Saving lives, limbs and livelihoods: considerations in restructuring a national trauma service

Mohan, Helen; Mullan, Daniel; McDermott, Frank D.; Whelan, Rory; O’Donnell, Clifford R.; Winter, D. C.

doi:10.1007/s11845-014-1234-9

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…There are justifiable concerns amongst both trainees and trainers with regard to the lack of exposure to emergency surgery, particularly trauma with a resultant potential for substandard competencies in operative trauma procedures that may be encountered as a newly appointed consultant surgeon. This is in part due to the increasingly non-operative nature of injury management [4], a reduction in surgical exposure associated with the European Working Time Directive [5] and a failure to establish high-volume centralised major trauma care in certain jurisdictions that would to facilitate focused training pathways in operative trauma skills [6].…”

Section: Introductionmentioning

confidence: 99%

Competency in trauma surgery: a national survey of trainees and consultants

et al. 2022

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Background The current sparsity of surgical trainees’ exposure to training in operative trauma surgery is multifactorial. This concern has been addressed in the revised Intercollegiate Surgical Curriculum Programme (ISCP) for general and vascular surgery (2021). In the lead up to its implementation, we aimed to assess both trainee and consultant confidence levels as a surrogate reflection in the core competency operative skills in general emergency trauma surgery, identify individual experience in commonly performed trauma procedures and gauge interest in a career in trauma surgery. Method An online survey was circulated to general surgery and vascular surgery trainees and consultants. Self-reported competencies were assessed using a 1–10 confidence rating scale. Most questions were based on competencies in emergency trauma surgery as set out by the ISCP. Results Out of 251 surgical trainees and consultants, 119 responded to our survey (47.4% response rate). Less than half (44.1%; n = 52) of respondents had experienced a trauma thoracotomy. Respondents scored ‘somewhat’ or ‘not at all’ competent in the majority of competencies assessed. Conclusion Self-reported competencies in operative trauma skills across all subgroups were sub-standard with incremental levels of perceived competence proportional to years of surgical training. Our data supports the necessity of the new curriculum, in addition to modern training pathways with direct exposure to operative trauma surgery involving dedicated trauma centres and networks, and responsibility of training pathways in the provision of training trauma surgery.

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Section: Introductionmentioning

confidence: 99%

Competency in trauma surgery: a national survey of trainees and consultants

et al. 2022

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“…Another factor, which affects road fatalities, is population density. Studies have shown that in a region with higher population density, the number of trips is more so the roads are more crowded and thus there is a higher frequency of accidents (10,11). Another factor which effects road fatality is "having more rainy days".…”

Section: Introductionmentioning

confidence: 99%

Road Fatalities and Their Determinants in Iran: Evidence From Panel Provincial Data

Rad

Tavakkoli

2016

Arch Trauma Res

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Background: Studies have shown that the number of road fatalities has been decreasing in developed regions and increasing in less and middle developed regions. Iran has one of the highest road fatalities in the world. Controlling road fatalities is vital for less and middle developed countries like Iran. Objectives: The aim of this study was to find factors affecting road fatalities in Iran using macro provincial data. Materials and Methods: Panel data of provinces of Iran between 2008 and 2012 were used for this study. Panel data Poisson estimator was used for estimating the model. Hausman test and Breusch-pagan test were used for finding between pooled or panel and fixed or random effects. Results: No significant relationships were found regarding the percentage of emergency sites and percentage of cars with road fatalities. Increase in the percentage of motorcycles, rain, highways and freeways increased the risk of road fatalities. The effect of highways in road fatalities was higher than freeways. Increase in the percentage of traffic police sites and people living in urban regions decreased the risk of accident fatalities. Conclusions: The government, ministry of health and policy makers must develop strategies for controling high levels of road fatalities in Iran.

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“…Experience of an Irish Regional Trauma Unit Introduction Twenty six hospitals in the Republic of Ireland (ROI) receive trauma, each serving an adjusted population of 176,538. Sixteen of these Hospitals have a Trauma & Orthopaedic Department (1). Trauma is the principle cause of approximately 232,000 fatalities within the European Union (EU) per annum and accounts for over 5.3 million hospital admissions annually, it is estimated it costs EU member states in excess of 80 billion euro a year (2).…”

mentioning

confidence: 99%

Lessons from lockdown: Virtual Clinics and service reorganisation in fracture management during COVID 19 experience of an Irish Regional Trauma Unit

et al. 2021

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Saving lives, limbs and livelihoods: considerations in restructuring a national trauma service

Abstract: Clearly designated and adequately resourced MTCs with trauma networks are needed to improve trauma outcomes, with concomitant investment in pre-hospital infrastructure.

Cited by 5 publications

References 17 publications

Competency in trauma surgery: a national survey of trainees and consultants

Competency in trauma surgery: a national survey of trainees and consultants

Road Fatalities and Their Determinants in Iran: Evidence From Panel Provincial Data

Lessons from lockdown: Virtual Clinics and service reorganisation in fracture management during COVID 19 experience of an Irish Regional Trauma Unit

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