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      Leadership and Teamwork in Trauma and Resuscitation.

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          Abstract

          Leadership skills are described by the American College of Surgeons' Advanced Trauma Life Support (ATLS) course as necessary to provide care for patients during resuscitations. However, leadership is a complex concept, and the tools used to assess the quality of leadership are poorly described, inadequately validated, and infrequently used. Despite its importance, dedicated leadership education is rarely part of physician training programs. The goals of this investigation were the following: 1. Describe how leadership and leadership style affect patient care; 2. Describe how effective leadership is measured; and 3. Describe how to train future physician leaders.

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          Most cited references24

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          Advanced trauma life support (ATLS®): the ninth edition.

          (2013)
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            Incidence and lifetime costs of injuries in the United States.

            Standardized methodologies for assessing economic burden of injury at the national or international level do not exist. To measure national incidence, medical costs, and productivity losses of medically treated injuries using the most recent data available in the United States, as a case study for similarly developed countries undertaking economic burden analyses. The authors combined several data sets to estimate the incidence of fatal and non-fatal injuries in 2000. They computed unit medical and productivity costs and multiplied these costs by corresponding incidence estimates to yield total lifetime costs of injuries occurring in 2000. Incidence, medical costs, productivity losses, and total costs for injuries stratified by age group, sex, and mechanism. More than 50 million Americans experienced a medically treated injury in 2000, resulting in lifetime costs of 406 billion dollars; 80 billion dollars for medical treatment and 326 billion dollars for lost productivity. Males had a 20% higher rate of injury than females. Injuries resulting from falls or being struck by/against an object accounted for more than 44% of injuries. The rate of medically treated injuries declined by 15% from 1985 to 2000 in the US. For those aged 0-44, the incidence rate of injuries declined by more than 20%; while persons aged 75 and older experienced a 20% increase. These national burden estimates provide unequivocal evidence of the large health and financial burden of injuries. This study can serve as a template for other countries or be used in intercountry comparisons.
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              Teamwork training improves the clinical care of trauma patients.

              We investigated these questions: Does formal team training improve team behaviors in the trauma resuscitation bay? If yes, then does improved teamwork lead to more efficiency in the trauma bay and/or improved clinical outcomes?
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                Author and article information

                Journal
                West J Emerg Med
                The western journal of emergency medicine
                Western Journal of Emergency Medicine
                1936-9018
                1936-900X
                Sep 2016
                : 17
                : 5
                Affiliations
                [1 ] Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California.
                [2 ] Keck School of Medicine of the University of Southern California, Department of Surgery, Los Angeles, California.
                [3 ] University of Lausanne, Department of Medicine, Lausanne, Switzerland.
                Article
                wjem-17-549
                10.5811/westjem.2016.7.29812
                5017838
                27625718
                fff7e6aa-b85e-4af5-93e8-9a29b5db22ed
                History

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