Evolution and organisation of trauma systems

Anaesthesia Critical Care & Pain Medicine
Jean Stéphane DavidMathieu Raux

Abstract

Over the last 20 years, numerous studies have fairly consistently reported an improvement in the prognosis of patients with severe trauma after the establishment of a trauma network. These systems can be either exclusive, in which all patients are referred only to a small number of specifically designated centres that meet strict criteria, or inclusive, in which patients may be referred to any hospital of a particular area according to capacity, which is observed in France. Hospitals are classified (level 1 to level 3) according to their technical facilities and the number of patients admitted for severe trauma, knowing that studies have also shown an improvement of the outcome for the most severely injured patients (haemorrhagic shock, severe head trauma), in hospitals with the greatest technical facilities and the most important activity. The triage of the patients to a suitable centre must be done after careful prehospital evaluation, which is made on clinical criteria (mechanism, injury, medical history), measurement of vital signs, calculation of scores (RTS, MGAP) or based on classifications. According to this assessment, the patients will then be triaged to a centre that has the capacity for the optimal and definitive ma...Continue Reading

References

May 1, 1989·The Journal of Trauma·H R ChampionM E Flanagan
Apr 26, 2000·The Journal of Trauma·M EcksteinR Palmer
May 2, 2000·JAMA : the Journal of the American Medical Association·A B NathensR V Maier
Feb 13, 2001·Resuscitation·D J Lockey
Mar 20, 2001·JAMA : the Journal of the American Medical Association·A B NathensF P Rivara
May 7, 2002·The American Journal of Emergency Medicine·Hala TamimJohn S Sampalis
Apr 4, 2003·JAMA : the Journal of the American Medical Association·Ellen J MacKenzieHarry Teter
Dec 26, 2003·Prehospital and Disaster Medicine·Wolfgang F Dick
Jan 30, 2004·The Journal of Trauma·Avery B NathensFrederick P Rivara
Jun 3, 2004·Lancet·Avery B NathensRonald V Maier
Jun 24, 2004·The Journal of Trauma·Moishe LibermanJohn S Sampalis
Sep 30, 2004·The Journal of Trauma·David E ClarkDavid R Hahn
Nov 17, 2004·Archives of Surgery·Kobi PelegUNKNOWN Israel Trauma Group
Jan 27, 2006·The New England Journal of Medicine·Ellen J MacKenzieDaniel O Scharfstein
Mar 15, 2006·The Journal of Trauma·Garth H UtterAvery B Nathens
May 16, 2006·Langenbeck's Archives of Surgery·Leontien M SturmsGerrolt N Jukema
Feb 21, 2009·Journal of the American College of Surgeons·Barbara HaasAvery B Nathens
Nov 10, 2009·Injury·R Malcolm Smith, Alasdair K T Conn
Dec 17, 2009·Annals of Surgery·Minke J TwijnstraLuke P H Leenen
Jan 22, 2011·Critical Care : the Official Journal of the Critical Care Forum·Jean-Michel YeguiayanUNKNOWN French Intensive Care Recorded In Severe Trauma Study Group
Jun 20, 2013·The Journal of Trauma and Acute Care Surgery·Joshua B BrownJason L Sperry
May 24, 2014·The Journal of Trauma and Acute Care Surgery·Sophie Rym HamadaCatherine Paugam-Burtz
Apr 19, 2015·Critical Care : the Official Journal of the Critical Care Forum·Pierre BouzatUNKNOWN TRENAU group
May 21, 2015·British Journal of Anaesthesia·P BouzatK Tazarourte
Apr 14, 2016·Critical Care : the Official Journal of the Critical Care Forum·Rolf RossaintDonat R Spahn
Apr 27, 2016·The Journal of Trauma and Acute Care Surgery·Joshua B BrownFrancis X Guyette
Jul 21, 2016·The Journal of Trauma and Acute Care Surgery·Bradley M DennisOscar D Guillamondegui
Dec 23, 2016·The Journal of Trauma and Acute Care Surgery·David SchechtmanJeffrey A Claridge
Jan 18, 2017·Anaesthesia Critical Care & Pain Medicine·Pierre BouzatFanny Vardon
Jun 8, 2017·The Journal of Trauma and Acute Care Surgery·Stephanie Laura Wilson, Vinay Gangathimmaiah

❮ Previous
Next ❯

Citations

Feb 20, 2020·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Marco TartaglioneGiovanni Gordini
Feb 13, 2021·Emergency Medicine Journal : EMJ·Lorenzo GamberiniGiovanni Gordini
Jan 11, 2021·The Journal of Emergency Medicine·Lorenzo GamberiniGiovanni Gordini
Mar 30, 2021·The American Surgeon·Ali FarhatJeffry Nahmias
Dec 26, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Jean-Stephane DavidKenji Inaba

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.