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We first evaluated the quality of the pre-hospital grading system through its ability to detect the most severe trauma patients as defined by an injury severity score (ISS) of more than 15 [ 11].
In the observational studies of Schippinger [ 12] and Maripuri [ 8] the period of immobilisation was dependent on the treating doctor and was most likely biased by the severity of the trauma so that the patients with the most severe trauma received the longest period of immobilisation.
In this study, we found that a grading system and a triage protocol could detect with accuracy the most severe trauma patients.
The accuracy of the triage protocol according to the grading system to detect the most severe trauma patients showed relatively high sensitivity and low specificity.
However, we believe that it would be challenging to determine at first glance during the registration process which women had suffered the most severe trauma.
The aim of the present study was to evaluate: (1) the quality of the pre-hospital grading protocol to detect the most severe trauma patients and (2) the accuracy of the TRENAU procedure to perform an adequate triage.
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Epidemiological studies have found that in the majority of people, even those exposed to even the most severe traumas, acute symptoms of stress subside within three months.
There are about 2,000 suffering the most severe brain trauma from Iraq and Afghanistan, with perhaps 200 more a year to come, according to an estimate by the Wounded Warrior Project, a charity that helps damaged military families.
In line with this, Leijdesdorff et al. (2012) [26] showed that light-moped riders have the most severe head injuries, severe trauma, and higher mortality rate compared to motorcyclists.
A burn injury represents one of the most severe forms of trauma and occurs in more than 2 million people in North America each year [ 1].
In other words, helicopter or other physician staffed EMS teams attend to the most severe cases and specific trauma mechanism.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com