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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1992 May;74(3):212–217.

Care of road traffic accident victims in a district general hospital.

N Nayeem 1, A H Barltrop 1, M B Kotecha 1
PMCID: PMC2497574  PMID: 1616265

Abstract

It has been suggested that 20-33% of trauma related deaths are preventable. The Accident and Emergency Department of Luton and Dunstable Hospital, therefore, set out to examine its own performance and to attempt to highlight areas of possible improvement. The department sees 65,851 new patients per annum, 3936 of these were victims of road traffic accidents (RTA). There were 184 patients admitted and six died. One death was considered preventable; shortcomings were noted with delay in availability of services. It is recommended that early assessment by experienced clinicians and easy access to theatre facilities and diagnostic imaging be available in district general hospitals to improve the quality of care for trauma victims.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baker S. P., O'Neill B., Haddon W., Jr, Long W. B. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974 Mar;14(3):187–196. [PubMed] [Google Scholar]
  2. Baker S. P., O'Neill B. The injury severity score: an update. J Trauma. 1976 Nov;16(11):882–885. doi: 10.1097/00005373-197611000-00006. [DOI] [PubMed] [Google Scholar]
  3. Boyd C. R., Tolson M. A., Copes W. S. Evaluating trauma care: the TRISS method. Trauma Score and the Injury Severity Score. J Trauma. 1987 Apr;27(4):370–378. [PubMed] [Google Scholar]
  4. Champion H. R., Gainer P. S., Yackee E. A progress report on the trauma score in predicting a fatal outcome. J Trauma. 1986 Oct;26(10):927–931. doi: 10.1097/00005373-198610000-00012. [DOI] [PubMed] [Google Scholar]
  5. Champion H. R., Sacco W. J., Carnazzo A. J., Copes W., Fouty W. J. Trauma score. Crit Care Med. 1981 Sep;9(9):672–676. doi: 10.1097/00003246-198109000-00015. [DOI] [PubMed] [Google Scholar]
  6. Fisher R. B., Dearden C. H. Improving the care of patients with major trauma in the accident and emergency department. BMJ. 1990 Jun 16;300(6739):1560–1563. doi: 10.1136/bmj.300.6739.1560. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Gormican S. P. CRAMS scale: field triage of trauma victims. Ann Emerg Med. 1982 Mar;11(3):132–135. doi: 10.1016/s0196-0644(82)80237-0. [DOI] [PubMed] [Google Scholar]
  8. Kinny S. J., Jones D. H. Trauma services requirements in a district general hospital serving a rural area. BMJ. 1990 Feb 24;300(6723):504–508. doi: 10.1136/bmj.300.6723.504. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Kirkpatrick J. R., Youmans R. L. Trauma index. An aide in the evaluation of injury victims. J Trauma. 1971 Aug;11(8):711–714. [PubMed] [Google Scholar]
  10. Koehler J. J., Baer L. J., Malafa S. A., Meindertsma M. S., Navitskas N. R., Huizenga J. E. Prehospital Index: a scoring system for field triage of trauma victims. Ann Emerg Med. 1986 Feb;15(2):178–182. doi: 10.1016/s0196-0644(86)80016-6. [DOI] [PubMed] [Google Scholar]
  11. Spence M. T., Redmond A. D., Edwards J. D. Trauma audit--the use of TRISS. Health Trends. 1988 Aug;20(3):94–97. [PubMed] [Google Scholar]
  12. West J. G., Cales R. H., Gazzaniga A. B. Impact of regionalization. The Orange County experience. Arch Surg. 1983 Jun;118(6):740–744. doi: 10.1001/archsurg.1983.01390060058013. [DOI] [PubMed] [Google Scholar]
  13. West J. G., Trunkey D. D., Lim R. C. Systems of trauma care. A study of two counties. Arch Surg. 1979 Apr;114(4):455–460. doi: 10.1001/archsurg.1979.01370280109016. [DOI] [PubMed] [Google Scholar]

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