Patterns of injury from major trauma in Victoria

The Australian and New Zealand Journal of Surgery
Peter A CameronS Hooper

Abstract

Basic demographic and injury data were collected on all major trauma patients (ISS > 15) presenting to 25 Victorian hospitals over a 1 year period (March 1992-February 1993). A total of 1076 patients were identified with an Injury Severity Score (ISS) > 15. Of these, 957 resulted from blunt trauma, 68 from penetrating trauma and 51 from burns. Most serious blunt injury was transport-related (n = 652) but falls made up a significant proportion (n = 206). The pattern of injury in blunt trauma demonstrated in this study showed a preponderance of serious head, thoracic and limb injuries with less frequent occurrences of abdominal, spine and facial injuries. In major penetrating trauma, serious injuries of the thorax and abdomen were more frequent. Head injury is the most common cause of morbidity in major trauma patients. Motor vehicle accidents caused the majority of head injuries but, proportionately, head injury was more common in pedal cycle, pedestrian, motorcycle injuries and falls. The low frequency of major abdominal trauma has important implications for surgical training and resource allocation. In Victoria, various injury prevention interventions have been introduced such as compulsory wearing of bicycle helmets, a safer ...Continue Reading

References

Oct 1, 1993·The Australian and New Zealand Journal of Surgery·A L KentP D Byrne
Dec 1, 1993·The Australian and New Zealand Journal of Surgery·I D Civil
Jun 1, 1993·The Journal of Trauma·F T McDermottE A Debney

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Citations

May 8, 1998·The Australian and New Zealand Journal of Surgery·P A CameronJ Tatoulis
Jan 11, 2000·Brain Injury : [BI]·I CernakS Markovic
Mar 27, 2003·Emergency Medicine·Timothy H Rainer, Pieter De Villiers Smit
May 22, 2008·Prehospital and Disaster Medicine·Malcolm J BoyleFrank L Archer
May 8, 2002·Emergency Medicine·Julian StellaPeter Sprivulis
Jun 24, 2004·The Journal of Trauma·Donna R MendezClaudia S Robertson
Feb 24, 2007·Journal of Paediatrics and Child Health·Biswadev MitraWarwick Butt
May 10, 2002·The Medical Journal of Australia·P John TreacyCarole Mansfield
Oct 10, 1997·The Medical Journal of Australia·M R Fearnside, J A Gurka

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