title: Trauma systems: models of prehospital and inhospital care.
abstract: BACKGROUND
  The organization of trauma care has different perspectives that depend on regional aspects. Among these, geographical peculiarities, historical developments regarding development of medical subspecialties and resident education appear to be the most relevant factors.
  
  
  METHODS
  We performed a structured literature search on PubMed.
  
  
  CONCLUSIONS
  This manuscript deals with the differences of several trauma systems in certain European countries, the USA and Australia. It aims to provide an overview of the peculiarities and influences of these systems on the clinical management. However, the effect of differences in organization in different countries on patient outcome is difficult to assess. There appears to be consensus on the fact that structured treatment for acute trauma care is beneficial for trauma patients. Thus, any kind of organization contributes to improved patient outcome.
authors.affiliation: Department of Orthopedic Trauma, University of Aachen Medical Center, Pauwelsstrasse 30, 52074, Aachen, Germany. hofman.martijn@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Hofman
authors.affiliation: Department of Orthopedic Trauma, University of Aachen Medical Center, Pauwelsstrasse 30, 52074, Aachen, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Sellei
authors.affiliation: Department of Trauma, Hamad General Hospital, 31 Main Street, Doha, Qatar.
authors.forename: R
authors.initials: R
authors.lastname: Peralta
authors.affiliation: John Hunter Hospital and Hunter New England Area Health Service, University of Newcastle, 2 Lookout Road, New Lambton Heights, NSW, 2305, Australia.
authors.forename: Z
authors.initials: Z
authors.lastname: Balogh
authors.affiliation: John Hunter Hospital and Hunter New England Area Health Service, University of Newcastle, 2 Lookout Road, New Lambton Heights, NSW, 2305, Australia.
authors.forename: T H
authors.initials: TH
authors.lastname: Wong
authors.affiliation: John Hunter Hospital and Hunter New England Area Health Service, University of Newcastle, 2 Lookout Road, New Lambton Heights, NSW, 2305, Australia.
authors.forename: J A
authors.initials: JA
authors.lastname: Evans
authors.affiliation: John Hunter Hospital and Hunter New England Area Health Service, University of Newcastle, 2 Lookout Road, New Lambton Heights, NSW, 2305, Australia.
authors.forename: K
authors.initials: K
authors.lastname: King
authors.affiliation: Department of Orthopedic Trauma, University of Aachen Medical Center, Pauwelsstrasse 30, 52074, Aachen, Germany.
authors.forename: H-C
authors.initials: HC
authors.lastname: Pape
keywords: Educational course; Exclusive system; In hospital care; Inclusive system; Rehabilitation; Resident education; Standardization of care; Trauma care systems
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