Trauma systems
DOI:
https://doi.org/10.30445/rear.v10i5.701Keywords:
quality, components, trauma systems, major traumaAbstract
Major trauma still is the leading cause of death among young people in our midst and traffic accidents still the leading cause. According to the Traffic Bureau - DGT- data, 1,160 people died and 5,067 wounded people required hospitalization in 2016.
The huge economic and social burden trauma inflicts worldwide leades to a significant push forward for the last 45 years, such as physiopathology knowledge, pre-hospital and in-hospital management, imaging techniques, surgery and intensive care, infrastructure and needed organization to manage these patients. However, treatment effectiveness may be low down if the required procedures are not soon available or a lack of coordination among the involved elements in patient care is present.
For some authors, the trauma system is the 'gold standar' in order to provide a suitable and quality leveled medical attention for the trauma patient. In our midst, major trauma attention management is one step below considering other time-critical diseases, as acute ischemic stroke or acute coronary syndrome.
In this critical review we intend to frame a trauma system, its elements, why it is important, today´ s situation, and the national and international devolopement and the needed requirements it order to start it up.
References
2) Soreide K. Epidemiology of mayor trauma. Br J Surg. 2009; 96:697–8.
3) Costa Navarro D, Jiménez Fuertes M, Ceballos Esparragón J, Montón Condón S, Jover Navalón JM, Túregano Fuentes F et al. Análisis de los resultados de una encuesta sobre los sistemas de trauma en España: la enfermedad abandonada de la sociedad moderna. Cir Esp 2013; 91:432-7.
4) US Department of Health and Human Services. Health Resources and Services Administration. Model trauma care system plan. Washington, DC. Department of Health and Human Services; 1992. Disponible en: http://www.sdemsc.org/model.pdf
5) American College of Surgeons Committee on Trauma: Regional Trauma Systems: Optimal Elements, Integration, and Assessment. Systems Consultation Guide. 2008. Disponible en: https://www.facs.org/~/media/files/quality%20programs/trauma/tsepc/pdfs/regionaltraumasystems.ashx
6) Siman Tov M, Radomislensky I, Peleg K. Reduction in trauma mortality in Israel during the last decade (2000-2010). The impact of changes in the trauma system. Injury 2013; 44:1448-52.
7) Bailey J, Trexler S, Murdock A, Hoyt D. Verification and Regionalization of Trauma Systems.The Impact of These Efforts on Trauma Care in the United States. Surg Clin North Am 2012; 92:1009–1024.
8) MacKenzie E, Rivara F, Jurkovich G, Nathens AB, Frey KP, Egleston BL, et al. A national evaluation of the effect of trauma-centre care on mortality. N Engl J Med 2006; 354: 366–78
9) Lendrum LA, Lochey DJ. Trauma system development. Anaesthesia 2013; 68:30-39.
10) Murillo Cabezas F, Muñoz Sanchez MA. ¿Qué podríamos hacer para mejorar los resultados en el traumatizado grave? Med Intensiva 2003; 27:669-72.
11) Dehli T, Monsen SA, Fredicksen K, Bartnes K. Evaluation of a university hospital trauma team activation protocol. Scand J Trauma, Resusc Emerg Med 2011;19:18.
12) Sasser SM, Hunt RC, Faul M, Sugerman D, Pearson WS, Dulski T et al. Guidelines for Field Triage of Injured Patients. Recommendations of the National Expert Panel on Field Triage, 2011. MMWR 2012;61:1-20
13) American College of Surgeons Committee on Trauma: Regional Trauma Systems: Optimal Elements, Integration, and Assessment. Systems Consultation Guide. 2008. Disponible en:
14) Brooke Lerner EB, Moscati RM. The Golden Hour: Scientific Fact or Medical Urban Legend. Acad Med Emerg 2001;8:758-60.
15) Moore L, Clark DE. The value of trauma registries. Injury. 2008;39:686-95.
16) Liberman M, Mulder DS, Lavoie A, Sampalis JS. Implementation of a Trauma Care System: Evolution Through Evaluation. J Trauma. 2004;56:1330–1335.
17) Azaldegui F, Alberdi F, Txoperena G, Romo E, Arcega I, González Sañudo A. Valoración clínica y autópsica de la calidad asistencial al traumatismo severo en la provincia de Guipúzcoa. Proyecto POLIGUITANIA. Med Intensiva. 1999;23:100-10.
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