The European Trauma Course—From concept to course

Thies, Karl‐Christian; Gwinnutt, Carl; Driscoll, Peter; Carneiro, Antônio Fernando; Gomes, Ernestina; Araújo, Rui Esteves; Cassar, Maria; Davis, Mike

doi:10.1016/j.resuscitation.2007.02.011

Cited by 52 publications

(24 citation statements)

References 2 publications

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“…The Advanced Trauma Life Support (ATLS) course was developed by the American College of Surgeons and is often a requirement for a resident degree in anesthesia, orthopedics, surgery and emergency medicine in northern Europe [85]. The course is highly recommended for all doctors who are involved in the management of trauma patients [86], and it has been accepted worldwide as a training concept for medical doctors [87,88]. The ATLS program is implemented in more than 60 countries worldwide and more than 1.5 million physicians have graduated and received the ATLS diploma.…”

Section: Atls/phtlsmentioning

confidence: 99%

TRIAGE : Management of the trauma patient

Lampi¹

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Triage, derived from the French word for sorting, aims to assess and prioritize injured patients, regardless of whether the injuries are sustained from everyday road traffic accident with few injured or a mass casualty incident. Triage seeks to provide the greatest benefit to the largest number of casualties in order to minimize morbidity and mortality. Triage in a pre-hospital setting entails management and sorting of patients according to an assessment of medical need, prioritization, and evacuation. In-hospital triage aims to rapidly identify the most injured and ensure timely and appropriate treatment according to the patient's clinical urgency. A number of different systems for performing triage have been established and implemented globally. The methodology is recognized and utilized but there is still a need for an evidence-based strategy to optimize training and the efficacy of the different systems.The main aim of this thesis was to determine triage performance among prehospital personnel and investigate the potential advantage of a triage system for trauma patients. The papers included in this thesis evaluated the triage skills of physicians, pre-hospital personnel, and rescue services personnel by testing their performance before and after an educational intervention. The last paper evaluated potential benefits of using a triage system for trauma patients admitted to the emergency department at MOI Teaching and Referral Hospital in Eldoret, Kenya.The results presented in this thesis illustrate that triage skills are lacking among physicians. Experienced pre-hospital personnel are more skilled in performing triage than physicians. The triage skills of the rescue services personnel improved significantly after the educational intervention. Moreover, the potential benefit to trauma patients of implementing an in-hospital triage system in a resource-poor environment was shown. In conclusion, health care personnel, especially physicians without experience but highly involved in trauma patient management, seem to be in need of triage training. How to train, how to implement, and how to evaluate triage skills must be considered in order to develop effective training. POPULÄRVETENSKAPLIG SAMMANFATTNINGOrdet triage kommer från franskans "sortera" och är ett av det första stegen i omhändertagandet av skadade när det råder resursbrist. Från 1800-talets blodiga slagfält, till dagens skadeplats och akutmottagningar har sättet att triagera patienter utvecklats. Men då, som nu, är grundtanken den samma, att sortera och prioritera de skadade utifrån tillgängliga resurser och patienternas vårdbehov. Följaktligen har begreppet kommit att bli centralt inom ämnet katastrofmedicin. Att avlida till följd av skador i samband med allvarliga händelser men också skador i till exempel vardagstrafiken är ett globalt hälsoproblem. Tiden från olycka till sjukhusbehandling är en viktig och ofta avgörande överlevnadsfaktor för en patient. I det här sammanhanget talas det om "den gyllene timmen", som påvisar vikten av att få ...

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Section: Atls/phtlsmentioning

confidence: 99%

TRIAGE : Management of the trauma patient

Lampi¹

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“…The ERC was founded originally with the support of existing professional organisations: representatives of the European Societies of Cardiology, Anaesthesia, Intensive Care, and Emergency Medicine; the European Red Cross, Nursing, and First Aid organizations soon became involved. The collaboration with these societies has been re-flected in membership of the Executive Committee and the General Assembly, and by joint contributions in congresses on topics such as heart attack [17], AEDs [18], post-resuscitation care [19], trauma [20], and also labo ratory research [22]. The ETC is also an indication of the importance of interprofessional collaboration [22].…”

Section: Interprofessional and International Collaborationmentioning

confidence: 99%

“…The collaboration with these societies has been re-flected in membership of the Executive Committee and the General Assembly, and by joint contributions in congresses on topics such as heart attack [17], AEDs [18], post-resuscitation care [19], trauma [20], and also labo ratory research [22]. The ETC is also an indication of the importance of interprofessional collaboration [22]. The ERC has played a major part in the creation and development of the Utstein system for uniform reporting, which has been crucial to permitting meaningful comparisons between EMS systems and to improving the quality of epidemiological studies relating to cardiac arrest [23,24].…”

Section: Interprofessional and International Collaborationmentioning

confidence: 99%

The European Resuscitation Council

Bossaert¹,

Chamberlain²

2013

Notfall Rettungsmed

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“…Innerhalb der letzten 10 Jahre konnte die Schockraumversorgung durch die Einfüh-rung von ATLS® ("advanced trauma life support") aber auch durch andere Kurskonzepte wie ETC® ("European Trauma Course") vereinheitlicht werden [2,16,31]. Ebenfalls wurden mit der Erstellung und Publikation der S3-Leitlinie zur Schwerverletztenbehandlung/Polytrauma der Deutschen Gesellschaft für Unfallchirurgie (DGU) entsprechende Standards nunmehr interdisziplinär festgeschrieben [1].…”

Section: Hintergrundunclassified

Standardisierte Dokumentation im Schockraum mit dem Kerndatensatz „Notaufnahme“ der DIVI

et al. 2012

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In Germany the documentation of every prehospital emergency medical treatment has been standardized since 1997 based on the core data-set MIND (minimal emergency physician data-set). Against this background it is very surprising that there is still no standardized data-set implemented for the documentation of early inhospital emergency care. In order to create such a data-set the current state of documentation in many different hospitals all over the country was scrutinized. In addition existing registries and international requirements were taken into consideration. Finally, a modular data-set was created using a Delphi process. This data-set was tested, clinically validated and finally ratified by the executive committee of the DIVI (German Interdisciplinary Association of Critical Care Medicine). The modular data-set was designed in such a way that a basic module forms the foundation for every patient. Process-oriented modules (e.g. surveillance) and symptom-oriented modules (e.g. trauma, neurology) were added if necessary. Along with this data-set a set of six modules was created for graphical representation when required. This high level of standardization not only allows an internal and external quality assessment but also provides a sophisticated documentation system especially to the trauma team in the emergency department. In terms of content major parameters of interhospital quality management are recorded and important factors of process management, such as MTS (Manchester triage system), ATLS (advanced trauma life support) and EWS (early warning score) have been implemented. The data-set includes all necessary information for transfers between physicians and non-academic staff as well as between physicians and could also be used as a fundamental discharge letter. Moreover, this new core data-set is the implementation of items required by existing registries into the daily routine documentation in order to reduce unnecessarily time-consuming and error-prone secondary data acquisition. For example, all items of the preclinical and emergency room documentation for the TraumaRegister DGU® (documentation phase S, A and B of the standard and QM form) have been included. This is sufficient for participation as a TraumaNetzwerk DGU® member as far as the early clinical treatment of multiple injured patients is concerned.

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The European Trauma Course—From concept to course

Cited by 52 publications

References 2 publications

TRIAGE : Management of the trauma patient

TRIAGE : Management of the trauma patient

The European Resuscitation Council

Standardisierte Dokumentation im Schockraum mit dem Kerndatensatz „Notaufnahme“ der DIVI

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