Are Spanish surgeons prepared to treat trauma patients? Multicentre descriptive observational study
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ORIGINAL ARTICLE
Are Spanish surgeons prepared to treat trauma patients? Multicentre descriptive observational study Luis Tallón‑Aguilar1 · Virginia María Durán‑Muñoz‑Cruzado1 · Isidro Martínez‑Casas2 · José Manuel Aranda‑Narváez3 · María Dolores Pérez‑Díaz4 · Soledad Montón‑Condón5 · Fernando Turégano‑Fuentes6 · Felipe Pareja‑Ciuró7 Received: 5 May 2020 / Accepted: 4 September 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Specific training in the management of trauma patients is beneficial for surgeons. Training through specific courses in this area has a direct impact on the care of these patients. The aim of this work is to understand the participation and specific training in the care of trauma patients by Spanish surgeons. Methods A national survey was conducted and administered to all members of the Spanish Association of Surgeons. The survey assessed their degree of participation in emergency surgery, and therefore the probability of attending trauma patients, their assessment of the initial care of trauma patients in their centre, and their specific training in this field. Results The survey was completed by 510 surgeons from 47 Spanish provinces, with Catalonia and Andalusia being the most represented regions. In total, 456 (89.41%) of those surveyed work in the emergency department on a routine basis. Only 171 (33.53%) refer to having a registry of trauma patients in their hospital. While 79.02% of surgeons reported that general surgeons are not involved in care of severe trauma from the outset, only 66.47% have completed the ATLS course, 40.78% the DSTC course and 18.82% the MUSEC course. Despite this, 85.69% believe that the ATLS course should be compulsory during residency and 43.33% believe that severe trauma care in their hospital is poor or very poor. Conclusion Only 40% have received specific training in definitive surgical management of severe trauma. Despite this, a large percentage of surgeons work in the emergency department on a routine basis and potentially face the challenge of managing these patients. Keywords Trauma centers · Advanced trauma life support care · Definitive surgical trauma care · Focused assessment with sonography for trauma
Introduction Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00068-020-01492-0) contains supplementary material, which is available to authorized users. * Virginia María Durán‑Muñoz‑Cruzado [email protected] 1
Virgen del Rocío University Hospital, Seville, Spain
2
HFEBS Em‑Surg, Jaen Hospital Complex, Jaen, Spain
3
Málaga Regional Hospital, Malaga, Spain
4
Hospital Gregorio Marañón, Madrid, Spain
5
HFEBS Em‑Surg, Hospital Estella, Navarra, Spain
6
HFEBS Em‑Surg, Hospital Gregorio Marañón, Madrid, Spain
7
HFEBS Em‑Surg, Virgen del Rocío University Hospital, Sevilla, Spain
The different levels of development in trauma prevention in first world countries, as well as dispersion of the initial care of polytraumatised patients to differ
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