"In terms of implementation of trauma-sensitive schooling techniques, we are in the very early stages nationally," he says.
Our objective was to examine pain management in several trauma units, and to evaluate the impact of implementation of a trauma pain management protocol.
However, our study was not designed to investigate a direct causal relationship between mortality and the implementation of the trauma system.
The time period of this study includes the date of implementation of the Trauma Network in April 2012, and as such the proportion of REBOA patients currently seen at MTCs is likely to be slightly greater than we have reported.
The results of this study contribute to a growing evidence base that implementation of inclusive trauma systems can play an important role in reducing the population burden of road traffic injury.
The changing pattern of traumatic death has been related to several causes such as improvements in surgical techniques and diagnostics, implementation of advanced trauma life support (ATLS), patient management, and treatment strategies [ 9].
While several papers have reported the implementation of a structured trauma system of care, research evidence on the effectiveness of such regionalization for improvement in trauma outcome is limited.
Implementation of such a trauma system was shown to decrease mortality and severe disability of patients admitted in a Level-I trauma center [ 2].
Nathens et al 7 studied the association between implementation of an organized trauma system on mortality after motor vehicle crashes across all states in the United States from 1979 to 1995.
CONCLUSIONS: The implementation of a dedicated full-time trauma team incorporating both trauma surgeons and EM-trained, board-certified or -eligible emergency physicians was associated with improved mortality rates in trauma patients treated at a Level I academic medical center, including those patients presenting with the most severe injuries.
A feature of the Victorian State Trauma System, which possibly shortened the time frame for impact in effect, was the implementation of center designation concurrently with trauma triage and transfer guidelines.
