- 作者：David Costa Navarro ; Montiel Jim茅nez Fuertes ; Jos茅 Ceballos Esparrag贸n ; Soledad Mont贸n Cond贸n ; Jos茅 Mar铆a Jover Naval贸n ; Fern ; o Tur茅gano Fuentes ; Salvador Navarro Soto
- 关键词：Trauma systems ; Trauma education ; Trauma centers ; Multiple injuries
- 刊名：Cirug篓陋a Espa?ola (English Edition)
- 出版年：August-September, 2013
- 年：2013
- 卷：91
- 期：7
- 页码：432-437
- 全文大小：512 K
Background
Trauma injuries are the main cause of death in the world. The aim of this study is to determine how trauma patients are treated in Spain at an organizational level.Material and methods
A questionnaire was prepared consisting of 14 questions regarding aspects of the trauma care organization and trauma education. It was posted on the web site of the Spanish College of Surgeons and all members were encouraged to participate.
Results
One hundred and ninety questionnaires from 110 different hospitals were received. More than two-thirds (67.3%) of the centers had protocols for treating trauma patients, with 81% of them based on ATLS guidelines. Almost three-quarters (72.6%) of the doctors had completed the ATLS course, and 38.9% the DSTC course. There was a specific education program in trauma in 24.5% of the centers, and 35.5% had a Trauma Committee. There was a rehabilitation program in 24.5% of the centers.
Conclusion
Very few of the participating centers would fulfill the requirements of the American College of Surgeons accreditation for trauma centers. Trauma care in Spain has improved a lot in the recent years, but there is still a lot to do to reach the level of that in the United States of America.