Research Proposal: Rts of Injured Patients in Juth

Topics: Physical trauma, Emergency medicine, Surgery Pages: 18 (4287 words) Published: September 11, 2011
TITLE:
REVISED TRAUMA SCORE OF INJURED PATIENTS PRESENTING TO ACCIDENT AND EMERGENCY OF JOS UNIVERSITY TEACHING HOSPITAL

BY
DR. USMAN ADAMU GWARAM

RESEARH PROPOSAL FOR A DISSERTATION SUBMITTED TO THE NATIONAL POST GRADUATE MEDICAL COLECGE OF NIGERIA (NPMCN) IN PARTIAL FULFILLMENT OF THE REQUIREMENT FOR THE AWARD OF FELLOWSHIP OF THE COLLEGE IN SURGERY

FEBRUARY, 2009.
REGISTRATION

FACULTY::SURGERY

SPECIALTY::GENERAL SURGERY

INSITUTION OF TRAINING::DEPT. OF SURGERY JOS
UNIVERSITY TEACHING HOSPITAL.

PASSED PART 1::MAY 2008.

PROPOSED PART 2 EXAM DATE: MAY 2010.
ATTESTATION I
SUPERVISOR’S CERTIFICATION.

This study will be carried out by Dr. Usman Adamu Gwaram under our supervision. We will also supervise the writing of the dissertation.

1. Prof. C.H. Ihezue. FWACS, FMCS, FRCS (Ed) FICS.
Chief Consultant Surgeon, Department of Surgery Jos University Teaching Hospital.

Signature_________________ Date_________________

2. Dr. A.Z. Sule. FMCS, FWACS.
Senior Consultant Surgeon, Department of Surgery Jos University Teaching Hospital.

Signature_________________ Date_________________

3. Dr. I.I Onche. FMCS, FWACS.
Consultant Orthopedic and Trauma Surgeon, Department of Surgery Jos University Teaching Hospital.

Signature_________________ Date_________________

ATTENTATION II
CERTIFICATION BY HEAD OF DEPARTMENT.

I hereby certify that this study will be carried out by Dr. Usman Gwaram of the Department of Surgery, Jos University Teaching Hospital, under supervision.

Dr. AZ Sule, FWACS, FMCS,
Head, Department of Surgery,
Jos University Teaching Hospital.

Signature__________________ Date____________________
DECLARATION.

I hereby declare that this dissertation is my own work and that, to the best of my knowledge and belief, it contains to natural preciously published or writer by another person nor material which to a substantial extend has been accepted for the award of any other degree of diploma of the University or other institute of higher learning, except where due acknowledgement has been made in the text.

_____________________________________________
Dr. Gwaram UA.Date.
LIST OF ABBREVIATION

AAST:American Association for the Surgery of Trauma
ACS:American College of surgeons
AIS:Abbreviated Injury Scale
APACHE:Acute
TABLE OF CONTENTS.
Title page------------i
Table of Content -----------ii

CHAPTER ONE
1.0 Introduction-----------3
1.1 Definitions -----------3
1.2 Historical Perspectives---------3
1.3 Trauma Systems---------4
1.4 Trauma Scoring ---------5
1.5 Revised Trauma Score (RTS)--------5
1.6 Trauma Registries ----------6
1.7 Statement -----------6
1.8 Justification for the Study---------7
1.9 Aims and Objectives----------7

CHAPTER TWO.
2.0 Literature Review----------8
2.1 Overview of Trauma Scoring System--------8
2.1.1 Anatomical Scoring ---------8
2.1.2 Physiological Scoring System--------8
2.1.3 Combined Scoring Systems--------9
2.1.4 Generic Scoring System---------9
2.2 RTS: Validity and Quality Management-------10
2.3 RTS and other Scoring Systems--------12
2.4 RTS and Forensic Medicine---------13
2.5 Pattern and Epidemiologic Characteristic of Trauma Presentation to Hospital-14

CHAPTER THREE
3.0 Patients and Methods---------16
3.1 Study Area-----------16
3.2 Study Design-----------16
3.2.1 Inclusion Criteria----------16
3.2.2 Exclusion Criteria ----------16
3.3 Sample Size-----------17
3.4 Study Population----------17
3.5 Data Collection ---------18
3.6 Data Management----------18
3.7 Ethical Consideration--...

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2. Merriam-Webster’s Dictionary of English usage. 10th Edition. 1998 Merriam Webster co.
3. Trauma-Eds. Feliciano DV, Moore EE, Maltox KL, Appleton and Lange Stanford, Connecticut USA. 1996.
4. Frank Kells Bolland, the first anesthetic. The story of Crawford Long (Athens: University of Geogira press, 1950).
5. Master Surgeon. A Biography of Joseph Lister, by Lawrence, MD Harper and Brothers publishers New York, 1962.
9. Trauma Source: The American Association for the Surgery of trauma. AAST formed as American Association for Traumatic Surgery. June 1, 1998.
14. Edwin’Smith Surgica papyrus. Translated by James Henry Breasted, Chicago. University of Chicago press, 1930.
15. The management of Major Trauma. Oxford Handbook in Emergency Medicine. Colin Robertson and Anthony Redmond. Oxford University press. Oxford. 1991.
17. Trauma and Emergency Medicine. The medical algorithm project. Chapter 29. 22 Sept. 2008.
23. Tafida DS. Accident Care in Nigeria: There is a better way: Presented at the Nigerian Medical Forum Conference Glasgow, Scotland, 1994.
27. Champion HR et al. Trauma Score. Journal of critical medicine 9: 672-676, 1981.
30. Keene AR, Cullen DJ. Therapeutic Intervention Scoring Systems. Critical Care Need. 1983 Jan; 11(1): 1-3.
31. Knaus WA, Draper EA, Wagner DP, Zimmerman JE (1985) “APACHE II: A Severity of Diseases Classification System Critical care Medicne 13:818-21.
35. Moore, Lynne, Lavoie, Andre et al. unification of the Revised Trauma Score. The Journal of Trauma. 2006-Sept; Vol. 61 (issues 3) Pp 718-22.
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45. Carmona, Richard MD, Prince, Kathy RN, Trauma and Forensic Medicine. Journal of Trauma-infection and Critical Care. Sept. 1989. pp 1222-1225.
50. Lateef OA, Thanni, Adedayo O, Tade Epidemiology of severe Injury in a Nigeria Hospital. Nigerian Journal of Orthopedics and Trauma. Dec. 2007: 6(2): 67-69.
57. Publication of the directorate of Information, Plateau State Ministry of Information, 1991 Census Figure.
58. Araoye MO. Subject selection in: Research Mythology with Statistics for Health and Social Sciences (2003) Pp. 115-19.
63. Cales Rit: Trauma Mortality in Orange country: The effect of implementation of a regional trauma system. Aun Emery Med 13: 1-10, 1984.
64. Shackford SR, Baxt NG, Hagt DB et al: Impact of a trauma system on outcome of severely injured patients Arch Surg. 122:523-527, 1987.
65. West JG, Trunkey DD, Lim RC: Systems of Trauma Care: A study of two countries. Arch Surg. 114:455-460, 1979.
70. World Health Organisation: Injury: A leading cause of the global burden of disease. Geneva WHO, 1999.Nordberg: Injuries in Africa: A review East African Medical Journal. June 1994. Pp 339-345.
71. Okobia NN, ossiwe U: Givelian gunshot woods in Benin City. Nigeria Medical practitioner Vol. 39, No. 5-6, 2001, Pg 67-72
72
74. Mohammed AZ, Edino St, Ochicha O, Umar AB: Epidemiology of gunshot injuries in Kano, Nigeria. Nigeria Journal of Surgical Resarch. Vol. 7, No. 3-4, 2005: 293-296.
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