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Abstract

Access to emergency medical care for massive or multiple injuries is a comprehensive interdisciplinary challenge. 
They are addressing the growing burden of emergency care and fostering cross-sectoral collaboration in managing various incidents, thereby reducing disease, disability, and mortality among individuals with multiple disorders. In a disaster or other extraordinary situation with mass casualties, the healthcare system is overwhelmed, and the ability to provide emergency care is significantly constrained. 
This review aims to present the current state of knowledge on what we, the authors, say are the central aspects of trauma management of mass casualty incidents. Emergency planning and methodology pertain to accidental events, medical staff disasters, medical equipment, drilling materials, concrete assessment tools, monitoring, and mass incident prevention. To implement an effective action plan, collaboration between state agencies, such as fire departments and law enforcement, is necessary to identify and direct critically ill patients to designated trauma centers. 
Integrating emergency systems for incident management through providing resources like medical equipment, drugs, auto ambulances, ongoing education, and training. 
This would increase knowledge of medical emergency procedures, thereby reducing the risk of adverse consequences from mass incidents. When applied to MCI responses, damage-control principles minimize resource utilization and optimize surge capacity, decreasing mortality rates.

Keywords: multiple injuries, EMC, eMs, disaster, emergency plan

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Abstract

Background: Shared decision-making (SDM) between clinicians and patients is a pillar of the modern patient-centric philosophy of care. This study aims to explore SDM in trauma and emergency surgery, investigating its interpretation and the barriers and facilitators to its implementation among surgeons.

Methods: Grounded on the literature on the topics of the understanding, barriers, and facilitators of SDM in trauma and emergency surgery, a survey was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was sent to all 917 WSES members, advertised through the society’s website, and shared on the society’s Twitter profile.

Results: A total of 650 trauma and emergency surgeons from 71 countries on five continents participated in the initiative.

Fewer than half of the surgeons understood SDM, and 30% still saw value in engaging exclusively multidisciplinary provider teams without involving the patient. Several barriers to effective patient partnership in the decision-making process were identified, including limited time and the need to focus on ensuring the smooth functioning of medical teams.

Discussion: Our investigation underscores that only a minority of trauma and emergency surgeons understand SDM, and that its value may not be fully accepted in these settings. The inclusion of SDM practices in clinical guidelines may represent the most feasible and advocated solutions.

Keywords: Shared decision-making, Clinical decision-making, Patient-centric care, Trauma and emergency surgery, Survey

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electrical injury is a physiological reaction caused by electric current passing through the body. electric injuries can be caused bythe impact and exposure to electric current or lightning either at home or at work.the injury depends on the density of the current, tissue resistance, and duration of contact. Very small currents may be imperceptibleor produce a light tingling sensation. injuries can range from minor, moderate, to severe, and fatal injuries are just as likely to occurat home as in the workplace, with around 20 australians dying each year from electric shock.the purpose of this paper is to study how well-trained healthcare professionals in both pre-hospital and hospital settings are in treat-ing patients in the case of electric shock and injuries caused by lightning, including the triage, assessment, monitoring, treatment,and transport with medical care in pre-hospital settingsthe research was conducted based on data obtained from assessments of health care professionals based on anamnestic data, thestatus of vital parameters, monitoring, medical procedures, system-level injuries, type of health care delivery, and location.Conclusions: Given the discrepancies found in reporting pathological conditions and injuries pertaining to electrical burn wounds,a standardized system for classifying these pathological conditions is suggested. although electric shock-related mortality is not theleading cause of death in high-prevalence areas, awareness needs to be raised.Keywords: electrical injury, triage, assessment, monitoring, treatment, medical careAbstract

Introduction: Electrical injury is a physiological reaction caused by electric current passing through the body. Electric injuries can be caused by the impact and exposure to electric current or lightning, either at home or at work.

The potential severity of electrical injuries cannot be underestimated. The injury depends on the density of the current, tissue resistance, and duration of contact. Tiny currents may be imperceptible or produce a light tingling sensation. Injuries can range from minor to severe, and fatal injuries are just as likely to occur at home as in the workplace, with around 20 Australians dying each year from electric shock.

The significance of this paper lies in its exploration of the preparedness of healthcare professionals in managing patients with electric shock and lightning injuries. The study delves into the triage, assessment, monitoring, treatment, and transport with medical care in pre-hospital settings. The research was conducted based on data obtained from assessments of health care professionals, anamnestic data, the status of vital parameters, monitoring, medical procedures, system-level injuries, type of health care delivery, and location.

Conclusions: The discrepancies found in reporting pathological conditions and injuries about electrical burn wounds underscore the urgent need for a standardized system for classifying these pathological conditions. Although electric shock-related mortality is not the leading cause of death in high-prevalence areas, the importance of raising awareness cannot be overstated.

Keywords: Electrical injury, triage, assessment, monitoring, treatment, medical care

 

 

 

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Abstract

Introduction: The Advanced Trauma Life Support (ATLS) course has become an indispensable tool in preparing healthcare professionals to provide optimal trauma care.

This article highlights the impact of the ATLS course on empowering healthcare professionals for excellence in trauma care.

By providing a standardized framework, enhancing critical decision-making skills, and promoting interdisciplinary collaboration, the ATLS course equips practitioners  with the knowledge and skills necessary to respond to trauma emergencies effectively.

Moreover, the course significantly improves patient outcomes, thereby enhancing the quality of patient care.

Additionally, the course prepares healthcare professionals for the unpredictable nature of trauma care through simulation-based training and fosters a culture of continuous professional growth.

Through its emphasis on standardization, critical thinking, and continuing education, the ATLS course plays a vital role in improving patient outcomes and establishing a foundation for excellence in trauma care.

Conclusion: The ATLS course stands as a testament to the unwavering commitment of healthcare professionals to provide excellent trauma care. It empowers practitioners with the necessary knowledge, skills, and standardized approach to save lives in the critical moments following traumatic events.

Keywords: ATLS (Advanced trauma life support), medical education, trauma