Trauma Management Outcomes Associated With Nonsurgeon Versus Surgeon Trauma Team Leaders

Role of Oxidative Stress in the Clinical Outcome of Patients with Multiple Blunt Trauma

“…22 Although the reason for the high ISS in surviving patients in the present study was not specifically analysed, it might be attributed to the lower sample size and the fact that the more severe injuries sustained in the present study may have affected the outcome; this limits comparison with external data. 22,23 Patients with severe trauma show oxidative stress, reflecting an imbalance between the intra-and extracellular environments in favour of oxidants. 24 This imbalance induces certain chemical reactions that can be both beneficial and detrimental, depending upon the systems involved and the disease processes.…”

“…A trauma study involving 207 patients found that a fatal outcome prevailed in cases with an ISS > 15, 22 and an ISS ≥ 12 was found to be indicative of severe blunt trauma. 23 Patients with high ISS should be hospitalized rapidly. 13 The mean ± SD ISS in the nonsurvivor group of the present study was more than double that observed in patients who survived.…”

Diagnostic Peritoneal Lavage – A Lost Art? A Retrospective Observational Study at a Canadian Tertiary Trauma Centre

“…Nova Scotia has a provincewide population based trauma system which includes one adult (≥ 16 years) tertiary trauma centre (the study site) similar to a level I American trauma centre in many ways and the registry has been successfully used in other peer reviewed published research. 18,20,23 This project employed secondary analysis of an existing database, and involved no patient contact, treatment or chart reviews. Simple descriptive statistics were utilized to describe trends in the use of DPL, CT and FAST as diagnostics tools to evaluate these patients.…”

“…The province's sole adult tertiary trauma centre has a full provincial and regional trauma care mandate and dedicated 24/7 trauma team availability with dedicated trauma team leaders as described elsewhere. 20 This was a retrospective observational study using data from the Nova Scotia Trauma Registry. Inclusion criteria for the trauma registry 21 are presented in Appendix A.…”

One size does not fit all for Canadian trauma systems

“…Indeed, previous studies have demonstrated that emergency physicians who perform the role of trauma team leader provide equivalent acute and resuscitative trauma care to their surgical colleagues. 4 As highlighted in this issue of CJEM, both Hayre et al 1 and Tuyp et al 3 demonstrate how emergency physicians can and do play a central role in the care of trauma patients in Canada.…”