News / Health

New Procedures Improve Chances for Trauma Victims

New ER Procedures Improve Survival Chances for Trauma Victimsi
X
April 22, 2013 1:39 PM
As cases of gun violence fuel the debate over tougher gun laws across the United States, there is one statistic that is positive. Hospitals in many states are seeing fewer gunshot injuries according to doctors at one California trauma center. And for those who suffer from these injuries or other severe trauma, doctors are improving their chances of survival. Elizabeth Lee has the details from Los Angeles County-University of Southern California Medical Center.
Elizabeth Lee
As cases of gun violence fuel the debate over tougher gun laws across the United States, there is one statistic that is positive. Hospitals in many states are seeing fewer gunshot injuries according to doctors at one California trauma center. And for those who suffer from these injuries or other severe trauma, doctors are improving their chances of survival.

At one of the largest trauma centers in the United States, a multi-disciplinary team of doctors and nurses works quickly to save the life of a 60-year-old man suffering from multiple stab wounds. Dr. Peep Talving is the trauma surgeon on call.

“When he was closing his shop there was a robbery, and they stabbed him. He got six stab wounds to the chest, one to the abdomen and two to the neck,” said Talving.

Methodical processes

Dr. Demetrios Demetriades, director of Trauma Services at the Los Angeles County - University of Southern California Trauma Center, said when someone is severely hurt, members of the trauma team are activated.

"Everybody in our center is expected to be in the emergency room within five minutes of activation. This means that they are there before the patient arrives. And each person has a dedicated duty," he said.

Demetriades said this methodical way of treating patients at a trauma center has lowered the preventable trauma deaths to less than two percent.

Other advancements also have improved survival rates. One of them is a change from having paramedics stabilize the patient at the scene to what is called “scoop and run.”

“Don’t waste any valuable time trying to stabilize the patient. Put him in the ambulance and take him to the hospital to the trauma center immediately without any delay,” said Demetriades.

Different treatments

Talving said that is especially critical with gunshot and stab wounds. “Particularly with the penetrating trauma because if you got a vascular injury to the chest torso, there is nothing else than surgery that will stop the bleeding.”  

That is the case for the elderly stabbing victim. Talving had to operate to stop the internal bleeding. The concept of “scoop and run” also is one of the reasons why 18-year-old Juan Gallardo survived a drive-by shooting. Demetriades described the injuries.

“This patient has a gunshot injury to the heart and lung. Twenty years ago he would have been dead and buried - had memorial services every year,” he said.

After surgery, though, Gallardo is returning home two weeks after the shooting. “I’m planning on going back to school and go to church.”

In another change, the hospital operates selectively on patients with gunshots to the abdomen - especially if no vital organs are hit. Not operating reduces medical complications after surgery.

Additionally, in a lesson learned from the war zones of Iraq and Afghanistan, Demetriades said there's a new procedure instead of the traditional method of giving trauma patients large amounts of intravenous fluids such as saline.

“Now we give blood products. We restrict all types of fluids. We give fresh blood products and again this has made a very significant difference,” he said.

Changes like these have improved a patient's chances of survival in trauma centers by as much as 25%. As for the elderly man who was stabbed, he is expected to make a full recovery.

You May Like

Changing Under Pressure, IS ‘Potent’ as Ever

US intel officials describe Ramadi's fall as concerning, but say it isn't emblematic of larger effort to degrade IS capabilities More

Nigeria Fuel Shortage Shows Fragility of Africa’s Oil Giant

Although it is the largest oil producer in Africa, country has nearly ran out of fuel it needs to power its generators, cars and airplanes over the past week More

Arrested Football Officials Come Mainly From the Americas

US Justice Department alleges defendants participated in 24-year scheme to enrich themselves through corruption of international soccer More

This forum has been closed.
Comments
     
There are no comments in this forum. Be first and add one

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
3D Printer Makes Replica of Iconic Sports Cari
|| 0:00:00
...    
🔇
X
George Putic
May 27, 2015 9:31 PM
Cars with parts made by 3D printers are already on the road, but engineers are still learning about this new technology. While testing the possibility of printing an entire car, researchers at the U.S. Department of Energy recently created an electric-powered replica of an iconic sports roadster. VOA’s George Putic has more.
Video

Video 3D Printer Makes Replica of Iconic Sports Car

Cars with parts made by 3D printers are already on the road, but engineers are still learning about this new technology. While testing the possibility of printing an entire car, researchers at the U.S. Department of Energy recently created an electric-powered replica of an iconic sports roadster. VOA’s George Putic has more.
Video

Video US Voters Seek Answers From Presidential Candidates on IS Gains

The growth of the Islamic State militant group in Iraq and Syria comes as the 2016 U.S. presidential campaign kicks off in the Midwest state of Iowa.   As VOA’s Kane Farabaugh reports, voters want to know how the candidates would handle recent militant gains in the Middle East.
Video

Video A Small Oasis on Kabul's Outskirts Provides Relief From Security Tensions

When people in Kabul want to get away from the city and relax, many choose Qargha Lake, a small resort on the outskirts of Kabul. Ayesha Tanzeem visited and talked with people about the precious oasis.
Video

Video Film Festival Looks at Indigenous Peoples, Culture Conflict

A recent Los Angeles film festival highlighted the plight of people caught between two cultures. Mike O'Sullivan has more on the the Garifuna International Film Festival, a Los Angeles forum created by a woman from Central America who wants the world to know more about her culture.
Video

Video Kenyans Lament Losing Sons to al-Shabab

There is agony, fear and lost hope in the Kenyan town of Isiolo, a key target of a new al-Shabab recruitment drive. VOA's Mohammed Yusuf visits Isiolo to speak with families and at least one man who says he was a recruiter.
Video

Video Scientists Say Plankton More Important Than Previously Thought

Tiny ocean creatures called plankton are mostly thought of as food for whales and other large marine animals, but a four-year global study discovered, among other things, that plankton are a major source of oxygen on our planet. VOA’s George Putic reports.
Video

Video US-led Coalition Gives Some Weapons to Iraqi Troops

In a video released Tuesday from the Iraqi Ministry of Defense, Iraqi forces and U.S.-led coalition troops survey a cache of weapons supplied to help Iraq liberate Mosul from Islamic State group. According to a statement provided with the video, the ministry and the U.S.-led coaltion troops have started ''supplying the 16th army division with medium and light weapons in preparation to liberate Mosul and nearby areas from Da'esh (Arabic acronym for Islamic State group).''
Video

Video Amnesty International: 'Overwhelming Evidence' of War Crimes in Ukraine

Human rights group Amnesty International says there is overwhelming evidence of ongoing war crimes in Ukraine, despite a tentative cease-fire with pro-Russian rebels. Researchers interviewed more than 30 prisoners from both sides of the conflict and all but one said they were tortured. Henry Ridgwell reports for VOA from London.
Video

Video Washington Parade Honors Those Killed Serving in US Military

Every year, on the last Monday in the month of May, millions of Americans honor the memories of those killed while serving in the armed forces. Memorial Day is a tradition that dates back to the 19th Century. While many people celebrate the federal holiday with a barbecue and a day off from work, for those who’ve served in the military, it’s a special day to remember those who made the ultimate sacrifice. Arash Arabasadi reports for VOA from Washington.
Video

Video Kenya’s Capital Sees Rise in Shisha Parlors

In Kenya, the smoking of shisha, a type of flavored tobacco, is the latest craze. Patrons are flocking to shisha parlors to smoke and socialize. But the practice can be addictive and harmful, though many dabblers may not realize the dangers, according to a new review. Lenny Ruvaga has more on the story for VOA from Nairobi, Kenya.
Video

Video Rolling Thunder Run Reveals Changed Attitudes Towards Vietnam War

For many US war veterans, the Memorial Day holiday is an opportunity to look back at a divisive conflict in the nation’s history and to remember those who did not make it home.
Video

Video Female American Soldiers: Healing Through Filmmaking

According to the United States Defense Department, there are more than 200-thousand women serving in the U.S. Armed Forces.  Like their male counterparts, females have experiences that can be very traumatic.  VOA's Bernard Shusman tells us about a program that is helping some American women in the military heal through filmmaking.

VOA Blogs