trauma center level 1, karolinska university hospital ... · trauma center karolinska 22 years...
TRANSCRIPT
Trauma Center level 1, Karolinska University Hospital
Stockholm
Lennart AdamssonHead of Dept for Trauma, Surgery and
OrthopaedicsKarolinska University Hospital
Solna och Huddinge
1997- 2019
Trauma Center Karolinska 22 yearsHistory
• 1997- Trauma bay/CT/Op/Helipad
• 2004 –Trauma register Karolinska
• 2007- Stockholm County Council - Trauma Center for the Stockholm Region . Trauma patients /Red and Yellow
(UK, Birmingham 1941, USA, Chicago 1966)
• 2016- Center for Research/Development/Education in Trauma Stockholm Region
• October 2018- Moving to the new hospital buildning
Anders Östlund 2019
22 years of multiprofessionalcollaboration at Karolinska to reach Trauma level 1 and to give the traumatized patient the very best care and outcome.
1900 trauma alarm Adults (1600) och Children( 300) 2019
370 ISS > 15 ( > 15 : major trauma, 9-15 : moderately severetrauma)
National Traumalarm criterias
Traumacentrum-patienter i snitt per vecka till vårdavdelningar
3
4
3
33
333
3
3
4343
55
3
8
565
433
35
4555
543
4
23
32
44
3
22
0
5
10
15
20
25
30
4
37
2
36
2
35
3
34
4
33
4
32
3
31
4
30
3
29
1
28
1
27
2
26
4
25
3
24
2
23
2
22
3
21
4
20
3
19
2
18
5
17
3
16
2
15
2
14
3
13
4
12
4
11
4 3
1
2
11
38
1
2
3
2
10
3
9
3
8
2
7
2
6
0
5
0
4
1
3
1
2
0
1
1
52
0
51
0
50
0
49
1
48
2
47
2
46
2
45
4
44
3
43
3
42
3
41
3
40
4
39
4
Trauma TeamResponse time 5 min24/7
24/7
Traumacentrum Karolinska
30-day mortality outcomeISS > 15 = 14,4%
(International traumacenters 18%)
Traumacenter Karolinska
Regional Trauma Center
• Never say no!!
One way in to the Trauma Center Karolinska
Trauma leader/surgeon
+46 8-51770000
(Traumasurgeon +468-51778600)
Traumateam never sleeps kl 01.00
”five young peoples on their way in –shouting injuries”
Alarm for multiple victims > 3 Adults/> 2 Children
Karolinska Trauma CenterStockholm
2,8 million inhabitants in the region
Major Trauma CenterStockholm Region
Trauma/Emergency Center for the Swedish Armed Forces
Trauma Center- an unbroken chain
•Multidiciplinary steeringdocuments = Patient safety!
Trauma Center KarolinskaFoU-ordförande PI
BarntraumaAnestesi, BIVA,ECMO,Op
Akut ochTrauma Otopedi
Intensivakuten
Plastikkirurg Neurokirurgi
OVC Trauma-vård avd
POC Trauma
Rehab adj.
Bild och Funktion
Steering group table ,Traumacentrum”multidiciplinary chain”
TraumaKoordinator
Mötessekreterare
Funktion PMITrauma och akut
kirurgi
Funktion PMI CIVA/NIVA
Trauma & Akutkirurgi
Controlleradj.
Käkkirurg
HRadj
2018- okt – moving in…
Nya Karolinska/Traumacentrum
CT
Trauma
bays
Intensiv
care area
Hybrid
operating room
Plan 5
CT
Traumacentrum Nya Karolinska Universitetssjukhuset, Solna
CT
Trauma
bay
IVA
Hybridsal
Hiss från akuten
Plan 5
CT
26 NKS Trauma C-R Martling
Patientflöde
Traumacentrum Karolinska/American Collage of Surgeons - Resources
The trauma system
Register data Analyse data
Improve!
EducationResearchInjuryprevention
Trauma Register
Clinical pathway
TraumaTeam
Trauma programSurgery, anetshesia and intensive care, orthopedics, neurosurgery, plastics
AIM•To develop and coordinate trauma care in one region•Standardize trauma care
”each trauma system should have an identified leadhospital”
Resources for Optimal Care of the Injured Patient 2014Committee on Trauma, American College of Surgeons
The Trauma System
Thank you!