Consistent with crisis-management protocol (the Incident Command System), GCP members filled the roles of Incident Commander (initially Kathleen Figley), Operations Manager, Public Relations Specialist (Charles Figley), and team leaders who each supervised five traumatologists.
Unlike other organizations, however, the GCP in its operations manual requires that all teams include a compassion-fatigue specialist responsible for daily team defusing, the general morale of the team, and follow-up after the traumatologists return home.
This collection of 16 articles addresses basic questions rehabilitation traumatologists
have about the epidemiology of trauma-related disability, trauma care systems in the US, early rehabilitation interventions, multiple musculoskeletal trauma, rehabilitation after brain injury and traumatic leg amputation, diagnosis and rehabilitation of peripheral nerve injuries, burns, chronic pain management, management of substance abuse after trauma, adjustment to trauma, quality care indicators for trauma rehabilitation, pediatric patients with disability due to trauma, and prevention of disability secondary to trauma.
All patients with acute tibial plateau fractures were evaluated by one of two orthopaedic traumatologists
at our academic medical center.
Specialty structure analysis indicated 84.9% (P<0.05) cases in the following areas: obstetrics and gynecologists (25.2%), surgeons (15.2%), traumatologists (8.4%), pediatricians (7.7%), doctors in the emergency care units (6.74%), infectionists (3.3%), nurses (3.1%), hematologists (2.3%), ambulance aid doctors (2.14%).
Within the group of diagnostic defects, non-recognition of basic disease (trauma) was mostly observed in practice of therapeutists (12.4%), surgeons (12.0%), hematologists (9.6%), traumatologists (6.7%), pediatricians (6.2%), obstetricians and gynecologists (5.7%), neurosurgeons, neurologists and doctors in the intensive care units (5.3%), ambulance doctors (4.8%) and infectiouists (3.8%) (P<0.05).
In contrast, pelvic and acetabular fractures are high energy injuries and are often managed by fellowship-trained traumatologists.
(14-21) However, these reports differ from our research, as they examined elective surgery (arthroplasty) or low energy trauma commonly treated by generalists in orthopaedics (hip fractures), while our focus was high energy trauma typically managed by fellowship-trained traumatologists. It is hypothesized that complex trauma cases may be more likely to be initially managed at the presenting institution and then transferred to specialized centers for more definitive care if the case complexity or patient comorbidities warrants transfer.
Patients were treated by one of three fellowship-trained traumatologists
. Eight patients were either lost to follow-up or did not wish to return for functional evaluation and were excluded from the analysis.