ABSTRACT
INTRODUCTION: Trauma is the leading cause of death in younger people in the Western world. It is of great importance that smaller trauma centres with "high-risk, low-incidence" trauma resuscitations maintain high standards in trauma resuscitation, as severely injured patients are occasionally treated. We aimed to evaluate the effect of implementing trauma team training (TTT). Additionally, we investigated the incidence of severe traumas using the Injury Severity Score (ISS). METHODS: Data on process times were collected in a three-month period before and after implementation of TTT at the Regional Hospital Randers, Denmark. Process times from arrival of the patient in the trauma room until chest X-ray, trauma CT, CT description and transfer were registered. ISS was calculated as trauma severity. RESULTS: A total of 43 trauma patients were registered. ISS values were not significantly different between the two cohorts. 5/43 (12%) had an ISS > 15 as an expression of severe traumas. A tendency to reduced process times was found, but results were not statistically significant. CONCLUSIONS: Despite limitations in this study, our results point towards a reduced process time after the implementation of TTT. At an organisational level, TTT can draw attention to challenges, inappropriate local procedures and allocation of material and staff in order to improve trauma resuscitations. Only 12% of patients had an ISS > 15, emphasising the need to simulate trauma resuscitations using TTT. FUNDING: none. TRIAL REGISTRATION: The study was registered with the Danish Data Protection Agency.
Subject(s)
Emergency Medicine/education , Patient Care Team , Simulation Training , Trauma Centers/statistics & numerical data , Wounds and Injuries/diagnosis , Wounds and Injuries/therapy , Clinical Competence , Denmark , Humans , Injury Severity ScoreABSTRACT
The extent of ageing in the musculoskeletal system during the life course affects the quality and length of life. Loss of bone, degraded articular cartilage, and degenerate, narrowed intervertebral discs are primary features of an ageing skeleton, and together they contribute to pain and loss of mobility. This review covers the cellular constituents that make up some key components of the musculoskeletal system and summarizes discussion from the 2015 Aarhus Regenerative Orthopaedic Symposium (AROS) (Regeneration in the Ageing Population) about how each particular cell type alters within the ageing skeletal microenvironment.
Subject(s)
Aging/physiology , Musculoskeletal System/physiopathology , Aging/pathology , Bone and Bones/pathology , Bone and Bones/physiopathology , Cartilage, Articular/pathology , Cartilage, Articular/physiopathology , Cellular Senescence/physiology , Chondrocytes/physiology , Humans , Intervertebral Disc/pathology , Intervertebral Disc/physiopathology , Musculoskeletal System/blood supply , Musculoskeletal System/pathologyABSTRACT
The combination of modern interventional and preventive medicine has led to an epidemic of ageing. While this phenomenon is a positive consequence of an improved lifestyle and achievements in a society, the longer life expectancy is often accompanied by decline in quality of life due to musculoskeletal pain and disability. The Aarhus Regenerative Orthopaedics Symposium (AROS) 2015 was motivated by the need to address regenerative challenges in an ageing population by engaging clinicians, basic scientists, and engineers. In this position paper, we review our contemporary understanding of societal, patient-related, and basic science-related challenges in order to provide a reasoned roadmap for the future to deal with this compelling and urgent healthcare problem.
