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Trauma in Canada: A Spirit of Equity & Collaboration

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Abstract

Background

The delivery of equitable trauma care in Canada is not without challenges within our universal health care system. Notably, the tyranny of geography is intermittently at odds with adequate access for our rural, indigenous, and impoverished populations. Other differences exist when compared with neighbouring trauma systems, for example in the United States.

Methods

As a critical review, we chose to compare and critique the overall system of trauma organization and perceived societal expectations of a high-income, North American country (Canada) to assist with discussions on trauma systems for the future.

Results

Tele-technology is providing some early solutions. Trauma systems and delivery of care in Canada differ from the United States due to our single-payer system, regionalization and universal provision. Care for injured Canadians has a long history of being multidisciplinary, with collaborative research programs. Canada also has a history of global surgical endeavours, beginning with Dr. Norman Bethune and his recognition of the political causes of trauma and continuing as a global public health concern for all.

Conclusions

While challenges continue to exist for the provision of equitable trauma care in Canada, unique multidisciplinary, collaborative and technology-based solutions continue to be developed, both locally and globally, to address this critical public health issue.

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References

  1. SmartRisk (2009) The Economic Burden of Injury in Canada. Ottawa

  2. http://laws.justice.gc.ca/eng/acts/C-6/. Accessed 10 Dec 2012

  3. Hameed SM et al (2010) Access to trauma systems in Canada. J Trauma 69:1350–1361 discussion 1361

    Article  PubMed  Google Scholar 

  4. Karmali S et al (2005) Epidemiology of severe trauma among status Aboriginal Canadians: a population-based study. CMAJ 172:1007–1011

    Article  PubMed  Google Scholar 

  5. Bell N, Schuurman N, Hameed SM (2009) A multilevel analysis of the socio-spatial pattern of assault injuries in greater Vancouver, British Columbia. Can J Public Health 100:73–77

    PubMed  Google Scholar 

  6. Khambalia A et al (2006) Risk factors for unintentional injuries due to falls in children aged 0–6 years: a systematic review. Inj Prev 12:378–381

    Article  PubMed  CAS  Google Scholar 

  7. Simpson K, Janssen I, Craig WM, Pickett W (2005) Multilevel analysis of associations between socioeconomic status and injury among Canadian adolescents. J Epidemiol Community Health 59:1072–1077

    Article  PubMed  Google Scholar 

  8. Moore L, Turgeon AF, Sirois MJ, Murat V, Lavoie A (2011) Influence of socioeconomic status on trauma center performance evaluations in a Canadian trauma system. J Am Coll Surg 213:402–409

    Article  PubMed  Google Scholar 

  9. Canada TAC. Committees and Subgroups. (2009) Trauma Association of Canada. http://www.traumacanada.org/. Accessed 24 March 2009

  10. Kirkpatrick AW (2010) 2010 Trauma Association of Canada presidential address: why the Trauma Association of Canada should care about space medicine. J Trauma 69:1313–1322

    Article  PubMed  Google Scholar 

  11. Kirkpatrick AW (2010) Trauma Association of Canada 2009 presidential address: trauma ultrasound in Canada—have we lost a generation? J Trauma 68:2–8

    Article  PubMed  Google Scholar 

  12. Committee A (2011) Trauma System Accreditation Guidelines. Calgary: Trauma Association of Canada. http://www.traumacanada.ca/accreditation_committee/Accreditation_Guidelines_2011.pdf. Accessed 28 Aug 2011

  13. Canada A (2008) Accreditation program. Accreditation Canada. http://www.accreditation-canada.ca/. Accessed 24 March 2009

  14. http://www.traumacanada.org/. Accessed 12 Dec 2011

  15. Simons R, Kirkpatrick A (2002) Assuring optimal trauma care: the role of trauma centre accreditation. Can J Surg 45:288–295

    PubMed  Google Scholar 

  16. Macpherson AK, Schull MJ (2007) Penetrating trauma in Ontario emergency departments: a population-based study. CJEM 9:16–20

    PubMed  Google Scholar 

  17. Geneva Graduate Institute of International Studies. “Small Arms Survey 2007”. Cambridge

  18. Kennedy BP, Kawachi I, Prothrow-Stith D, Lochner K, Gupta V (1998) Social capital, income inequality, and firearm violent crime. Soc Sci Med 47:7–17

    Article  PubMed  CAS  Google Scholar 

  19. www.hc-sc.gc.ca/hcs-sss/index-eng.php. Accessed 26 Jan 2012

  20. http://laws-lois.justice.gc.ca/eng/acts/C-6//page-2.html#h-3. Accessed 12 Sep 2012

  21. http://www.doctorsforrefugeecare.ca/index.html. Accessed 12 Sep 2012

  22. Cummings GE, Mayes DC (2007) A comparative study of designated Trauma Team Leaders on trauma patient survival and emergency department length-of-stay. CJEM 9:105–110

    PubMed  Google Scholar 

  23. Grossman MD et al (2009) Emergency traumatologists as partners in trauma care: the future is now. J Am Coll Surg 208:503–509

    Article  PubMed  Google Scholar 

  24. Qureshi A et al (2011) The impact of an acute care emergency surgical service on timely surgical decision-making and emergency department overcrowding. J Am Coll Surg 213:284–293

    Article  PubMed  Google Scholar 

  25. Hameed SM et al (2010) General surgery 2.0: the emergence of acute care surgery in Canada. Can J Surg 53:79–83

    PubMed  Google Scholar 

  26. Ali J, Sorvari A, Haskin D, Luchette F, Bowyer M (2011) Potential role of the Advanced Surgical Skills for Exposure in Trauma (ASSET) course in Canada. J Trauma 71:1491–1493

    Article  PubMed  Google Scholar 

  27. http://rcpsc.medical.org/information. Accessed 12 Sep 2012

  28. Cunningham C (2010) Focus Inuit research agenda on best outcomes. CMAJ 182:228–229

    Article  PubMed  Google Scholar 

  29. Dyer D et al (2008) The clinical and technical evaluation of a remote telementored telesonography system during the acute resuscitation and transfer of the injured patient. J Trauma 65:1209–1216

    Article  PubMed  Google Scholar 

  30. McBeth PB, Hamilton T, Kirkpatrick AW (2010) Cost-effective remote iPhone-teathered telementored trauma telesonography. J Trauma 69:1597–1599

    Article  PubMed  Google Scholar 

  31. Gomez D, Haas B, de Mestral C, Sharma S, Hsiao M, Zagorski B, Rubenfeld G, Ray JG, Nathens AB (2012) Institutional and provider factors impeding access to trauma center care: an analysis of transfer practices in a regional trauma system. J Trauma Acute Care Surg 73(5):1288–1293

    Article  PubMed  Google Scholar 

  32. Gomez D, Haas B, Doumouras AG, Zagorski B, Ray J, Rubenfeld G, McLellan BA, Boyes DM, Nathens AB (2013) A population-based analysis of the discrepancy between potential and realized access to trauma center care. Ann Surg 257(1):160–165

    Article  PubMed  Google Scholar 

  33. MacLean LD, Entin MA (2000) Norman Bethune and Edward Archibald: sung and unsung heroes. Ann Thorac Surg 70(5):1746–1752

    Article  PubMed  CAS  Google Scholar 

  34. http://en.wikipedia.org/wiki/Norman_Bethune. Accessed 12 Jan 2012

  35. Deckelbaum DL et al (2011) Global health conferences: are they truly “global”? The Bethune Round Table paradigm for promoting global surgery. Can J Surg 54:422–429

    Article  PubMed  Google Scholar 

  36. http://www.cnis.ca/. Accessed 10 Jan 2012

  37. http://www.cags-accg.ca/. Accessed 10 Jan 2012

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Author information

Authors and Affiliations

  1. DeWitt Daughtry Department of Surgery, Miller School of Medicine, University of Miami, 1800 NW 10th Avenue, T247, Miami, FL, 33136, USA

    Tanya Zakrison

  2. Department of Surgery, Foothills Medical Centre, Calgary, AB, Canada

    Chad G. Ball & Andrew W. Kirkpatrick

Authors
  1. Tanya Zakrison
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  2. Chad G. Ball
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  3. Andrew W. Kirkpatrick
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Correspondence to Tanya Zakrison.

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Zakrison, T., Ball, C.G. & Kirkpatrick, A.W. Trauma in Canada: A Spirit of Equity & Collaboration. World J Surg 37, 2086–2093 (2013). https://doi.org/10.1007/s00268-013-2094-6

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  • DOI: https://doi.org/10.1007/s00268-013-2094-6

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