https://nova.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 Peri-operative changes in serum immune markers after trauma: a systematic review https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:21450 Sat 24 Mar 2018 08:05:44 AEDT ]]> Prehospital nausea and vomiting after trauma: prevalence, risk factors, and development of a predictive scoring system https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:17326 120) or Glasgow Coma Scale score <14 on arrival were excluded. Nausea, vomiting, and antiemetic use were recorded. RESULTS: Convenience sample of 196 trauma resuscitation patients (68% men; age, 42 ± 18 years, mean Injury Severity Score 8 ± 7) were interviewed over the 5-month study period, of a total 369 admitted trauma patients (53%). Seventy-five (38%) patients reported some degree of nausea, 57 (29%) moderate or severe nausea, and 15 (8%) vomited. Older age and female gender were associated with vomiting (p < 0.01). Seventy-nine patients (40%) received a prophylactic antiemetic. Of these, four became nauseous (5%), compared with 71 of 117 (61%) for patients not given an antiemetic (p < 0.0001). CONCLUSIONS: Prehospital nausea and vomiting are more common in our cohort of trauma patients than the reported rates in the literature for nontrauma patients transported to hospital by ambulance. Only 40% of patients receive prophylactic antiemetics, but those patients are less likely to develop symptoms.]]> Sat 24 Mar 2018 08:01:47 AEDT ]]> Intercostal catheter insertion: are we really doing well? https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:23620 Sat 24 Mar 2018 07:13:28 AEDT ]]> Time to computed tomography scanning for major trauma patients: the Australian reality https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:23619 3, intubated patients and those with subsequent fatal outcome. Conclusions: Although 93 min to completion of trauma CT scans is comparable with some international reports, it falls well behind centres who have demonstrated improved outcomes with CT scanning. Our results serve as a baseline to our and potentially other Australasian trauma centres to improve on this surrogate measure of trauma team efficacy.]]> Sat 24 Mar 2018 07:13:28 AEDT ]]>