SOPHIA
Sophia
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An Australian prehospital retrospective cohort study attempted to discover whether analysis of the mechanism of injury alone is a useful predictor in prehospital trauma triage. Patient care ambulance records of more than 4571 trauma patients were analysed. Only two criteria proved to be statistically significant, namely a fall of over five metres and vehicle entrapment lasting more than 30 minutes. The authors conclude that analysis of mechanism of injury alone is not a useful predictor of major trauma in patients without physiological distress or obvious significant injuries (Injury 2008;39:986–92).
A report in Thorax describes a subset of patients with pulmonary embolism with haemodynamic stability but evidence of right ventricular dysfunction who are at increased risk of death, yet are currently treated with conventional anticoagulation. It is postulated that these patients may benefit from more aggressive therapy which could include thrombolysis. Three parameters are suggested to try to
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