Trauma System in Albania. A challenge that Requires long-term and Sustainable Solutions.
ACS 2023 & ACTES 2023 - Abstracts Book
Dogjani A et al. - Trauma System in Albania. A challenge that Requires long-term and Sustainable Solutions.

Keywords

trauma system
public health infrastructure
sustainable development
trauma care

How to Cite

Dogjani, A., Haxhirexha, K., Gjata, A., & Subashi, K. (2023). Trauma System in Albania. A challenge that Requires long-term and Sustainable Solutions. Albanian Journal of Trauma and Emergency Surgery, 7(2.7), 105. https://doi.org/10.32391/ajtes.v7i2.7.375

Abstract

Introduction: The need for an effective trauma care system in Albania cannot be overstressed. Trauma is still a leading cause of mortality and morbidity, particularly among young people. The moment to take action is here because the need for a structured trauma system has been recognized and some of the problems need to be addressed.

Lacking an institutionalized system of trauma: Albania currently lacks a formalized, well-organized system of trauma. The effect this would have, however, could be enormous; well-organized systems of trauma that are able to make rapid transitions from the site of the injury itself to the rehabilitation phase could cut back dramatically on the duration of delay in treatment and ultimately improve outcomes.

Unstandardized Data Collection and Quality Development of Data: Standardized data collection, quality development procedures, and verification of trauma processes are not standardized. This results in patchy and variable trauma care, and it is challenging to track and improve outcomes.

Shortage of Trauma Care Specialist: The most critical shortage is the scarcity of medical experts with specialized skills in trauma care, including emergency medicine physicians and trauma surgeons. Trauma care requires a multidisciplinary approach with specialization across various aspects of care, ranging from resuscitation at the moment of injury to surgical intervention.

Infrastructure and Resource Constraints: Most healthcare centers, especially in rural settings, have inadequate infrastructure, equipment, and resources to deliver optimal trauma care. This extends to shortcomings in trauma centers, emergency departments, and pre-hospital care. Problems in Transportation and Prehospital Care: Proper prehospital care and transportation of trauma patients are crucial to improving outcomes. In Albania, problems with transportation and the lack of sufficient training for paramedics can compromise prompt care.

Public Awareness and Prevention of Injury: Increased public awareness regarding prevention of injury and protection measures is not merely significant, it's essential. Efforts to prevent trauma, particularly road traffic accidents, have a key role in influencing the rate of trauma as a whole.

Coordination Among Health Facilities: Coordination among health facilities, ranging from small clinics to large hospitals, is key to smooth patient transfer and continuity of patient care.

Advocacy by healthcare professionals and organizations must be conducted in order to promote the need for a formalized trauma system. Government assistance and financing is necessary to set up and maintain trauma care infrastructure.

Conclusion: The establishment of an integrated trauma system in Albania is an arduous task that requires the collaboration of health care stakeholders, advocacy, resources to be shifted and an unrelenting commitment to improve trauma care from injury time to rehabilitation. This ongoing challenge holds great importance for the reduction of morbidity and mortality resulting from trauma in the country.

https://doi.org/10.32391/ajtes.v7i2.7.375
Dogjani A et al. - Trauma System in Albania. A challenge that Requires long-term and Sustainable Solutions.

References

Kupas, D. F., Schenk, E., Sholl, J. M., & Kamin, R. (2015). Characteristics of statewide protocols for emergency medical services in the United States. Prehospital emergency care, 19(2), 292–301. https://doi.org/10.3109/10903127.2014.964891

Dogjani, A., Bendo, H., Blloshmi, A. (2018). Management of Trauma Patients in the Hospital Settings. Albanian Journal of Trauma and Emergency Surgery, 2(2.2), 12-13. https://doi.org/10.32391/ajtes.v2i2.2.155

Minei, J. P., Schmicker, R. H., Kerby, J. D., Stiell, I. G., Schreiber, M. A., Bulger, E., Tisherman, S., Hoyt, D. B., Nichol, G., & Resuscitation Outcome Consortium Investigators (2010). Severe traumatic injury: regional variation in incidence and outcome. Annals of surgery, 252(1), 149–157. https://doi.org/10.1097/SLA.0b013e3181df0401

Minei, J. P., Fabian, T. C., Guffey, D. M., Newgard, C. D., Bulger, E. M., Brasel, K. J., Sperry, J. L., & MacDonald, R. D. (2014). Increased trauma center volume is associated with improved survival after severe injury: results of a Resuscitation Outcomes Consortium study. Annals of surgery, 260(3), 456–465. https://doi.org/10.1097/SLA.0000000000000873

Dogjani, A., Haxhirexha, K., Gjata, A., & Subashi, K. (2023). The ATLS® Course: Empowering Healthcare Professionals for Excellence in Trauma Care. Albanian Journal of Trauma and Emergency Surgery, 7(2), 1221-1223. https://doi.org/10.32391/ajtes.v7i2.350

Dogjani, A. (2023, May 26). Our Experiences on Trauma Management. 4th South East European Emergency and Disaster Medicine Congress & The 5th Albanian Society of Emergency Medicine Conference (SEEEDMC 2023 & ASEMC 2023), Tirana, Albania. https://doi.org/10.5281/zenodo.16273534

Lenjani, B., Baftiu, N., Krasniqi, B., Makolli, S., Lenjani, D., Mišanović, V., Ljuhar, K., & Dogjani, A. (2023). Access and Emergency Medical Care for Massive or Multiple Injuries. Albanian Journal of Trauma and Emergency Surgery, 7(1), 1181-1188. https://doi.org/10.32391/ajtes.v7i1.298

Dogjani, A. (2022, October 28). The Definitive Surgical Trauma Care (DSTC™) Course is Essential in the Education of General Surgeons and not only…. 29th Albanian Surgical Conference, Tirana, Albania. https://doi.org/10.5281/zenodo.16737202

Agron Dogjani, Kastriot Haxhirexha, Arben Gjata, Alfred Ibrahimi, Amarildo Blloshmi. Medical Emergency Services in Albania, the Challenges and Improvements of Concepts in Management. Journal of Surgery and Research 5 (2022): 456-461. https://www.doi.org/10.26502/jsr.10020242

Agron Dogjani, Arben Gjata, Kastriot Haxhirexha, & Amarildo Blloshmi. (2022, May 14). ATLS® Course Albania, a Great Opportunity for Educating Health Professionals in Trauma Management. The 10th National Conference of Medical Sciences (NCMS 2022), Tirana, Albania. https://doi.org/10.5281/zenodo.7015607

Committee on Military Trauma Care's Learning Health System and Its Translation to the Civilian Sector; Board on Health Sciences Policy; Board on the Health of Select Populations; Health and Medicine Division; National Academies of Sciences, Engineering, and Medicine; Berwick D, Downey A, Cornett E, editors. A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. Washington (DC): National Academies Press (US); 2016 Sep 12. 2, Overview of Contemporary Civilian and Military Trauma Systems. Available from: https://www.ncbi.nlm.nih.gov/books/NBK390321/

Schwab C. W. (2015). Winds of War: Enhancing Civilian and Military Partnerships to Assure Readiness: White Paper. Journal of the American College of Surgeons, 221(2), 235–254. https://doi.org/10.1016/j.jamcollsurg.2015.04.014

Waydhas, C., Trentzsch, H., Hardcastle, T.C. et al. Survey on worldwide trauma team activation requirement. Eur J Trauma Emerg Surg 47, 1569–1580 (2021). https://doi.org/10.1007/s00068-020-01334-z

Dogjani, A., Gjata, A., Haxhirexha, K., & Cobani, D. (2021) Current Concepts about Managing of Trauma Patients. The 5th Albanian Congress of Trauma and Emergency Surgery - ACTES 2021; 12-13 November 2021: AJTES Vol 5, No 2, Supplement 5, November 2021; Abstracts – Book; Albanian Journal of Trauma and Emergency Surgery, 5(2.5), 24-25. https://doi.org/10.32391/ajtes.v5i2.5.259

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.