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Trauma & Acute Care Surgery > Peer-Reviewed Publications 2018


Lancaster General Hospital’s Trauma Service has a very active clinical research program. We have a Clinical Research Coordinator who organizes and sets up monthly research meetings with timelines for presentations at national meetings.

We are also supported by the Research Institute at Lancaster General Hospital, which provides strong statistical support for the numerous projects that we are involved with. At any one time, we have a number of ongoing projects, many of which have been presented for both podium and poster presentations at national trauma meetings, including the American Association for the Surgery of Trauma, Society of Critical Care Medicine, American College of Surgeons, etc.

The participants in our research program include the trauma surgeons, nurses and advanced practitioners, who work in Trauma Service, as well as several of our liaisons from other specialties. This activity has been supported through the administration of Lancaster General Hospital. Trauma Service has received numerous accolades for some of the research projects that we have accomplished. 

Summaries of Peer-Reviewed (Accepted) Publications of 2018 

Click on summary titles for the corresponding PDF full reports. 

Preliminary Results of a Novel Hay-Hole Fall Prevention Initiative

Hay-hole falls are a prevalent source of trauma among Anabaptists - particularly Anabaptist youth. We sought to decrease hay-hole falls in South Central Pennsylvania through the development and distribution of all-weather hay-hole covers to members of the at-risk Anabaptist community.

Improved Outcomes in Elderly Trauma Patients with the Implementation of Two Innovative Geriatric-Specific Protocols - Final Report
Elderly trauma care is challenging due to the unique physiology and comorbidities prevalent in this population. Two practice management guidelines were implemented (HRGP and ACT Alert) to improve the care of these patients. A significant decrease in mortality was observed with combined implementation of both protocols compared to mortality prior to introduction of these guidelines.

Development of a Trauma System and Optimal Placement of Trauma Centers Using Geospatial Mapping
While the care of patients at individual trauma centers has been carefully optimized, the placement of TCs within the trauma systems could use improvement. PTSF and PHC4 databases were queried for adult trauma admissions from 2003-2015. ArcGIS Desktop was used to generate models to determine optimal locations of trauma centers across the state of Pennsylvania.

Under-triage in Trauma: Does an Organized Trauma Network Capture the Major Trauma Victim? A Statewide Analysis
Proper triage of critical trauma patients is essential for survival and patient outcomes. We sought to determine the percentage and distribution of patients meeting trauma criteria who received care at non-trauma centers within the state of Pennsylvania. We determined nearly a third of trauma patients are inappropriately triaged to non-trauma centers and that pockets of undertriage are scattered across the state.

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