Trauma system in Greece: Quo Vadis?

Injury
Evangelos AnagnostouPantelis Vassiliu

Abstract

Implementation of trauma systems has markedly assisted in improving outcomes of the injured patient. However, differences exist internationally as diverse social factors, economic conditions and national particularities are placing obstacles. The purpose of this paper is to critically evaluate the current Greek trauma system, provide a comprehensive review and suggest key actions. An exhaustive search of the - scarce on this subject - English and Greek literature was carried out to analyze all the main components of the Greek trauma system, according to American College of Surgeons' criteria, as well as the WHO Trauma Systems Maturity Index. Regarding prevention, efforts are in the right direction lowering the road traffic incidents-related death rate, however rural and insular regions remain behind. Hellenic Emergency Medical Service (EKAB) has well-defined communications and emergency phone line but faces problems with educating people on how to use it properly. In addition, equal and systematic training of ambulance personnel is a challenge, with the lack of pre-hospital registry and EMS quality assessment posing a question on where the related services are currently standing. Redistribution of facilities' roles with the est...Continue Reading

Citations

Sep 27, 2020·World Journal of Surgery·Stavros K KakkosPanagiotis Kitrou
Jan 4, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Evangelos Anagnostou, Elaine Cole

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