Document Detail

Trauma management in Australia and the tyranny of distance.
MedLine Citation:
PMID:  12658478     Owner:  NLM     Status:  MEDLINE    
Major trauma presents a time-critical medical emergency. Successful and expeditious management with early definitive treatment is required to prevent secondary injury. The resources in the prehospital setting, at the hospital of first treatment, and at the tertiary referral (major trauma) center all have an impact on the ability of an integrated trauma system to deliver optimal care to a patient. The time between leaving the injury site and instituting definitive care does not always equate with distance. Retrieval resources must be allocated carefully. Potentially preventable morbidity and mortality has been identified and is specifically related to the time between injury and definitive care and the efficiency of the retrieval and hospital transfer processes. These problems are being addressed with a further sophistication of integrated trauma systems. Regional trauma committees, unified and sophisticated ambulance services, good communication lines, adequate resources at major trauma services, and well developed surgical services are all essential for the appropriate and expeditious management of major trauma patients injured at a distance from tertiary referral (major trauma) centers.
Peter D Danne
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of surgery     Volume:  27     ISSN:  0364-2313     ISO Abbreviation:  World J Surg     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-03-26     Completed Date:  2003-09-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7704052     Medline TA:  World J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  385-9     Citation Subset:  IM    
Department of Surgery, University of Melbourne, Trauma Service, Royal Melbourne Hospital, Melbourne, Victoria 3050, Australia.
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MeSH Terms
Emergency Medical Services / organization & administration*
Health Services Accessibility / organization & administration*
Rural Population
Time Factors
Urban Population
Wounds and Injuries / diagnosis,  therapy*

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