred in Jerusalem, challenging the Department of Anesthesiology and Critical Care Medicine of the city's sole Level 1 trauma center [14].
  • Epidemic increases in cocaine and opiate use by trauma center patients: documentation with a large clinical toxicology database [15].
  • DISCUSSION: Alcohol misuse has a number of implications for public health policy, such as the need to develop protocols for the management of alcohol-positive patients in trauma units and to target prevention programs at heavy drinking by young people [16].
  • In the last five years, Peru has taken two key steps towards developing a mature emergency response system, with the establishment of the country's first emergency medicine residency training program and the construction of the first dedicated trauma center in Lima [17].

Anatomical context of Trauma Centers


Associations of Trauma Centers with chemical compounds

  • Split sample, simultaneous testing of the portable lactate analyzer was then performed on 66 whole blood specimens from a convenience sample of 47 trauma patients admitted to an urban Level 1 trauma center over 4 mos [19].
  • Plasma cocaethylene concentrations in patients treated in the emergency room or trauma unit [20].
  • TYPE OF PARTICIPANTS: All patients triaged to Orange County trauma centers between July 1980 and June 1989 [21].
  • The highest percentage of positive ethanol test results was found at the urban trauma center, where 15% of total subjects and 22% of subjects aged 17 through 21 tested positive [22].
  • CONCLUSION: Methamphetamine use results in trauma center resource utilization out of proportion to injury severity [23].

Gene context of Trauma Centers

  • The setting consisted of Level I (TCI) and Level II (TCII) trauma centers, and acute care (AC) hospitals [24].
  • The two wards, a 90-bed orthopaedic unit and a 60-bed trauma unit, had an incidence of MRSA that has remained below the hospital average (23% in 1989, 32% in 1992) [25].
  • SETTING: Large level 1 trauma center [26].
  • STUDY DESIGN: Consecutive series of 10 patients with penetrating injuries to the juxtahepatic inferior vena cava were treated at an urban, university-affiliated Level I trauma center [27].
  • We reviewed the management and clinical course of 21 patients with extrahepatic injuries to the portal triad seen over the past 11 years at a Level I trauma center [28].

Analytical, diagnostic and therapeutic context of Trauma Centers


  1. Repeat computed tomographic scan within 24-48 hours of admission in children with moderate and severe head trauma. Tabori, U., Kornecki, A., Sofer, S., Constantini, S., Paret, G., Beck, R., Sivan, Y. Crit. Care Med. (2000) [Pubmed]
  2. Pre-existing liver disease in the trauma patient. Gomez, G.A., Jacobson, L.E., Asensio, J.A., Nauta, R.J. Critical care clinics. (1994) [Pubmed]
  3. The utility of head computed tomography after minimal head injury. Nagy, K.K., Joseph, K.T., Krosner, S.M., Roberts, R.R., Leslie, C.L., Dufty, K., Smith, R.F., Barrett, J. The Journal of trauma. (1999) [Pubmed]
  4. Agitation and restlessness after closed head injury: a prospective study of 100 consecutive admissions. Brooke, M.M., Questad, K.A., Patterson, D.R., Bashak, K.J. Archives of physical medicine and rehabilitation. (1992) [Pubmed]
  5. Management of life threatening hemorrhage from facial fracture. Siritongtaworn, P. Journal of the Medical Association of Thailand = Chotmaihet thangphaet. (2005) [Pubmed]
  6. Patterns of alcohol and drug abuse in an urban trauma center: the increasing role of cocaine abuse. Lindenbaum, G.A., Carroll, S.F., Daskal, I., Kapusnick, R. The Journal of trauma. (1989) [Pubmed]
  7. The effect of ethnicity on physician estimates of pain severity in patients with isolated extremity trauma. Todd, K.H., Lee, T., Hoffman, J.R. JAMA (1994) [Pubmed]
  8. Ethnicity as a risk factor for inadequate emergency department analgesia. Todd, K.H., Samaroo, N., Hoffman, J.R. JAMA (1993) [Pubmed]
  9. Renal and extrarenal predictors of nephrectomy from the national trauma data bank. Wright, J.L., Nathens, A.B., Rivara, F.P., Wessells, H. J. Urol. (2006) [Pubmed]
  10. Predictors of attention-deficit/hyperactivity disorder within 6 months after pediatric traumatic brain injury. Max, J.E., Schachar, R.J., Levin, H.S., Ewing-Cobbs, L., Chapman, S.B., Dennis, M., Saunders, A., Landis, J. Journal of the American Academy of Child and Adolescent Psychiatry. (2005) [Pubmed]
  11. Management of severe head injury: institutional variations in care and effect on outcome. Bulger, E.M., Nathens, A.B., Rivara, F.P., Moore, M., MacKenzie, E.J., Jurkovich, G.J. Crit. Care Med. (2002) [Pubmed]
  12. Indications for CT in patients receiving anticoagulation after head trauma. Gittleman, A.M., Ortiz, A.O., Keating, D.P., Katz, D.S. AJNR. American journal of neuroradiology. (2005) [Pubmed]
  13. Hyperglycemia and neurological outcome in patients with head injury. Lam, A.M., Winn, H.R., Cullen, B.F., Sundling, N. J. Neurosurg. (1991) [Pubmed]
  14. Multiple casualty terror events: the anesthesiologist's perspective. Shamir, M.Y., Weiss, Y.G., Willner, D., Mintz, Y., Bloom, A.I., Weiss, Y., Sprung, C.L., Weissman, C. Anesth. Analg. (2004) [Pubmed]
  15. Epidemic increases in cocaine and opiate use by trauma center patients: documentation with a large clinical toxicology database. Soderstrom, C.A., Dischinger, P.C., Kerns, T.J., Kufera, J.A., Mitchell, K.A., Scalea, T.M. The Journal of trauma. (2001) [Pubmed]
  16. Alcohol use in South Africa: findings from the South African Community Epidemiology Network on Drug use (SACENDU) Project. Parry, C.D., Bhana, A., Myers, B., Plüddemann, A., Flisher, A.J., Peden, M.M., Morojele, N.K. J. Stud. Alcohol (2002) [Pubmed]
  17. Terrorism in Peru. Barrientos Hernandez, D.H., Church, A.L. Prehospital and disaster medicine : the official journal of the National Association of EMS Physicians and the World Association for Emergency and Disaster Medicine in association with the Acute Care Foundation. (2003) [Pubmed]
  18. Elevated arterial base deficit in trauma patients: a marker of impaired oxygen utilization. Kincaid, E.H., Miller, P.R., Meredith, J.W., Rahman, N., Chang, M.C. J. Am. Coll. Surg. (1998) [Pubmed]
  19. Validation of a hand-held lactate device in determination of blood lactate in critically injured patients. Slomovitz, B.M., Lavery, R.F., Tortella, B.J., Siegel, J.H., Bachl, B.L., Ciccone, A. Crit. Care Med. (1998) [Pubmed]
  20. Plasma cocaethylene concentrations in patients treated in the emergency room or trauma unit. Bailey, D.N. Am. J. Clin. Pathol. (1993) [Pubmed]
  21. Trauma triage: a nine-year experience. O'Rourke, B., Bade, R.H., Drezner, T. Annals of emergency medicine. (1992) [Pubmed]
  22. Alcohol-related injuries among adolescents in the emergency department. Meropol, S.B., Moscati, R.M., Lillis, K.A., Ballow, S., Janicke, D.M. Annals of emergency medicine. (1995) [Pubmed]
  23. Toll of methamphetamine on the trauma system. Tominaga, G.T., Garcia, G., Dzierba, A., Wong, J. Archives of surgery (Chicago, Ill. : 1960) (2004) [Pubmed]
  24. Trauma in the very elderly: a community-based study of outcomes at trauma and nontrauma centers. Meldon, S.W., Reilly, M., Drew, B.L., Mancuso, C., Fallon, W. The Journal of trauma. (2002) [Pubmed]
  25. Changes in microbial ecology and use of cloxacillin. Loulergue, J., Audurier, A., DeLarbre, J.M., De Gialluly, C. J. Hosp. Infect. (1994) [Pubmed]
  26. Assessment of volume of hemorrhage and outcome from pelvic fracture. Blackmore, C.C., Jurkovich, G.J., Linnau, K.F., Cummings, P., Hoffer, E.K., Rivara, F.P. Archives of surgery (Chicago, Ill. : 1960) (2003) [Pubmed]
  27. Management of penetrating juxtahepatic inferior vena cava injuries under total vascular occlusion. Khaneja, S.C., Pizzi, W.F., Barie, P.S., Ahmed, N. J. Am. Coll. Surg. (1997) [Pubmed]
  28. Injuries to the portal triad. Dawson, D.L., Johansen, K.H., Jurkovich, G.J. Am. J. Surg. (1991) [Pubmed]
  29. Saline-expanded group O uncrossmatched packed red blood cells as an initial resuscitation fluid in severe shock. Schwab, C.W., Civil, I., Shayne, J.P. Annals of emergency medicine. (1986) [Pubmed]
  30. Endotracheal intubation in the field does not improve outcome in trauma patients who present without an acutely lethal traumatic brain injury. Bochicchio, G.V., Ilahi, O., Joshi, M., Bochicchio, K., Scalea, T.M. The Journal of trauma. (2003) [Pubmed]
  31. Study of the outcome of patients transferred to a level I hospital after stabilization at an outlying hospital in a rural setting. Rogers, F.B., Osler, T.M., Shackford, S.R., Cohen, M., Camp, L., Lesage, M. The Journal of trauma. (1999) [Pubmed]
  32. Use of injury severity variables in determining disability and community integration after traumatic brain injury. Wagner, A.K., Hammond, F.M., Sasser, H.C., Wiercisiewski, D., Norton, H.J. The Journal of trauma. (2000) [Pubmed]
  33. Trends in operative management of pediatric splenic injury in a regional trauma system. Davis, D.H., Localio, A.R., Stafford, P.W., Helfaer, M.A., Durbin, D.R. Pediatrics (2005) [Pubmed]
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