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  • Title: Evaluation of a blunt and penetrating trauma algorithm for truncal injury.
    Author: Bishop M, Shoemaker WC, Jackson G, Williams D, Kram HB, Fleming AW.
    Journal: Crit Care Clin; 1991 Apr; 7(2):383-99. PubMed ID: 2049645.
    Abstract:
    The authors objective was to develop and test a single branch-chain decision tree for blunt and penetrating truncal injury. Over the 4-month study period there were 979 patients evaluated in the emergency department; 674 of these patients were admitted to the hospital. Thirty-four (5%) of the 674 admitted patients died of truncal injury. The study group consisted of 239 of the most severely injured patients; 41 of these (17%) died. Of the 44 patients managed with major deviations from the algorithm, 27 (61%) died. Only 14 of the 195 patients (7%) whose management complied with the algorithm died. The authors conclude that following the specific management criteria outlined by the algorithm may improve the survival of severely traumatized patients.
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