Latest & greatest articles for trauma

The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on trauma or other clinical topics then use Trip today.

This page lists the very latest high quality evidence on trauma and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.

What is Trip?

Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care.

Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto is ‘Find evidence fast’ and this is something we aim to deliver for every single search.

As well as research evidence we also allow clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news.

For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com

Top results for trauma

461. Cost-benefit analysis of an integrated approach to reduce psychosocial trauma following neurosurgery compared with standard care: two-year prospective comparative study of enhanced specialist liaison nurse service for aneurysmal subarachnoid haemorrhage (

Cost-benefit analysis of an integrated approach to reduce psychosocial trauma following neurosurgery compared with standard care: two-year prospective comparative study of enhanced specialist liaison nurse service for aneurysmal subarachnoid haemorrhage ( Cost-benefit analysis of an integrated approach to reduce psychosocial trauma following neurosurgery compared with standard care: two-year prospective comparative study of enhanced specialist liaison nurse service for aneurysmal subarachnoid (...) haemorrhage (ASAH) patients and carers Cost-benefit analysis of an integrated approach to reduce psychosocial trauma following neurosurgery compared with standard care: two-year prospective comparative study of enhanced specialist liaison nurse service for aneurysmal subarachnoid haemorrhage (ASAH) patients and carers Pritchard C, Foulkes L, Lang D A, Neil-Dwyer G Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains

2004 NHS Economic Evaluation Database.

462. Does an isolated history of loss of consciousness or amnesia predict brain injuries in children after blunt head trauma?

Does an isolated history of loss of consciousness or amnesia predict brain injuries in children after blunt head trauma? PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2004 PedsCCM Evidence-Based Journal Club

463. Characteristics That Distinguish Accidental From Abusive Injury in Hospitalized Young Children With Head Trauma

Characteristics That Distinguish Accidental From Abusive Injury in Hospitalized Young Children With Head Trauma PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2004 PedsCCM Evidence-Based Journal Club

464. The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. Full Text available with Trip Pro

The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. The Canadian C-Spine (cervical-spine) Rule (CCR) and the National Emergency X-Radiography Utilization Study (NEXUS) Low-Risk Criteria (NLC) are decision rules to guide the use of cervical-spine radiography in patients with trauma. It is unclear how the two decision rules compare in terms of clinical performance.We conducted a prospective cohort study in nine Canadian emergency departments comparing the CCR (...) and NLC as applied to alert patients with trauma who were in stable condition. The CCR and NLC were interpreted by 394 physicians for patients before radiography.Among the 8283 patients, 169 (2.0 percent) had clinically important cervical-spine injuries. In 845 (10.2 percent) of the patients, physicians did not evaluate range of motion as required by the CCR algorithm. In analyses that excluded these indeterminate cases, the CCR was more sensitive than the NLC (99.4 percent vs. 90.7 percent, P<0.001

2003 NEJM

465. National inventory of hospital trauma centers. Full Text available with Trip Pro

National inventory of hospital trauma centers. Trauma centers benefit thousands of injured individuals every day and play a critical role in responding to disasters. The last full accounting of the number and distribution of trauma centers identified 471 trauma centers in the United States in 1991.To determine the number and configuration of trauma centers and identify gaps in coverage.Interviews with trauma center directors (September 2001 to April 2002), data from the American Hospital (...) Association's Annual Survey of Hospitals (2000), and the US Health Resources Administration's Area Resource File (2001) were used to determine characteristics of trauma center hospitals and the geographic areas they serve in all 50 states and in the District of Columbia. Characteristics of trauma centers were examined by level of care and compared with nontrauma centers. Hospitals are designated or certified as trauma centers by a state or regional authority or verified as trauma centers by the American

2003 JAMA

466. Is a digital rectal examination necessary in conscious trauma patients with no clinical evidence of a pelvic fracture or neurological abnormality?

Is a digital rectal examination necessary in conscious trauma patients with no clinical evidence of a pelvic fracture or neurological abnormality? Is a digital rectal examination necessary in conscious trauma patients with no clinical evidence of a pelvic fracture or neurological abnormality? Is a digital rectal examination necessary in conscious trauma patients with no clinical evidence of a pelvic fracture or neurological abnormality? French S Record Status This is a bibliographic record (...) of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation French S. Is a digital rectal examination necessary in conscious trauma patients with no clinical evidence of a pelvic fracture or neurological abnormality? Clayton, Victoria: Centre for Clinical Effectiveness (CCE) 2003: 7 Authors' objectives This aim of this critical appraisal was to assess whether, in a conscious major trauma patient presenting to the ED

2003 Health Technology Assessment (HTA) Database.

467. Impact of American College of Surgeons verification on trauma outcomes Full Text available with Trip Pro

Impact of American College of Surgeons verification on trauma outcomes Impact of American College of Surgeons verification on trauma outcomes Impact of American College of Surgeons verification on trauma outcomes Piontek F A, Coscia R, Marselle C S, Korn R L, Zarling E J Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed (...) critical assessment on the reliability of the study and the conclusions drawn. Health technology Level II American College of Surgeons (ACS) verification of trauma outcomes in trauma centres were studied. This was compared to no ACS verification of the outcomes. Type of intervention Secondary prevention. Economic study type Cost-effectiveness analysis. Study population Three different populations were used in this study. The first population comprised 8,674 patients admitted to the hospital from March

2003 NHS Economic Evaluation Database.

468. Should helical CT scanning of the thoracic cavity replace the conventional chest X-ray as a primary assessment tool in pediatric trauma: an efficacy and cost analysis

Should helical CT scanning of the thoracic cavity replace the conventional chest X-ray as a primary assessment tool in pediatric trauma: an efficacy and cost analysis Should helical CT scanning of the thoracic cavity replace the conventional chest X-ray as a primary assessment tool in pediatric trauma: an efficacy and cost analysis Should helical CT scanning of the thoracic cavity replace the conventional chest X-ray as a primary assessment tool in pediatric trauma: an efficacy and cost (...) -ray (CXR). Type of intervention Screening and diagnosis. The authors aimed, in part, to assess whether TCT should be used as a screening or diagnostic tool in selected patients. Economic study type Cost-effectiveness analysis. Study population The study population comprised children aged 18 years old and younger who had both a CXR and TCT scan in the initial trauma evaluation. Setting The study was set in the Jon Michael Moor Trauma Centre (JMMTC) at a tertiary care medical facility (West Virginia

2003 NHS Economic Evaluation Database.

469. Does bronchoalveolar lavage enhance our ability to treat ventilator-associated pneumonia in a trauma-burn intensive care unit? Full Text available with Trip Pro

Does bronchoalveolar lavage enhance our ability to treat ventilator-associated pneumonia in a trauma-burn intensive care unit? Does bronchoalveolar lavage enhance our ability to treat ventilator-associated pneumonia in a trauma-burn intensive care unit? Does bronchoalveolar lavage enhance our ability to treat ventilator-associated pneumonia in a trauma-burn intensive care unit? Wahl W L, Franklin G A, Brandt M M, Sturm L, Ahrns K S, Hemmila M R, Arbabi S Record Status This is a critical (...) abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The study compared diagnosis of ventilator-associated pneumonia (VAP) with and without bronchoalveolar lavage (BAL). A surgical resident or the trauma-attending physician performed BAL. BAL involved passing

2003 NHS Economic Evaluation Database.

470. Long-term effect of psychological trauma on the mental health of Vietnamese refugees resettled in Australia: a population-based study. (Abstract)

Long-term effect of psychological trauma on the mental health of Vietnamese refugees resettled in Australia: a population-based study. What are the deleterious effects of mass trauma on the psychological wellbeing of refugees and other war-affected populations? Most epidemiological data are for short-to-medium term effects, leaving the possibility that early psychological reactions could reduce naturally over time. We aimed to assess the long-term effects of trauma on mental health (...) -10 and the culturally-sensitive measure, respectively. Trauma exposure was the most important predictor of mental health status. Risk of mental illness fell consistently across time. However, people who had been exposed to more than three trauma events (199) had heightened risk of mental illness (23, [12%]) after 10 years compared with people with no trauma exposure (13, [3%]) (odds ratio 4.7, p<0.0001, 95% CI 2.3-9.5).Most Vietnamese refugees were free from overt mental ill health. Trauma

2002 Lancet

471. Measuring trauma and health status in refugees: a critical review. (Abstract)

Measuring trauma and health status in refugees: a critical review. Refugees experience multiple traumatic events and have significant associated health problems, but data about refugee trauma and health status are often conflicting and difficult to interpret.To assess the characteristics of the literature on refugee trauma and health, to identify and evaluate instruments used to measure refugee trauma and health status, and to recommend improvements.MEDLINE, PsychInfo, Health and PsychoSocial (...) Instruments, CINAHL, and Cochrane Systematic Reviews (searched through OVID from the inception of each database to October 2001), and the New Mexico Refugee Project database.Key terms and combination operators were applied to identify English-language publications evaluating measurement of refugee trauma and/or health status.Information extracted for each article included author; year of publication; primary focus; type (empirical, review, or descriptive); and type/name and properties of instrument(s

2002 JAMA

472. A thoracostomy tube guideline improves management efficiency in trauma patients

A thoracostomy tube guideline improves management efficiency in trauma patients A thoracostomy tube guideline improves management efficiency in trauma patients A thoracostomy tube guideline improves management efficiency in trauma patients Adrales G, Huynh T, Broering B, Sing R F, Miles W, Thomason M H, Jacobs D G Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods (...) type Cost-effectiveness analysis. Study population The study population comprised trauma patients, aged between 15 and 80 years, who were admitted to the trauma centre during the 3 months after the introduction of the PG. The control group consisted of a cohort of critically-ill matched patients from the 9 months before PG. Patients were excluded if they required prolonged antibiotic therapy or multiple chest radiographs, or if they had other infections. The target population was the same

2002 NHS Economic Evaluation Database.

473. Single session debriefing after psychological trauma: a meta-analysis

Single session debriefing after psychological trauma: a meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2002 DARE.

474. Cost effectiveness of kinetic therapy in preventing nosocomial lower respiratory tract infections in patients suffering from trauma

Cost effectiveness of kinetic therapy in preventing nosocomial lower respiratory tract infections in patients suffering from trauma Cost effectiveness of kinetic therapy in preventing nosocomial lower respiratory tract infections in patients suffering from trauma Cost effectiveness of kinetic therapy in preventing nosocomial lower respiratory tract infections in patients suffering from trauma Mullins C D, Philbeck T E, Schroeder W J, Thomas S K Record Status This is a critical abstract (...) -effectiveness analysis. Study population The study population was a hypothetical one. Long-stay patients were being treated in intensive care. Thirty-six per cent of the patients had experienced head trauma. Setting The setting was tertiary care. The economic study was carried out in the USA. Dates to which data relate The effectiveness data were obtained from a study published in 1990 (Fink et al., see Other Publications of Related Interest) and from other published literature. No details of this other

2002 NHS Economic Evaluation Database.

475. The Canadian C-spine rule for radiography in alert and stable trauma patients. (Abstract)

The Canadian C-spine rule for radiography in alert and stable trauma patients. High levels of variation and inefficiency exist in current clinical practice regarding use of cervical spine (C-spine) radiography in alert and stable trauma patients.To derive a clinical decision rule that is highly sensitive for detecting acute C-spine injury and will allow emergency department (ED) physicians to be more selective in use of radiography in alert and stable trauma patients.Prospective cohort study (...) conducted from October 1996 to April 1999, in which physicians evaluated patients for 20 standardized clinical findings prior to radiography. In some cases, a second physician performed independent interobserver assessments.Ten EDs in large Canadian community and university hospitals.Convenience sample of 8924 adults (mean age, 37 years) who presented to the ED with blunt trauma to the head/neck, stable vital signs, and a Glasgow Coma Scale score of 15.Clinically important C-spine injury, evaluated

2001 JAMA

476. Advanced trauma life support training for ambulance crews. Full Text available with Trip Pro

Advanced trauma life support training for ambulance crews. There is an increasing global burden of disease from injuries. Models of trauma care initially developed in high-income countries are also being adopted in low and middle-income countries (LMIC). Amongst these ambulance crews with Advanced Life Support (ALS) training are being promoted in LMIC as a strategy for improving outcomes for victims of trauma. However there is controversy as to the effectiveness of this health service (...) intervention, and the evidence has yet to be rigorously appraised.To quantify the effectiveness of ambulance crews with ALS training versus crews with any other level of training in reducing mortality and morbidity in trauma patients.We searched the Cochrane Controlled Trial Register (CCTR), the specialised register of the Cochrane Injuries Group, MEDLINE, EMBASE, CINAHL, PubMed and the National Research Register. We checked references of background papers and contacted authors to identify additional

2001 Cochrane

477. Spinal immobilisation for trauma patients. Full Text available with Trip Pro

Spinal immobilisation for trauma patients. Spinal immobilisation involves the use of a number of devices and strategies to stabilise the spinal column after injury and thus prevent spinal cord damage. The practice is widely recommended and widely used in trauma patients with suspected spinal cord injury in the pre-hospital setting.To quantify the effect of different methods of spinal immobilisation (including immobilisation versus no immobilisation) on mortality, neurological disability, spinal (...) stability and adverse effects in trauma patients.We searched the Cochrane Controlled Trial Register (CCTR), the specialised register of the Cochrane Injuries Group, MEDLINE, EMBASE, CINAHL, PubMed and the National Research Register. We checked reference lists of all articles and contacted experts in the field to identify eligible trials. Manufacturers of spinal immobilisation devices were also contacted for information.Randomised controlled trials comparing spinal immobilisation strategies in trauma

2001 Cochrane

478. Timing and volume of fluid administration for patients with bleeding following trauma. Full Text available with Trip Pro

Timing and volume of fluid administration for patients with bleeding following trauma. Treatment of haemorrhagic shock involves maintaining blood pressure and tissue perfusion until bleeding is controlled. Different resuscitation strategies have been used to maintain the blood pressure in trauma patients until bleeding is controlled. However, while maintaining blood pressure may prevent shock, it may worsen bleeding.To assess the effects of early versus delayed, and larger versus smaller volume (...) of fluid administration in trauma patients with bleeding.We searched the Cochrane Controlled Trials Register, the specialised register of the Injuries Group, MEDLINE, EMBASE, the National Research Register and the Science Citation Index. We checked reference lists of identified articles and contacted authors and experts in the field.Randomised trials of the timing and volume of intravenous fluid administration in trauma patients with bleeding. Trials in which different types of intravenous fluid were

2001 Cochrane

479. The use of birth stools during second stage labour and the risk of perineal trauma

The use of birth stools during second stage labour and the risk of perineal trauma The use of birth stools during second stage labour and the risk of perineal trauma The use of birth stools during second stage labour and the risk of perineal trauma Raulli A Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Raulli A. The use of birth stools during second stage (...) labour and the risk of perineal trauma. Centre for Clinical Effectiveness (CCE). Evidence Centre Evidence Report. 2001 Authors' objectives This aim of this report was to assess whether birth stools are associated with a higher incidence of perineal trauma during second stage labour. Authors' conclusions - One study was retrieved that met inclusion criteria. This study was a recent systematic review examining the benefits and risks of vertical compared to lateral positions during second stage labour

2001 Health Technology Assessment (HTA) Database.

480. Perineal massage in labour and prevention of perineal trauma: randomised controlled trial. Full Text available with Trip Pro

Perineal massage in labour and prevention of perineal trauma: randomised controlled trial. To determine the effects of perineal massage in the second stage of labour on perineal outcomes.Randomised controlled trial.At 36 weeks' gestation, women expecting normal birth of a singleton were asked to join the study. Women became eligible to be randomised in labour if they progressed to full dilatation of the cervix or 8 cm or more if nulliparous or 5 cm or more if multiparous. 1340 were randomised

2001 BMJ Controlled trial quality: predicted high