title: High energy trauma patients treated in the department of general surgery in a secondary emergency facility in Japan.
abstract: OBJECTIVE
  We clarified the characteristics of the high energy trauma patients that entered the general surgery ward of Fukuoka city hospital (FCH), a 200 bed secondary emergency hospital in Japan.
  
  
  METHODS
  Of the 7,826 total ambulance cases treated from April 2008 to March 2012 in our emergency room, 831 trauma patients who entered our hospital were analyzed. These patients were classified into a non high energy (NHE) and high energy trauma (HE) group based on the mechanisms of injuries.
  
  
  RESULTS
  Of the 831 trauma cases, 741 (89.2%) were in the NHE and 90 (10.8%) were in the HE group. Eleven of the 741 cases (1.5%) in the NHE group and 18 of the 90 cases (20.0%) in the HE group entered the Department of General Surgery as inpatients, with the frequency being significantly higher in the latter group (p < 0.01). 11 of the 18 cases (61.1%) of Department of General Surgery in the HE group were diagnosed to have an injury severity score (ISS) of 15 or higher, and the rate of preventable trauma deaths (PTDs) of those 11 cases was 9.1% (1/11).
  
  
  CONCLUSIONS
  The proportion of the patients that entered the Department of General Surgery was higher in the HE group than in the NHE group. The surgical departments of secondary emergency facilities are expected to contribute to the local trauma emergency systems.
authors.affiliation: Department of Emergency Medicine, Fukuoka City Hospital. okuyama929@yahoo.co.jp
authors.forename: Toshiro
authors.initials: T
authors.lastname: Okuyama
authors.forename: Shoiku
authors.initials: S
authors.lastname: Matsumoto
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Yoshino
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Hirakawa
authors.forename: Masanobu
authors.initials: M
authors.lastname: Kishikawa
authors.forename: Kisaku
authors.initials: K
authors.lastname: Yoshida
authors.forename: Taichi
authors.initials: T
authors.lastname: Saito
authors.forename: Takahiro
authors.initials: T
authors.lastname: Higashi
authors.forename: Kazutoyo
authors.initials: K
authors.lastname: Morita
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Nagata
authors.forename: Hideaki
authors.initials: H
authors.lastname: Uchiyama
authors.forename: Daihiko
authors.initials: D
authors.lastname: Eguchi
authors.forename: Kazuya
authors.initials: K
authors.lastname: Endo
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Kawanaka
authors.forename: Morimasa
authors.initials: M
authors.lastname: Tomikawa
authors.forename: Masahiro
authors.initials: M
authors.lastname: Tateishi
authors.forename: Daisuke
authors.initials: D
authors.lastname: Korenaga
authors.forename: Kenji
authors.initials: K
authors.lastname: Takenaka
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004632:Emergency Medical Services; D005260:Female; D013502:General Surgery; D006748:Hospital Departments; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D014947:Wounds and Injuries / Q000145:classification* / Q000453:epidemiology