Hadassah

Hadassah’s Trauma Specialists Publish in Prestigious World Surgery Journal

Friday, Jun 15 2012

In an article recently published in the World Journal of Surgery, Hadassah University Medical Center trauma specialists shared their finding: introducing an intensified, high-level supervision approach to trauma care decreases the percent of fatalities.

The article entitled Trauma Care and Case Fatality during a Period of Frequent, Violent Terror Attacks and Thereafter, brought out that in Hadassah Hospital's Shock Trauma Unit (HHSTU), close supervision by senior staff of pre-hospital triage, transport, and all surgical procedures, as well as longer hospital stays led to increased survival. Emphasis was on the on-site presence, hands-on close supervision, and direct involvement in case management by senior attending trauma surgeons in all specialties, such as orthopedics, neurosurgery, and anesthesiology.

"Furthermore," the authors relate, "in almost every trauma case, and consistently in mass casualty situations, the head of the Department of General Surgery is present to provide advanced knowledge, experience at the hands-on level, and supervision to each trauma patient to optimize the level of care and to minimize errors in diagnosis and management."

Hadassah's protocols were derived from the models of care developed at the Maryland Institute of Emergency Medical Services System (MIEMSS), where senior surgeons play a pivotal role in trauma care and disaster management through their constant direct supervision.

Case Fatality rates (CFRs) were tracked in 8,127 patients. The results over a five-year span (1999-2003) revealed CFRs of 2.62 percent—less than half that in 51 Level 1 United States trauma centers. As the decade progressed, the percent continued to decline so that by 2010, the CFRs were 1.9 percent. The Hadassah team, headed by Prof. Avraham Rivkind, head of the Trauma Unit, explains that previous data had shown large differences in CFRs in trauma centers that had similar resources.

Therefore, it highlighted the importance of replicating structures and processes of those centers with superior survival results. "Despite the oft-mentioned increased financial burden of increased length of hospitalization," the authors conclude, "extended in-hospital care of trauma victims improved the outcome of trauma patients admitted to our ICU (Intensive Care Unit), and its value should be taken into consideration for seriously injured cases." The article was published online in the May 17, 2012 edition of World Journal of Surgery.

Comments

No comments yet.
First Name
Email
Comment
Enter this word:

Related Stories

alt_text

Monday, Dec 5 2016

Celebrated Israeli Psychiatrist/Neurobiologist To Join Hadassah Medical Staff

Prof. Yoram Yovell, renowned Israeli psychiatrist and neurobiologist, will soon be joining the Hadassah Medical Organization’s “brain medicine branch,” which includes the departments of psychiatry, neurology, and neurosurgery and is under the direction of Prof. Tamir Ben-Hur.

READ MORE ›
alt_text

Wednesday, Nov 30 2016

Hadassah Teams Up with Spinal Cord Institute to Study Outcomes of Traumatic Injuries

The medical interventions and outcomes for Israelis with a spinal cord injury (SCI) will now be captured in the Rick Hansen SCI Registry (RHSCIR), thanks to the November 16th launch of a partnership between the Hadassah Medical Organization and the Rick Hansen Institute (RHI), a Canadian-based not-for-profit organization named after the paralympic athlete who suffered a severe spinal cord injury following a car accident.

READ MORE ›
alt_text

Thursday, Nov 17 2016

Ethiopian Pre-Nursing Students: On the Way to Fulfilling a Dream

“I know that some people are fine with looking at a screen all day, but I know I need the human touch--to work with people. I want to be a nurse, " relates Sarah Talala, one of the 18 students of Ethiopian background who were given the opportunity to take a course which enabled them to advance to pre-academic studies at the Hebrew University and then on to nursing school at the Hadassah-Hebrew University Henrietta Szold School of Nursing.

READ MORE ›
alt_text

Thursday, Nov 17 2016

A Birthday Party in Hadassah’s PICU: Helping a Four-Year-Old Recover

Yehoshua "Shuki" Pepper was crossing a Jerusalem street with an older sibling when a car ran him over. He was rushed to Hadassah Hospital Ein Kerem's Pediatric Intensive Care Unit in fair condition, but he wasn't speaking and subsequent MRIs of his head injury were worrisome.

READ MORE ›

Contact Us

40 Wall Street

New York, NY 10005

support@hadassah.org

More ›

Membership Questions

membership@hadassah.org

(800) 664-5646

Donation Questions

donorservices@hadassah.org

(800) 928-0685

Missions Department

missions@hadassah.org

(800) 237-1517

Show More