Cargando…
The London Major Trauma Network System: A Literature Review
Trauma is one of the leading causes of death and disability worldwide and is a major global public health problem. The provision of trauma care has been substandard in England and Wales prior to the implementation of an inclusive major trauma network system in London in 2010 and subsequently across...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7732139/ https://www.ncbi.nlm.nih.gov/pubmed/33324530 http://dx.doi.org/10.7759/cureus.12000 |
_version_ | 1783622030312079360 |
---|---|
author | Beeharry, Mohammad Waseem Moqeem, Komal |
author_facet | Beeharry, Mohammad Waseem Moqeem, Komal |
author_sort | Beeharry, Mohammad Waseem |
collection | PubMed |
description | Trauma is one of the leading causes of death and disability worldwide and is a major global public health problem. The provision of trauma care has been substandard in England and Wales prior to the implementation of an inclusive major trauma network system in London in 2010 and subsequently across the rest of England two years later. The implementation of the London trauma system has brought about improvements to the delivery of trauma care by decreasing the overall morbidity and mortality significantly. This framework encompasses the collaboration of emergency services, designated Major Trauma Centres (MTCs), Trauma Units (TUs) and community providers which have been optimized with the expertise and resources to provide the best outcomes for major trauma patients. Specific triage protocols, consultant-led trauma service and on-the-spot access to radiology services and operating theatres have played a pivotal role in the improvement of trauma care. In spite of several strengths, however, the London major trauma network system is by no means without its limitations. The emergence of the new coronavirus disease 2019 (COVID-19) pandemic has created major barriers to the smooth running of trauma services by exhausting resources due to infection control measures, reduced theatre space and re-deployment of medical staffs. In addition, the cancellation of elective surgeries has impacted directly on the training of surgical trainees by leaving them with significantly reduced surgical exposure. As a results of this ever changing surgical landscape, a need to urgently review these traditional surgical training methods with a view to modernize the curriculum. Although the London trauma system has evolved significantly since its implementation, its limitations should be recognized and addressed to enhance performance and improve patient outcomes. |
format | Online Article Text |
id | pubmed-7732139 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-77321392020-12-14 The London Major Trauma Network System: A Literature Review Beeharry, Mohammad Waseem Moqeem, Komal Cureus Orthopedics Trauma is one of the leading causes of death and disability worldwide and is a major global public health problem. The provision of trauma care has been substandard in England and Wales prior to the implementation of an inclusive major trauma network system in London in 2010 and subsequently across the rest of England two years later. The implementation of the London trauma system has brought about improvements to the delivery of trauma care by decreasing the overall morbidity and mortality significantly. This framework encompasses the collaboration of emergency services, designated Major Trauma Centres (MTCs), Trauma Units (TUs) and community providers which have been optimized with the expertise and resources to provide the best outcomes for major trauma patients. Specific triage protocols, consultant-led trauma service and on-the-spot access to radiology services and operating theatres have played a pivotal role in the improvement of trauma care. In spite of several strengths, however, the London major trauma network system is by no means without its limitations. The emergence of the new coronavirus disease 2019 (COVID-19) pandemic has created major barriers to the smooth running of trauma services by exhausting resources due to infection control measures, reduced theatre space and re-deployment of medical staffs. In addition, the cancellation of elective surgeries has impacted directly on the training of surgical trainees by leaving them with significantly reduced surgical exposure. As a results of this ever changing surgical landscape, a need to urgently review these traditional surgical training methods with a view to modernize the curriculum. Although the London trauma system has evolved significantly since its implementation, its limitations should be recognized and addressed to enhance performance and improve patient outcomes. Cureus 2020-12-09 /pmc/articles/PMC7732139/ /pubmed/33324530 http://dx.doi.org/10.7759/cureus.12000 Text en Copyright © 2020, Beeharry et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Orthopedics Beeharry, Mohammad Waseem Moqeem, Komal The London Major Trauma Network System: A Literature Review |
title | The London Major Trauma Network System: A Literature Review |
title_full | The London Major Trauma Network System: A Literature Review |
title_fullStr | The London Major Trauma Network System: A Literature Review |
title_full_unstemmed | The London Major Trauma Network System: A Literature Review |
title_short | The London Major Trauma Network System: A Literature Review |
title_sort | london major trauma network system: a literature review |
topic | Orthopedics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7732139/ https://www.ncbi.nlm.nih.gov/pubmed/33324530 http://dx.doi.org/10.7759/cureus.12000 |
work_keys_str_mv | AT beeharrymohammadwaseem thelondonmajortraumanetworksystemaliteraturereview AT moqeemkomal thelondonmajortraumanetworksystemaliteraturereview AT beeharrymohammadwaseem londonmajortraumanetworksystemaliteraturereview AT moqeemkomal londonmajortraumanetworksystemaliteraturereview |