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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] [What about the content of this article? (0)] [Affiliation(s)] [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.
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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
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Gstir T, Michaelsen T, Long BA, Nacsa AB, Ayasli A, Swaraj D, Zappa F, Trummer F, Ard SG, Shuman NS, Czakó G, Viggiano AA, Wester R. The influence of fluorination on the dynamics of the F - + CH 3CH 2I reaction. Phys Chem Chem Phys 2023. [PMID: 37409391 DOI: 10.1039/d3cp02110f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/07/2023]
Abstract
The competition between the bimolecular nucleophilic substitution (SN2) and base-induced elimination (E2) reaction and their intrinsic reactivity is of key interest in organic chemistry. To investigate the effect of suppressing the E2 pathway on SN2 reactivity, we compared the reactions F- + CH3CH2I and F- + CF3CH2I. Differential cross-sections have been measured in a crossed-beam setup combined with velocity map imaging, giving insight into the underlying mechanisms of the individual pathways. Additionally, we employed a selected-ion flow tube to obtain reaction rates and high-level ab initio computations to characterize the different reaction pathways and product channels. The fluorination of the β-carbon not only suppresses the E2-reaction but opens up additional channels involving the abstraction of fluorine. The overall SN2 reactivity is reduced compared to the non-fluorinated iodoethane. This reduction is presumably due to the competition with the highly reactive channels forming FHF- and CF2CI-.
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Affiliation(s)
- Thomas Gstir
- Institut für Ionenphysik und Angewandte Physik, Universität Innsbruck, 6020 Innsbruck, Austria.
| | - Tim Michaelsen
- Institut für Ionenphysik und Angewandte Physik, Universität Innsbruck, 6020 Innsbruck, Austria.
| | - Bryan A Long
- Air Force Research Laboratory, Space Vehicles Directorate, Kirtland Air Force Base, NM 87117, USA
| | - András B Nacsa
- MTA-SZTE Lendület Computational Reaction Dynamics Research Group, Interdisciplinary Excellence Centre and Department of Physical Chemistry and Materials Science, Institute of Chemistry, University of Szeged, Rerrich Béla tér 1, Szeged H-6720, Hungary
| | - Atilay Ayasli
- Institut für Ionenphysik und Angewandte Physik, Universität Innsbruck, 6020 Innsbruck, Austria.
| | - Dasarath Swaraj
- Institut für Ionenphysik und Angewandte Physik, Universität Innsbruck, 6020 Innsbruck, Austria.
| | - Fabio Zappa
- Institut für Ionenphysik und Angewandte Physik, Universität Innsbruck, 6020 Innsbruck, Austria.
| | - Florian Trummer
- Institut für Ionenphysik und Angewandte Physik, Universität Innsbruck, 6020 Innsbruck, Austria.
| | - Shaun G Ard
- Air Force Research Laboratory, Space Vehicles Directorate, Kirtland Air Force Base, NM 87117, USA
| | - Nicholas S Shuman
- Air Force Research Laboratory, Space Vehicles Directorate, Kirtland Air Force Base, NM 87117, USA
| | - Gábor Czakó
- MTA-SZTE Lendület Computational Reaction Dynamics Research Group, Interdisciplinary Excellence Centre and Department of Physical Chemistry and Materials Science, Institute of Chemistry, University of Szeged, Rerrich Béla tér 1, Szeged H-6720, Hungary
| | - Albert A Viggiano
- Air Force Research Laboratory, Space Vehicles Directorate, Kirtland Air Force Base, NM 87117, USA
| | - Roland Wester
- Institut für Ionenphysik und Angewandte Physik, Universität Innsbruck, 6020 Innsbruck, Austria.
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Li J, Krall M, Trummer F, Memon AR, Pepe A, Gsaxner C, Jin Y, Chen X, Deutschmann H, Zefferer U, Schäfer U, Campe GV, Egger J. MUG500+: Database of 500 high-resolution healthy human skulls and 29 craniotomy skulls and implants. Data Brief 2021; 39:107524. [PMID: 34815988 PMCID: PMC8591340 DOI: 10.1016/j.dib.2021.107524] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 10/25/2021] [Indexed: 11/19/2022] Open
Abstract
In this article, we present a skull database containing 500 healthy skulls segmented from high-resolution head computed-tomography (CT) scans and 29 defective skulls segmented from craniotomy head CTs. Each healthy skull contains the complete anatomical structures of human skulls, including the cranial bones, facial bones and other subtle structures. For each craniotomy skull, a part of the cranial bone is missing, leaving a defect on the skull. The defects have various sizes, shapes and positions, depending on the specific pathological conditions of each patient. Along with each craniotomy skull, a cranial implant, which is designed manually by an expert and can fit with the defect, is provided. Considering the large volume of the healthy skull collection, the dataset can be used to study the geometry/shape variabilities of human skulls and create a robust statistical model of the shape of human skulls, which can be used for various tasks such as cranial implant design. The craniotomy collection can serve as an evaluation set for automatic cranial implant design algorithms.
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Affiliation(s)
- Jianning Li
- Graz University of Technology (TU Graz), Graz, Styria, Austria
- Computer Algorithms for Medicine Laboratory (Café Lab), Graz, Styria, Austria
- Medical University of Graz (MedUni Graz), Graz, Styria, Austria
- Corresponding authors.
| | - Marcell Krall
- Medical University of Graz (MedUni Graz), Graz, Styria, Austria
| | - Florian Trummer
- Medical University of Graz (MedUni Graz), Graz, Styria, Austria
| | - Afaque Rafique Memon
- Institute of Biomedical Manufacturing and Life Quality Engineering, School of Mechanical Engineering, Shanghai Jiao Tong University, Shanghai, China
| | - Antonio Pepe
- Graz University of Technology (TU Graz), Graz, Styria, Austria
- Computer Algorithms for Medicine Laboratory (Café Lab), Graz, Styria, Austria
| | - Christina Gsaxner
- Graz University of Technology (TU Graz), Graz, Styria, Austria
- Computer Algorithms for Medicine Laboratory (Café Lab), Graz, Styria, Austria
- Medical University of Graz (MedUni Graz), Graz, Styria, Austria
| | - Yuan Jin
- Graz University of Technology (TU Graz), Graz, Styria, Austria
- Computer Algorithms for Medicine Laboratory (Café Lab), Graz, Styria, Austria
- Research Center for Connected Healthcare Big Data, ZhejiangLab, Hangzhou, Zhejiang, China
| | - Xiaojun Chen
- Institute of Biomedical Manufacturing and Life Quality Engineering, School of Mechanical Engineering, Shanghai Jiao Tong University, Shanghai, China
| | | | - Ulrike Zefferer
- Medical University of Graz (MedUni Graz), Graz, Styria, Austria
| | - Ute Schäfer
- Medical University of Graz (MedUni Graz), Graz, Styria, Austria
| | - Gord von Campe
- Medical University of Graz (MedUni Graz), Graz, Styria, Austria
| | - Jan Egger
- Graz University of Technology (TU Graz), Graz, Styria, Austria
- Computer Algorithms for Medicine Laboratory (Café Lab), Graz, Styria, Austria
- Medical University of Graz (MedUni Graz), Graz, Styria, Austria
- Corresponding authors.
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Dauser B, Hartig N, Vedadinejad M, Kirchner E, Trummer F, Herbst F. Robotic-assisted repair of complex ventral hernia: can it pay off? J Robot Surg 2020; 15:45-52. [PMID: 32277399 DOI: 10.1007/s11701-020-01078-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2020] [Accepted: 04/02/2020] [Indexed: 11/25/2022]
Abstract
Pressure on health care providers is growing due to capping of remuneration for medical services in most Western European countries. We wanted to investigate, if robotic-assisted ventral hernia repair is reasonable from an economic point of view in our setting. Patients undergoing open or robotic-assisted repair for complex abdominal wall hernia using a Transversus Abdominis Release (TAR) between September 2017 and January 2019 were included. Procedure-related costs were calculated exact to the minute and cost unit accounting for the postoperative in-patient stay was done. Abdominal wall reconstruction using the TAR-technique was done in a total of 26 (10 female) patients via an open (n = 10) or robotic-assisted (n = 16) approach. No significant difference was seen in regard to age, BMI and ASA scores between subgroups. Time for operation was longer (253.5 vs 211.5 min; p = 0.0322), while postoperative hospital stay was shorter for patients operated with a robotic-assisted approach (4.5 vs 12.5 days; p < 0.005). Procedure-related costs were 2.7-fold higher when a robotic-assisted reconstruction was done (EUR 5397 vs. 1989), while total costs for in-patient stay were about 60% lower (EUR 2715 vs 6663). Currently, revenues by national insurance account for a total of EUR 9577 leading to a profit of EUR 1465 and 925 for the robotic-assisted and open myofascial release, respectively. In addition, 30-day re-admission rate was in favor of the robotic-assisted approach as well (6.3% vs 20%). From an economic point of view, robotic-assisted TAR for complex ventral hernia repair is a viable option in our setting. Higher procedure-related costs are offset by a significant shorter hospital stay. The economic advantage goes along with improvement in outcome of patients.
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Affiliation(s)
- Bernhard Dauser
- Department of Surgery, St John of God Hospital, Johannes von Gott Platz 1, 1020, Vienna, Austria.
- Vienna Medical School, Sigmund Freud University, Vienna, Austria.
| | - Nikolaus Hartig
- Department of Surgery, St John of God Hospital, Johannes von Gott Platz 1, 1020, Vienna, Austria
| | - Mariam Vedadinejad
- Department of Surgery, St John of God Hospital, Johannes von Gott Platz 1, 1020, Vienna, Austria
- Vienna Medical School, Sigmund Freud University, Vienna, Austria
| | | | - Florian Trummer
- Department of Surgery, St John of God Hospital, Johannes von Gott Platz 1, 1020, Vienna, Austria
- Vienna Medical School, Sigmund Freud University, Vienna, Austria
| | - Friedrich Herbst
- Department of Surgery, St John of God Hospital, Johannes von Gott Platz 1, 1020, Vienna, Austria
- Vienna Medical School, Sigmund Freud University, Vienna, Austria
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Lulic I, Lulic D, Trummer F, Deixler A, Ustar KK, Schreiber C, Hüpfl M. Optimal practice for emergency ‘front-of-neck’ airway in trauma setting: Words of European Trauma Course Austria instructors. Resuscitation 2017. [DOI: 10.1016/j.resuscitation.2017.11.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Huepfl M, Lukic A, Trummer F, Tregubov V, Ustar KK, Schreiber C, Deixler A, Roessner B, Lulic D, Lulic I. What is our motivation for teaching on European Trauma Course (ETC)? Results from a survey of active ETC instructors in Austria. Resuscitation 2016. [DOI: 10.1016/j.resuscitation.2016.07.181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Lulic I, Trummer F, Lulic D, Lukic A, Tregubov V, Ustar KK, Schreiber C, Deixler A, Brucke M, Roessner B, Huepfl M. Challenges instructors meet while teaching on European Trauma Course (ETC). Resuscitation 2016. [DOI: 10.1016/j.resuscitation.2016.07.183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Trummer F, Huepfl M, Lulic I, Ustar KK, Deixler A, Schreiber C. The development of the European Trauma Course in Austria: Data on 30 courses. Resuscitation 2016. [DOI: 10.1016/j.resuscitation.2016.07.151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Lulic I, Lulic D, Hüpfl M, Deixler A, Trummer F, Ustar KK, Rössner B, Brucke M, Tregubov V. Utilization of social media platforms among instructors of European Trauma Course in Austria. Resuscitation 2015. [DOI: 10.1016/j.resuscitation.2015.09.219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Trummer F, Wiest I, Kirn V, Bergauer F, Kost B, Dian D, Jeschke U. Die Expression des TA-MUC1 in normalem Cervixepithel, Dysplasien und im Cervixkarzinom. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1555073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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