Development of Trauma Care Systems

Cooper, Gail; Laskowski-Jones, Linda

doi:10.1080/10903120600728755

Cited by 10 publications

(5 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Treatment of critically ill patients with multiple injuries requires expert, multidisciplinary, high‐cost, coordinated and timely interventions 1 . ‐ 3 This is difficult to guarantee without a system of trauma care that integrates all regional health facilities.…”

mentioning

confidence: 99%

“…Trauma care has traditionally consisted of fragmented, complex individual therapies. As a result of military experience, many clinicians involved in trauma care developed the view that trauma centres with high‐volume experience would provide better care than other centres 1 , 3 . The concept of identifying preventable trauma deaths and developing registries to monitor outcomes began in the 1970s and built momentum during the 1980s in North America 7 .…”

mentioning

confidence: 99%

See 1 more Smart Citation

A statewide system of trauma care in Victoria: effect on patient survival

Cameron

Gabbe

Cooper

et al. 2008

Medical Journal of Australia

268

198

View full text Add to dashboard Cite

Objective: To determine whether the statewide system of trauma care introduced in 2000 has resulted in improved survival for all major trauma patients in Victoria. Design, setting and participants: Population‐based cohort study using data from the Victorian State Trauma Registry (VSTR), a registry of all hospitalised major trauma patients in Victoria. The study included major trauma patients with an Injury Severity Score > 15 captured by the VSTR between July 2001 and June 2006. Main outcome measure: In‐hospital mortality. Results: The number of major trauma cases captured by the registry rose from 1153 in 2001–02 to 1737 in 2005–06. Adjusting for key predictors of mortality, there was a significant overall reduction between 2001–02 and 2005–06 in the risk of death for patients treated in the trauma system (adjusted odds ratio [AOR], 0.62 [95% CI, 0.48–0.80]). The reduced risk of death was also significant when road trauma cases (AOR, 0.56 [95% CI, 0.39–0.80]) and serious head injury cases (AOR, 0.62 [95% CI, 0.46–0.83]) were analysed separately. The proportion of road trauma patients definitively treated at one of the three major trauma service (MTS) hospitals in Victoria rose by 7% over the 5‐year period. Direct transfers from the scene of injury to MTS hospitals rose by 8% for all cases and 13% for road trauma cases over the same period. Conclusions: Introduction of a statewide trauma system was associated with a significant reduction in risk‐adjusted mortality. Such inclusive systems of trauma care should be regarded as a minimum standard for health jurisdictions.

show abstract

mentioning

confidence: 99%

mentioning

confidence: 99%

A statewide system of trauma care in Victoria: effect on patient survival

Cameron

Gabbe

Cooper

et al. 2008

Medical Journal of Australia

268

198

View full text Add to dashboard Cite

show abstract

“…During the Korean Conflict and the Vietnam War, the pathophysiology of haemorrhagic shock was better understood, leading to better outcomes and fewer incidences of renal failure in subsequent wars. The 1966 landmark publication by the National Academy of Sciences, "Accidental Death and Disability: The Neglected Disease of Modern Society" [ 36 ], outlined a framework to correct deficiencies identified in traumatic injury management and is considered by most scholars as the foundation for the first civilian trauma centres established in the United States in 1966 [ 37 ]. By the year 2000, a trauma system had been implemented in every US state.…”

Section: Reviewmentioning

confidence: 99%

Trauma Care in Nigeria: Time for an Integrated Trauma System

Okereke¹,

Zahoor²,

Ramadan³

2022

Cureus

View full text Add to dashboard Cite

Traumatic injuries are a global health problem. Most first world countries have developed comprehensive trauma systems to provide optimal care for injured patients. A trauma system is a coordinated effort in a defined geographic area that attempts to deliver trauma care to all injured patients and is usually integrated with the local public health system. The majority of low and middle income countries (LMIC) do not have functional trauma systems. This study aims to critique the status of trauma care in Nigeria and make a case for a re-organisation towards an inclusive trauma system. The methodology was a review of published articles and available grey literature to assess current practices in Nigeria within the various components of a trauma system, viz., injury prevention, pre-hospital care, acute care, and rehabilitation. The conclusions from this review suggest that integrating existing major trauma centres (MTCs) with smaller local hospitals within a region into an inclusive, interconnected region-based trauma system is the cheapest and most efficient way to improve Nigeria's trauma care and significantly reduce trauma mortality rates.

show abstract

“…16 The net result was a set of clear standards to which hospitals across the country would have to adhere to in order to be designated as regional trauma centers. 20,21 The ultimate measure of the benefit of regionalization of trauma care is reduction in morbidity and mortality of trauma patients. Although studies looking at this issue vary in design and quality, the preponderance of evidence points to the utility of regionalized trauma care.…”

Section: Traumamentioning

confidence: 99%

Resuscitation Center Designation: Recommendations for Emergency Medical Services Practices

Mechem

Goodloe

Richmond

et al. 2009

Prehospital Emergency Care

View full text Add to dashboard Cite

Regionalization of medical resources by designating specialty receiving centers, such as trauma and stroke centers, within emergency medical services (EMS) systems is intended to ensure the highest-quality patient care in the most efficient and fiscally responsible fashion. Significant advances in the past decade such as induction of therapeutic hypothermia following resuscitation from cardiac arrest and a time-driven, algorithmic approach to management of septic patients have created compelling arguments for similar designation for specialized resuscitative interventions. Resuscitation of critically ill patients is both labor- and resource-intensive. It can significantly interrupt emergency department (ED) patient throughput. In addition, clinical progress in developing resuscitation techniques is often dependent on the presence of a strong research infrastructure to generate and validate new therapies. It is not feasible for many hospitals to make the commitment to care for large numbers of critically ill patients and the accompanying investigational activities, whether in the prehospital, ED, or inpatient arena. Because of this, the question of whether EMS systems should designate specific hospitals as "resuscitation centers" has now come center stage. Just as EMS systems currently delineate criteria and monitor compliance for trauma, ST-elevation myocardial infarction (STEMI), and stroke centers, strong logic now exists to develop similar standards for resuscitation facilities. Accordingly, this discussion reviews the current applicable trends in resuscitation science and presents a rationale for resuscitation center designation within EMS systems. Potential barriers to the establishment of such centers are discussed and strategies to overcome them are proposed.

show abstract

Development of Trauma Care Systems

Cited by 10 publications

References 5 publications

A statewide system of trauma care in Victoria: effect on patient survival

A statewide system of trauma care in Victoria: effect on patient survival

Trauma Care in Nigeria: Time for an Integrated Trauma System

Resuscitation Center Designation: Recommendations for Emergency Medical Services Practices

Contact Info

Product

Resources

About