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Trauma
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What is trauma?

Traumatic injury is term that refers to physical, often sever injuries that occur suddenly and require immediate medical attention.

There are two main types of physical trauma:

  • Blunt force trauma –When something hits the body and causes a concussion, deep cuts or broken bones
  • Penetrating trauma – When an object pierces the skin or bones

Psychological trauma: is any psychological or emotional injury that’s usually caused by extremely stressful or life-threatening situations.

Trauma Centre vs ER

A trauma centre is usually reserved for the most serious of physical injuries such as car accidents, major burns, serious falls, blunt trauma, and traumatic brain injuries. The ER deals with less obviously life-threatening cases such as fainting, presenting with signs of a heart attack, sever stomach pains, shortness of breath, severe diarrhoea and less severe burns.

There are two main types of physical trauma:

  • A fast response and the ability to provide medical care at the scene of the injury
  • Rapid transport from the scene of the injury to a qualified medical facility
  • A qualified medical facility equipped to deal with such cases immediately as well as providing on-going treatment

Trauma Centre levels

There are 5 trauma centre levels, with levels 1 and 2 being the most equipped, and the ones we will explain here.

Level 1 is the most comprehensive care facility, and is equipped to deal with every aspect of injury – from prevention through to rehabilitation.

There are two main types of physical trauma:

  • A fast response and the ability to provide medical care at the scene of the injury
  • Rapid transport from the scene of the injury to a qualified medical facility
  • A qualified medical facility equipped to deal with such cases immediately as well as providing on-going treatment

Elements of Level 1 include:

  • Trauma resuscitation area
  • Intensive Care Unit and Paediatric Intensive Care Unit
  • 24/7 operating rooms for adult patients and children
  • post-anaesthesia care unit
  • Medical Surgery unit
  • Helipad in proximity to resuscitation area
  • Laboratory services (with prompt analysis and blood bank)
  • Radiology services
  • Organised burn care
  • Acute spinal cord and brain injury management capabilities
  • Acute rehabilitative services
  • Psychological support system
  • Outreach program
  • Trauma Research Centre
  • Operates a teaching and research effort to help develop new innovations in trauma care
  • Provides leadership in educating the public about trauma prevention
  • Provides continuing education to trauma team members

Outreach Programs

The trauma service shall provide 24-hour telephone consultations with the hospital’s trauma team, as well as physicians in the community and outlying areas. Injury prevention programs shall be chosen based on epidemiological findings about the communities served by the Trauma Centre.

A Level 2 Trauma Centre is able to initiate definitive care for all types of injuries

Elements of Level 1 include:

  • Trauma resuscitation area
  • Intensive Care Unit and Paediatric Intensive Care Unit
  • 24/7 operating rooms with post-anaesthesia
  • Helipad in proximity to resuscitation area
  • Medical Surgery unit
  • Training and continuing education programs
  • Laboratory services
  • Radiological services
  • Organised burn care
  • Acute spinal cord and brain injury management capability
  • Acute rehabilitation services
  • Psychosocial support services
  • Trauma Research Centre
  • Patients requiring cardiac surgery, haemodialysis and microvascular surgery may be referred to the Level 1 Trauma Centre
  • Incorporates a comprehensive quality assessment program
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