The Trauma Surgeon | ScienceGate

Abstract Introduction In 1999 an inclusive trauma system was initiated in the Netherlands and a nationwide trauma registry, including all admitted trauma patients to every hospital, was started. The Dutch trauma system is run by trauma surgeons who treat both the truncal (visceral) and extremity injuries (fractures). Materials and Methods In this comprehensive review based on previous published studies, data over the past 20 years from the central region of the Netherlands (Utrecht) was evaluated. Results It is demonstrated that the initiation of the trauma systems and the governance by the trauma surgeons led to a region-wide mortality reduction of 50% and a mortality reduction for the most severely injured of 75% in the level 1 trauma centre. Furthermore, major improvements were found in terms of efficiency, demonstrating the quality of the current system and its constructs such as the type of surgeon. Due to the major reduction in mortality over the past few years, the emphasis of trauma care evaluation shifts towards functional outcome of severely injured patients. For the upcoming years, centralisation of severely injured patients should also aim at the balance between skills in primary resuscitation and surgical stabilization versus longitudinal surgical involvement. Conclusion Further centralisation to a limited number of level 1 trauma centres in the Netherlands is necessary to consolidate experience and knowledge for the trauma surgeon. The future trauma surgeon, as specialist for injured patients, should be able to provide the vast majority of trauma care in this system. For the remaining part, intramural, regional and national collaboration is essential

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Tissue engineering and the trauma surgeon

Trauma ◽

10.1191/1460408602ta239oa ◽

2002 ◽

Vol 4 (3) ◽

pp. 177-183 ◽

Cited By ~ 3

Author(s):

JP Garner

Keyword(s):

Tissue Engineering ◽

Trauma Surgeon

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Early treatment of fronto-basal fractures by the trauma surgeon

Journal of Trauma and Acute Care Surgery ◽

10.1097/00005373-197604000-00037 ◽

1976 ◽

Vol 16 (4) ◽

pp. 331

Author(s):

Faso l

Keyword(s):

Early Treatment ◽

Trauma Surgeon

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Patients’ Perception of Military Doctors in Fracture Clinics - does the Wearing of Uniform Make a Difference?

Journal of The Royal Naval Medical Service ◽

10.1136/jrnms-91-45 ◽

2005 ◽

Vol 91 (1) ◽

pp. 45-47

Author(s):

Christopher McLean ◽

Pareeta Patel ◽

Carl Sullivan ◽

Mark Thomas

Keyword(s):

Trauma Surgery ◽

Trauma Surgeon ◽

Royal Navy ◽

Fracture Clinic ◽

Specialist Registrar ◽

Anonymous Questionnaire ◽

Military Uniform ◽

The Military

AbstractWe performed a study during our Trauma Week when patients who were referred from the accident department with fractures were reviewed in our fracture clinic. During our Trauma Week, Mister Thomas, Consultant Orthopaedic and Trauma Surgeon or Surgeon Lieutenant Commander McLean, Specialist Registrar in Orthopaedic and Trauma Surgery reviewed a total of 93 patients in fracture clinic. All patients were given an anonymous questionnaire regarding their perceptions of their attending clinician, 77 were completed. Forty-nine questionnaires regarding Surgeon Lieutenant Commander McLean and 28 regarding Mister Thomas were available for analysis. During the Trauma Week all patients were seen in the same location in identical cubicles by either of the two clinicians, consultations were typically brief lasting about five minutes. Throughout the week the clinicians, one military and one civilian, wore differing attire. The military uniform comprised Royal Navy number four action working dress. The civilian attire comprised ‘dog-robbers’ (jacket, shirt with tie and smart trousers). The hypothesis tested was that the use of military uniform might alter patients’ perceptions of their attending clinician. Our results appear to demonstrate that the attire of the attending clinician does not adversely influence patients’ perceptions of their attending clinician.

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Military Orthopedic Surgeons Are Not Just Traumatologists

Military Medicine ◽

10.1093/milmed/usab400 ◽

2021 ◽

Author(s):

Camille Choufani ◽

Olivier Barbier ◽

Laurent Mathieu ◽

Nicolas de L’Escalopier

Keyword(s):

Orthopedic Surgery ◽

Descriptive Analysis ◽

Trauma Surgery ◽

Armed Forces ◽

Trauma Surgeon ◽

Reconstruction Surgery ◽

Orthopedic Surgeon ◽

Orthopedic Surgeons ◽

French Military ◽

Military Patients

ABSTRACT Introduction Each French military orthopedic surgeon is both an orthopedic surgeon and a trauma surgeon. Their mission is to support the armed forces in France and on deployment. The aim of this study was to describe the type of orthopedic surgery performed for the armed forces in France. Our hypothesis was that scheduled surgery was more common than trauma surgery. Methods We conducted a retrospective descriptive analysis of the surgical activity for military patients in the orthopedic surgery departments of the four French military platform hospitals. All surgical procedures performed during 2020 were collected. We divided the procedures into the following categories: heavy and light trauma, posttraumatic reconstruction surgery, sports surgery, degenerative surgery, and specialized surgery. Our primary endpoint was the number of procedures performed per category. Results A total of 827 individuals underwent surgery, 91 of whom (11%) were medical returnees from deployment. The surgeries performed for the remaining 736 soldiers present in metropolitan France (89%) consisted of 181 (24.6%) trauma procedures (of which 86.7% were light trauma) and 555 (75.4%) scheduled surgery procedures (of which 60.8% were sports surgery). Among the medical returnees, there were 71 traumatology procedures (78%, of which 87.3% were light traumatology) and 20 procedures corresponding to surgery usually carried out on a scheduled basis (22%, of which 95% were sports surgery). Conclusion Military orthopedic surgeons are not just traumatologists; their activity for the armed forces is varied and mainly consists of so-called programmed interventions.

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Has the trauma surgeon become house staff for the surgical subspecialist?

The American Journal of Surgery ◽

10.1016/j.amjsurg.2006.08.035 ◽

2006 ◽

Vol 192 (6) ◽

pp. 732-737 ◽

Cited By ~ 22

Author(s):

David J. Ciesla ◽

Ernest E. Moore ◽

C. Clay Cothren ◽

Jeffery L. Johnson ◽

Jon M. Burch

Keyword(s):

House Staff ◽

Trauma Surgeon

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Effect on Trauma Patients of Having Even One General Trauma Surgeon on Duty

Journal of Trauma and Injury ◽

10.20408/jti.2016.29.1.8 ◽

2016 ◽

Vol 29 (1) ◽

pp. 8-13 ◽

Cited By ~ 1

Author(s):

Jang Whan Jo ◽

Jun Min Cho ◽

Nam Ryeol Kim

Keyword(s):

Trauma Patients ◽

Trauma Surgeon ◽

General Trauma

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Complications and Pitfalls in Maxillofacial Trauma

Journal of Postgraduate Medicine Education and Research ◽

10.5005/jp-journals-10028-1108 ◽

2014 ◽

Vol 48 (2) ◽

pp. 91-97

Author(s):

Vidya Rattan ◽

Sachin Rai ◽

Shikha Yadav

Keyword(s):

Treatment Failure ◽

Surgical Procedure ◽

Treatment Plan ◽

Surgical Techniques ◽

Maxillofacial Trauma ◽

Trauma Surgeon ◽

Form And Function ◽

Fixation Devices ◽

And Function ◽

Made In

ABSTRACT Complications and pitfalls are unavoidable sequel of any surgical procedure. Although advances have been made in surgical techniques and fixation devices, these are far from ideal. The aim of trauma surgeon is to restore the patient to pre-injury form and function, but it may not be possible in each and every case. Treatment failure and poor outcome in a case of severe maxillofacial trauma is not uncommon. This is mainly dependent upon the extent of injury, delay in management, improper diagnosis, wrong treatment plan, poor execution of a treatment plan, wrong choice of fixation devices, inexperience of the surgeon and inability to seek help from other specialists, etc. The objective of this article is to discuss and analyze common complications and pitfalls along with the various methods and modalities to prevent and manage it. How to cite this article Rattan V, Rai S, Yadav S. Complications and Pitfalls in Maxillofacial Trauma. J Postgrad Med Edu Res 2014;48(2):91-97.

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