Advanced trauma life support study: quality of diagnostic and therapeutic procedures

Autor: Ger D.J. van Olden, H. Boxma, R.Jan A. Goris, J Dik Meeuwis, Hugo W. Bolhuis
Rok vydání: 2004
Předmět:
Tissue engineering and reconstructive surgery [UMCN 4.3]
Adult
Male
Resuscitation
medicine.medical_specialty
Faculty
Medical
Attitude of Health Personnel
viruses
Psychological intervention
Hospitals
Community
Critical Care and Intensive Care Medicine
Advanced Cardiac Life Support
Quality of life
immune system diseases
hemic and lymphatic diseases
Outcome Assessment
Health Care
parasitic diseases
medicine
Humans
Prospective Studies
Netherlands
Quality of Health Care
Observer Variation
Medical Audit
Study quality
business.industry
Multiple Trauma
Internship and Residency
Videotape Recording
hemic and immune systems
Middle Aged
Survival Analysis
Advanced trauma life support
Surgery
Life Support Care
Traumatology
Education
Medical
Graduate
Orthopedic surgery
Emergency medicine
Female
Level iii
Clinical Competence
business
Residency training
Program Evaluation
Zdroj: Journal of Trauma, 57, 381-4
Journal of Trauma, 57, 2, pp. 381-4
ISSN: 0022-5282
Popis: Item does not contain fulltext BACKGROUND: The introduction of the ATLS course in The Netherlands in 1995 provided for an opportunity to compare data of trauma patients between a pre-ATLS and a post-ATLS period. MATERIALS AND METHODS: Over a 3-year period (May 1996 - September 1997 pre ATLS; December 1997-April 1999 post ATLS) 63 trauma patients with an AIS-ISS > or = 16 (n = 31, pre-ATLS and n = 32, post-ATLS) were prospectively studied in two community residency training (ACS Level III) hospitals. All diagnostic and therapeutic procedures were recorded by a video-camera and evaluated by a neutral faculty of six experienced ATLS trained specialists. RESULTS: Ten out of 14 interventions were performed qualitatively better in the post-ATLS group, while also the overall score was highly significantly better (4.2 pre-ATLS and 5.8 post-ATLS, p < 0.0001). CONCLUSION: Using the opinion of an expert team, this study identified a significantly lower number of patients with inadequate management.
Databáze: OpenAIRE
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