Author: Robert Fojut

COVID-19 is having a complex impact on trauma centers. While injury rates are down worldwide, hospitals are still receiving injured patients. And in many ways the pandemic has made trauma care more complicated than ever. What have trauma programs done to maintain patient access and standards of care during the coronavirus pandemic? To find out,…

Results from a large prehospital care study show that patients with severe traumatic brain injury (TBI) benefit significantly from four simple field interventions. The study validates the use of aggressive measures to prevent or treat hypoxia, hyperventilation and hypotension in TBI patients. The Excellence in Prehospital Injury Care (EPIC) study was led by a team…

Recent mass casualty incidents in the U.S. have changed the way we think about traumatic injury. Trauma leaders now know that the key to survival for many victims is immediate bleeding control provided by first responders or private citizens. According to Lenworth Jacobs, MD, MPH, FACS, chairman of the Hartford Consensus and leader of the…

The 2018 Creighton Trauma Symposium will take place on June 15 in Omaha, Nebraska. The focus of this year’s event is the Stop the Bleed campaign. This year’s special symposium guest is Lenworth Jacobs, MD, MPH, FACS, chairman of the Hartford Consensus and leader of the ACS Stop the Bleed Program. During his keynote speech,…

In April a broad coalition of trauma stakeholders met in Bethesda, Md., to begin implementing the recommendations of the landmark Zero Preventable Deaths report. The report, which was developed by the National Academies of Sciences, Engineering and Medicine (NASEM), proposes the creation of a joint civilian-military trauma system in the U.S. The goals are to…

Performance improvement is a key part of every trauma program. But according to David Kashmer, MD, MBA, many trauma teams fail to make effective use of their most important PI resource — data. “Using data incorrectly in performance improvement can actually decrease quality,” said Dr. Kashmer, a trauma and acute care surgeon and healthcare quality…

Trauma centers need to maintain a concurrent trauma registry. For ACS-verified centers, that means at least 80% of trauma cases must be entered in the registry within 60 days of patient discharge. In many hospitals, however, the trauma registry is months behind on chart abstraction. Hiring more staff is usually not an option, so how…

Many trauma centers are struggling to maintain a full team of trauma registrars. According to a recent survey, more than a quarter of trauma programs have trouble recruiting registrars, and over one-third have problems with retention. New criteria from the American College of Surgeons could make building a registry team even more challenging. According to…