@article{ref1,
title="Seriously injured patients transferred from local hospitals to a university hospital",
journal="Tidsskrift for den Norske Laegeforening",
year="2010",
author="Dehli, Trond and Bågenholm, Anna and Johnsen, Liv-Hege and Osbakk, Svein Are and Fredriksen, Knut and Bartnes, Kristian",
volume="130",
number="15",
pages="1455-1457",
abstract="Background. We studied diagnostics and stabilizing surgery in severely injured patients transferred from local hospitals to a university hospital. The purpose was to identify a potential for improvement of regional trauma care. Material and methods. The material comprises all severely injured patients (Injury Severity [ISS] Score > 15) transferred from local hospitals to the University Hospital of Northern Norway in the period 01.01.2006 - 31.12.2007. Information about diagnostics, extent of injury and treatment during the first 24 hours after transferral was recorded by retrospective chart review. Emergency surgical interventions are defined according to plans for a national trauma system. Results. 6/74 patients underwent emergency surgery at the local hospital (chest tube insertion, external fracture fixation); eight after arrival at the university hospital (chest tube insertion, hemostatic packing of the abdomen and pelvis, external fracture fixation). 66/74 were CT-scanned locally; 37 with a CT multitrauma series (CT caput, neck, thorax, abdomen and pelvis). Of the 62 who had head CT scans performed at a local hospital, the cervical spine was not imaged for 10. For eight of 55 patients who had CT scans of the thorax/abdomen/pelvis intravenous contrast agent was not administered. Interpretation. Trauma care at local hospitals may be improved by more systematic imaging, a lower threshold for emergency surgery, and early communication with the university hospital.<p /> <p>Language: no</p>",
language="no",
issn="0029-2001",
doi="10.4045/tidsskr.09.0796",
url="http://dx.doi.org/10.4045/tidsskr.09.0796"
}