Edmonton, Canada's two adult trauma centres are facing calls for consolidation into one location. Trauma surgeons argue that this move would lead to improved patient outcomes, reduce the transfer of critically injured patients, and optimize resource utilization and cost savings. The city's unique status of having two trauma centres for adults, while comparable cities manage with one, prompts discussions about the benefits of higher patient volume at a single site.
Edmonton’s trauma surgeons continue to advocate combining the city’s two trauma centres into one — which they say would improve patient outcomes and save moneyEdmonton has two trauma centres for adult care — a unique distinction for a Canadian city of its size.
Edmonton's two trauma centres for adult care are Royal Alexandra Hospital and University of Alberta Hospital . The only other cities in Canada with two adult trauma centres are Toronto, Montreal and Vancouver, which have significantly larger populations. Years later, studies began finding that trauma centres with higher patient volumes also saw statistically better patient outcomes. One of the reasons is that medical teams that see more trauma cases are better able to develop and maintain a high level of expertise."The more we dilute it between two centres, the more our experience as individuals and as as teams kind of gets watered down," said Dr. Michael Kim, a trauma surgeon at UAH.
"We, the trauma surgeons working as physicians and medical leaders within the Edmonton Zone's two trauma programs, are writing to express our unified and unequivocal recommendation to consolidate the two existing programs into a single, one-site model," the letter said. "Big organizations like this have a tremendous amount of inertia. You know, big moves are hard to make."
"It's crazy to think you'd have a pelvis surgery done at the Alex, and then the neurosurgeons cannot come to the Alex to operate on their brain... now you have to get transported by ambulance across the river to the university hospital. You may have hours to live for you to get the surgery done."CBC News reached out to AHS regarding trauma centre consolidation. An AHS spokesperson declined to comment.
TRAUMA CENTER PATIENT OUTCOMES HEALTHCARE COSTS MEDICAL EXPERTISE HOSPITAL CONSOLIDATION
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