Abstract
Background
Growing evidence supports the premise that adult trauma centers lower the risk of death for severely injured patients. The same principles have been applied to the pediatric population and mounting research suggests that, as in the adult population, gravely injured children have better outcomes at pediatric trauma centers where personnel trained and experienced in the specific needs and unique physiology of injured children provide care. As in the United States, acute traumatic injury represents an important public healthcare concern to the Tuscan regional government whose goal is to maximize clinical outcomes within available resources. In order to address this problem, the Tuscan regional government has created a new and innovative collaboration between the Meyer Pediatric Hospital/University of Florence School of Medicine and the Children’s Hospital Boston/Harvard Medical School to build a pediatric trauma center and regional pediatric trauma referral system.
Goals and objectives
This long-term international initiative will seek to develop a demonstration model for pediatric trauma care that may later be replicated elsewhere. The initial goals of the project will focus on expanding the role of the pediatricians working in the emergency department to include the acute care of medical, surgical, orthopedic and multiple trauma patients. This new configuration will closely resemble the single provider model of emergency medical care commonly utilized in the United States. During this transition period to a more broadly trained emergency physician, a multi-disciplinary trauma team will be created and pediatric trauma clinical practice guidelines will be introduced into the emergency department and inpatient care units. Systems measurements will be achieved through a comprehensive quality improvement and risk management program. Ultimately, all Tuscan regional pediatric major trauma will be consolidated at the Meyer Pediatric Hospital in Florence.
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References
Nathens AB, Jurkovich GJ, Cummings P, Rivara FP, Maier RV. The effect of organized systems of trauma care on motor vehicle crash mortality.JAMA 2000; 283: 1990–4.
Mullins RJ, Mann NC. Population-based research assessing the effectiveness of trauma systems.J Trauma 1999; 47 (Suppl): S59-S66.
MacKenzie EJ. Review of evidence regarding trauma system effectiveness resulting from panel studies.J Trauma 1999; 47 (Suppl): S34-S41.
Jurkovich GJ, Mock CN. A systematic review of trauma system effectiveness based on registry comparisons.J Trauma 1999; 47 (Suppl): S46-S55.
MacKenzie EJ, Rivara FP, Jurkovich GJ, et al. A national evaluation of the effect of trauma-center care on mortality.N Engl J Med 2006; 354: 366–78.
Hulka F, Mullins RJ, Mann NC, et al. Influence of a statewide trauma system on pediatric hospitalization and outcome.J Trauma 1997; 42: 514–9.
Vernon DD, Furnival RA, Hansen KW, et al. Effect of a pediatric trauma response team on emergency department treatment time and mortality of pediatric trauma victims.Pediatrics 1999; 103: 20–4.
Potoka DA, Schall LC, Gardner MJ, Stafford PW, Peitzman AB, Ford HR. Impact of pediatric trauma centers on mortality in a statewide system.J Trauma 2000; 49: 237–45.
CDC. Working to prevent and control injury in the United States: fact book for the year 2000. Atlanta, GA: US Department of Health and Human Services, CDC, 2000.
Rosenberg HM, Ventura SJ, Maurer JD, Heuser RL, Freedman MA. Births and deaths: United States, 1995.Mon Vital Stat Rep 1996; 5 (Suppl 2): 1–35.
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Ban, K.M., Mannelli, F., Messineo, A. et al. Building a trauma center and system in Tuscany, Italy. Int Emergency Med 1, 302–304 (2006). https://doi.org/10.1007/BF02934765
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DOI: https://doi.org/10.1007/BF02934765