By M. Cohn Stephen
This publication specializes in very important surgical administration matters the place a number of difficulties are addressed utilizing medical proof from the broadcast literature, and predominantly cites point I and II proof from the Oxford Scale. The eighty five chapters are very easily prepared into 3 sections; Trauma, Emergency normal surgical procedure, and Surgical severe Care difficulties. each one bankruptcy comprises key questions about a specific subject and solutions are supplied besides the power of the advice in transparent tabular shape for fast reference and straightforward interpretation. Acute Care surgical procedure and Trauma: facts dependent perform is key interpreting for all surgeons, fellows and citizens, particularly these operating in acute care, trauma, emergency and demanding care medication.
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Extra resources for Acute Care Surgery and Trauma: Evidence-Based Practice
1), which can be thought of as a comprehensive public health response to injury and that have been described as “an astounding achievement of modern health care” (3). 1% of all Americans (5). Trauma systems have been built out of necessity, often without the luxury of high-level evidence, but their rapid evolution has been guided by the careful analysis of available data. This chapter summarizes some of the best recent evidence on the impact of trauma systems on prevention and trauma care, outlines areas where more data are required, and briefly describes the exciting threshold to which trauma system development has brought us.
Arlington, VA: National Center for Education in Maternal and Child Health, 1994. Committee on Practice and Ambulatory Management. Recommendation for preventive health care. Pediatrics 1995; 96: 373. Barkin S, Fink A, Gelber L. Predicting clinician injury prevention counseling for young children. Arch Pediatr Adolesc Med 1999; 153: 1226–31. Evidence for Injury Prevention Strategies 7 73. Cheng TL, DeWitt TG, Savageau JA, et al. Determinants of counseling in primary care pediatric practice. ArchPediatr Adolesc Med, 1999; 153: 629–35.
27 2003 II Nelson et al. Ramsey et al. Carbone et al. 33 34 57 2004 2002 2005 II II II Albright & Burge 58 2003 I Otis et al. 59 1999 IV Grossman et al. 60 2000 I DiGuiseppi et al. DiGuiseppi et al. Bass et al. 64 65 66 2000 2001 1993 I I II Groups Design Follow-up Endpoint Trauma patients (no control group) Varied Injured patients, 18 years or older, positive blood alcohol content Motivation interview versus standard care Brief intervention versus brief intervention with booster session versus standard care Convenience sample of alcohol positive patients CS SR PCS 6 and 12 months Varied None Hazardous drinking patterns Varied None RCT 3 and 6 months RCT 12 months PCS 4 months Varied Varied Gun safety counseling session, STOP 2 brochure plus a gun lock versus anticipatory guidance Verbal counseling alone versus counseling plus a gun safety brochure versus no counseling STOP gun safety counseling plus brochure (no control group) Gun safety counseling with STOP brochure plus gun lock coupon versus standard care Varied Varied Varied SR SR PCS Varied Varied 1 month Alcohol interventions, harm reduction Ongoing intervention, decrease alcohol recidivism Increased feasibility of alcohol screening and counseling Varied Varied Gun ownership, gun storage practices RCT 60–90 days Gun ownership, gun storage practices CS ≥1 year RCT 3 months Gun ownership, gun storage practices Gun ownership, gun storage practices SR SR SR Varied Varied Varied Varied Varied Varied Abbreviations: CS, case study; RCT, randomized controlled trial; PCS, prospective cohort study; RCS, retrospective cohort study; SR, systematic review; NR, not reported.
Acute Care Surgery and Trauma: Evidence-Based Practice by M. Cohn Stephen