Trauma systems and early management of severe injuries in Scandinavia: Review of the current state

Kristiansen, Thomas; Søreide, Kjetil; Ringdal, Kjetil Gorseth; Rehn, Marius; Krüger, Andreas; Reite, Andreas; Meling, Terje; Næss, Pål Aksel; Lossius, Hans Morten

doi:10.1016/j.injury.2009.05.027

Cited by 78 publications

(75 citation statements)

References 113 publications

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“…The incidence of injury mortality in Sweden in this study was found similar to what others have reported in Scandinavia (4,33,58). The injury mortality distribution we found is as expected dominated by blunt injuries in traffic accidents in the working age group and in falls in elderly.…”

Section: Discussionsupporting

confidence: 92%

“…Fowler et al (64) report a firearm mortality incidence of 10.2 / 100 000 inhabitants in the united states which is almost ten times as high as that we found in Sweden (Fig. 7).This Scandinavian trauma pattern with few penetrating injuries is a known phenomenon and it contributes to the whole trauma picture with a higher mean age of the trauma victims and falls as one of the most common trauma mechanisms (4,26,33).…”

Section: Injury Mechanismsupporting

confidence: 53%

“…In Scandinavia the numbers of severe trauma (Injury Severity Score, ISS > 15) is between 30 and 54 per 100 000 inhabitants per year (4,5). The trauma picture in Sweden is similar to the rest of Scandinavia which is a result of the similar medical organisations and living situations (4).…”

Section: Background Injurymentioning

confidence: 99%

“…Injury mortality in elderly is a growing problem in the western world with an aging population (4,(27)(28)(29). The aging population causes an increased burden on the healthcare system (27,28).…”

Section: Mortality In Different Age Groupsmentioning

confidence: 99%

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Injury mortality in Sweden; changes over time and the effect of age and injury mechanism

Bäckström¹

2017

Linköping University Medical Dissertations

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Section: Discussionsupporting

confidence: 92%

Section: Injury Mechanismsupporting

confidence: 53%

Section: Background Injurymentioning

confidence: 99%

Section: Mortality In Different Age Groupsmentioning

confidence: 99%

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Injury mortality in Sweden; changes over time and the effect of age and injury mechanism

Bäckström¹

2017

Linköping University Medical Dissertations

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“…Advanced pre‐hospital trauma care includes personnel with specialized skills and equipment and rapid transportation, and is used extensively 1. Systems differ between countries, as does the use of physicians vs. paramedics.…”

mentioning

confidence: 99%

Are severely injured trauma victims in Norway offered advanced pre‐hospital care? National, retrospective, observational cohort

Wisborg

Ellensen

Svege

et al. 2017

Acta Anaesthesiol Scand

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BackgroundStudies of severely injured patients suggest that advanced pre‐hospital care and/or rapid transportation provides a survival benefit. This benefit depends on the disposition of resources to patients with the greatest need. Norway has 19 Emergency Helicopters (HEMS) staffed by anaesthesiologists on duty 24/7/365. National regulations describe indications for their use, and the use of the national emergency medical dispatch guideline is recommended. We assessed whether severely injured patients had been treated or transported by advanced resources on a national scale.MethodsA national survey was conducted collecting data for 2013 from local trauma registries at all hospitals caring for severely injured patients. Patients were analysed according to hospital level; trauma centres or acute care hospitals with trauma functions. Patients with an Injury Severity Score (ISS) > 15 were considered severely injured.ResultsThree trauma centres (75%) and 17 acute care hospitals (53%) had data for trauma patients from 2013, a total of 3535 trauma registry entries (primary admissions only), including 604 victims with an ISS > 15. Of these 604 victims, advanced resources were treating and/or transporting 51%. Sixty percent of the severely injured admitted directly to trauma centres received advanced services, while only 37% of the severely injured admitted primarily to acute care hospitals received these services.ConclusionA highly developed and widely distributed HEMS system reached only half of severely injured trauma victims in Norway in 2013.

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Rural and urban distribution of trauma incidents in Scotland

Morrison

McConnell

Orman

et al. 2012

British Journal of Surgery

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Trauma systems and early management of severe injuries in Scandinavia: Review of the current state

Cited by 78 publications

References 113 publications

Injury mortality in Sweden; changes over time and the effect of age and injury mechanism

Injury mortality in Sweden; changes over time and the effect of age and injury mechanism

Are severely injured trauma victims in Norway offered advanced pre‐hospital care? National, retrospective, observational cohort

Rural and urban distribution of trauma incidents in Scotland

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