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Updated: Jun 19, 2026

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
[Introduction and operation of a multiple trauma unit in a general hospital]
David Costa Navarro1, Montiel Jiménez Fuertes, Juan Carlos Medina Alvarez
1Servicio de Cirugía General y del Aparato Digestivo, Comité de Politraumatizados del Hospital de Torrevieja, Alicante, España. rdcosta@torrevieja-salud.com
Introduction:
Although there is ample evidence on the importance of having good protocols for Trauma patient care, a teaching system for the personnel involved in this care is needed.
Methods:
The aim is to describe how we have organised the care for this type of patient in Torrevieja Hospital by creating a Trauma Surgery Unit, a Trauma Committee and a Trauma Team. We also describe how we have developed training in order to ensure personnel get the knowledge and skills to care for these patients correctly (Trauma Surgery Course).
Results:
We prospectively describe the results. Seventy-nine patients were attended to and 38% had sustained combined multiple injuries, 35% isolated thoracic trauma, 15% combined thorax and abdomen, and 12% abdomen. The most frequent cause of trauma was traffic accident, closely followed by stab wounds. Trauma team activation was made in 27 cases. Overall mortality rate was 8.8%. During this period of time, 5 editions of the course have been given and 29.5% of the target personnel have already participated in them.
Conclusions:
We conclude by highlighting the importance of having adequate protocols for treating these patients and the correct means for teaching the personnel.
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