Trauma Center level 1, Karolinska University Hospital ... · Trauma Center Karolinska 22 years...

Trauma Center level 1, Karolinska University Hospital

Stockholm

Lennart AdamssonHead of Dept for Trauma, Surgery and

OrthopaedicsKarolinska University Hospital

Solna och Huddinge

1997- 2019

Trauma Center Karolinska 22 yearsHistory

• 1997- Trauma bay/CT/Op/Helipad

• 2004 –Trauma register Karolinska

• 2007- Stockholm County Council - Trauma Center for the Stockholm Region . Trauma patients /Red and Yellow

(UK, Birmingham 1941, USA, Chicago 1966)

• 2016- Center for Research/Development/Education in Trauma Stockholm Region

• October 2018- Moving to the new hospital buildning

Anders Östlund 2019

22 years of multiprofessionalcollaboration at Karolinska to reach Trauma level 1 and to give the traumatized patient the very best care and outcome.

1900 trauma alarm Adults (1600) och Children( 300) 2019

370 ISS > 15 ( > 15 : major trauma, 9-15 : moderately severetrauma)

National Traumalarm criterias

Traumacentrum-patienter i snitt per vecka till vårdavdelningar

3

4

3

33

333

3

3

4343

55

3

8

565

433

35

4555

543

4

23

32

44

3

22

0

5

10

15

20

25

30

4

37

2

36

2

35

3

34

4

33

4

32

3

31

4

30

3

29

1

28

1

27

2

26

4

25

3

24

2

23

2

22

3

21

4

20

3

19

2

18

5

17

3

16

2

15

2

14

3

13

4

12

4

11

4 3

1

2

11

38

1

2

3

2

10

3

9

3

8

2

7

2

6

0

5

0

4

1

3

1

2

0

1

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52

0

51

0

50

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49

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48

2

47

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46

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45

4

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43

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42

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41

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40

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4

Trauma TeamResponse time 5 min24/7

24/7

Traumacentrum Karolinska

30-day mortality outcomeISS > 15 = 14,4%

(International traumacenters 18%)

Traumacenter Karolinska

Regional Trauma Center

• Never say no!!

One way in to the Trauma Center Karolinska

Trauma leader/surgeon

+46 8-51770000

(Traumasurgeon +468-51778600)

Traumateam never sleeps kl 01.00

”five young peoples on their way in –shouting injuries”

Alarm for multiple victims > 3 Adults/> 2 Children

Karolinska Trauma CenterStockholm

2,8 million inhabitants in the region

Major Trauma CenterStockholm Region

Trauma/Emergency Center for the Swedish Armed Forces

Trauma Center- an unbroken chain

•Multidiciplinary steeringdocuments = Patient safety!

Trauma Center KarolinskaFoU-ordförande PI

BarntraumaAnestesi, BIVA,ECMO,Op

Akut ochTrauma Otopedi

Intensivakuten

Plastikkirurg Neurokirurgi

OVC Trauma-vård avd

POC Trauma

Rehab adj.

Bild och Funktion

Steering group table ,Traumacentrum”multidiciplinary chain”

TraumaKoordinator

Mötessekreterare

Funktion PMITrauma och akut

kirurgi

Funktion PMI CIVA/NIVA

Trauma & Akutkirurgi

Controlleradj.

Käkkirurg

HRadj

2018- okt – moving in…

Nya Karolinska/Traumacentrum

CT

Trauma

bays

Intensiv

care area

Hybrid

operating room

Plan 5

CT

Traumacentrum Nya Karolinska Universitetssjukhuset, Solna

CT

Trauma

bay

IVA

Hybridsal

Hiss från akuten

Plan 5

CT

26 NKS Trauma C-R Martling

Patientflöde

Traumacentrum Karolinska/American Collage of Surgeons - Resources

The trauma system

Register data Analyse data

Improve!

EducationResearchInjuryprevention

Trauma Register

Clinical pathway

TraumaTeam

Trauma programSurgery, anetshesia and intensive care, orthopedics, neurosurgery, plastics

AIM•To develop and coordinate trauma care in one region•Standardize trauma care

”each trauma system should have an identified leadhospital”

Resources for Optimal Care of the Injured Patient 2014Committee on Trauma, American College of Surgeons

The Trauma System

Thank you!