Centres de traumatologie : Questions médicales fréquentes
Nom anglais: Trauma Centers
Descriptor UI:D014193
Tree Number:N04.452.442.452.422.336.400
Questions fréquentes et termes MeSH associés
Diagnostic
5
#1
Comment évalue-t-on un traumatisme au centre de traumatologie ?
L'évaluation inclut un examen physique, des antécédents médicaux et des examens d'imagerie.
TraumatismesÉvaluation clinique
#2
Quels examens sont courants pour un traumatisme crânien ?
Les tomodensitométries (TDM) et les IRM sont souvent utilisés pour diagnostiquer les lésions.
Traumatismes crâniensImagerie par résonance magnétique
#3
Quelles sont les indications d'une intervention chirurgicale ?
Les indications incluent des hémorragies internes, des fractures complexes ou des lésions organiques.
ChirurgieFractures
#4
Comment détecte-t-on une lésion de la moelle épinière ?
On utilise des examens neurologiques et des imageries comme la TDM ou l'IRM.
Lésions de la moelle épinièreImagerie médicale
#5
Quels signes indiquent un choc hypovolémique ?
Les signes incluent une pression artérielle basse, une fréquence cardiaque élevée et une pâleur.
Choc hypovolémiqueSignes cliniques
Symptômes
5
#1
Quels sont les symptômes d'une fracture ?
Les symptômes incluent douleur intense, gonflement, déformation et incapacité à bouger.
FracturesDouleur
#2
Comment reconnaître un traumatisme abdominal ?
Les symptômes incluent douleur abdominale, nausées, vomissements et parfois hémorragie.
Traumatismes abdominauxSymptômes
#3
Quels signes indiquent une commotion cérébrale ?
Les signes incluent confusion, maux de tête, vertiges et troubles de l'équilibre.
Commotion cérébraleSymptômes neurologiques
#4
Quels symptômes sont associés à une entorse ?
Les symptômes incluent douleur, gonflement, ecchymoses et difficulté à utiliser l'articulation.
EntorsesSymptômes
#5
Quels signes peuvent indiquer une fracture du crâne ?
Les signes incluent des maux de tête sévères, des saignements du nez ou des oreilles.
Fractures du crâneSignes cliniques
Prévention
5
#1
Comment prévenir les accidents de la route ?
Respecter les règles de circulation, utiliser des ceintures de sécurité et éviter l'alcool.
Accidents de la routePrévention
#2
Quelles mesures réduire les chutes chez les personnes âgées ?
Améliorer l'éclairage, utiliser des aides à la mobilité et éliminer les obstacles à domicile.
ChutesPersonnes âgées
#3
Comment éviter les blessures sportives ?
S'échauffer correctement, utiliser un équipement approprié et respecter les règles du jeu.
Blessures sportivesPrévention
#4
Quelles sont les recommandations pour la sécurité domestique ?
Installer des barres d'appui, utiliser des tapis antidérapants et sécuriser les escaliers.
Sécurité domestiquePrévention des accidents
#5
Comment prévenir les blessures liées aux activités de plein air ?
Porter un équipement de protection, rester hydraté et être conscient de son environnement.
Activités de plein airPrévention des blessures
Traitements
5
#1
Quel est le traitement standard pour une fracture ?
Le traitement standard inclut l'immobilisation, la réduction et parfois la chirurgie.
FracturesTraitement
#2
Comment traite-t-on une commotion cérébrale ?
Le traitement repose sur le repos, l'évaluation neurologique et la gestion des symptômes.
Commotion cérébraleGestion des symptômes
#3
Quelles sont les options pour traiter un traumatisme abdominal ?
Les options incluent la surveillance, la chirurgie ou des interventions endoscopiques selon la gravité.
Traumatismes abdominauxChirurgie
#4
Quel est le rôle de la rééducation après un traumatisme ?
La rééducation aide à restaurer la fonction, réduire la douleur et améliorer la mobilité.
RéhabilitationTraumatismes
#5
Comment traite-t-on une entorse ?
Le traitement inclut le repos, la glace, la compression et l'élévation (méthode RICE).
EntorsesTraitement conservateur
Complications
5
#1
Quelles complications peuvent survenir après une fracture ?
Les complications incluent l'infection, la non-union osseuse et les lésions nerveuses.
FracturesComplications
#2
Quels risques sont associés à un traumatisme crânien ?
Les risques incluent des saignements cérébraux, des convulsions et des troubles cognitifs.
Traumatismes crâniensComplications
#3
Quelles complications peuvent résulter d'une entorse ?
Les complications incluent l'instabilité articulaire, l'arthrose et des douleurs chroniques.
EntorsesComplications
#4
Quels sont les effets à long terme d'un traumatisme abdominal ?
Les effets peuvent inclure des douleurs chroniques, des problèmes digestifs et des cicatrices internes.
Traumatismes abdominauxEffets à long terme
#5
Quelles complications peuvent survenir après une chirurgie de traumatisme ?
Les complications incluent l'infection, les saignements et les problèmes de cicatrisation.
ChirurgieComplications
Facteurs de risque
5
#1
Quels sont les facteurs de risque pour les traumatismes chez les enfants ?
Les facteurs incluent l'âge, l'activité physique, et l'absence de surveillance adulte.
Traumatismes chez les enfantsFacteurs de risque
#2
Comment le vieillissement influence-t-il les traumatismes ?
Le vieillissement augmente le risque de chutes et de blessures dues à la fragilité osseuse.
VieillissementTraumatismes
#3
Quels comportements augmentent le risque d'accidents de la route ?
La conduite sous influence, la vitesse excessive et l'inattention sont des comportements à risque.
Accidents de la routeComportements à risque
#4
Quels sports présentent un risque élevé de blessures ?
Les sports de contact comme le football, le rugby et les arts martiaux présentent un risque élevé.
Sports de contactRisques de blessures
#5
Comment l'alcool influence-t-il les traumatismes ?
L'alcool altère le jugement et la coordination, augmentant le risque d'accidents et de blessures.
AlcoolTraumatismes
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"name": "Quelles mesures réduire les chutes chez les personnes âgées ?",
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"name": "Comment traite-t-on une entorse ?",
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},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir après une fracture ?",
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},
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},
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},
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},
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}
},
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"name": "Quels sont les facteurs de risque pour les traumatismes chez les enfants ?",
"position": 26,
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},
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}
},
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"name": "Quels comportements augmentent le risque d'accidents de la route ?",
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"acceptedAnswer": {
"@type": "Answer",
"text": "La conduite sous influence, la vitesse excessive et l'inattention sont des comportements à risque."
}
},
{
"@type": "Question",
"name": "Quels sports présentent un risque élevé de blessures ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les sports de contact comme le football, le rugby et les arts martiaux présentent un risque élevé."
}
},
{
"@type": "Question",
"name": "Comment l'alcool influence-t-il les traumatismes ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'alcool altère le jugement et la coordination, augmentant le risque d'accidents et de blessures."
}
}
]
}
]
}
Department of Orthopedic Surgery, Korea University College of Medicine, Guro Hospital, 97 Gurodong-gil, Guro-gu, Seoul, 08308, South Korea. jkoh@korea.ac.kr.
From the General Surgery Residency, University of Louisville, Louisville, Kentucky (A.T.R.); Trauma and Acute Care Surgery, Penn Medicine Lancaster General Health, Lancaster, Pennsylvania (M.A.H., T.M.V., E.H.B., S.J., F.B.R.); and Department of Surgery (B.A.G.), UPMC Children's Hospital of Pittsburg, Pittsburg, Pennsylvania, Trauma Research Program (A.D.C.), Chandler Regional Medical Center, Chandler, Arizona.
Traumatic spinal injuries in children are uncommon and result in different patterns of injuries due to the anatomical characteristics of children's spines. However, there are only a few epidemiologica...
We retrospectively reviewed the cases of pediatric patients (age < 18 years) with traumatic spinal injury who were treated at a level 1 trauma center between January 2017 and December 2021. We divided...
A total of 62 patients (255 fractures) were included, and the mean age was 13.8 ± 3.2 years. There were 5 patients (22 fractures) in group I (0-9 years), 24 patients (82 fractures) in group II (10-14 ...
In our study, fall from height was the most common mechanism of injury, and there were many suicide attempts associated with mental health issues. Thoracolumbar junction injuries were predominant, and...
Pediatric lower extremity vascular injury (PLEVI) is uncommon and the availability of granular data is sparse. This study evaluated the surgical management of PLEVIs between a Level I adult (ATC) vs p...
We performed a retrospective review of PLEVIs (< 18 years) managed surgically between 01/2009-12/2022. Demographics and outcome data were obtained. Primary outcomes included amputation and fasciotomy ...
Seventy-nine patients were identified, 41 at the ATC and 38 at the PTC, totaling 112 vessels injured. ATC patients were older (median years 16.0 vs 12.5) and almost exclusively (97.6% vs 29.0%) gunsho...
PLEVI can be managed safely at ATCs and PTCs with acceptable outcomes. However, important nuances in patient triage and management need to be considered. Multi-institutional comprehensive datasets are...
Level III....
Injuries are a leading cause of death in the United States. Trauma systems aim to ensure all injured patients receive appropriate care. Hospitals that participate in a trauma system, trauma centers (T...
We extracted hospital-level features from the state inpatient hospital discharge data in Washington state, including all TCs and non-TCs, in 2016. We provided summary statistics and tested the differe...
The clusters only partially aligned with the TC designations. Set 1 found the volume and variation of surgical care distinguished the hospitals, while in Set 2 orthopedic procedures and other features...
Unsupervised machine learning identified surgical care delivery patterns that explained variation beyond level designation. This research provides insights into how systems leaders could optimize the ...
Trauma systems are crucial for enhancing survival and quality of life for trauma patients. Understanding trauma triage and patient outcomes is essential for optimizing resource allocation and trauma c...
The aim was to explore prehospital trauma triage in Region Zealand, Denmark. Specifically, characteristics for patients who were either primarily admitted or secondarily transferred to major trauma ce...
A retrospective descriptive study of severely injured trauma patients was conducted from January 2017 to December 2021....
The study comprised 744 patients including 55.6% primary and 44.4% secondary patients. Overall, men accounted for 70.2% of patients, and 66.1% were aged 18-65 years. The secondary patients included mo...
Secondary trauma patients had higher Injury Severity Scores and better survival rates. They were considered less urgent by medical dispatchers and less frequently assessed by physician-staffed units. ...
Treatment of interpersonal violence (IPV) patients is often complicated by social and mental health comorbidities. New American College of Surgeons (ACS) requirements include provision of psychosocial...
IPV patients were identified between September 6, 2018 and December 20, 2020. Demographic information was collected. TRS utilization and specific services rendered were identified. Primary outcome mea...
A total of 502 patients were included in the final cohort, and 394 patients (78.5%) accepted the utilization of TRS services after initial interaction. Patients were on average 33.4 y old, and 59.4% w...
TRS was extensively utilized by IPV patients, and associated with more follow-up appointments, ED visits, and longer LOS. Emphasis on injury mechanisms, baseline demographics, and social features may ...
The population is rapidly aging and remains active over the age of 65 years. An increasing number of sports-related fractures (SRFs) in individuals 65 and older are thus anticipated. Despite the incre...
Data from geriatric patients who visited a level I trauma center were collected between June 2020 and July 2023. Overall, 1,109 geriatric patients with fractures were included in the study. Among them...
The mean age of SRFs was significantly lower (73.6 vs. 78.7 years; P < .001). The proportion of men was significantly higher in the SRF group than in the non-SRF group (51.4 vs. 29.6%; P < .001). We i...
This epidemiological study describes geriatric population that continues to be involved in sports and is thus susceptible to fractures. The identification of the type and distribution of SRFs in geria...
Vitamin D concentrations are associated with sepsis, pneumonia, and mortality in critically ill patients. However, the role of vitamin D in critically injured patients with trauma remains unknown. Thi...
A prospective observational study was conducted by randomly selecting 100 patients among those who visited our trauma center. The serum vitamin D concentration was measured upon arrival at the hospita...
Of the 100 patients, 69 were men and 31 were women with an average age of 51.7 years. The average intensive care unit stay length was 18.4 days, and 6 patients (5.9%) died. Univariate regression analy...
There were no statistically significant effects of serum vitamin D concentrations in critically ill patients with trauma on death during hospitalization....
Adult trauma centers (ATCs) have been shown to decrease injury mortality and morbidity in major trauma, but a synthesis of evidence for pediatric trauma centers (PTCs) is lacking....
To assess the effectiveness of PTCs compared with ATCs, combined trauma centers (CTCs), or nondesignated hospitals in reducing mortality and morbidity among children admitted to hospitals following tr...
MEDLINE, Embase, and Web of Science through March 2023....
Studies comparing PTCs with ATCs, CTCs, or nondesignated hospitals for pediatric trauma populations (aged ≤19 years)....
This systematic review and meta-analysis was performed following the Preferred Reporting Items for Systematic Review and Meta-analysis and Meta-analysis of Observational Studies in Epidemiology guidel...
Primary outcomes were mortality, complications, functional status, discharge destination, and quality of life. Secondary outcomes were resource use and processes of care, including computed tomography...
A total of 56 studies with 286 051 participants were included overall, and 34 were included in the meta-analysis. When compared with ATCs, PTCs were associated with a 41% lower risk of mortality (OR, ...
In this systematic review and meta-analysis, results suggested that PTCs were associated with lower odds of mortality, CT use, and operative management for SOI than ATCs for children admitted to hospi...
Traumatic pelvic injuries can result in rapid exsanguination. Bleeding control interventions include stabilization, angiography, and possible embolization. Previous studies yielded conflicting results...
The aim of this study is to examine the impact of the time to angioembolization on the survival of patients presenting with pelvic injuries using a national database....
This was an observational retrospective study that used the National Trauma Data Bank 2017 dataset. Adult patients with pelvic injuries and who received angiography with embolization to the pelvis wer...
A total of 1,057 patients were included. They were predominantly of male gender (69.3 %) with a median age of 50 years (IQR = [31-64]). The mean time to pelvic angiography was 264.0 ± 204.4 min. The o...
Time to angiography was not associated with survival to hospital discharge of patients with pelvic injuries who required embolization. Further research examining specific patterns of injuries and asse...
Penetrating trauma occurs less frequently in females than in males. Studies on penetrating injuries are conducted in predominantly male populations. We aim to elucidate the demographics and outcomes o...
A retrospective review of hospitalized adult trauma patients suffering penetrating trauma from 2015 to 2021 was performed in an urban American College of Surgeon-verified level 1 trauma center. Patien...
Females with penetrating injury had lower Injury Severity Score (1 versus 4, P < 0.05) than males, but had similar mortality rates (4% versus 6%, P = 0.06). In multivariable logistic analysis adjustin...
Despite receiving fewer surgical/IR intervention, females with penetrating injuries have similar outcomes to their male counterparts. Further study is needed to study this discrepancy....