Optimizing trauma care delivery is paramount to saving lives on the battlefield. During the past decade of conflict, trauma care performance improvement at combat support hospitals and forward surgical teams in Afghanistan and Iraq has increased through Joint Trauma System and DoD Trauma Registry data collection, analysis, and rapid evidence-based adjustments to clinical practice guidelines. Al...

Introduction A new trauma steering system was implemented in Stockholm in 2007. Prior to the change all trauma patients were transported to the nearest hospital. The new directive stipulates trauma patients to be transported to the Karolinska University Hospital, a level I trauma centre. International studies have shown positive effects after the implementation of trauma systems, but there is s...

PURPOSE OF REVIEW This review focuses on development and maturation of the tactical evacuation and en route care capabilities of the military trauma system in Afghanistan and discusses hard-learned lessons that may have enduring relevance to civilian trauma systems. RECENT FINDINGS Implementation of an evidence-based, data-driven performance improvement programme in the tactical evacuation an...

Life traumatic experiences are major health problems in different communities. Early trauma exposures such as physical and sexual abuse, and midlife traumatic events like exposing to disasters are predisposing and precipitating risk factors for many psychiatric disorders, although many people facing to trauma may not show any problematic symptoms and are quite resilient. Neuropsychiatric eviden...

BACKGROUND To describe the Los Angeles County trauma system response to disasters. METHODS Review of trauma system structure and multicasualty events. RESULTS The Los Angeles County trauma system is made up of 13 level I and II trauma centers with defined catchment areas that serve 10 million people in 88 cites over 4,000 square miles and receive more than 20,000 trauma activations annually...

by the year 2020, the incidence of trauma has been predicted to rise worldwide and the death rate is expected to increase from 5.1 million to 8.4 million. the most important cause of death and severe morbidity up to the age of 45 years is traumatic brain injury, with or without polytrauma. since the early 1970s, traffic-related deaths in germany have dropped continuously—with the exception of t...

OBJECTIVE The objectives this study are to elucidate the advantages and disadvantages of the panel method for evaluating the quality of trauma care and to review the individual and collective evidence in support of regionalized trauma care derived from these studies. METHOD A review of the published literature was conducted and identified 10 panel studies that compared appropriateness of care...

Each year over 50 million humans are injured worldwide in traffic accidents (WHO). 1,200000 fatalities are registered at the same time. Everybody agrees, that we must fight against. Beside law enforcement, education, car technology and road construction a well organized rescue chain is mandatory, chain links are: Emergency call center (Europe TEL. 112), SAR system, Treatment in a competent hos...