The European trauma course – trauma teaching goes European

Thies, Karl-Christian; Deakin, Charles D.; Lott, Carsten; Robinson, D.; Sabbé, Marc; Arafat, Raed; Brattebø, Guttorm; Lippert, Freddy; Rommens, Pol Maria; Voiglio, Eric J.

doi:10.1016/j.resuscitation.2013.06.027

Cited by 15 publications

(8 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thoracic injuries account for 25% of deaths in polytrauma patients and are thus a common cause of death among these patients [ 1 , 2 ]. In recent years, a trauma room algorithm has become widely accepted in Germany which is based on Advanced Trauma Life Support (ATLS ® ) and the European Trauma Course [ 3 – 5 ]. Nevertheless, the imaging technique to be used in the trauma room setting continues to be a matter of debate on account of time constraints, the level of radiation exposure, the patient’s overall condition, and other factors [ 6 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

The role of whole-body computed tomography in the diagnosis of thoracic injuries in severely injured patients – a retrospective multi-centre study based on the trauma registry of the German trauma society (TraumaRegister DGU®)

Lang¹,

Kulla²,

Kerwagen³

et al. 2017

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

BackgroundThoracic injuries are a leading cause of death in polytrauma patients. Early diagnosis and treatment are of paramount importance. Whole-body computed tomography (WBCT) has largely replaced traditional imaging techniques such as conventional radiographs and focused computed tomography (CT) as diagnostic tools in severely injured patients. It is still unclear whether WBCT has led to higher rates of diagnosis of thoracic injuries and thus to a change in outcomes.MethodsIn a retrospective study based on the trauma registry of the German Trauma Society (TraumaRegister DGU®), we analysed data from 16,545 patients who underwent treatment in 59 hospitals between 2002 and 2012 (ISS ≥ 9). The 3 years preceding and the 3 years following the introduction of WBCT as a standard imaging modality for the investigation of severely injured patients were assessed for every hospital. Accordingly, patients were assigned to either the pre-WBCT or the WBCT group. We compared the numbers of thoracic injuries and the outcomes of patients before and after the routine use of WBCT.ResultsA total of 13,564 patients (pre-WBCT: n = 5005, WBCT: n = 8559) were included. Relevant thoracic injuries were detected in 47.8%. There were no major differences between the patient groups in injury severity (pre-WBCT: median ISS 21; WBCT: median ISS 22), injury patterns and demographics. After the introduction of WBCT, only minor changes were observed regarding the rates of most thoracic injuries. Clinically relevant injuries were pulmonary contusions (pre-WBCT: 18.5%; WBCT: 28.7%), injuries to the lung parenchyma (pre-WBCT: 12.6%; WBCT: 5.9%), multiple rib fractures (pre-WBCT: 10.6%; WBCT: 21.6%), and pneumothoraces (pre-WBCT: 17.3%; WBCT: 21.6%). The length of stay in the intensive care unit (pre-WBCT: 10.8 days; WBCT: 9.7 days) and in hospital (pre-WBCT: 26.2 days; WBCT: 23.3 days) decreased. There was no difference in overall mortality (pre-WBCT: 15.5%; WBCT: 15.6%).ConclusionsThe routine use of WBCT in the trauma room setting has led to changes in patient management that are not reflected in the rates of diagnosis of severe thoracic injuries (e.g. tension pneumothoraces, cardiac injuries, arterial injuries). By contrast, there was a relevant increase in the rates of diagnosis of minor thoracic injuries, which, however, did not result in an improvement in survival prognosis.

show abstract

Section: Introductionmentioning

confidence: 99%

The role of whole-body computed tomography in the diagnosis of thoracic injuries in severely injured patients – a retrospective multi-centre study based on the trauma registry of the German trauma society (TraumaRegister DGU®)

Lang¹,

Kulla²,

Kerwagen³

et al. 2017

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

show abstract

“…3 The initiative gained momentum in 2004 when the European Resuscitation Council (ERC) embraced it, establishing the European Trauma Working Group (ETWG) with support from the European Society of Anaesthesiology (ESA), the European Society for Trauma and Emergency Surgery (ESTES), and the European Society for Emergency Medicine (EuSEM). 4 The ETWG identified the need for a multispecialty trauma team training programme across various European countries.…”

Section: Development Of the Programmementioning

confidence: 99%

“…The ETWG has matured into the independent European Trauma Course Organisation (ETCO), an international not for profit organisation based in Belgium. 4 To ensure ongoing collaboration with the founding organisations all of them are represented on the board of the ETCO, actively involved in updating the educational content of the programme to ensure ETC remains at the leading edge of current practice. National chapters of the ETC serve a supportive role at regional level, while the governance of the programme is centralised at the ETCO head office.…”

Section: Evolution Of the Programme From 2008 To 2023mentioning

confidence: 99%

The European Trauma Course: Transforming systems through training

Thies,

Bergmans,

Billington

et al. 2024

Resuscitation Plus

Self Cite

View full text Add to dashboard Cite

“…Moreover, a branch of the ATLS programme was established also for nurses, the Advanced Trauma Course for Nurses (ATCN ® ) [ 9 ]. In Europe, in 2008 a new European Trauma Course (ETC ® ) was organized, with the non-technical skills of the trauma team as the main objective [ 10 ]. Within all of these programmes, there is a comprehensive evaluation of the trauma patient, followed by accurate diagnostic imaging.…”

Section: Introductionmentioning

confidence: 99%

Structured approach with primary and secondary survey for major trauma care: an overview of reviews

et al. 2023

View full text Add to dashboard Cite

Background A structured approach involves systematic management of trauma patients. We aim to conduct an overview of reviews about the clinical efficacy and safety of structured approach (i.e., primary and secondary survey) by guideline checklist compared to non-structured approach (i.e. clinical examination); moreover, routine screening whole-body computer tomography (WBCT) was compared to non-routine WBCT in patients with suspected major trauma. Methods We systematically searched MEDLINE (PubMed), EMBASE and Cochrane Database of Systematic Reviews up to 3 May 2022. Systematic reviews (SRs) that investigated the use of a structured approach compared to a non-structured approach were eligible. Two authors independently extracted data, managed the overlapping of primary studies belonging to the included SRs and calculated the corrected covered area (CCA). The certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology. Results We included nine SRs investigating two comparisons in stable trauma patients: structured approach vs non-structured approach (n = 1) and routine WBCT vs non-routine WBCT (n = 8). The overlap of included primary studies was generally high across outcomes (CCA ranged between 20.85 and 42.86%) with some discrepancies in the directions of effects across reviews. The application of a structured approach by checklist may improve adherence to guidelines (e.g. Advanced Trauma Life Support) during resuscitation and might lead to a reduction in mortality among severely injured patients as compared to clinical examination (Adjusted OR 0.51; 95% CI 0.30–0.89; p = 0.018; low certainty of evidence). The use of routine WBCT seems to offer little to no effects in reducing mortality and time spent in emergency room or department, whereas non-routine WBCT seems to offer little to no effects in reducing radiation dose, intensive care unit length of stay (LOS) and hospital LOS (low-to-moderate certainty of evidence). Conclusions The application of structured approach by checklist during trauma resuscitation may improve patient- and process-related outcomes. Including non-routine WBCT seems to offer the best trade-offs between benefits and harm. Clinicians should consider these findings in the light of their clinical context, the volume of patients in their facilities, the need for time management, and costs.

show abstract

The European trauma course – trauma teaching goes European

Cited by 15 publications

References 3 publications

The role of whole-body computed tomography in the diagnosis of thoracic injuries in severely injured patients – a retrospective multi-centre study based on the trauma registry of the German trauma society (TraumaRegister DGU®)

The role of whole-body computed tomography in the diagnosis of thoracic injuries in severely injured patients – a retrospective multi-centre study based on the trauma registry of the German trauma society (TraumaRegister DGU®)

The European Trauma Course: Transforming systems through training

Structured approach with primary and secondary survey for major trauma care: an overview of reviews

Contact Info

Product

Resources

About