The Evolution of Trauma Care at a Level I Trauma Center

2005 ◽  
Vol 200 (6) ◽  
pp. 922-929 ◽  
Author(s):  
Walter L. Biffl ◽  
David T. Harrington ◽  
Sarah D. Majercik ◽  
Jayne Starring ◽  
William G. Cioffi
Keyword(s):  
Trauma Care ◽  
Trauma Center ◽  
Level I

Staff Commitment to Trauma Care Improves Mortality and Length of Stay at a Level I Trauma Center

2009 ◽  
Vol 66 (5) ◽  
pp. 1315-1320 ◽  
Author(s):  
Charles Mains ◽  
Kristin Scarborough ◽  
Raphael Bar-Or ◽  
Allison Hawkes ◽  
Jeffery Huber ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Trauma Care ◽  
Trauma Center ◽  
Level I ◽  
Staff Commitment

Establishment, Functioning, Challenges, and One-Year Report of Uttar Pradesh’s First Apex Trauma Center

2019 ◽  
Vol 16 (02/03) ◽  
pp. 099-105
Author(s):  
Mallikarjun Gunjiganvi ◽  
Siddharth Rai ◽  
Rupali Awale ◽  
Amit Agarwal
Keyword(s):  
Trauma Care ◽  
Trauma Center ◽  
Spinal Cord Injuries ◽  
Road Traffic ◽  
Quality Care ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Medical Sciences ◽  
Provide Quality Care ◽  
Level I

AbstractTrauma is a major public health problem across the world with significant morbidity and mortality. Broadly, it is a disease of middle-aged population and is assuming the status of an epidemic in the 21st century. Road traffic injuries are most common followed by railway injuries, industrial, farming, and domestic injuries, and many others in low- and middle-income countries. Severe traumatic brain injuries are the major proportion with concern for long-term cognitive impairment and high spinal cord injuries due to complete dependence. There is no comprehensive trauma care system covering all geography in India at present. The Government of India (GOI), in 2006, established Jai Prakash Narayan Apex Trauma Center, which is run by All India Institute of Medical Sciences at New Delhi as an apex center to provide quality care, training, research, and registry development. It acts as a role model center for the establishment of new centers and helps in upgradation of existing hospitals to provide quality care trauma services. To curb this epidemic of trauma, GOI envisioned National Trauma Care program during the 11th and 12th Five-Year Plans to strengthen the emergency facilities in government hospitals. Many new centers are coming up with various levels of trauma care across the country. Here we discuss the establishment, resources, initial challenges, trauma burden, and a year of report card of the Uttar Pradesh’s first Level I Apex Trauma Center of Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, established with a vision of providing state of the art Level I trauma care to the injured victims.

Five years experience of trauma care in a German urban level I university trauma center

2009 ◽  
Vol 35 (5) ◽  
pp. 448-454 ◽  
Author(s):  
Hendrik Wyen ◽  
Sebastian Wutzler ◽  
Miriam Rüsseler ◽  
Martin Mack ◽  
Felix Walcher ◽  
...  
Keyword(s):  
Trauma Care ◽  
Trauma Center ◽  
Urban Level ◽  
Level I

scholarly journals Role of Plastic Surgeons in the Trauma Center: National Level I Trauma Center Startup Experience in South Korea 

2020 ◽  
Author(s):  
Il Jae Lee ◽  
Bo Hwan Cha ◽  
Hyung Min Hahn
Keyword(s):  
Soft Tissue ◽  
Surgical Procedures ◽  
Trauma Care ◽  
Trauma Center ◽  
Regional Level ◽  
Trauma Centers ◽  
Acute Trauma ◽  
Level I ◽  
Anatomical Area

Abstract Background: Although it is well-recognized that other surgical specialties perform various procedures related to trauma care, there is a lack of analyses focusing on the role of plastic surgical management in trauma centers in Korea. This retrospective study was designed to investigate the scope of plastic surgery services in acute trauma care, using clinical data obtained from a single, regional, level I, trauma center.Methods: This study included patients who presented to a single, regional, level I, trauma center in March 2016. Of them, patients with acute trauma to the facial soft tissue and skeleton, soft tissue of the upper and lower limbs, trunk and perineum, and other areas requiring plastic surgical procedures were included in the analysis. Data on patients’ demographics and detailed surgical procedures were acquired from electric medical records.Results: A total of 1,544 patients underwent surgery, and 2,217 procedures were recorded during the 2-year study period. In 2016, 1,062 procedures on 690 patients, and, in 2017, 1,155 procedures on 787 patients were registered. The head and neck region was the most commonly observed anatomical area that was operated on. The facial bone requiring the largest degree of surgical intervention was the mandible, followed by the zygomatic bone, nasal bones, orbital floor, and maxilla. Microsurgical procedures, such as flap surgery and microsurgery, were performed in 121 cases. Conclusion: Plastic surgeons work alongside experts from various specialties to restore the appearance and function of a specific anatomical area. Thus, plastic surgeons are an essential part of trauma centers.Trial registration: Not applicable.

Evaluation of Trauma Care in a Mature Level I Trauma Center in The Netherlands: Outcomes in a Dutch Mature Level I Trauma Center

2013 ◽  
Vol 37 (10) ◽  
pp. 2353-2359 ◽  
Author(s):  
Koen W. W. Lansink ◽  
Amy C. Gunning ◽  
Anique T. E. Spijkers ◽  
Luke P. H. Leenen
Keyword(s):  
The Netherlands ◽  
Trauma Care ◽  
Trauma Center ◽  
Level I

scholarly journals Prehospital time and mortality in polytrauma patients: a retrospective analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
E. Berkeveld ◽  
Z. Popal ◽  
P. Schober ◽  
W. P. Zuidema ◽  
F. W. Bloemers ◽  
...  
Keyword(s):  
Patient Outcome ◽  
Emergency Medical Services ◽  
Trauma Center ◽  
Total Mortality ◽  
Medical Services ◽  
Severely Injured ◽  
Emergency Medical ◽  
Polytrauma Patients ◽  
Level I ◽  
Prehospital Time

Abstract Background The time from injury to treatment is considered as one of the major determinants for patient outcome after trauma. Previous studies already attempted to investigate the correlation between prehospital time and trauma patient outcome. However, the outcome for severely injured patients is not clear yet, as little data is available from prehospital systems with both Emergency Medical Services (EMS) and physician staffed Helicopter Emergency Medical Services (HEMS). Therefore, the aim was to investigate the association between prehospital time and mortality in polytrauma patients in a Dutch level I trauma center. Methods A retrospective study was performed using data derived from the Dutch trauma registry of the National Network for Acute Care from Amsterdam UMC location VUmc over a 2-year period. Severely injured polytrauma patients (Injury Severity Score (ISS) ≥ 16), who were treated on-scene by EMS or both EMS and HEMS and transported to our level I trauma center, were included. Patient characteristics, prehospital time, comorbidity, mechanism of injury, type of injury, HEMS assistance, prehospital Glasgow Coma Score and ISS were analyzed using logistic regression analysis. The outcome measure was in-hospital mortality. Results In total, 342 polytrauma patients were included in the analysis. The total mortality rate was 25.7% (n = 88). Similar mean prehospital times were found between the surviving and non-surviving patient groups, 45.3 min (SD 14.4) and 44.9 min (SD 13.2) respectively (p = 0.819). The confounder-adjusted analysis revealed no significant association between prehospital time and mortality (p = 0.156). Conclusion This analysis found no association between prehospital time and mortality in polytrauma patients. Future research is recommended to explore factors of influence on prehospital time and mortality.

Facial Fractures Have Similar Outcomes When Managed by Either Otolaryngology or Plastic Surgery: Encounters From a Single Level I Trauma Center

2021 ◽  
pp. 194338752110206
Author(s):  
Ashton Christian ◽  
Beatrice J. Sun ◽  
Nima Khoshab ◽  
Areg Grigorian ◽  
Christina Y. Cantwell ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
Trauma Center ◽  
Demographic Data ◽  
Open Reduction Internal Fixation ◽  
Facial Fractures ◽  
Chi Square ◽  
Single Level ◽  
Baseline Characteristics ◽  
Level I ◽  
Complications And Mortality

Study Design: Retrospective cohort. Objective: Traumatic facial fractures (FFs) often require specialty consultation with Plastic Surgery (PS) or Otolaryngology (ENT); however, referral patterns are often non-standardized and institution specific. Therefore, we sought to compare management patterns and outcomes between PS and ENT, hypothesizing no difference in operative rates, complications, or mortality. Methods: We performed a retrospective analysis of patients with FFs at a single Level I trauma center from 2014 to 2017. Patients were compared by consulting service: PS vs. ENT. Chi-square and Mann-Whitney-U tests were performed. Results: Of the 755 patients with FFs, 378 were consulted by PS and 377 by ENT. There was no difference in demographic data ( P > 0.05). Patients managed by ENT received a longer mean course of antibiotics (9.4 vs 7.0 days, P = 0.008) and had a lower rate of open reduction internal fixation (ORIF) (9.8% vs. 15.3%, P = 0.017), compared to PS patients. No difference was observed in overall operative rate (15.1% vs. 19.8%), use of computed tomography (CT) imaging (99% vs. 99%), time to surgery (65 vs. 55 hours, P = 0.198), length of stay (LOS) (4 vs. 4 days), 30-day complication rate (10.6% vs. 7.1%), or mortality (4.5% vs. 2.6%) (all P > 0.05). Conclusion: Our study demonstrated similar baseline characteristics, operative rates, complications, and mortality between FFs patients who had consultation by ENT and PS. This supports the practice of allowing both ENT and PS to care for trauma FFs patients, as there appears to be similar standardized care and outcomes. Future studies are needed to evaluate the generalizability of our findings.

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