[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
Purchase Options:
[Skip to Content Landing]
May 25, 1984

Traffic Fatalities in a System With Decentralized Trauma Care: A Study With Special Reference to Potentially Salvageable Casualties

Author Affiliations

From the Department of Forensic Medicine, University of Lund, Sweden.

JAMA. 1984;251(20):2668-2671. doi:10.1001/jama.1984.03340440026021

To evaluate a system with decentralized trauma care, a review was made of all 158 traffic fatalities in 1981 in the southern part of Sweden. The region has 15 well-equipped and well-staffed small- and medium-sized hospitals and two university hospitals with extensive resources. The patients are usually brought by ambulance to the closest receiving facility. Only three persons could possibly have been saved—one suffering from a lacerated femoral artery and two patients in whose cases missed diagnoses (eg, bowel rupture or cardiac tamponade) might have contributed to the fatal outcome. The present investigation reveals that high survival rates after traffic trauma can be achieved with a conventional Swedish trauma care system.

(JAMA 1984;251:2668-2671)

Krantz P, Löwenhielm P:  Injury response in belted and unbelted car occupants related to the car crash energy in 458 accidents .  Proceedings of the Fifth International Research Committee on Biokinetics of Impacts Conference, 1980 , pp 305-317.
Committee on Injury Scaling:  The Abbreviated Injury Scale , 1980 revision. Morton Grove, Ill, American Association for Automotive Medicine, 1980.
Baker S, O'Neill B:  The injury severity score: An update .  J Trauma 1976;16:882-885.Crossref
Baker S, O'Neill B, Haddon W, et al:  The injury severity score: A method for describing patients with multiple injuries and evaluating emergency care .  J Trauma 1974;14:187-196.Crossref
Voigt GE, Saldeen T:  Über den Abriss zahlreicher oder sämtlicher Venae cerebri superiores mit geringem Subduralhematom und Hirnstammläsion .  Dtsch Z Ges Gerichtl Med 1968;64:9-20.
Frey CF, Huelke DF, Gikas PW:  Resuscitation and survival in motor vehicle accidents .  J Trauma 1969;9:292-310.Crossref
Trunkey DD, Lim RC:  Analysis of 425 consecutive trauma fatalities: An autopsy study .  J Am Coll Emerg Phys 1974;3:368-371.Crossref
West JG, Trunkey DD, Lim RC:  Systems of trauma care .  Arch Surg 1979;114:455-460.Crossref
Moylan JA, Detmer DE, Rose J, et al:  Evaluation of the quality of hospital care for major trauma .  J Trauma 1976;16:517-523.Crossref
Wehner W:  Zur Standortbestimmung des Fettembolisyndroms .  Zentralbl Chirurgie 1981; 106:1177-1193.
Goris JA, Draaisma J:  Causes of death after blunt trauma .  J Trauma 1982;22:141-146.Crossref
Bauer A, Mcneil C, Trentelman E, et al:  The depression of T lymphocytes after trauma .  Am J Surg 1978;136:674-680.Crossref
Christou NV, Mclean APH, Meakins JL:  Host defense in blunt trauma: Interrelationships of kinetics of energy and depressed neutrophil function, nutritional status and sepsis .  J Trauma 1980;20:833-841.Crossref
Hohn DC, Meyers AJ, Gherni ST, et al:  Production of acute pulmonary injury by leukocytes and activated compliment .  Surgery 1980; 88:48-58.
Seelig JM, Becker DP, Miller JD, et al:  Traumatic acute subdural hematoma .  N Engl J Med 1981;304:1511-1518.Crossref