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J Trauma Inj : Journal of Trauma and Injury



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Original Article
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
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AbstractAbstract PDF

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


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.


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).


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.

Case Reports
A Case of Traumatic Cervical Braun-Sequard Syndrome
Dae Hyun Cho, Seung Hwan Lee, Jae Gil Lee, Myung Jae Jung
J Trauma Inj. 2017;30(3):103-106.   Published online October 30, 2017
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AbstractAbstract PDF
A traumatic Braun-Sequard syndrome of the cervical spine is reported in a 53-year-old male. The patient recovered spontaneously over several days with surgical intervention. The diagnosis was made on magnetic resonance imaging with physical examination, which also demonstrated subsequent resolution of bone marrow intensity. The etiological factors of spinal Braun-Sequard syndrome are reviewed.
Management of Perirectal Laceration without Fecal Diversion: A Case Report
Dae Hyun Cho, Seung Hwan Lee, Myung Jae Jung, Jae Gil Lee
J Trauma Inj. 2017;30(2):55-58.   Published online June 30, 2017
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AbstractAbstract PDF
Clinical research on multiple lacerations of perineum or buttock is sparse and rare so limited to case reports. But a missed rectal injury combined bladder or vessel can have devastating consequence. Although it is generally known that it should be treated accompanying with diverting ileostomy or colostomy, the aim of this case is announce the possibility of management of perectal injury without diversion.

J Trauma Inj : Journal of Trauma and Injury