OBJECTIVE: To assess whether prehospital triage guidelines, based on mechanistic criteria alone, accurately identify victims of motor vehicle accidents (MVA) with major injury. METHODS: Retrospective analysis of the Royal Melbourne Hospital trauma database. Mechanisms analysed were those outlined by the American College of Surgeons Committee on Trauma and Advanced Trauma Life Support/Early Management of Severe Trauma prehospital triage guidelines. RESULTS: There were 621 MVA analysed, 253 with major injury (40.7%). Multivariate logistic regression indicated prolonged extrication time (P < 0.0001), cabin intrusion (P = 0.047), high speed (P = 0.003) and ejection from vehicle (P = 0.04) were statistically associated with major injury. Vehicle rollover and fatality in the same vehicle were not statistically associated with major injury. CONCLUSIONS: These data suggest that existing guidelines for the prehospital triage of MVA victims, based on mechanistic criteria alone may need revision.
OBJECTIVE: To assess whether prehospital triage guidelines, based on mechanistic criteria alone, accurately identify victims of motor vehicle accidents (MVA) with major injury. METHODS: Retrospective analysis of the Royal Melbourne Hospital trauma database. Mechanisms analysed were those outlined by the American College of Surgeons Committee on Trauma and Advanced Trauma Life Support/Early Management of Severe Trauma prehospital triage guidelines. RESULTS: There were 621 MVA analysed, 253 with major injury (40.7%). Multivariate logistic regression indicated prolonged extrication time (P < 0.0001), cabin intrusion (P = 0.047), high speed (P = 0.003) and ejection from vehicle (P = 0.04) were statistically associated with major injury. Vehicle rollover and fatality in the same vehicle were not statistically associated with major injury. CONCLUSIONS: These data suggest that existing guidelines for the prehospital triage of MVA victims, based on mechanistic criteria alone may need revision.
Authors: Nicholas Manguso; Galinos Barmparas; Navpreet K Dhillon; Eric J Ley; Raymond Huang; Nicolas Melo; Rodrigo F Alban; Daniel R Margulies Journal: Surg Open Sci Date: 2019-10-22
Authors: Tim Nutbeam; Rob Fenwick; Jason Smith; Omar Bouamra; Lee Wallis; Willem Stassen Journal: Scand J Trauma Resusc Emerg Med Date: 2021-01-14 Impact factor: 2.953
Authors: Tim Nutbeam; Rob Fenwick; Barbara May; Willem Stassen; Jason E Smith; Jono Bowdler; Lee Wallis; James Shippen Journal: Scand J Trauma Resusc Emerg Med Date: 2022-01-15 Impact factor: 2.953
Authors: Tim Nutbeam; Rob Fenwick; Jason E Smith; Mike Dayson; Brian Carlin; Mark Wilson; Lee Wallis; Willem Stassen Journal: Scand J Trauma Resusc Emerg Med Date: 2022-06-20 Impact factor: 3.803
Authors: Tim Nutbeam; Rob Fenwick; Barbara May; Willem Stassen; Jason E Smith; Lee Wallis; Mike Dayson; James Shippen Journal: Scand J Trauma Resusc Emerg Med Date: 2021-07-31 Impact factor: 2.953