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  1. Article ; Online: Focus on identifying and closing knowledge gaps in acute appendicitis.

    Kurihara, Hayato / Tilsed, Jonathan

    European journal of trauma and emergency surgery : official publication of the European Trauma Society

    2023  Volume 49, Issue 1, Page(s) 1–3

    MeSH term(s) Humans ; Appendicitis/diagnosis ; Appendicitis/surgery ; Acute Disease
    Language English
    Publishing date 2023-01-27
    Publishing country Germany
    Document type Editorial ; Comment
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-022-02209-1
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  2. Article ; Online: Bringing critical emergency medicine, resuscitation and trauma education and training back to armed rivalry-affected community: why the conflict in Sudan matters?

    Nasr, Ayman O / Lulic, Ileana / Mustafa, Mahmoud T / Tilsed, Jonathan / Lulic, Dinka / Thies, Karl

    European journal of trauma and emergency surgery : official publication of the European Trauma Society

    2023  Volume 49, Issue 6, Page(s) 2633–2635

    MeSH term(s) Humans ; Sudan ; Warfare ; Emergency Medicine
    Language English
    Publishing date 2023-06-13
    Publishing country Germany
    Document type Letter
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-023-02302-z
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  3. Article ; Online: European society for trauma and emergency surgery member-identified research priorities in emergency surgery: a roadmap for future clinical research opportunities.

    Bass, Gary Alan / Kaplan, Lewis Jay / Gaarder, Christine / Coimbra, Raul / Klingensmith, Nathan John / Kurihara, Hayato / Zago, Mauro / Cioffi, Stefano Piero Bernardo / Mohseni, Shahin / Sugrue, Michael / Tolonen, Matti / Valcarcel, Cristina Rey / Tilsed, Jonathan / Hildebrand, Frank / Marzi, Ingo

    European journal of trauma and emergency surgery : official publication of the European Trauma Society

    2024  Volume 50, Issue 2, Page(s) 367–382

    Abstract: Background: European Society for Trauma and Emergency Surgery (ESTES) is the European community of clinicians providing care to the injured and critically ill surgical patient. ESTES has several interlinked missions - (1) the promotion of optimal ... ...

    Abstract Background: European Society for Trauma and Emergency Surgery (ESTES) is the European community of clinicians providing care to the injured and critically ill surgical patient. ESTES has several interlinked missions - (1) the promotion of optimal emergency surgical care through networked advocacy, (2) promulgation of relevant clinical cognitive and technical skills, and (3) the advancement of scientific inquiry that closes knowledge gaps, iteratively improves upon surgical and perioperative practice, and guides decision-making rooted in scientific evidence. Faced with multitudinous opportunities for clinical research, ESTES undertook an exercise to determine member priorities for surgical research in the short-to-medium term; these research priorities were presented to a panel of experts to inform a 'road map' narrative review which anchored these research priorities in the contemporary surgical literature.
    Methods: Individual ESTES members in active emergency surgery practice were polled as a representative sample of end-users and were asked to rank potential areas of future research according to their personal perceptions of priority. Using the modified eDelphi method, an invited panel of ESTES-associated experts in academic emergency surgery then crafted a narrative review highlighting potential research priorities for the Society.
    Results: Seventy-two responding ESTES members from 23 countries provided feedback to guide the modified eDelphi expert consensus narrative review. Experts then crafted evidence-based mini-reviews highlighting knowledge gaps and areas of interest for future clinical research in emergency surgery: timing of surgery, inter-hospital transfer, diagnostic imaging in emergency surgery, the role of minimally-invasive surgical techniques and Enhanced Recovery After Surgery (ERAS) protocols, patient-reported outcome measures, risk-stratification methods, disparities in access to care, geriatric outcomes, data registry and snapshot audit evaluations, emerging technologies interrogation, and the delivery and benchmarking of emergency surgical training.
    Conclusions: This manuscript presents the priorities for future clinical research in academic emergency surgery as determined by a sample of the membership of ESTES. While the precise basis for prioritization was not evident, it may be anchored in disease prevalence, controversy around aspects of current patient care, or indeed the identification of a knowledge gap. These expert-crafted evidence-based mini-reviews provide useful insights that may guide the direction of future academic emergency surgery research efforts.
    MeSH term(s) Humans ; Societies, Medical ; Europe ; Biomedical Research ; Traumatology ; Research ; Wounds and Injuries/surgery
    Language English
    Publishing date 2024-02-27
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-023-02441-3
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  4. Article ; Online: The European Trauma Course: Transforming systems through training.

    Thies, Karl-Christian / Bergmans, Elonka / Billington, Alistair / Fraga, Gustavo P / Trummer, Florian / Nasr, Ayman O / Tilsed, Jonathan / Kamaras, Georgie / Cebula, Gregorz / Protic, Alen / Khalifa, Gamal Eldin Abbas / Vänni, Ville / Alouini, Souhail / Uštar, Katja Kalan / Perfetti, Paola / Sari, Ferenc / Cimpoesu, Diana / Cassar, Mary Rose / Lott, Carsten /
    Blondeel, Lode / Kooij, Fabian / Neutel, Elizabete / Verdonck, Philip

    Resuscitation plus

    2024  Volume 18, Page(s) 100599

    Abstract: The European Trauma Course (ETC) exemplifies an innovative approach to multispecialty trauma education. This initiative was started as a collaborative effort among the European Society for Emergency Medicine, the European Society for Trauma and Emergency ...

    Abstract The European Trauma Course (ETC) exemplifies an innovative approach to multispecialty trauma education. This initiative was started as a collaborative effort among the European Society for Emergency Medicine, the European Society for Trauma and Emergency Surgery, and the European Society of Anaesthesiology under the auspices of the European Resuscitation Council. With the robust support of these societies, the project has evolved into the independent European Trauma Course Organisation. Over the past 15 years, the ETC has transcended traditional training by integrating team dynamics and non-technical skills into a scenario-based simulation course, helping to shape trauma care practice and education. A distinctive feature of the ETC is its training of doctors and allied healthcare professionals, fostering a collaborative and holistic approach to trauma care. The ETC stands out for its unique team-teaching approach, which has gained widespread recognition as the standard for in-hospital trauma care training not only in Europe but also beyond. Since its inception ETC has expanded geographically from Finland to Sudan and from Brazil to the Emirates, training nearly 20,000 healthcare professionals and shaping trauma care practice and education across 25 countries. Experiencing exponential growth, the ETC continues to evolve, reflecting its unmet demand in trauma team education. This review examines the evolution of the ETC, its innovative team-teaching methodology, national implementation strategies, current status, and future challenges. It highlights its impact on trauma care, team training, and the effect on other life support courses in various countries.
    Language English
    Publishing date 2024-03-15
    Publishing country Netherlands
    Document type Journal Article ; Review
    ISSN 2666-5204
    ISSN (online) 2666-5204
    DOI 10.1016/j.resplu.2024.100599
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  5. Article ; Online: Education, training and technological innovation, key components of the ESTES-NIGHTINGALE project cooperation for Mass Casualty Incident preparedness in Europe.

    Yánez Benítez, Carlos / Tilsed, Jonathan / Weinstein, Eric S / Caviglia, Marta / Herman, Simon / Montán, Carl / Achatz, Gerhard / Cuthbertson, Joe / Ragazzoni, Luca / Sdongos, Evangelos / Ashkenazi, Itamar / Faccincani, Roberto

    European journal of trauma and emergency surgery : official publication of the European Trauma Society

    2022  Volume 49, Issue 2, Page(s) 653–659

    Abstract: Disasters induced by extreme weather events and terrorism-related activities, causing mass casualty incidents (MCIs) in Europe, are expected to increase in the upcoming years. This challenging scenario demands a high level of readiness and coordinated ... ...

    Abstract Disasters induced by extreme weather events and terrorism-related activities, causing mass casualty incidents (MCIs) in Europe, are expected to increase in the upcoming years. This challenging scenario demands a high level of readiness and coordinated multi-disciplinary response to reduce morbidity and mortality. The European Society of Trauma and Emergency Surgery (ESTES) is one of the 23 partners of the European-funded project Novel Integrated Toolkit for Enhanced Pre-Hospital Life Support and Triage in Challenging and Large Emergencies (NIGHTINGALE), whose primary objective is to promote the exchange in experiences and define the best practices among first responders. Additionally, the project promotes multi-disciplinary and multi-institutional efforts to achieve technological innovation that will enhance preparedness in MCI management. This manuscript aims to describe the challenges of MCI triage, the education and training programs for MCI response in Europe, and the technological innovation that may aid optimal response. These three elements were discussed by ESTES Disaster and Military Surgery Section members during the German Society for Trauma Surgery session at the ECTES 2022 in Oslo "TDSC
    MeSH term(s) Humans ; Mass Casualty Incidents ; Inventions ; Disaster Planning ; Terrorism ; Triage ; Europe
    Language English
    Publishing date 2022-12-13
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-022-02198-1
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  6. Article ; Online: Cardiac arrest in the perioperative period: a consensus guideline for identification, treatment, and prevention from the European Society of Anaesthesiology and Intensive Care and the European Society for Trauma and Emergency Surgery.

    Hinkelbein, Jochen / Andres, Janusz / Böttiger, Bernd W / Brazzi, Luca / De Robertis, Edoardo / Einav, Sharon / Gwinnutt, Carl / Kuvaki, Bahar / Krawczyk, Pawel / McEvoy, Matthew D / Mertens, Pieter / Moitra, Vivek K / Navarro-Martinez, Jose / Nunnally, Mark E / O'Connor, Michael / Rall, Marcus / Ruetzler, Kurt / Schmitz, Jan / Thies, Karl /
    Tilsed, Jonathan / Zago, Mauro / Afshari, Arash

    European journal of anaesthesiology

    2023  Volume 40, Issue 10, Page(s) 724–736

    Abstract: Introduction: Cardiac arrest in the operating room is a rare but potentially life-threatening event with mortality rates of more than 50%. Contributing factors are often known, and the event is recognised rapidly as patients are usually under full ... ...

    Abstract Introduction: Cardiac arrest in the operating room is a rare but potentially life-threatening event with mortality rates of more than 50%. Contributing factors are often known, and the event is recognised rapidly as patients are usually under full monitoring. This guideline covers the perioperative period and is complementary to the European Resuscitation Council (ERC) guidelines.
    Material and methods: The European Society of Anaesthesiology and Intensive Care and the European Society for Trauma and Emergency Surgery jointly nominated a panel of experts to develop guidelines for the recognition, treatment and prevention of cardiac arrest in the perioperative period. A literature search was conducted in MEDLINE, EMBASE, CINAHL and the Cochrane Central Register of Controlled Trials. All searches were restricted to publications from 1980 to 2019 inclusive and to the English, French, Italian and Spanish languages. The authors also contributed individual, independent literature searches.
    Results: This guideline contains background information and recommendation for the treatment of cardiac arrest in the operating room environment, and addresses controversial topics such as open chest cardiac massage (OCCM), resuscitative endovascular balloon occlusion (REBOA) and resuscitative thoracotomy, pericardiocentesis, needle decompression and thoracostomy.
    Conclusion: Successful prevention and management of cardiac arrest during anaesthesia and surgery requires anticipation, early recognition and a clear treatment plan. The ready availability of expert staff and equipment must also be taken into consideration. Success not only depends on medical knowledge, technical skills and a well organised team using crew resource management but also on an institutional safety culture embedded in everyday practice through continuous education, training and multidisciplinary co-operation.
    MeSH term(s) Humans ; Anesthesiology ; Balloon Occlusion ; Critical Care ; Heart Arrest/diagnosis ; Heart Arrest/etiology ; Heart Arrest/prevention & control ; Resuscitation
    Language English
    Publishing date 2023-05-23
    Publishing country England
    Document type Journal Article ; Practice Guideline
    ZDB-ID 605770-6
    ISSN 1365-2346 ; 0265-0215
    ISSN (online) 1365-2346
    ISSN 0265-0215
    DOI 10.1097/EJA.0000000000001813
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  7. Article ; Online: Cardiac arrest in the perioperative period: a consensus guideline for identification, treatment, and prevention from the European Society of Anaesthesiology and Intensive Care and the European Society for Trauma and Emergency Surgery.

    Hinkelbein, Jochen / Andres, Janusz / Böttiger, Bernd W / Brazzi, Luca / De Robertis, Edoardo / Einav, Sharon / Gwinnutt, Carl / Kuvaki, Bahar / Krawczyk, Pawel / McEvoy, Matthew D / Mertens, Pieter / Moitra, Vivek K / Navarro-Martinez, Jose / Nunnally, Mark E / O Connor, Michael / Rall, Marcus / Ruetzler, Kurt / Schmitz, Jan / Thies, Karl /
    Tilsed, Jonathan / Zago, Mauro / Afshari, Arash

    European journal of trauma and emergency surgery : official publication of the European Trauma Society

    2023  Volume 49, Issue 5, Page(s) 2031–2046

    Abstract: Introduction: Cardiac arrest in the operating room is a rare but potentially life-threatening event with mortality rates of more than 50%. Contributing factors are often known, and the event is recognised rapidly as patients are usually under full ... ...

    Abstract Introduction: Cardiac arrest in the operating room is a rare but potentially life-threatening event with mortality rates of more than 50%. Contributing factors are often known, and the event is recognised rapidly as patients are usually under full monitoring. This guideline covers the perioperative period and is complementary to the European Resuscitation Council guidelines.
    Material and methods: The European Society of Anaesthesiology and Intensive Care and the European Society for Trauma and Emergency Surgery jointly nominated a panel of experts to develop guidelines for the recognition, treatment, and prevention of cardiac arrest in the perioperative period. A literature search was conducted in MEDLINE, EMBASE, CINAHL and the Cochrane Central Register of Controlled Trials. All searches were restricted to publications from 1980 to 2019 inclusive and to the English, French, Italian and Spanish languages. The authors also contributed individual, independent literature searches.
    Results: This guideline contains background information and recommendation for the treatment of cardiac arrest in the operating room environment, and addresses controversial topics such as open chest cardiac massage, resuscitative endovascular balloon occlusion and resuscitative thoracotomy, pericardiocentesis, needle decompression, and thoracostomy.
    Conclusions: Successful prevention and management of cardiac arrest during anaesthesia and surgery requires anticipation, early recognition, and a clear treatment plan. The ready availability of expert staff and equipment must also be taken into consideration. Success not only depends on medical knowledge, technical skills and a well-organised team using crew resource management, but also on an institutional safety culture embedded in everyday practice through continuous education, training, and multidisciplinary co-operation.
    MeSH term(s) Humans ; Anesthesiology ; Critical Care ; Heart Arrest/etiology ; Heart Arrest/prevention & control ; Resuscitation ; Thoracotomy
    Language English
    Publishing date 2023-07-11
    Publishing country Germany
    Document type Journal Article ; Practice Guideline
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-023-02271-3
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  8. Article ; Online: European Society of Trauma and Emergency Surgery (ESTES) recommendations for trauma and emergency surgery preparation during times of COVID-19 infection.

    Coimbra, Raul / Edwards, Sara / Kurihara, Hayato / Bass, Gary Alan / Balogh, Zsolt J / Tilsed, Jonathan / Faccincani, Roberto / Carlucci, Michele / Martínez Casas, Isidro / Gaarder, Christine / Tabuenca, Arnold / Coimbra, Bruno C / Marzi, Ingo

    European journal of trauma and emergency surgery : official publication of the European Trauma Society

    2020  Volume 46, Issue 3, Page(s) 505–510

    Abstract: A series of recommendations regarding hospital perioperative preparation for the COVID-19 pandemic were compiled to inform surgeons worldwide on how to provide emergency surgery and trauma care during enduring times.The recommendations are divided into ... ...

    Abstract A series of recommendations regarding hospital perioperative preparation for the COVID-19 pandemic were compiled to inform surgeons worldwide on how to provide emergency surgery and trauma care during enduring times.The recommendations are divided into eight domains: (1) General recommendation for surgical services; (2) Emergency Surgery for critically ill COVID-19 positive or suspected patients -Preoperative planning and case selection; (3) Operating Room setup; (4) patient transport to the OR; (5) Surgical staff preparation; (6) Anesthesia considerations; (7) Surgical approach; and (8) Case Completion.The European Society of Emergency Surgery board endorsed these recommendations.
    MeSH term(s) Betacoronavirus/isolation & purification ; COVID-19 ; Comorbidity ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Emergency Treatment/methods ; Humans ; Infection Control/methods ; Pandemics ; Perioperative Care/methods ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Surgical Procedures, Operative/methods ; Wounds and Injuries/epidemiology ; Wounds and Injuries/surgery
    Keywords covid19
    Language English
    Publishing date 2020-04-17
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-020-01364-7
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  9. Article ; Online: The Bucharest ESTES consensus statement on peritonitis.

    Diaconescu, Bogdan / Uranues, Selman / Fingerhut, Abe / Vartic, Mihaela / Zago, Mauro / Kurihara, Hayato / Latifi, Rifat / Popa, Dorin / Leppäniemi, Ari / Tilsed, Jonathan / Bratu, Matei / Beuran, Mircea

    European journal of trauma and emergency surgery : official publication of the European Trauma Society

    2020  Volume 46, Issue 5, Page(s) 1005–1023

    Abstract: Introduction: Peritonitis is still an important health problem associated with high morbidity and mortality. A multidisciplinary approach to the management of patients with peritonitis may be an important factor to reduce the risks for patients and ... ...

    Abstract Introduction: Peritonitis is still an important health problem associated with high morbidity and mortality. A multidisciplinary approach to the management of patients with peritonitis may be an important factor to reduce the risks for patients and improve efficiency, outcome, and the cost of care.
    Methods: Expert panel discussion on Peritonitis was held in Bucharest on May 2017, during the 17th ECTES Congress, involving surgeons, infectious disease specialists, radiologists and intensivists with the goal of defining recommendations for the optimal management of peritonitis.
    Conclusion: This document is an updated presentation of management of peritonitis and represents the summary of the final recommendations approved by a panel of experts.
    MeSH term(s) Consensus ; Humans ; Peritonitis/classification ; Peritonitis/therapy ; Severity of Illness Index
    Language English
    Publishing date 2020-04-17
    Publishing country Germany
    Document type Journal Article ; Practice Guideline ; Review
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-020-01338-9
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  10. Article ; Online: Sudden-Onset Disaster Mass-Casualty Incident Response: A Modified Delphi Study on Triage, Prehospital Life Support, and Processes.

    Cuthbertson, Joe / Weinstein, Eric / Franc, Jeffrey Michael / Jones, Peter / Lamine, Hamdi / Magalini, Sabina / Gui, Daniele / Lennquist, Kristina / Marzi, Federica / Borrello, Alessandro / Fransvea, Pietro / Fidanzio, Andrea / Benítez, Carlos Yanez / Achaz, Gerhard / Dobson, Bob / Malik, Nabeela / Neeki, Michael / Pirrallo, Ronald / Castro Delgado, Rafael /
    Strapazzon, Giacomo / Farah Dell'Aringa, Marcelo / Brugger, Hermann / Rafalowsky, Chaim / Marzoli, Marcello / Fresu, Giovanni / Kolstadbraaten, Knut Magne / Lennquist, Stenn / Tilsed, Jonathan / Claudius, Ilene / Cheeranont, Piyapan / Callcut, Rachel / Bala, Miklosh / Kerbage, Anthony / Vale, Luis / Hecker, Norman Philipp / Faccincani, Roberto / Ragazzoni, Luca / Caviglia, Marta

    Prehospital and disaster medicine

    2023  Volume 38, Issue 5, Page(s) 570–580

    Abstract: The application and provision of prehospital care in disasters and mass-casualty incident response in Europe is currently being explored for opportunities to improve practice. The objective of this translational science study was to align common ... ...

    Abstract The application and provision of prehospital care in disasters and mass-casualty incident response in Europe is currently being explored for opportunities to improve practice. The objective of this translational science study was to align common principles of approach and action and to identify how technology can assist and enhance response. To achieve this objective, the application of a modified Delphi methodology study based on statements derived from key findings of a scoping review was undertaken. This resulted in 18 triage, eight life support and damage control interventions, and 23 process consensus statements. These findings will be utilized in the development of evidence-based prehospital mass-casualty incident response tools and guidelines.
    MeSH term(s) Humans ; Triage/methods ; Emergency Medical Services ; Delphi Technique ; Disaster Planning ; Mass Casualty Incidents
    Language English
    Publishing date 2023-09-07
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 1025975-2
    ISSN 1945-1938 ; 1049-023X
    ISSN (online) 1945-1938
    ISSN 1049-023X
    DOI 10.1017/S1049023X23006337
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