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Prehospital Emergency Care Volume 15, 2011 - Issue 4
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Focus on Trauma Triage

Does Mechanism of Injury Predict Trauma Center Need?

E. Brooke LernerFrom the Medical College of Wisconsin (EBL, CEG, KB), Milwaukee, Wisconsin;the University of Rochester (MNS, JTC), Rochester, New York;William Beaumont Hospital (RAS), Royal Oak, Michigan;CUBRC (AB), Buffalo, New York;and Harborview Medical Center (GJJ), Seattle, WashingtonCorrespondence[email protected]
, PhD,
Manish N. ShahFrom the Medical College of Wisconsin (EBL, CEG, KB), Milwaukee, Wisconsin;the University of Rochester (MNS, JTC), Rochester, New York;William Beaumont Hospital (RAS), Royal Oak, Michigan;CUBRC (AB), Buffalo, New York;and Harborview Medical Center (GJJ), Seattle, Washington
, MD, MPH,
Jeremy T. CushmanFrom the Medical College of Wisconsin (EBL, CEG, KB), Milwaukee, Wisconsin;the University of Rochester (MNS, JTC), Rochester, New York;William Beaumont Hospital (RAS), Royal Oak, Michigan;CUBRC (AB), Buffalo, New York;and Harborview Medical Center (GJJ), Seattle, Washington
, MD, MS,
Robert A. SworFrom the Medical College of Wisconsin (EBL, CEG, KB), Milwaukee, Wisconsin;the University of Rochester (MNS, JTC), Rochester, New York;William Beaumont Hospital (RAS), Royal Oak, Michigan;CUBRC (AB), Buffalo, New York;and Harborview Medical Center (GJJ), Seattle, Washington
, DO,
Clare E. GuseFrom the Medical College of Wisconsin (EBL, CEG, KB), Milwaukee, Wisconsin;the University of Rochester (MNS, JTC), Rochester, New York;William Beaumont Hospital (RAS), Royal Oak, Michigan;CUBRC (AB), Buffalo, New York;and Harborview Medical Center (GJJ), Seattle, Washington
, MS,
Karen BraselFrom the Medical College of Wisconsin (EBL, CEG, KB), Milwaukee, Wisconsin;the University of Rochester (MNS, JTC), Rochester, New York;William Beaumont Hospital (RAS), Royal Oak, Michigan;CUBRC (AB), Buffalo, New York;and Harborview Medical Center (GJJ), Seattle, Washington
, MD, MPH,
Alan BlattFrom the Medical College of Wisconsin (EBL, CEG, KB), Milwaukee, Wisconsin;the University of Rochester (MNS, JTC), Rochester, New York;William Beaumont Hospital (RAS), Royal Oak, Michigan;CUBRC (AB), Buffalo, New York;and Harborview Medical Center (GJJ), Seattle, Washington
, BS, MS &
Gregory J. JurkovichFrom the Medical College of Wisconsin (EBL, CEG, KB), Milwaukee, Wisconsin;the University of Rochester (MNS, JTC), Rochester, New York;William Beaumont Hospital (RAS), Royal Oak, Michigan;CUBRC (AB), Buffalo, New York;and Harborview Medical Center (GJJ), Seattle, Washington
, MD show all
Pages 518-525 | Received 26 Apr 2011, Accepted 19 May 2011, Published online: 26 Aug 2011

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Thomas Hartka, George Glass & Pavel Chernyavskiy. (2022) Evaluation of mechanism of injury criteria for field triage of occupants involved in motor vehicle collisions. Traffic Injury Prevention 23:sup1, pages S143-S148.
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E. Brooke Lerner, Mohamed Badawy, Jeremy T. Cushman, Amy L. Drendel, Nicole Fumo, Courtney M. C. Jones, Manish N. Shah & David M. Gourlay. (2021) Does Mechanism of Injury Predict Trauma Center Need for Children?. Prehospital Emergency Care 25:1, pages 95-102.
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Brian D. Willenbring, E. Brooke Lerner, Karen Brasel, Jeremy T. Cushman, Clare E. Guse, Manish N. Shah & Robert Swor. (2016) Evaluation of a Consensus-Based Criterion Standard Definition of Trauma Center Need for Use in Field Triage Research. Prehospital Emergency Care 20:1, pages 1-5.
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E. Brooke Lerner, Jennifer Roberts, Clare E. Guse, Manish N. Shah, Robert Swor, Jeremy T. Cushman, Alan Blatt, Gregory J. Jurkovich & Karen Brasel. (2013) Does EMS Perceived Anatomic Injury Predict Trauma Center Need?. Prehospital Emergency Care 17:3, pages 312-316.
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Harrison J. Travis, Blake Platt, Sara G. Muramoto, Alison A. Smith, John P. Hunt, Lance E. Stuke, Patrick P. Greiffenstein, Jonathan E. Schoen & Alan B. Marr. (2023) Does Vehicle Intrusion Alone Still Predict Injury: A Retrospective Analysis of Mechanism as Trauma Activation Criteria. The American Surgeon™ 89:8, pages 3585-3587.
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Jamie Benson, Daniel Wolfson & Eline van den Broek-Altenburg. (2023) Tradeoffs in Triage of Motor Vehicle Trauma by Rural 911 Emergency Medical Services Practitioners. Medical Decision Making 43:3, pages 311-324.
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Antonio R. Fernandez, Scott S. Bourn, Garrett D. Hall, Remle P. Crowe & J. Brent Myers. (2023) Patient Outcomes Based on the 2011 CDC Guidelines for Field Triage of Injured Patients. Journal of Trauma Nursing 30:1, pages 5-13.
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Arooj Ansar, Akash John, Abid Ali, Aiman Zafar, Zainab Saghir & Ali Junaid Dar. (2022) Evaluation of Head On Computed Tomography Among Paediatric Patients Presenting with Trauma. Pakistan BioMedical Journal, pages 21-24.
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Tim Nutbeam, Rob Fenwick, Jason E. Smith, Mike Dayson, Brian Carlin, Mark Wilson, Lee Wallis & Willem Stassen. (2022) A Delphi study of rescue and clinical subject matter experts on the extrication of patients following a motor vehicle collision. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 30:1.
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Joshua R. Lupton, Cynthia Davis‐O'Reilly, Rebecca M. Jungbauer, Craig D. Newgard, Mary E. Fallat, Joshua B. Brown, N. Clay Mann, Gregory J. Jurkovich, Eileen Bulger, Mark L. Gestring, E. Brooke Lerner, Roger Chou & Annette M. Totten. (2022) Mechanism of injury and special considerations as predictive of serious injury: A systematic review. Academic Emergency Medicine 29:9, pages 1106-1117.
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Craig D. Newgard, Peter E. Fischer, Mark Gestring, Holly N. Michaels, Gregory J. Jurkovich, E. Brooke Lerner, Mary E. Fallat, Theodore R. Delbridge, Joshua B. Brown & Eileen M. Bulger. (2022) National guideline for the field triage of injured patients: Recommendations of the National Expert Panel on Field Triage, 2021. Journal of Trauma and Acute Care Surgery 93:2, pages e49-e60.
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Young Un Choi, Sung Woo Jang, Su Hyun Kim, Ji Wool Ko, Myoung Jun Kim, Hongjin Shim, Jae Hun Han, Ji Hye Lim & Kwangmin Kim. (2022) Correlation between the Injury Site and Trauma Mechanism in Severely Injured Patients with Blunt Trauma. Emergency Medicine International 2022, pages 1-6.
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Christian Waydhas, Dan Bieler, Uwe Hamsen, Markus Baacke & Rolf Lefering. (2020) ISS alone, is not sufficient to correctly assign patients post hoc to trauma team requirement. European Journal of Trauma and Emergency Surgery 48:1, pages 383-392.
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Tim Nutbeam, Rob Fenwick, Barbara May, Willem Stassen, Jason E. Smith, Lee Wallis, Mike Dayson & James Shippen. (2021) The role of cervical collars and verbal instructions in minimising spinal movement during self-extrication following a motor vehicle collision - a biomechanical study using healthy volunteers. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 29:1.
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Tim Nutbeam, Rob Fenwick, Jason Smith, Omar Bouamra, Lee Wallis & Willem Stassen. (2021) A comparison of the demographics, injury patterns and outcome data for patients injured in motor vehicle collisions who are trapped compared to those patients who are not trapped. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 29:1.
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Sunayana Moriarty, Nathan Brown, Michael Waller & Kevin Chu. (2021) Isolated vehicle rollover is not an independent predictor of trauma injury severity. Journal of the American College of Emergency Physicians Open 2:4.
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J. C. Stephan, T. Grossner, L. M. Stephan-Paulsen, M. A. Weigand, G. Schmidmaier & E. Popp. (2020) Evaluation der Aufnahmekriterien von Patienten nach Verkehrsunfall in den SchockraumEvaluation of trauma centre admission criteria for patients involved in road traffic accidents. Notfall + Rettungsmedizin 24:2, pages 134-142.
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Marius J.B. Keel & Dorothea Hempel. 2020. Klinische Notfallmedizin Band 1 Wissen. Klinische Notfallmedizin Band 1 Wissen 280 345 .
Arnaud Cassignol, Julien Marmin, Jean Cotte, Mickael Cardinale, Julien Bordes, Vanessa Pauly, François Kerbaul, Didier Demory & Eric Meaudre. (2019) Correlation between field triage criteria and the injury severity score of trauma patients in a French inclusive regional trauma system. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 27:1.
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Jessica Lynn Ryan, Etienne Pracht, Barbara Langland-Orban & Marie Crandall. (2019) Association of mechanism of injury with overtriage of injured youth patients as trauma alerts. Trauma Surgery & Acute Care Open 4:1, pages e000300.
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James Vassallo & Jason Smith. (2019) Major incident triage and the evaluation of the Triage Sort as a secondary triage method. Emergency Medicine Journal 36:5, pages 281-286.
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Philipp Braken, Felix Amsler & Thomas Gross. (2018) Simple modification of trauma mechanism alarm criteria published for the TraumaNetwork DGU® may significantly improve overtriage – a cross sectional study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 26:1.
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Christian Waydhas, Markus Baake, Lars Becker, Boris Buck, Helena Düsing, Björn Heindl, Kai Oliver Jensen, Rolf Lefering, Carsten Mand, T. Paffrath, Uwe Schweigkofler, Kai Sprengel, Heiko Trentzsch, Bernd Wohlrath & Dan Bieler. (2018) A Consensus-Based Criterion Standard for the Requirement of a Trauma Team. World Journal of Surgery 42:9, pages 2800-2809.
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Christian Macke, Marika Sarakintsis, Marcel Winkelmann, Philipp Mommsen, Mohamed Omar, Christian Schröter, Christian Krettek & Christian Zeckey. (2018) Influence of Entrapment on Prehospital Management and the Hospital Course in Polytrauma Patients: A Retrospective Analysis in Air Rescue. The Journal of Emergency Medicine 54:6, pages 827-834.
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Andrew Follows, Ryan Phillips & James Vassallo. (2017) Identifying trauma centre need in adult patients sustaining injury. Trauma 19:4, pages 312-319.
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José Gustavo Parreira, Giovanna Zucchini Rondini, Cristiano Below, Giuliana Olivi Tanaka, Julia Nunes Pelluchi, Jacqueline Arantes-Perlingeiro, Silvia Cristine Soldá & José César Assef. (2017) Relação entre o mecanismo de trauma e lesões diagnosticadas em vítimas de trauma fechado. Revista do Colégio Brasileiro de Cirurgiões 44:4, pages 340-347.
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Nicholas P Hare, Alistair W Macdonald, James P Mellor, Maaz Younus, Hridesh Chatha & Ian Sammy. (2017) Do clinical guidelines for whole body computerised tomography in trauma improve diagnostic accuracy and reduce unnecessary investigations? A systematic review and narrative synthesis. Trauma 19:3, pages 163-174.
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Samuel M. GalvagnoJr.Jr., Robert A. Sikorski, Christopher Stephens & Thomas E. Grissom. (2016) Initial Evaluation and Triage of the Injured Patient: Mechanisms of Injury and Triggers for Operating Room Versus Emergency Department Stabilization. Current Anesthesiology Reports 6:1, pages 50-58.
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Kazuhide Matsushima, Konstantinos Chouliaras, William Koenig, Christy Preston, Deidre Gorospe & Demetrios Demetriades. (2016) Should we still use motor vehicle intrusion as a sole triage criterion for the use of trauma center resources?. Injury 47:1, pages 235-238.
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Tak-Wai Lui, Kit-Ling Fan & Ling-Pong Leung. (2015) Performance of a prehospital trauma diversion system in Hong Kong, China. Chinese Journal of Traumatology 18:3, pages 137-140.
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Tim Nutbeam, Rob Fenwick, Charles Hobson, Vikki Holland & Michael Palmer. (2015) Extrication time prediction tool. Emergency Medicine Journal 32:5, pages 401-403.
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Tim Nutbeam, Rob Fenwick, Charles Hobson, Vikki Holland & Michael Palmer. (2014) The stages of extrication: a prospective study. Emergency Medicine Journal 31:12, pages 1006-1008.
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Shinji NakaharaTetsuya Matsuoka, Masato Ueno, Yasuaki Mizushima, Masao Ichikawa & Junichiro Yokota. (2014) Extremity Injuries as Predictors of Emergency Care Resource Needs among Blunt Trauma Patients in Japan. The American Surgeon 80:2, pages 197-203.
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Lance E. StukeJuan C. Duchesne, John P. HuntAlan B. MarrPeter C. Meade & Norman E. McSwain. (2013) Mechanism of Injury is not a Predictor of Trauma Center Admission. The American Surgeon 79:11, pages 1149-1153.
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R Sloan. (2013) A retrospective review of influences on clinicians to order whole body CT scans in trauma and its effectiveness in this regard. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 21:S1.
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