Trauma care is the treatment of patients with injuries caused by external forces, for instance car crashes, assaults or fall accidents. These urgent patients typically arrive at the hospital’s Emergency Department, where they are treated by an interdisciplinary team of physicians and nurses, who collaborate to identify and address life-threatening injuries. In this thesis, the urgent phase of t...

Adverse childhood experiences are a significant public health problem associated with high rates of morbidity and mortality. Because primary care nurse practitioners frequently the first point contact for children adolescents through routine well visits preventive care, it is critical that trauma-informed principles used in pediatric settings. Primary should be familiar trauma-related different...

Background Medical error in trauma care remains common [1]. Checklists are a cognitive aid that can be employed to standardise practice and minimise error. Their usage is ubiquitous in other high-intensity professions, such as aviation. Following the success of the World Health Organisation's surgical safety checklist they are now in the process of developing a trauma care checklist. My aim was...

OBJECTIVE Many trauma centers have separated emergency and general surgery from trauma care. However, decreased trauma volume and more frequent nonoperative management may limit operative experience and the economic viability of the trauma service. Trauma surgeons at our Level I trauma center have long provided all emergency surgical care and elective surgery. We sought to determine the impact ...

Treatment of polytrauma patients requires a large number of well trained staff and expensive medical equipment. The high medical standard in polytrauma care resulted in a reduction of a 40% lethality in the 70's to 10 to 15% today. The changes in german health systems (GSG) cut down the financial resources and call for careful evaluation of costs in trauma centers. Our analysis of the costs of ...

Globally, hundreds of children and adolescents witness acts of violence and trauma on a daily basis. Notably, children and adolescents exposed to violence and trauma may display mild-to-severe psycho-socialemotional and mental health care problems. Also, exposures to violence and trauma among children and adolescents have resulted into an alarming global health care issue for our society. All h...