Paper| Volume 29, ISSUE 1, P43-46, January 1998

Structure and process components of trauma care services in Israeli acute-care hospitals

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      In recent years a vigorous effort has been made to improve primary trauma care in Israel. The Ministry of Health and other authorities have invested in new facilities in various hospitals which are engaged in trauma care. A survey was conducted in order to identify deficiencies in organization, personnel and equipment required to provide optimal trauma care. A cross-country survey was conducted by using a questionnaire that dealt with structure and process components of trauma care. The questionnaire was submitted to medical directors of emergency departments in all 24 acute-care hospitals in Israel. Additional information was obtained by a telephone poll when required. Inter-hospital variation concerning structure of trauma services, protocols and qualification of manpower responsible for primary care of the injured was found. The conclusions are that an increase in homogeneity in the field of trauma care is still needed. A continuous effort should be made in order to structurally and functionally further develop independent trauma units in all hospitals in Israel. Methods should be found to encourage young physicians to enter the field of trauma care. The establishment of a nationwide trauma registry system will undoubtedly contribute to future improvement in the initial care of the injured in Israel.
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        • Smith R.F.
        • Frateschi L.
        • Sloan E.P.
        • et al.
        The impact of volume on outcome in seriously injured trauma patients: two years' experience of the Chicago trauma system.
        J Trauma. 1990; 30: 1066
        • McNicholl B.P.
        • Dearden C.H.
        Delays in care of the critically injured.
        Br J Surg. 1992; 79: 171
        • Driscoll P.A.
        • Vincent C.A.
        Organizing an efficient trauma team.
        Injury. 1992; 23: 107
        • Rutherford W.H.
        Reception of severely injured patient at hospital: organizational requirements.
        Injury. 1990; 21: 344
        • American College of Emergency Physicians
        Trauma care systems quality improvement guidelines.
        Ann Emerg Med. 1992; 21: 736
      1. Ministry of Health Committee on trauma centers in Israel. Ministry of Health, Jerusalem, 1992.

      2. Resources for optimale are of the injured patient. Committee of Trauma, American College Of Surgeons, 1990
        • Sahar A.
        • Shaked I.
        • Findler G.
        • Hadani M.
        Severe head injury — the first hour, evaluation, observation and transportation.
        Harefuah. 1988; 114: 459
        • Engel Y.
        Frequency of treatment of upper limb injuries and their cost.
        Harefuah. 1988; 14: 153
        • Marganit B.
        • Rivkind A.
        • Mackenzie E.J.
        National systemic approach for trauma services organization — a way to improve the quality of care to the injured.
        Harefuah. 1990; 119: 18
        • Shemer J.
        ATLS course in the development of trauma care in Israel.
        Harefuah. 1995; 128: 697
        • Wenneker W.W.
        • Murray D.H.
        • Ledwich T.
        Improved trauma care in a rural hospital after establishing a level-II trauma center.
        Am J Surg. 1991; 161: 207
        • Flint I.
        Achievement, present-day problems and some solutions for trauma care, surgical critical care and surgical education.
        Am J Surg. 1991; 161: 207
        • Turnkey D.D.
        • Rivkind A.I.
        An argument for a system of trauma care in Israel.
        Isr J Med Sci. 1991; 27: 173
        • Dekeyser F.G.
        • Sheridan M.J.
        • Trask A.L.
        Surgeons and trauma care. Results of a North American satisfaction survey.
        J Trauma. 1996; 131: 627