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

Wednesday, Feb 22 2017

Hadassah Medical Organization Performs Israel’s First Spina Bifida Fetal Surgery To Lessen Crippling Spinal Damage

History was made at Hadassah Ein Kerem Hospital in Jerusalem on Thursday, February 9 when a team of Israeli surgeons successfully operated on a 5-month-old fetus using a new procedure that only three doctors in the world can perform, to alleviate some of the crippling effects of Spina Bifida.

READ MORE ›
alt_text

Tuesday, Feb 21 2017

Hadassah Cardiologists Publicize Israel’s Dramatic Decrease in Cardiovascular Death

Prof. Emeritus Mervyn Gotsman and Prof. Israel Gotsman of Hadassah Hospital’s Heart Institute have coauthored an article which appeared in the European Heart Journal, highlighting the fact that “between 1998 and 2012, mortality from cardiovascular disease in Israel has fallen from 162 to 80 per 100,000 residents--a decrease of 50 percent.”

READ MORE ›
alt_text

Tuesday, Feb 21 2017

Ambassadors of Health for Heart Smart Living: A Unique Hadassah Program

Knowing that the workplace is where people spend vast quantities of time, the Hadassah Medical Organization’s Linda Joy Pollin Cardiovascular Wellness Center for Women launched a unique course to encourage heart healthy living—during the work day.

READ MORE ›
alt_text

Tuesday, Feb 21 2017

Hadassah Brings Health Empowerment to East Jerusalem

The increased incidence of diabetes in the Arab community, as well as the 60 percent higher rate of cardiovascular mortality among Arab women led the Hadassah Medical Organization’s Linda Joy Pollin Cardiovascular Wellness Center for Women to develop a community-based program to cultivate leadership that embraces and advocates for healthy living which will reduce diabetes in this population.

READ MORE ›

Donation Questions

donorservices@hadassah.org

(800) 928-0685

Membership Questions

membership@hadassah.org

(800) 664-5646

Missions Department

missions@hadassah.org

(800) 237-1517

Contact Us

40 Wall Street

New York, NY 10005

support@hadassah.org

More ›

Show More