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Eliciting and Analyzing Domain Concepts
Published in Karen L. McGraw, Karan Harbison, User-Centered Requirements: The Scenario-Based Engineering Process, 2020
Karen L. McGraw, Karan Harbison
Conceptual graphs can be extended to represent generic physical processes. For example, Fig. 9.2 illustrates a process step within an emergency medical care process. In this step the emergency care giver must determine patient priority (e.g., Priority 1 requires immediate care while Priority 3 enables delayed care) to plan emergency interventions and to determine how (e.g., ambulance, helicopter) and where (e.g., community hospital, emergency room, trauma center) to transport patients.
Adult golf cart injuries: A rising hazard off the course
Published in Traffic Injury Prevention, 2023
Kyle Gibson, Timothy J. Stevens, Morgan A. Krause
Future work could include increasing injury prevention efforts in areas with high golf cart use, especially in the geriatric population. The ACS states that injury prevention must have a systematic approach in trauma centers and that these efforts need to be prioritized based on trauma registry and disease-related data (Rotondo et al. 2014). We recommend other trauma programs reach out to local golf cart dealers and golf courses for injury prevention activities due to our experience of adult injury severity as well as showcasing previously published pediatric injury patterns. Additionally, awareness of the injury patterns can be showcased to first responders, emergency department staff, and trauma center staff. We would recommend trauma program staff reach out to EMS organizations to perform physical outreach opportunities or digital outreach opportunities with injury patterns to help facilitate appropriate trauma triage decision-making.
Comparison of injuries among motorcycle, moped and bicycle traffic accident victims
Published in Traffic Injury Prevention, 2022
Tyler Kent, Jordan Miller, Colby Shreve, Gayle Allenback, Brock Wentz
This study was conducted on patients who experienced a motor vehicular traffic accident while operating either a motorcycle, moped, or bicycle on a roadway. Non-traffic accidents (off-road, motocross, BMX, etc) were excluded. All patients were treated in the trauma resuscitation department of the University Medical Center of Southern Nevada (UMC), a level one trauma center, between the years of 2013-2017. UMC prospectively collects data on all patients treated in the trauma center and stores it in a trauma-specific database that then gets contributed to the National Trauma Data Bank registry. Patients treated by the Emergency Department (ED) were not included (see Appendix 1 for trauma center referral criteria). Electronic medical records from this trauma-specific database were retrospectively reviewed to identify age, sex, race, vehicle type, injury location, fracture location, helmet use, Glasgow Coma Scale, Injury Severity Score, and clinical course following disposition from the trauma center.
The epidemiology and prehospital care of motorcycle crashes in a sub-Saharan African urban center
Published in Traffic Injury Prevention, 2020
A. Rosenberg, F. Z. Uwinshuti, M. Dworkin, V. Nsengimana, E. Kankindi, M. Niyonsaba, J. M. Uwitonze, I. Kabagema, T. Dushime, E. Krebs, S. Jayaraman
SAMU teams performed many interventions in the field and made decisions regarding transportation. Ambulances traveled a median of 12 km (8–22 km) to reach a health care facility. Patients were most commonly involved in motorcycle-related RTCs between 7:00 p.m. and 9:00 p.m. (Figure 2). Most patients involved in motorcycle-related RTCs (n = 2,805, 97%) underwent primary transportation. Many patients were transported to CHUK (n = 1,080, 42.5%) or Kibagabaga District Hospital (n = 770, 30%). Patients with more acute presentations based on urgency status, lower GCS, and injuries classified as severe were more likely to be transported to CHUK, which is the major trauma center in the country (P < .01). In addition, 337 (13%) patients received on-site care without the need for transfer to a health care facility. These patients had less acute presentations based on urgency status, GCS, and number of severe injuries (P < .01). The most common interventions for these patients were the application of wound dressings (n = 222, 66%) and the provision of pain medications (n = 146, 43%). Additionally, 4 (<1%) patients were found dead upon SAMU arrival and 4 (<1%) died during transportation to the hospital. SAMU is not contacted if a patient is found dead by a bystander.