Scand J Trauma Resus
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Scand J Trauma Resus · Nov 2018
EditorialSeven years since defining the top five research priorities in physician-provided pre-hospital critical care - what did it lead to and where are we now?
Abstract
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Scand J Trauma Resus · Apr 2016
Editorial ReviewThe development and features of the Spanish prehospital advanced triage method (META) for mass casualty incidents.
This text describes the process of development of the new Spanish Prehospital Advanced Triage Method (META) and explain its main features and contribution to prehospital triage systems in mass casualty incidents. The triage META is based in the Advanced Trauma Life Support (ATLS) protocols, patient's anatomical injuries and mechanism of injury. ⋯ The stages of triage META are: I) Stabilization triage that classifies patients according to severity to set priorities for initial emergency treatment; II) Identifying patients requiring urgent surgical treatment, this is done at the same time than stage I and creates a new flow of patients with high priority for evacuation; III) Implementation of Advanced Trauma Life Support protocols to patients previously classified according to stablished priority; and IV) Evacuation triage, stablishing evacuation priorities in case of lacks of appropriate transport resources. The triage META is to be applied only by prehospital providers with advanced knowledge and training in advanced trauma life support care and has been designed to be implemented as prehospital procedure in mass casualty incidents (MCI).
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Scand J Trauma Resus · Dec 2015
Editorial Historical ArticleEmergency surgery over 111 years: are we still at a crossroads or ready for emergency surgery 2.0?
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Scand J Trauma Resus · Feb 2015
EditorialEmergency surgery in the elderly: the balance between function, frailty, fatality and futility.
Becoming old is considered a privilege and results from the socioeconomic progress and improvements in health care systems worldwide. However, morbidity and mortality increases with age, and even more so in acute onset disease. With the current prospects of longevity, a considerable number of elderly patients will continue to live with good function and excellent quality of life after emergency surgical care. ⋯ Add in the onset of the acute surgical disease as a further potential detrimental factor on function and quality of life - and you have a perfect storm to handle. In this brief review, some of the challenging aspects related to emergency surgery in the elderly will be discussed. More research, including registries and trials, are needed for improved knowledge to a growing health care challenge.