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The Primary Trauma Care course was developed for environments with limited resources [7].
There are limited opportunities for certification courses for those interested in learning BLS and primary trauma care, but no standardization exists.
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One of the most striking findings is the lack (14%) of even basic resuscitative and primary trauma capacity in peripheral primary care centres, including basic airway and first aid equipment, which could potentially save more lives than more advanced surgical services per se.
Secondly, the primary objective of these models is trauma care benchmarking and they are not meant to be used for prediction of individual patient outcome.
We enrolled consecutive primary trauma patients expected to be in intensive care for ≥48 h.
For example, the Consumer Assessment of Healthcare Providers and Systems (CAHPS) program (of the U.S. Agency for Healthcare Research and Quality) has developed valid and reliable measures of patient experiences with ambulatory (primary care, home care) and in-hospital medical-surgical (excluding trauma) care [ 11].
Our primary endpoint was to establish the proportion of trauma facilities recommending ultrasonography in local trauma care manuals.
International guidelines for trauma care still recommend the traditional advanced trauma life support investigations for the primary survey: plain radiographs of the chest, cervical spine and pelvis with FAST ultrasounds.
Nevertheless, the comparison of European and North American trauma care systems is made difficult by significant organisational divergences in emergency medical systems and even the primary specialties of trauma leaders (Fig. 2).
Trauma care did not change.
Most emergency surgery and trauma care will end.
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