|
1
|
Thies KC, Bergmans E, Billington A, Fraga GP, Trummer F, Nasr AO, Tilsed J, Kamaras G, Cebula G, Protic A, Khalifa GEA, Vänni V, Alouini S, Uštar KK, Perfetti P, Sari F, Cimpoesu D, Cassar MR, Lott C, Blondeel L, Kooij F, Neutel E, Verdonck P. The European Trauma Course: Transforming systems through training. Resusc Plus 2024; 18:100599. [PMID: 38515443 PMCID: PMC10955415 DOI: 10.1016/j.resplu.2024.100599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2024] Open
Abstract
The European Trauma Course (ETC) exemplifies an innovative approach to multispecialty trauma education. This initiative was started as a collaborative effort among the European Society for Emergency Medicine, the European Society for Trauma and Emergency Surgery, and the European Society of Anaesthesiology under the auspices of the European Resuscitation Council. With the robust support of these societies, the project has evolved into the independent European Trauma Course Organisation. Over the past 15 years, the ETC has transcended traditional training by integrating team dynamics and non-technical skills into a scenario-based simulation course, helping to shape trauma care practice and education. A distinctive feature of the ETC is its training of doctors and allied healthcare professionals, fostering a collaborative and holistic approach to trauma care. The ETC stands out for its unique team-teaching approach, which has gained widespread recognition as the standard for in-hospital trauma care training not only in Europe but also beyond. Since its inception ETC has expanded geographically from Finland to Sudan and from Brazil to the Emirates, training nearly 20,000 healthcare professionals and shaping trauma care practice and education across 25 countries. Experiencing exponential growth, the ETC continues to evolve, reflecting its unmet demand in trauma team education. This review examines the evolution of the ETC, its innovative team-teaching methodology, national implementation strategies, current status, and future challenges. It highlights its impact on trauma care, team training, and the effect on other life support courses in various countries.
Collapse
Affiliation(s)
- Karl-Christian Thies
- EvKB, Dept of Anaesthesia and Critical Care, Bielefeld University Medical Center-Campus Bethel, Bielefeld, Germany
- European Trauma Course Organisation, Niel, Belgium
| | - Elonka Bergmans
- EvKB, Dept of Anaesthesia and Critical Care, Bielefeld University Medical Center-Campus Bethel, Bielefeld, Germany
| | | | - Gustavo P. Fraga
- Dept of Trauma Surgery, Vera Cruz Hospital-Trauma Center, Faculty of Medicine, University of Campinas, Campinas, Brazil
| | | | - Ayman O. Nasr
- Trauma Unit, King Fahad University Hospital & College of Medicine, Imam Abdulrahman Bin Faisal University, Khobar, Saudi Arabia
| | - Jonathan Tilsed
- European Trauma Course Organisation, Niel, Belgium
- Hull York Medical School, United Kingdom
- UEMS Division of Emergency Surgery, European Society for Trauma and Emergency Surgery, United Kingdom
| | - Georgie Kamaras
- Luton and Dunstable University Hospital, Luton, United Kingdom
| | - Gregorz Cebula
- Jagiellonian University Medical College, Center for Innovative Medical Education, Kraków, Poland
| | - Alen Protic
- Department of Anesthesiology, Intensive Medicine and Pain Therapy, University Hospital Rijeka, Rijeka, Croatia
| | - Gamal Eldin Abbas Khalifa
- European Trauma Course Organisation, Niel, Belgium
- Emergency and Disaster Medicine, Egyptian Resuscitation Council, Egypt
| | | | | | - Katja Kalan Uštar
- Dept of Anaesthesia and Critical Care, Trbovlje General Hospital, Trbovlje, Slovenia
| | - Paola Perfetti
- Emergency Department at Latisana, Azienda Sanitaria Universitaria Friuli Centrale, Italy
| | - Ferenc Sari
- European Trauma Course Organisation, Niel, Belgium
- Department of Emergency Medicine, Skellefteå Hospital, Region Västerbotten, Sweden
| | - Diana Cimpoesu
- University of Medicine and Pharmacy “Grigore T. Popa”, Emergency Medicine, II-nd Surgery Department, Hospital “Sf. Spiridon” Iasi, Romania
| | - Mary Rose Cassar
- Emergency Department, Mater Dei Hospital, Malta, University of Malta, Malta
| | - Carsten Lott
- European Trauma Course Organisation, Niel, Belgium
- Klinik für Anästhesiologie, Universitätsmedizin Mainz, Mainz, Germany
| | | | - Fabian Kooij
- European Trauma Course Organisation, Niel, Belgium
- Anesthesiologie Amsterdam UMC, locatie AMC, Amsterdam Zuidoost, Netherlands
| | - Elizabete Neutel
- European Trauma Course Organisation, Niel, Belgium
- Department of Anaesthesiology, Intensive Care Medicine and Emergency. Unidade Local de Saúde de Santo António, Porto, Portugal
| | - Philip Verdonck
- Emergency Departement, Antwerp University Hospital, Faculty of Medicine and Health Sciences, University of Antwerp, Belgium
| |
Collapse
|
|
2
|
The volume-outcome relationship in severely injured patients: A systematic review and meta-analysis. J Trauma Acute Care Surg 2019; 85:810-819. [PMID: 30086069 DOI: 10.1097/ta.0000000000002043] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND The volume-outcome relationship in severely injured patients remains under debate and this has consequences for the designation of trauma centers. OBJECTIVES The aim of this study was to evaluate the relationship between hospital or surgeon volume and health outcomes in severely injured patients. METHODS Six electronic databases were searched from 1980 up to January 30, 2018, to identify studies that describe the relationship between hospital or surgeon volume and health outcomes in severely injured patients (preferably Injury Severity Score above 15). Selection of relevant studies, data extraction, and critical appraisal of the methodological quality were performed by two independent reviewers. Pooled adjusted and unadjusted estimates of the effect of volume on in-hospital mortality, only in study populations with Injury Severity Score greater than 15, were calculated with a random-effects meta-analysis. A mixed effects linear regression model was used to assess hospital volume as continuous parameter. RESULTS Eighteen observational cohort studies were included. The majority (13 [72%] of 18) reported an association between higher hospital or surgeon volume and lower mortality rate. Overall, the quality of the included studies was reasonable, with insufficient adjustment as one of the most common limitations. Eight studies were included in the meta-analysis with a total of 222,418 patients. High hospital volume (>240 admitted severely injured patients per year) was associated with a lower risk of mortality (adjusted odds ratio, 0.85; 95% confidence interval, 0.76-0.94). Four studies were included in the regression model, providing a beta of -0.17 per 10 patients (95% CI, -0.27 to -0.07). There was no clear association between surgeon volume and mortality rates based on three available studies. CONCLUSION Our systematic overview of the literature reveals a modest association between high-volume centers and lower mortality in severely injured patients, suggesting that designation of high-volume centers might improve outcomes among severely injured patients. LEVEL OF EVIDENCE Systematic review and meta-analysis, level III. Systematic review registration number: PROSPERO registration ID CRD42017056729.
Collapse
|