Preventable death of trauma patients

Czech version

Authors: Jaromír Kočí ^1,2; Tomáš Dědek ²; Jan Trlica ²; Eduard Havel ²
Authors‘ workplace: Oddělení urgentní medicíny, Fakultní nemocnice Hradec Králové Department of Emergency Medicine, University Hospital Hradec Králové ¹; Chirurgická klinika, Fakultní nemocnice Hradec Králové Department of Surgery, University Hospital Hradec Králové ²
Published in: Úraz chir. 18., 2010, č.4

Overview

Background:
Continual evaluation of preventable death is one of choice in evaluation of Trauma system.

Methods:
In our paper we have found preventable death in population Triage positive patients primary transported from the scene of injury in rural area in the Trauma Center during the years 2003-2004. Every case of death was reviewed in the categories: 1. injury prevention, 2. prehospital care, 3. ER and hospital care and 4. provider education.

Results:
There was primary transported n=157 patients (øISS 19,7), n=24 of them died (øISS 43). We identified as preventable two deaths. There was problem in airway management in the scene of injury as a prevention of secondary brain injury. In cases of unpreventable deaths were found problems with identification of internal bleeding.

Conclusion:
Correct performance of ATLS protocol decreases the number of preventable death.

Key words:
preventable death, traumasystem.

Sources

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Labels

Surgery Traumatology Trauma surgery

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Article was published in

Trauma Surgery

2010 Issue 4