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Trauma care in Germany: an inclusive system
Johannes A Sturm1, Hans-Christoph Pape, Thomas Dienstknecht
1Akademie der Unfallchirurgie (AUC), Luisenstrasse 58/59, 10117, Berlin, Germany. office@auc-online.de
Developing effective trauma systems involves injury prevention and professional patient care. Continuous monitoring and improvement are crucial for global trauma burden management.
Area of Science:
- Trauma care systems
- Public health
- Emergency medicine
Background:
- Trauma system development is complex, with the US and Germany possessing advanced systems.
- This manuscript outlines political, economic, and medical factors influencing trauma system evolution and quality standards.
Purpose of the Study:
- To identify key tasks in developing modern trauma systems.
- To understand the methodologies employed in trauma system development.
- To evaluate the efficacy of established trauma systems.
Main Methods:
- Systematic review of electronic databases (PubMed, Embase, Cochrane).
- Keywords: "trauma system", "polytrauma", "trauma networks", "trauma registry".
- Personal selection of studies based on relevance and author experience.
Main Results:
- Global trauma care addresses similar challenges, often driven by traffic accidents and firearm injuries.
- Germany's approach integrates injury prevention, emergency medical systems, and advanced in-hospital care.
- Collaboration with organizations like the American Association for the Surgery of Trauma and Orthopaedic Trauma Association has driven improvements.
Conclusions:
- Organized injury prevention and professional patient care are vital for managing the global trauma burden.
- Trauma systems necessitate ongoing evaluation and enhancement to maintain high standards.
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The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...

