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In serious road traffic accidents, patients more likely to surviveif taken directly to a trauma cen by vacuumse mse





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In serious road traffic accidents, patients more likely to surviveif taken directly to a trauma cen by
Article Posted: 03/15/2013
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In serious road traffic accidents, patients more likely to surviveif taken directly to a trauma cen


 
Business,Business News,Business Opportunities
People who are seriously injured in a car accident are more than 30per cent more likely to survive at least 48 hours if they are takendirectly to a trauma centre than those who are taken first to anon-trauma centre, new research has found. However, fewer than half of people seriously injured in caraccidents in Ontario are taken directly from the scene to a traumacentre. In addition, only half of those taken to the nearesthospital are later transferred to a trauma centre after beingassessed and stabilized. These findings by Dr.

Avery Nathens, trauma director at St.Michael's Hospital in Toronto, were published in the June issue ofthe Journal of Trauma and Acute Care Surgery. Ontario has nine Level 1 or Level 11 adult trauma centres. A traumacentre is a hospital with a trauma team that includes speciallytrained personnel available 24 hours a day, every day, to provideimmediate treatment for the most critically injured patients.Higher levels of trauma centres also have the staff and highlysophisticated medical diagnostic equipment to provide specializedemergency care such as neurosurgery and orthopedics. Dr. Nathens and his team looked at data from 6,341 car accidents inOntario from 2002 to 2010.

Of those, 45 per cent were transportedfrom the scene to a trauma centre. Of patients who were taken firstto a non-trauma centre, only 57 per cent were transferred to atrauma centre. Patients are taken to non-trauma centres for one of two reasons,Dr. Nathens said.

First, the potential severity of their injuriesmight not be recognized by EMS personnel, so they might betransported to a non-trauma center if it is the closest hospital. .Second, transport to a trauma centre might take too long, sopatients are taken to a non-trauma centre unless air transportationis available. When patients are taken first to a non-trauma centre, Dr. Nathenssaid it's important that the emergency physician recognizes thepotential severity of their injuries and transfers them to a traumacentre as soon as possible.

Taken together, he said the findings point to the need to make sureall health care workers, especially EMS personnel and EmergencyDepartment physicians, are trained to recognize who needs to betreated at a trauma center. In addition, the health care systemneeds the resources to transport those patients quickly, he said. "Minutes matter and severely injured patients can't advocate forthemselves so we have the responsibility to ensure that the systemworks optimally," he said. Additional References Citations.

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