Universität zu Köln

Longrois, Dan, Maegele, Marc, Bersini, Hugues, Crooks, George, Hubloue, Ives, Nowe, Ann, Rimensberger, Peter C., Sabbe, Marc, Tilsed, Jonathan, Vandemeulebroucke, Jef ORCID: 0000-0001-5714-3254, Verhelst, Werner and Vincent, Jean-Louis ORCID: 0000-0001-6011-6951 (2019). Streamlining pre- and intra-hospital care for patients with severe trauma: a white paper from the European Critical Care Foundation. Eur. J. Trauma Emerg. Surg., 45 (1). S. 39 - 49. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1863-9941

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Abstract

PurposeMajor trauma remains a significant cause of morbidity and mortality in the developed and developing world. In 2013, nearly 5million people worldwide died from their injuries, and almost 1billion individuals sustained injuries that warranted some type of healthcare, accounting for around 10% of the global burden of disease in general. Behind the statistics, severe trauma takes a major toll on individuals, their families and healthcare systems. Management of the patient with severe trauma requires multiple interventions in a highly time-sensitive context and fragmentation of care, characterised by loss of information and time among disciplines, departments and individuals, both outside the hospital and within it, is frequent. Outcomes may be improved by better streamlining of pre- and intra-hospital care.MethodsWe describe the basis for development of a multi-stakeholder consortium by the European Critical Care Foundation working closely with a number of European Scientific Societies to address and overcome problems of fragmentation in the care of patients with severe trauma.ResultThe consortium will develop and introduce an information management system adapted to severe trauma, which will integrate continuous monitoring of vital parameters and point-of-care diagnostics. The key innovation of the project is to harness the power of information technologies and artificial intelligence to provide computer-enhanced clinical evaluation and decision-support to streamline the multiple points at which information and time are potentially lost.ConclusionsThe severe trauma management platform thus created could have multiple benefits beyond its immediate use in managing the care of injured patients.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Longrois, Dan UNSPECIFIED UNSPECIFIED UNSPECIFIED Maegele, Marc UNSPECIFIED UNSPECIFIED UNSPECIFIED Bersini, Hugues UNSPECIFIED UNSPECIFIED UNSPECIFIED Crooks, George UNSPECIFIED UNSPECIFIED UNSPECIFIED Hubloue, Ives UNSPECIFIED UNSPECIFIED UNSPECIFIED Nowe, Ann UNSPECIFIED UNSPECIFIED UNSPECIFIED Rimensberger, Peter C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sabbe, Marc UNSPECIFIED UNSPECIFIED UNSPECIFIED Tilsed, Jonathan UNSPECIFIED UNSPECIFIED UNSPECIFIED Vandemeulebroucke, Jef UNSPECIFIED orcid.org/0000-0001-5714-3254 UNSPECIFIED Verhelst, Werner UNSPECIFIED UNSPECIFIED UNSPECIFIED Vincent, Jean-Louis UNSPECIFIED orcid.org/0000-0001-6011-6951 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-157586
DOI:	10.1007/s00068-018-1053-1
Journal or Publication Title:	Eur. J. Trauma Emerg. Surg.
Volume:	45
Number:	1
Page Range:	S. 39 - 49
Date:	2019
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1863-9941
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PERCUTANEOUS CORONARY INTERVENTION; PREHOSPITAL DEATHS; GLOBAL BURDEN; MORTALITY; STROKE; DISEASE; IMPACT; COUNTRIES; OUTCOMES; LESSONS Multiple languages Emergency Medicine Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/15758