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The Emergency Severity Index (ESI) is a five-level emergency department triage algorithm, initially developed in 1998 by emergency physicians Richard Wurez and David Eitel. [1] It was previously maintained by the Agency for Healthcare Research and Quality (AHRQ) but is currently maintained by the Emergency Nurses Association (ENA).
The Injury Severity Score (ISS) is an established medical score to assess trauma severity. [1] [2] It correlates with mortality, morbidity and hospitalization time after trauma. It is used to define the term major trauma. A major trauma (or polytrauma) is defined as the Injury Severity Score being greater than 15. [2]
The list below shows the hospital name, city and state location, number of beds in the hospital, adult trauma level certification, and pediatric trauma level certification: [1] Hospital City
Hypothermia prevention is an early and critical intervention to keep a traumatized casualty warm regardless of the operational environment. Continued assessment and management in TFC includes treating penetrating eye trauma, assessing for traumatic brain injury or head injuries, treating burns, splinting fractures, and dressing non-life ...
The Trauma Symptom Inventory (TSI) is a psychological evaluation/assessment instrument that taps symptoms of Posttraumatic stress disorder and other posttraumatic emotional problems. It was originally published in 1995 [1] by its developer, John Briere. It is one of the most widely used measures of posttraumatic symptomatology.
Trauma-informed care can play a large role in both the treatment of trauma and prevention of violence. Survivors of violence have a re-injury rate ranging from 16% to 44%. [104] Proponents argue that TIC is necessary to interrupt this broader cycle of violence, as studies show that medical treatment alone does not protect survivors from re-injury.
Critical incident stress management (CISM) is a system of support for individuals and groups who have been exposed to trauma. It is a form of psychological first aid. It includes pre-incident preparedness and acute crisis management through post-crisis follow-up.
A more detailed and rapid neurological evaluation is performed at the end of the primary survey. This establishes the patient's level of consciousness, pupil size and reaction, lateralizing signs, and spinal cord injury level. The Glasgow Coma Scale is a quick method to determine the level of consciousness, and is predictive of patient outcome ...