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Due to a disproportionately higher volume of trauma consult and alert patients, only those presenting in the first 2 months were included for comparison (alerts N = 85, consults N = 70) to approximate the numbers in the trauma stat subset.
This will be partially dependent on the volume of trauma patients passing through each centre.
Although there is a strong association between patient's volume of trauma center volume and outcomes in adults, such a report is less in children.
Although many international guidelines for trauma care still recommend traditional plain radiographic investigations, our TC as well as many other European institutions with a high volume of trauma patients have adopted a different strategy based on the extended use of EUs and CT scan.
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Hospitals were selected at each level of the health system based on perceived high volume of injury and trauma-related cases to assess sites that have the greatest need for EESC capacity.
The final months of the conflict in Sri Lanka in 2009 resulted in massive displacement of the civilian population and a high volume of orthopedic trauma including spinal cord injury.
Armstrong et al. [ 31] describe high volumes of orthopaedic trauma seen among the IDP population at the end of the Sri Lankan conflict in 2009.
Our results suggest that gastric volume is high at admission of trauma patients, irrespective of NGT presence.
It could be a useful guide to volume replacement in the resuscitation of trauma patients and endpoints of resuscitation [ 52- 54].
These results indicate that other factors are involved in determining the transfusion volume during the early stage of trauma.
With such a large share of road traffic crashes among injury cases and especially among severe injury cases, there is an urgent need to put injury prevention policy at the forefront rather than divesting large volume of resources towards acute trauma care.
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