Authors: K W W Lansink L P H Leenen
Publish Date: 2012/09/13
Volume: 39, Issue: 1, Pages: 3-7
Abstract
The development of trauma systems all over the world resulted in improved outcome for a broad range of trauma victims In this review we demonstrate the developments of an inclusive regionalised trauma system in the Netherlands and the subsequent developments in our level one trauma centre and trauma region in comparisonWith the seasoning of the trauma system further improvements in outcome could be demonstrated in the region an OR of 084 and in the trauma centre an OR of 061 in a later comparison over the years another OR 074 was noted In addition a further diversification of the trauma populations was seen in the various hospitals with different levels based on a prehospital triage system Torso and multiple injured patients were more seen in the trauma centre and increased to more than 350 patients with an ISS of 15 whereas monotrauma was almost exclusively seen in the level two and three hospitals The further development of the trauma system is discussed in which the minimum requirements of the individual trauma surgeon and institution are taken as a guidelineBased on these considerations a further concentration of the most severely injured patients is proposed in a small country as the Netherlands culminating in one trauma centre for the most severely injured patients combined with an integrated prehospital helicopter system on top of the current good functioning inclusive trauma system These developments could be a template for further developments of trauma systems in Europe
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