scholarly journals Diagnostic performance of the cardiac FAST in a high-volume Australian trauma centre

2017 ◽  
Vol 2017 (1) ◽  
pp. 2
Author(s):  
Ruth Gratton ◽  
Alexander Olaussen ◽  
Mariam Hassan ◽  
Prasanthan Thaveenthiran ◽  
Mark C. Fitzgerald ◽  
...  
Keyword(s):  
Diagnostic Performance ◽  
High Volume ◽  
Trauma Centre

scholarly journals EP.WE.105Hand trauma during COVID pandemic: a tertiary trauma centre experience

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Amir Ghareib ◽  
Sylwia Oniska ◽  
Laura Karran ◽  
Jamil Moledina
Keyword(s):  
High Volume ◽  
Trauma Centre ◽  
Active Movement ◽  
Trauma Patients ◽  
University Hospitals ◽  
Hand Fractures ◽  
Good Movement ◽  
Hand Fracture ◽  
June July

Abstract Introduction St. George’s University Hospitals NHS Foundation Trust is a tertiary trauma centre. We receive a high volume of hand referrals from all over the south West London region. Closed hand fractures represent a significant number of our referrals. COVID-19 has put more burden in all health service endangering poor management of these trauma patients. Aim To assess management of close hand trauma patients during COVID pandemic. Methods Retrospective evaluation of closed hand fracture referrals during June, July, and August 2020. Clinical documentations, operative details and follow up visit notes have been reviewed. Results 106 patients have been included. 47 patients treated surgically with 81% of them were in need for metalwork insertion. Most of operations were done within 8 days. Number of hospital visits was variable with a mean of six days for adult and two days for children. Patient who was in need for hand therapy have been seen within the first 8 days of their surgery. At three months follow up, only three cases had infection. Only one case had osteomyelitis and the other two case had infected metalwork. Most of the patents reported good movement in ASSH Total Active Movement of Hand score (TAM) at the end of the three months. Conclusion Despite COVID 19 pandemic our service managed to achieve acceptable results in dealing with these cases. Yet, securing a reasonable number of operating sessions and clinic appointments remains a challenge.

scholarly journals Full-Body X-Ray Imaging to Facilitate Triage: A Potential Aid in High-Volume Emergency Departments

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
S. P. Whiley ◽  
H. Alves ◽  
S. Grace
Keyword(s):  
South African ◽  
Emergency Departments ◽  
Clinical Decision Making ◽  
Traumatic Injury ◽  
High Volume ◽  
Trauma Centre ◽  
Trauma Patients ◽  
X Ray ◽  
X Ray Imaging ◽  
Full Body

The levels of traumatic injury seen in South African emergency departments (EDs) are epidemic. This is coupled with a severe lack of resources and adequately trained emergency staff. The Lodox Statscan (LS) is an X-ray scanner capable of producing rapid, low-dose, and full-body X-ray images. In this paper, a new trauma protocol—the Johannesburg trauma protocol—that implements LS scanning on entry to the ED as a triage tool is reported. A case study illustrating the use of LS to triage 63 patients in a single Saturday shift at a level 1 Trauma Centre is also presented. Because of the ability to rapidly and safely provide X-ray imaging information to support clinical decision making, the LS could be a useful tool to aid in resource allocation to improve treatment of the high levels of trauma patients that present to South African EDs daily.

scholarly journals ANALYSIS OF SURGICAL PATIENT FLOW AT WINNIPEG HEALTH SCIENCES CENTRE

2011 ◽  
Author(s):  
Y. Y. Tan ◽  
T. Y. El Mekkawy ◽  
Q. Peng ◽  
B. Wright
Keyword(s):  
Patient Flow ◽  
Quality Care ◽  
High Volume ◽  
Careful Analysis ◽  
Health Sciences ◽  
Trauma Centre ◽  
Surgical Patient ◽  
Flow Process ◽  
Effective Manner ◽  
Major Trauma Centre

The Health Sciences Centre (HSC) in Winnipeg is the major trauma centre serving the entire province of Manitoba, Northwestern Ontario, and Nunavut. Therefore, it has to handle a high volume of both elective and emergent surgical patients. Because the facility always strives to provide quality care in a fast and effective manner, it initiated a research project to analyze its surgical patient flow and generate ideas on how it could be redesigned to improve the systems performance. After a year of careful analysis, all of the problems identified were grouped into six major categories, showcasing how various departments are affected by each problem. Based on this analysis, the true impact of each problem in the surgical patient flow process can be understood. Steps can now be taken to identify which problems need to be addressed, what changes should be made, and how this will benefit the entire system.

How do deployed general surgeons acquire relevant skill sets and competencies and mitigate skill fade?

2020 ◽  
pp. bmjmilitary-2020-001641
Author(s):  
Matthew Robert Cant ◽  
D N Naumann ◽  
T C König ◽  
D M Bowley
Keyword(s):  
Simulation Training ◽  
Armed Forces ◽  
High Volume ◽  
Trauma Centre ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Surgical Skill ◽  
Skill Sets ◽  
Skill Gaps ◽  
General Surgeons

There are recognised difficulties internationally with acquisition and retention of skills among deployed military general surgeons. These are compounded by reduced trauma workload in non-deployed roles or during low tempo or limited activity deployments, and the winding-down of combat operations in Iraq and Afghanistan. We summarise the relevant military-run courses, military-civilian collaborations and potential future strategies that have been used to address skill sets and competencies of deployed surgeons. We use examples from the American, British, Danish, French, German and Swedish Armed Forces. There is variation between nations in training, with a combination of didactic lectures, simulation training and trauma placements in civilian settings at home and overseas. Data regarding effectiveness of these techniques are sparse. It is likely that combat surgical skill-set acquisition and maintenance requires a combination of employment at a high-volume trauma centre during a surgeon’s non-deployed role, together with military-specific courses and high-fidelity simulation to fill skill gaps. There are multiple newer modalities of training that require further evaluation if they are to prove effective in the future. We aimed to summarise the current methods used internationally to ensure acquisition and retention of vital skill sets for these surgeons.

Complications associated with hexapod circular fixation for acute fractures of the tibia diaphysis: A retrospective descriptive study at a high volume trauma centre

Injury ◽  
2020 ◽  
Vol 51 (2) ◽  
pp. 516-521
Author(s):  
Maarten SW Potgieter ◽  
H Sean Pretorius ◽  
Gian Du Preez ◽  
Marilize Burger ◽  
Nando Ferreira
Keyword(s):  
High Volume ◽  
Descriptive Study ◽  
Trauma Centre ◽  
Tibia Diaphysis
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