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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...

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Autores principales: Beeharry, Mohammad Waseem, Moqeem, Komal
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
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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. 
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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
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