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10. Analysis of Aspiration Risk Factors in Severe Trauma Patients: Based on Findings of Aspiration Lung Disease in Chest Computed Tomography

Author

Hyun Sung Youl, Lee Jung Nam, Woo Sung Choi, Jin Seong Cho, and Gyu Jin Heo

Subjects
030222 orthopedics, medicine.medical_specialty, Abbreviated Injury Scale, business.industry, Medical record, Head injury, Trauma center, Glasgow Coma Scale, 030208 emergency & critical care medicine, Odds ratio, medicine.disease, Surgery, 03 medical and health sciences, Pneumonia, 0302 clinical medicine, medicine, Injury Severity Score, business
Abstract

Purpose: The present study will identify risk factors for aspiration in severe trauma patients by comparing patients who showed a sign of aspiration lung disease on chest computed tomography (CT) and those who did not. Methods: We conducted a retrospective review of the Korean Trauma Data Bank between January 2014 and December 2019 in a single regional trauma center. The inclusion criteria were patients aged ≥18 years with chest CT, and who had an Injury Severity Score ≥16. Patients with Abbreviated Injury Scale (AIS)-chest score ≥1 and lack of medical records were excluded. General characteristics and patient status were analyzed. Results: 425 patients were included in the final analysis. There were 48 patients showing aspiration on CT (11.2%) and 377 patients showing no aspiration (88.7%). Aspiration group showed more endotracheal intubation in the ER (p=0.000) and a significantly higher proportion of severe Glasgow Coma Scale (GCS) (p=0.000) patients than the non-aspiration group. In AIS as well, the median AIS head score was higher in the aspiration group (p=0.046). Median oxygen saturation was significantly lower in the aspiration group (p=0.002). In a logistic regression analysis, relative to the GCS mild group, the moderate group showed an odds ratio (OR) for aspiration of 2.976 (CI, 1.024-8.647), and the severe group showed an OR of 5.073 (CI, 2.442-10.539). Conclusions: Poor mental state and head injury increase the risk of aspiration. To confirm for aspiration, it would be useful to perform chest CT for severe trauma patients with a head injury.

Published
2020
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11. Major Causes of Preventable Death in Trauma Patients

Author

Park, Youngeun, primary, Lee, Gil Jae, additional, Lee, Min A, additional, Choi, Kang Kook, additional, Gwak, Jihun, additional, Hyun, Sung Youl, additional, Jeon, Yang Bin, additional, Yoon, Yong-Cheol, additional, Lee, Jungnam, additional, and Yu, Byungchul, additional

Published
2021
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23. Disaster Response to a Mass Casualty Incident in a Hospital Fire by Regional Disaster Medical Assistance Team: Characteristics of Hospital Fire.

Author

Jang, Jae Ho, Cho, Jin-Seong, Lim, Youg Su, Hyun, Sung Youl, Woo, Jae-Hyug, Choi, Woo Sung, Choi, Jae Yeon, and Yang, Hyuk Jun

Subjects
DISASTER medicine, EMERGENCY medical services, HOSPITAL medical staff
Abstract

Objective: A disaster in the hospital is particularly serious and quite different from other ordinary disasters. This study aimed at analyzing the activity outcomes of a disaster medical assistance team (DMAT) for a fire disaster at the hospital. Methods: The data which was documented by a DMAT and emergent medical technicians of a fire department contained information about the patient's characteristics, medical records, triage results, and the hospital which the patient was transferred from. Patients were categorized into four groups according to results of field triage using the simple triage and rapid treatment method. Results: DMAT arrived on the scene in 37 minutes. One hundred and thirty eight (138) patients were evacuated from the disaster scene. There were 25 patients (18.1%) in the Red group, 96 patients (69.6%) in the Yellow group, and 1 patient (0.7%) in the Green group. One patient died. There were 16 (11.6%) medical staff and hospital employees. The injury of the caregiver or the medical staff was more severe compared to the family protector. Conclusions: For an effective disaster-response system in hospital disasters, it is important to secure the safety of medical staff, to utilize available medical resources, to secure patients' medical records, and to reorganize the DMAT dispatch system. [ABSTRACT FROM AUTHOR]

Published
2022
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