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Volume 30(4); December 2017
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Original Articles
Quality Improvement in the Trauma Intensive Care Unit Using a Rounding Checklist: The Implementation Results
Ye Rim Chang, Sung Wook Chang, Dong Hun Kim, Jeongseok Yun, Jung Ho Yun, Seok Won Lee, Han Cheol Jo, Seok Ho Choi
J Trauma Inj. 2017;30(4):113-119.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.113
  • 7,010 View
  • 254 Download
AbstractAbstract PDF
Purpose

Despite the numerous protocols and evidence-based guidelines that have been published, application of the therapeutics to eligible patients is limited in clinical settings. Therefore, a rounding checklist was developed to reduce errors of omission and the implementation results were evaluated.

Methods

A checklist consisting of 12 components (feeding, analgesia, sedation, thromboembolic prophylaxis, head elevation, stress ulcer prevention, glucose control, pressure sore prevention, removal of catheter, endotracheal tube and respiration, delirium monitoring, and infection control) was recorded by assigned nurses and then scored by the staff for traumatized, critically ill patients who were admitted in the trauma intensive care unit (ICU) of Dankook University Hospital for more than 2 days. A total of 170 patients (950 sheets) between April and October 2016 were divided into 3 periods (period 1, April to June; period 2, July to August; and period 3, September to October) for the analysis. Questionnaires regarding the satisfaction of the nurses were conducted twice during this implementation period.

Results

Record omission rates decreased across periods 1, 2, and 3 (19.9%, 12.7%, and 4.2%, respectively). The overall clinical application rate of the checklist increased from 90.1% in period 1 to 93.8% in period 3. Among 776 (81.7%) scored sheets, the rates of full compliance were 30.2%, 46.2%, and 45.1% for periods 1, 2, and 3, respectively. The overall mean score of the questionnaire regarding satisfaction also increased from 61.7 to 67.6 points out of 100 points from period 1 to 3.

Conclusions

An ICU rounding checklist could be an effective tool for minimizing the omission of preventative measures and evidence-based therapy for traumatized, critically-ill patients without overburdening nurses. The clinical outcomes of the ICU checklist will be evaluated and reported at an early date.

Summary
Characteristics and Outcomes of Trauma Patients via Emergency Medical Services
Dae Hyun Cho, Jae Gil Lee
J Trauma Inj. 2017;30(4):120-125.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.120
  • 3,476 View
  • 30 Download
AbstractAbstract PDF
Purpose

The aim of this study was to identify clinical outcome and characteristics of trauma patients via emergency medical services (EMS).

Methods

Medical records of the trauma patients visiting the emergency department were retrospectively collected and analyzed from January 2015 to June 2016 in the single institution. Of 529 registered patients, 371 patients were transported by - were enrolled. The parameters including age, gender, injury mechanism, Glasgow coma scale on arrival, presence of shock (systemic blood pressure <90 mmHg) on arrival, time to arrival from accident to emergency room (ER), need for emergency procedures such as operation or angioembolization, need for intensive care unit (ICU) admission, injury severity score (ISS), the trauma and injury severity score, revised trauma score (RTS), length of stay, and mortality rate were collected. The SAS version 9.4 (SAS Institute, Cary, NC, USA) was used for the data analysis.

Results

Arrival time from the field to the ER was significantly shorter in EMS group. However, overall outcomes including mortalities, length of stay in the ICU and hospital were same between both groups. Age, ISS, RTS, and injury mechanisms were significantly different in both groups. ISS, RTS, and age showed significant influence on mortality statistically (p<0.05).

Conclusions

The time to arrival of EMS was fast but had no effect on length of hospital stay, mortality rate. Further research that incorporates pre-hospital factors influence clinical outcomes should be conducted to evaluate the effectiveness of such a system in trauma care of Korea.

Summary
PARK Index and S-score Can Be Good Quality Indicators for the Preventable Mortality in a Single Trauma Center
Chan Yong Park, Kyung Hag Lee, Na Yun Lee, Su Ji Kim, Hyun Min Cho, Chan Kyu Lee
J Trauma Inj. 2017;30(4):126-130.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.126
  • 3,731 View
  • 22 Download
AbstractAbstract PDF
Purpose

Preventable Trauma Death Rate (PTDR) using Trauma and Injury Severity Score (TRISS) has been most widely used as a quality indicator in South Korea. However, this method has a small number of deaths corresponding to the denominator. Therefore, it is difficult to check the change of quality improvement for annual mortality, and there is a disadvantage that variation is severe. Therefore, we attempted to improve the quality of the mortality evaluation by reducing the variation by applying the PARK Index (preventable major trauma death rate, PMTDR) which can increase the number of denominator significantly. And the Save score (S-score) was also examined as another quality indicator.

Methods

In the PARK Index, the denominator is number of all patients who have survival probability (Ps) larger than 0.25. Numerator is the number of deaths among these. The PARK Index includes only patients with ISS >15. The S-score is calculated in the same way as the W-score, but the S-score includes only patients with ISS >15, which is a difference from the W-score.

Results

PARK Index decreased annually and was 12.9 (37/287) in 2014, 9.6 (33/343) in 2015, and 7.3 (52/709) in 2016. S-score increased annually and was ?0.29 in 2014, 4.21 in 2015, and 8.75 in 2016.

Conclusions

PARK Index and S-score improved annually. This shows that both quality indicators are improving year by year. PARK Index (PMTDR) has 9.5-fold increase in denominator overall compared to PTDR by TRISS. The S-score used only ISS >15 patients as a denominator. Therefore, there is an advantage that the numerical value change is larger than the W-score. In addition, S-score is not affected by the ratio of major trauma patients to minor trauma patients.

Summary
Mortality Reduction in Major Trauma Patients after Establishment of a Level I Trauma Center in Korea: A Single-Center Experience
Young Il Roh, Hyung Il Kim, Yong Sung Cha, Kyoung-Chul Cha, Hyun Kim, Kang Hyun Lee, Sung Oh Hwang, Oh Hyun Kim
J Trauma Inj. 2017;30(4):131-139.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.131
  • 3,779 View
  • 63 Download
  • 4 Citations
AbstractAbstract PDFSupplementary Material
Purpose

Trauma systems have been shown to decrease injury-related mortality. The present study aimed to compare the mortality rates of patients with major trauma (injury severity score >15) treated before and after the establishment of a level I trauma center.

Methods

During this 20-month study, participants were divided into pre-trauma center and trauma center groups, and trauma and injury severity score (TRISS) method was used to compare mortality rates during 10-month periods before and after the establishment of the trauma center (October 2013 to July 2014 vs. October 2014 to July 2015).

Results

Of the 541 total participants, 278 (51.5%) visited after the establishment of the trauma center. The Z and W statistics indicated better outcomes in the trauma center group than in the pre-trauma center group (Z statistic, 2.635 vs. ?0.700; W statistic, 4.640). The trauma center group also exhibited meaningful reductions in the time interval from the emergency department (ED) visit to emergency surgery (118.0 minutes vs. 142.5 minutes, p=0.020) and the interval from the ED visit to intensive care unit admission (202.0 minutes vs. 259.0 minutes, p=0.035) relative to the pre-trauma center group.

Conclusions

The TRISS and multivariate analysis revealed significant improvements in survival rates in the trauma center group, compared to the pre-trauma center group.

Summary

Citations

Citations to this article as recorded by  
  • Mortality Trends in Chest-Abdominal Trauma Patients Before and After the Establishment of Trauma Centers in South Korea
    Dae Ryong Kang, Hye Sim Kim, Ji Young Jang, Ou-Hyen Kim, Kiyoung Kim, Un Young Choi, Jiwool Ko, Keum Seok Bae, Hongjin Shim
    Journal of Acute Care Surgery.2024; 14(1): 1.     CrossRef
  • The Feedback Form and Its Role in Improving the Quality of Trauma Care
    Hany Bahouth, Roi Abramov, Moran Bodas, Michael Halberthal, Shaul Lin
    International Journal of Environmental Research an.2022; 19(3): 1866.     CrossRef
  • Survival benefit of direct transport to trauma centers among patients with unintentional injuries in Korea: a propensity score-matched analysis
    Dong Jun Lee, Seok Hoon Ko, Jongkyeong Kang, Myung Chun Kim, Han Zo Choi
    Clinical and Experimental Emergency Medicine.2022; 10(1): 37.     CrossRef
  • Machine Learning Model to Predict Ventilator Associated Pneumonia in patients with Traumatic Brain Injury: The C.5 Decision Tree Approach
    Ahmad Abujaber, Adam Fadlalla, Diala Gammoh, Hassan Al-Thani, Ayman El-Menyar
    Brain Injury.2021; 35(9): 1095.     CrossRef
Correlation between Optic Nerve Sheath Diameter Measured by Computed Tomography and Elevated Intracranial Pressure in Patients with Traumatic Brain Injury
Tae Kyoo Lim, Byug Chul Yu, Dae Sung Ma, Gil Jae Lee, Min A Lee, Sung Yeol Hyun, Yang Bin Jeon, Kang Kook Choi
J Trauma Inj. 2017;30(4):140-144.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.140
  • 5,162 View
  • 122 Download
  • 6 Citations
AbstractAbstract PDF
Purpose

The optic nerve sheath diameter (ONSD) measured by ultrasonography is among the indicators of intracranial pressure (ICP) elevation. However, whether ONSD measurement is useful for initial treatment remains controversial. Thus, this study aimed to investigate the relationship between ONSD measured by computed tomography (CT) and ICP in patients with traumatic brain injury (TBI).

Methods

A total of 246 patients with severe trauma from January 1, 2015 until December 31, 2015 were included in the study. A total of 179 patients with brain damage with potential for ICP elevation were included in the TBI group. The remaining 67 patients comprised the non-TBI group. A comparison was made between the two groups. Receiver operating characteristic (ROC) curve analysis was performed to determine the accuracy of ONSD when used as a screening test for the TBI group including those with TBI with midline shift (with elevated ICP).

Results

The mean injury severity score (ISS) and glasgow coma scale (GCS) of all patients were 24.2±6.1 and 5.4±0.8, respectively. The mean ONSD of the TBI group (5.5±1.0 mm) was higher than that of the non-TBI group (4.7±0.6 mm). Some significant differences in age (55.3±18.1 vs. 49.0±14.8, p<0.001), GCS (11.7±4.1 versus 13.3±3.0, p<0.001), and ONSD (5.5±1.0 vs. 4.7±0.6, p<0.001) were observed between the TBI and the non-TBI group. An ROC analysis was used to assess the correlation between TBI and ONSD. Results showed an area under the ROC curve (AUC) value of 0.752. The same analysis was used in the TBI with midline shift group, which showed an AUC of 0.912.

Conclusions

An ONSD of >5.5 mm, measured on CT, is a good indicator of ICP elevation. However, since an ONSD is not sensitive enough to detect an increased ICP, it should only be used as one of the parameters in detecting ICP along with other screening tests.

Summary

Citations

Citations to this article as recorded by  
  • Correlation Between Optic Nerve Sheath Diameter at Initial Head CT and the Rotterdam CT Score
    Aletor O Amakhian, Elohor B Obi-Egbedi-Ejakpovi, Eghosa Morgan, Ademola A Adeyekun, Munir M Abubakar
    Cureus.2023;[Epub]     CrossRef
  • Sono-clinical decision rule for repeat head computed tomography scan in traumatic brain injury in emergency settings
    Priyanka Modi, Sanjeev Bhoi, Savan Pandey
    WFUMB Ultrasound Open.2023; 1(2): 100026.     CrossRef
  • Sonographic Measurement of the Optic Nerve Sheath Diameter to Improve Detection of Elevated Intracranial Pressure
    Faten Farid Awdallah, Islam Hassan Abulnaga, Suzy Fawzy Michael, Hassan Khaled Nagi, Mohamed Hosny Abdallah
    Biomedical and Pharmacology Journal.2022; 15(3): 1677.     CrossRef
  • Serial Optic Nerve Sheath Diameter via Radiographic Imaging
    Diane McLaughlin, Lisa Anderson, Jinhong Guo, Molly McNett
    Neurology Clinical Practice.2021;[Epub]     CrossRef
  • The association between intracranial pressure and optic nerve sheath diameter on patients with head trauma
    Kaan Çelik, Bekir Enes Demiryurek
    Arquivos de Neuro-Psiquiatria.2021; 79(10): 879.     CrossRef
  • MRI measurement of optic nerve sheath diameter using 3D driven equilibrium sequence as a non-invasive tool for the diagnosis of idiopathic intracranial hypertension
    Ahmed S. Abdelrahman, Mai M. K. Barakat
    Egyptian Journal of Radiology and Nuclear Medicine.2020;[Epub]     CrossRef
Epidemiologic Analysis of Burns in Military Hospital
Jangkyu Choi, Sejin Park, Hyun Chul Kim
J Trauma Inj. 2017;30(4):145-157.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.145
  • 3,829 View
  • 39 Download
  • 1 Citations
AbstractAbstract PDF
Purpose

We accessed epidemioloy of 908 acute burns (7 years) in the military, of injuries and propose proper educational programs to suit community.

Methods

We surveyed burn demographics, circumstances of injuries, size, result of treatment.

Results

The mean age was 20.6 years. The flame burns (FB) (325, 35.8%) were most common, followed scald (SB) (305, 33.6%), contact (CB) (219, 24.1%), electric (EB) (45, 5.0%) and chemical burns (ChB) (14, 1.5%). The more occurred during winter (29.7%). SB had mean 3.9% total body surface area (TBSA). The 251 (82.3%) had superficial burns by spillage of hot water/food on lower limbs (45.6%), feet (33.8%) in summer (34.8%), treated with simple dressing (92.8%). Morbidity rate was 5.6%; post traumatic stress disease (PTSD) (0.7%). FB had large wound (9.3% TBSA). The 209 (64.3%) had superficial burns by ignition to flammable oils (31.7%) and bomb powders (29.2%) on head/neck (60.3%), hands (58.6%) in summer (31.7%), autumn (30.2%). They underwent simple dressing (83.4%) and skin graft (16.0%). Morbidity rate was 18.8%; PTSD (10.5%), inhalation injuries (4.0%), corneal injury (3.7%), amputations (0.9%), and mortality rate (1.2%). CB had small (1.1% TBSA), deep burns (78.5%) by hotpack (80.4%) on lower limbs (80.4%). The more (59.8%) underwent skin graft. EB had 6.8% TBSA. The 29 (64.4%) had superficial burns by touching to high tension cable (71.1%) on hand (71.1%), upper limbs (24.4%) in autumn (46.8%). They underwent simple dressing (71.1%) and skin graft (24.4%). They showed high morbidity rate (40.0%); loss of consciousness (13.3%), nerve injuries (11.1%), neuropathy (8.9%), amputations (2.2%), and mortality rate (2.2%).

Conclusions

The cook should wear apron over the boots during work. The lighter or smoking should be strictly prohibited during work with flammable liquids or bomb powders. Don’t directly apply hotpack to skin for a long time. Use insulating glove during electric work. Keep to the basic can prevent severe injury and proper education is important.

Summary

Citations

Citations to this article as recorded by  
  • The Immune and Regenerative Response to Burn Injury
    Matthew Burgess, Franklin Valdera, David Varon, Esko Kankuri, Kristo Nuutila
    Cells.2022; 11(19): 3073.     CrossRef
The Value of X-ray Compared with Magnetic Resonance Imaging in the Diagnosis of Traumatic Vertebral Fractures
Yang Woo Lee, Jae Ho Jang, Jin Joo Kim, Yong Su Lim, Sung Youl Hyun, Hyuk Jun Yang
J Trauma Inj. 2017;30(4):158-165.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.158
  • 7,737 View
  • 113 Download
  • 2 Citations
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the diagnostic accuracy of X-rays in patients with acute traumatic vertebral fractures visiting the emergency department and to analyze the diagnostic value of X-rays for each spine level.

Methods

We retrospectively analyzed basal characteristics by reviewing medical records of 363 patients with adult traumatic vertebral fractures, admitted to the emergency center from March 1, 2014 to February 28, 2017. We analyzed spine X-rays and magnetic resonance imaging (MRI) scans to determine distribution according to the vertebral level, and we evaluated the efficacy of X-rays by comparing discrepancies between X-rays and MRI scans.

Results

For a total of 363 patients, the mean age was 56.65 (20?93) and 214 (59%) were males. On the basis of X-rays, 67 cases (15.1%) were of the cervical spine, 133 cases (30.0%) were of the thoracic spine, and 243 cases (54.9%) were of the lumbar spine. In particular, the thoracolumbar region (T11-L2) was the most common, with 260 cases (58.7%). In X-rays, fractures were the least in the upper thoracic region (T1-T3), whereas MRI scans revealed fairly uniform distribution across the thoracic spine. Sensitivity of X-rays was lowest in the upper thoracic spine and specificity was almost always greater than 98%, except for 94.7% in L1. Positive predictive value was lower in the mid-thoracic region (T4-T9) and negative predictive value was slightly lower in C6, T2, and T3 than at other sites. Diagnostic accuracy of X-rays by vertebral body, transverse process, and spinous process according to fractured vertebral structures was significantly different according to vertebral level.

Conclusions

Diagnostic accuracy of X-rays was lower in the upper thoracic region than in other parts. Further studies are needed to identify better methods for diagnosis considering cost and neurological prognosis.

Summary

Citations

Citations to this article as recorded by  
  • A novel radiological assessment to identify acute vertebral compression fractures: A pilot observational study
    Keisuke Tsuruta, Toru Ueyama, Tomoo Watanabe, Yasunori Kobata, Kenichi Nakano, Hidetada Fukushima
    Acute Medicine & Surgery.2023;[Epub]     CrossRef
  • Forward Bending in Supine Test: Diagnostic Accuracy for Acute Vertebral Fragility Fracture
    Chan-Woo Jung, Jeongik Lee, Dae-Woong Ham, Hyun Kang, Dong-Gune Chang, Youngbae B. Kim, Young-Joon Ahn, Joo Hyun Shim, Kwang-Sup Song
    Healthcare.2022; 10(7): 1215.     CrossRef
Emergency Surgical Management of Traumatic Cardiac Injury in Single Institution for Three Years
Seok Joo, Dae Sung Ma, Yang Bin Jeon, Sung Youl Hyun
J Trauma Inj. 2017;30(4):166-172.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.166
  • 3,259 View
  • 61 Download
AbstractAbstract PDF
Purpose

Thoracic traumas represent 10?15% of all traumas and are responsible for 25% of all trauma mortalities. Traumatic cardiac injury (TCI) is one of the major causes of death in trauma patients, rarely present in living patients who are transferred to the hospital. TCI is a challenge for trauma surgeons as it provides a short therapeutic window and the management is often dictated by the underlying mechanism and hemodynamic status. This study is to describe our experiences about emergency cardiac surgery in TCI.

Methods

This is a retrospective clinical analysis of patients who had undergone emergency cardiac surgery in our trauma center from January 2014 to December 2016. Demographics, physiologic data, mechanism of injuries, the timing of surgical interventions, surgical approaches and outcomes were reviewed.

Results

The number of trauma patients who arrived at our hospital during the study period was 9,501. Among them, 884 had chest injuries, 434 patients were evaluated to have over 3 abbreviated injury scale (AIS) about the chest. Cardiac surgeries were performed in 18 patients, and 13 (72.2%) of them were male. The median age was 47.0 years (quartiles 35.0, 55.3). Eleven patients (61.1%) had penetrating traumas. Prehospital cardiopulmonary resuscitations (CPR) were performed in 4 patients (22.2%). All of them had undergone emergency department thoracotomy (EDT), and they were transferred to the operating room for definitive repair of the cardiac injury, but all of them expired in the intensive care unit. Most commonly performed surgical incision was median sternotomy (n=13, 72.2%). The majority site of injury was right ventricle (n=11, 61.1%). The mortality rate was 22.2% (n=4).

Conclusions

This study suggests that penetrating cardiac injuries are more often than blunt cardiac injury in TCI, and the majority site of injury is right ventricle. Also, it suggests prehospital CPR and EDT are significantly responsible for high mortality in TCI.

Summary
Analysis of Factors Related to Length of Stay Time in Patients with Back Pain at Emergency Department
Kwang Yong Choi, Byung Hak So, Hyung Min Kim, Kyung Man Cha, Won Jung Jeong
J Trauma Inj. 2017;30(4):173-178.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.173
  • 2,673 View
  • 21 Download
AbstractAbstract PDF
Purpose

Most patients with acute low back pain visit emergency room (ER). They mostly need beds, and if their length of stay is longer, it can become difficult to accommodate new patients at the ER. We analyzed the treatment process of patients with back pain and tried to find method for shortening of the length of stay at the ER.

Methods

We retrospectively analyzed the medical records of patients with back pain who visited at our ER for one year. Patients were divided into two groups according to their length of stay at ER and were compared the charateristcs of between two groups.

Results

A total of 274 patients were included in the study. Eigthy-nine patients (32.5%) were in the group with less than 3 hours and 185 patients (67.5%) were in the other group. In the comparison of the two groups according to the medical departments, the number of patients who were in group with more than 3 hours were 25 (14.0%) in the emergency department, 94 (50.5%) in neurosurgery, 66 (35.5%) in orthopedic surgery. Length of stay was significantly increased in orthopedic surgery and neurosurgery (p=0.014). In addition, the length of stay was longer when computed tomography and magnetic resonance imaging examinations were performed (p=0.000). Regardless of the type of analgesic agent, the median time to the analgesic treatment was shorter in the group with less than 3 hours (p=0.034).

Conclusions

In patients with back pain who visit the ER, the emergency medicine doctor will early control the pain and do not unnecessary image examination to reduce a length of stay at the ER.

Summary
Prognosis of Pulmonary Function in Patients with Multiple Rib Fractures
Hee Beom Park, Sung Youl Hyun, Jin Joo Kim, Yeon Sik Jang
J Trauma Inj. 2017;30(4):179-185.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.179
  • 10,690 View
  • 100 Download
  • 3 Citations
AbstractAbstract PDF
Purpose

Rib fracture is the most common complication of blunt thoracic trauma. We investigated the effect of rib fracture on pulmonary function in the conservatively treated patients.

Methods

From January 2000 to February 2017, we reviewed the records of 72 patients with rib fracture and pulmonary function tests were performed. According to the number of rib fractures, patients were classified into two groups: less than six fractured ribs (group A) and more than six fractured ribs (group B). The groups were compared concerning demographics, underlying diseases, associated thoracic injuries, surgery, mechanical ventilator times, days spent in the intensive care unit and pulmonary function test.

Results

There were no statistically significant differences in the demographic data between the two groups. Mean hospitalization was 13.5 days in group A and 27.0 days in group B (p<0.001). There was no statistically significant difference between the two groups in the pulmonary function test.

Conclusions

We conclude that pulmonary function is restored by conservative treatment in patients with rib fractures even if the number of rib fractures increases. In patients with multiple rib fractures, studies comparing open rib fixation and conservative treatment of long term pulmonary function are required.

Summary

Citations

Citations to this article as recorded by  
  • Prevalence of chronic post-thoracotomy pain in patients with traumatic multiple rib fractures in South Korea: a cross-sectional study
    Kun Hyung Kim, Chan Kyu Lee, Seon Hee Kim, Youngwoong Kim, Jung Eun Kim, Yu Kyung Shin, Junepill Seok, Hyun Min Cho
    Scientific Reports.2021;[Epub]     CrossRef
  • Yoga—An Alternative Form of Therapy in Patients with Blunt Chest Trauma: A Randomized Controlled Trial
    Mallikarjun Gunjiganvi, Purva Mathur, Minu Kumari, Karan Madan, Atin Kumar, Rajesh Sagar, Sushma Sagar, Amit Gupta, Biplab Mishra, Altaf Hussain Mir, Mohini Meti, Subodh Kumar
    World Journal of Surgery.2021; 45(7): 2015.     CrossRef
  • Medicolegal Evaluation of Long-Term Respiratory Functions in Patients Injured Due to Traffic Accidents
    Esra Dugral, Aydin Sanli, İsmail Ozgur Can
    Cureus.2021;[Epub]     CrossRef
The Type Analysis for Safety Accident of Water Sports Happening in River
Nam Eui Kim, Moo Eob Ahn, Jeong Yeol Seo, Dong Won Kim, Jeong Hyeok Kim, Hyung Ki Kim, Jae Hyun Han, Tae Hun Lee
J Trauma Inj. 2017;30(4):186-191.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.186
  • 3,661 View
  • 45 Download
  • 1 Citations
AbstractAbstract PDF
Purpose

Recently, as the number of people who enjoy water sports life in river or lake easy to accessible are increasing, that of the patients who are injured in water sports also does gradually. We intend to investigate the type of the injured patients of water sports and the riskiness of the sports in this study.

Methods

We retrospectively looked into the medical records of the patients who were injured in water sports and visited a general hospital in Gangwondo-province from 2010 to 2015.

Results

Total 146 patients came to the hospital during six years. Patients mostly occurred at younger ages, in summer, and on holidays, rather than weekdays. The most common lesions of injuries were faces (53 patients). The most common types of injuries were contusions (62 patients), followed by fractures (32 patients) and lacerations (26 patients). The most frequent fracture sites were the upper extremities (11 patients). Most of the trauma patients were mild, but a small number of patients with aspiration pneumonia occurred and their severity was higher than trauma patients.

Conclusions

In this study, facial injuries were most frequent in water sports injuries. In the fractures, upper extremities were the most common fractured lesions. In addition, even if there is no direct trauma, aspiration pneumonia is serious, so caution should be taken with protective equipment suitable for water sports.

Summary

Citations

Citations to this article as recorded by  
  • Humerus Shaft Fractures Occurring in Fly Fishing Boat Riding: Injury Scene Analysis
    Hongri Li, Wan Sun Choi, Bong-gun Lee, Jae-hoo Lee, Younguk Park, Doohyung Lee
    The Korean Journal of Sports Medicine.2019; 37(4): 134.     CrossRef
Management of High-grade Blunt Renal Trauma
Min A Lee, Myung Jin Jang, Gil Jae Lee
J Trauma Inj. 2017;30(4):192-196.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.192
  • 4,102 View
  • 162 Download
  • 5 Citations
AbstractAbstract PDF
Purpose

Blunt injury accounts for 80?95% of renal injury trauma in the United States. The majority of blunt renal injuries are low grade and 80?85% of these injuries can be managed conservatively. However, there is a debate on the management of patients with high-grade renal injury. We reviewed our experience of renal trauma at our trauma center to assess management strategy for high-grade blunt renal injury.

Methods

We reviewed blunt renal injury cases admitted at a single trauma center between August 2007 and December 2015. Computed tomography (CT) scan was used to diagnose renal injuries and high?grade (according to the American Association for the Surgery of Trauma [AAST] organ injury scale III?V) renal injury patients were included in the analysis.

Results

During the eight?year study period, there were 62 AAST grade III?V patients. 5 cases underwent nephrectomy and 57 underwent non-operative management (NOM). There was no difference in outcome between the operative group and the NOM group. In the NOM group, 24 cases underwent angioembolization with a 91% success rate. The Incidence of urological complications correlated with increasing grade.

Conclusions

Conservative management of high-grade blunt renal injury was considered preferable to operative management, with an increased renal salvage rate. However, high-grade injuries have higher complication rates, and therefore, close observation is recommended after conservative management.

Summary

Citations

Citations to this article as recorded by  
  • Functional range of the kidney after a low-severity injury: a randomized study
    K. A. Chiglintsev, A. V. Zyryаnov, A. Yu. Chiglintsev, A. A. Makarian
    Diagnostic radiology and radiotherapy.2023; 14(2): 74.     CrossRef
  • Outcome of Kidney Trauma Management: Experiences from a Tertiary Referral Hospital in East Indonesia
    Yufi Aulia Azmi, Danang Irsayanto, Kevin Muliawan Soetanto, Johan Renaldo, Soetojo Wirjopranoto
    Biomolecular and Health Science Journal.2023; 6(2): 135.     CrossRef
  • RENAL TRAUMA: PROFILE AND MANAGEMENT
    Vipul Bakshi, Tariq A Mir, Harmandeep Singh Chahal
    GLOBAL JOURNAL FOR RESEARCH ANALYSIS.2022; : 109.     CrossRef
  • Management of renal injury in a UK major trauma centre
    Robert Torrance, Abigail Kwok, David Mathews, Matthew Elliot, Andrew Baird, Marc A Lucky
    Trauma.2020; 22(1): 26.     CrossRef
  • Renal trauma: a 5-year retrospective review in single institution
    Syarif, Achmad M. Palinrungi, Khoirul Kholis, Muhammad Asykar Palinrungi, Syakri Syahrir, Reinaldo Sunggiardi, Muhammad Faruk
    African Journal of Urology.2020;[Epub]     CrossRef
Case Reports
Common Carotid Artery Laceration Managed by Clamping at Emergency Department
Young Un Choi, Kwangmin Kim, Seongyup Kim, Keumseok Bae, Ji Young Jang, Pil Young Jung, Hongjin Shim, Ki Youn Kwon
J Trauma Inj. 2017;30(4):197-201.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.197
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AbstractAbstract PDF

Common carotid artery laceration is a life-threatening injury by causing hypovolemic shock. Nevertheless the initial management is very difficult until definitive surgery at operation room. Before neck exploration at operation room, arterial bleeding control by compressing the bleeding point is not always effective. We experienced one case with externally penetrating injuries in zone II neck, which was operated after clamping of common carotid artery in the emergency department. Here we report this case.

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Traumatic Extrapleural Hematoma Mimicking Hemothorax
Yong Seon Choi, Soon Jin Kim, Sang Woo Ryu, Seung Ku Kang
J Trauma Inj. 2017;30(4):202-205.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.202
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  • 1 Citations
AbstractAbstract PDF

After blunt chest injuries, extrapleural hematoma may result in a collection of blood between the parietal pleura and the endothoracic fascia. Extrapleural hematoma is frequently misdiagnosed as hemothorax. Extrapleural fat sign, the inward displacement of strip of extrapleural fat on computed tomography, is typical radiological findings of extrapleural hematoma. We encountered a case of extrapleural hematoma with a presentation similar to hemothorax after blunt chest injury.

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Citations

Citations to this article as recorded by  
  • Hemothorax or not: Use of extrapleural fat sign
    Rajat Dahiya, Thaker Nirav, Jaggi Sunila, Talwar Inder
    West African Journal of Radiology.2021; 28(1): 18.     CrossRef
Type B Aortic Dissection with Visceral Artery Involvement Following Blunt Trauma: A Case Report
Ahram Han, Min A Lee, Youngeun Park, Jin Mo Kang, Jung Ho Kim, Jungnam Lee
J Trauma Inj. 2017;30(4):206-211.   Published online December 30, 2017
DOI: https://doi.org/10.20408/jti.2017.30.4.206
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AbstractAbstract PDF

Aortic dissection caused by blunt trauma is a rare injury that can be complicated by malperfusion syndrome resulting from obstruction of branch vessels of the aorta. Here, we present a case of traumatic type B aortic dissection with right renal and small bowel ischemia, successfully managed by endovascular fenestration.

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J Trauma Inj : Journal of Trauma and Injury