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HECTOR: A Trauma Course to Match Our Population.
Irish Medical Journal
|March 23, 2026
Summary
Older adults are the largest group experiencing major trauma in Ireland, often from falls. A pilot course adapted from the UK
Area of Science:
- Geriatric Trauma Care
- Medical Education Innovation
Background:
- Older adults (≥65 years) constitute over half of major trauma cases in Ireland.
- Low-mechanism falls are the primary cause of injury in this demographic, introducing complexities like frailty, multimorbidity, and polypharmacy.
- Existing trauma education models require adaptation to address the specific needs of geriatric trauma patients.
Purpose of the Study:
- To adapt the UK's Elderly Care Trauma & Ongoing Recovery (HECTOR) course for the Irish healthcare system.
- To evaluate the feasibility and initial impact of a pilot HECTOR course delivered in Ireland.
Main Methods:
- The HECTOR curriculum was modified using Kern's six-step framework to align with Irish guidelines and resources.
- A one-day pilot course was delivered to 18 multidisciplinary clinicians at the 2025 Irish Association for Emergency Medicine (IAEM) meeting.
- Post-course evaluations were completed by 12 participants.
Main Results:
- Pilot course feedback was overwhelmingly positive.
- Participants highlighted the course's relevance, practicality, and the benefits of its interprofessional format.
- The study demonstrated strong feasibility for the adapted HECTOR course.
Conclusions:
- The adapted HECTOR course is a feasible and well-received educational intervention for Irish clinicians managing older trauma patients.
- Further rollout and more rigorous evaluation are supported by these positive pilot findings.
- This initiative addresses a critical gap in geriatric trauma education within the Irish context.
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