Pelvic Injuries and Spinal Injuries

Savvidou, Olga D.; Kaspiris, Angelos; Papagelopoulos, Panayiotis J.

doi:10.1007/978-3-030-34116-9_24

Hot Topics in Acute Care Surgery and Trauma

2021

DOI: 10.1007/978-3-030-34116-9_24

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Pelvic Injuries and Spinal Injuries

Olga D. Savvidou

Angelos Kaspiris

Panayiotis J. Papagelopoulos

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2024

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Cited by 1 publication

(2 citation statements)

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“…9,10 Likewise, MASCAL resulting from natural disasters frequently include traumatic injuries to the pelvis and torso. 13 Traumatic injuries to the abdomen and pelvis may result from massive forces sustained by the patient from blast but also from other mechanisms such as falls, crush injuries from infrastructure collapse, and transportation accidents. 14,15 These injuries often necessitate prompt and skillful surgical intervention to avert avoidable death.…”

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confidence: 99%

“…Causalities may be injured by dispersed penetrating fragments or could be forcefully displaced against hard objects, resulting in blunt injuries to the pelvis and torso 9,10 . Likewise, MASCAL resulting from natural disasters frequently include traumatic injuries to the pelvis and torso 13 . Traumatic injuries to the abdomen and pelvis may result from massive forces sustained by the patient from blast but also from other mechanisms such as falls, crush injuries from infrastructure collapse, and transportation accidents 14,15 .…”

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Evaluation of urological and gynecological surgeons as force multipliers for mass casualty trauma care

Andreatta,

Graybill,

Bradley

et al. 2024

J Trauma Acute Care Surg

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BACKGROUND The clinical demands of mass casualty events strain even the most well-equipped trauma centers and are especially challenging in resource-limited rural, remote, or austere environments. Gynecologists and urologists care for patients with pelvic and abdominal injuries, but the extent to which they are able to serve as “force multipliers” for trauma care is unclear. This study examined the abilities of urologists and gynecologists to perform 32 trauma procedures after mentored training by expert trauma educators to inform the potential for these specialists to independently care for trauma patients. METHODS Urological (6), gynecological surgeons (6), senior (PGY5) general surgery residents (6), and non-trauma trained general surgeons (8) completed a rigorous trauma training program (ASSET+). All participants were assessed in their trauma knowledge and surgical abilities performing 32 trauma procedures pre/post mentored training by expert trauma surgeons. Performance benchmarks were set for knowledge (80%) and independent, accurate completion of all procedural components within a realistic time window (90%). RESULTS General surgery participants demonstrated greater trauma knowledge than gynecologists and urologists; however, none of the specialties reached the 80% benchmark. Pre-training, general surgery and urology participants outperformed gynecologists for overall procedural abilities. Post-training, only general surgeons met the 90% benchmark. Post-hoc analysis revealed no differences between the groups performing most pelvic and abdominal procedures, however knowledge associated with decision making and judgment in the provision of trauma care was significantly below the benchmark for gynecologists and urologists, even after training. CONCLUSION For physiologically stable patients with traumatic injuries to the abdomen, pelvis or retroperitoneum, these specialists might be able to provide appropriate care; however, they would best benefit trauma patients in the capacity of highly skilled assisting surgeons to trauma specialists. These specialists should not be considered for solo resuscitative surgical care. LEVEL OF EVIDENCE Therapeutic/Care Management, Level III/IV.

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confidence: 99%

mentioning

confidence: 99%

Evaluation of urological and gynecological surgeons as force multipliers for mass casualty trauma care

Andreatta,

Graybill,

Bradley

et al. 2024

J Trauma Acute Care Surg

View full text Add to dashboard Cite

show abstract

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Pelvic Injuries and Spinal Injuries

Cited by 1 publication

References 17 publications

Evaluation of urological and gynecological surgeons as force multipliers for mass casualty trauma care

Evaluation of urological and gynecological surgeons as force multipliers for mass casualty trauma care

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