TY - JOUR PY - 2019// TI - Strategic proposal for a national trauma system in France JO - Anaesthesia, critical care and pain medicine A1 - Gauss, Tobias A1 - Balandraud, Paul A1 - Frandon, Julien A1 - Abba, Julio A1 - Ageron, Francois Xavier A1 - Albaladejo, Pierre A1 - Arvieux, Catherine A1 - Barbois, Sandrine A1 - Bijok, Benjamin A1 - Bobbia, Xavier A1 - Charbit, Jonathan A1 - Cook, Fabrice A1 - David, Jean-Stéphane A1 - Maurice, Guillaume De Saint A1 - Duranteau, Jacques A1 - Garrigue, Delphine A1 - Gay, Emmanuel A1 - Geeraerts, Thomas A1 - Ghelfi, Julien A1 - Hamada, Sophie Rym A1 - Harrois, Anatole A1 - Kobeiter, Hicham A1 - Leone, Marc A1 - Levrat, Albrice A1 - Mirek, Sébastien A1 - Nadji, Abdel A1 - Paugam-Burtz, Catherine A1 - Payen, Jean Francois A1 - Perbet, Sebastien A1 - Pirracchio, Romain A1 - Plenier, Isabelle A1 - Pottecher, Julien A1 - Rigal, Sylvain A1 - Riou, Bruno A1 - Savary, Dominique A1 - Secheresse, Thierry A1 - Tazarourte, Karim A1 - Thony, Frederic A1 - Tonetti, Jerome A1 - Tresallet, Christophe A1 - Wey, Pierre-François A1 - Picard, Julien A1 - Bouzat, Pierre SP - 121 EP - 130 VL - 38 IS - 2 N2 - In this road map for trauma in France, we focus on the main challenges for system implementation, surgical and radiology training, and upon innovative training techniques. Regarding system organisation: procedures for triage, designation and certification of trauma centres are mandatory to implement trauma networks on a national scale. Data collection with registries must be created, with a core dataset defined and applied through all registries. Regarding surgical and radiology training, diagnostic-imaging processes should be standardised and the role of the interventional radiologist within the trauma team and the trauma network should be clearly defined. Education in surgery for trauma is crucial and recent changes in medical training in France will promote trauma surgery as a specific sub-specialty. Innovative training techniques should be implemented and be based on common objectives, scenarios and evaluation, so as to improve individual and team performances. The group formulated 14 proposals that should help to structure and improve major trauma management in France over the next 10 years.

Copyright © 2018 Société française d'anesthésie et de réanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.

Language: en

LA - en SN - 2352-5568 UR - http://dx.doi.org/10.1016/j.accpm.2018.05.005 ID - ref1 ER -