• Publications
  • Influence
Helmet use, patterns of injury, medical outcome, and costs among motorcycle drivers in Maryland.
TLDR
A comprehensive study was conducted of all motorcycle traffic crashes occurring in Maryland during a one-year period and indicated that helmet usage was 35% overall, 30% among fatally injured drivers, and only 16% among drivers with a history of drug/alcohol conviction. Expand
Trauma case mix and hospital payment: the potential for refining DRGs.
TLDR
The results argue for the need to explore alternative payment systems not strictly based on current DRGs, because of DRGs do not adequately reflect severity differences, which will create financial incentives that discourage regionalization of trauma care. Expand
Major bowel and diaphragmatic injuries associated with blunt spleen or liver rupture.
TLDR
A 20% incidence of partial-thickness bowel wounds was found in patients with hepatic or splenic injury, but the natural history of these wounds is unknown. Expand
Inter-rater reliability of preventable death judgments. The Preventable Death Study Group.
This study examined the inter-rater reliability of preventable death judgments for trauma. A total of 130 deaths were reviewed for potential preventability by multiple panels of nationally chosenExpand
The Maryland emergency medical services system: an update.
  • A. Ramzy
  • Medicine
  • Maryland medical journal
  • 1988
Emergency Medical System Networked Simulation
TLDR
The Emergency Medical System Networked Simulation configured as a mass casualty incident will feature 10 to 30 victims, all pre-hospital care units and emergency medical care facilities within the state of Maryland, and an array of realistic game variables, including weather and road conditions and patient status. Expand
Inter-rater reliability of preventable death judgments
This study examined the inter-rater reliability of preventable death judgments for trauma. A total of 130 deaths were reviewed for potential preventability by multiple panels of nationally chosenExpand
Evaluating performance of statewide regionalized systems of trauma care.
TLDR
Analysis of data available for all trauma discharges in 1988 provides insights into the characteristics of trauma patients at higher risk of not getting the appropriate level of trauma care and should assist in improving guidelines for triage and transfer within a regionalized system of care. Expand
Management of major tracheobronchial ruptures in patients with multiple system trauma.
TLDR
The decision to perform thoracotomy or celiotomy first in patients with major tracheobronchial injuries and concomitant abdominal trauma must be individualized. Expand
Hospitalizations for traumatic injuries among children in Maryland: trends in incidence and severity: 1979 through 1988.
TLDR
Data suggest a change in admission practices of mildly injured children as a major cause for the observed overall decline in hospitalization rates, and a declining trend in all Injury Severity Score groups. Expand
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