Resources for managing trauma in rural New South Wales, Australia

ANZ Journal of Surgery
Kenneth Wong, Jeffrey Petchell

Abstract

Trauma bypass is not always appropriate in the management of rural trauma because of the large distances and travel times. Rural hospitals in New South Wales, Australia are an essential component of the statewide integrated trauma system. The present study profiles the trauma resources of base hospitals in rural New South Wales. A structured questionnaire, addressed to the 'Director, Emergency Department' was distributed to all rural base hospitals in New South Wales. Follow-up telephone interviews were administered to complete data collection. Fourteen hospitals were identified. General and orthopaedic surgeons provided trauma care in all hospitals. Forty-three per cent of hospitals had resident subspecialty surgeons. Fifty per cent of hospitals had a formal hospital trauma team. In the remaining hospitals, the most common reason (86%) stated for the absence of a formal trauma team was a lack of personnel to provide 24 h immediate response to all trauma presentations. Seventy-one per cent of hospitals are staffed by a single doctor after hours. All hospitals had 24 h access to plain radiography and blood products. 86% had 24 h access to ultrasound and computed tomography, although always on an 'on-call' basis after hours. All ...Continue Reading

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Citations

Apr 13, 2010·Environmental Management·Douglas K Bardsley, Susan M Sweeney
Jan 15, 2009·Injury·Frank Plani, Phil Carson
Sep 21, 2005·The Australian Journal of Rural Health·Kenneth Wong, Richard D Levy
Jan 10, 2006·Journal of Paediatrics and Child Health·A J A Holland
Feb 18, 2006·ANZ Journal of Surgery·Conard V Bishop, Katharine J Drummond
Apr 25, 2007·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Kenneth Wong
Aug 18, 2005·The British Journal of Surgery·K Wong
Feb 11, 2021·The Australian Journal of Rural Health·Lachlan KerrLucie Walters

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