Archive for June, 2016

Trauma Community Seeks Goal of Zero Preventable Deaths

Friday, June 17th, 2016

Today, the National Academies of Science publicly released a report by the Committee on Military Trauma Care’s Learning Health System and its Translation to the Civilian Sector.

In the webinar release this morning, Dr. John Berwick, Chair of the committee and a senior fellow at the Institute of Healthcare Improvement, stepped through the report’s recommendations: 11 clear steps to reach the goal of Zero Preventable Deaths After Injury.

Some of the committee’s recommendations are to:

  • Compel the White House to set “Zero Preventable Deaths” as a national aim and to lead in the integration of military and civilian trauma research and care for a national trauma care system
  • Compel the leading military and public health authorities–the Secretary of Defense and the Secretary of HHS–to assume responsibility for and direct the coordination of federal agencies, NGOs, private entities, academic institutions, foundations and others to achieve a nationally integrated trauma care system
  • Improve data-sharing across the continuum of care, especially pre-hospital care data, and support the dissemination of data-driven best practices
  • Mandate a National Trauma Research Action Plan that involves and coordinates all stakeholders, and adjust the regulatory environment to facilitate trauma research
  • Ensure readiness by creating a comprehensive system for training and maintaining skill sets, including the creation of a trauma care career path and embedding military trauma teams within civilian trauma centers

Committee members on the call noted that while the combat case fatality rate has fallen dramatically from 23% in Vietnam to 9% in the current conflicts, the 6,850 deaths of service members in Iraq and Afghanistan are still too many. The speakers referenced a study by Dr. Brian Eastridge that determined the rate of potentially survivable injury among all the combat deaths he surveyed was 20-30 percent. Translated to the civilian world, with 147,790 trauma deaths in the U.S. in 2014, as many as 30,000 may have been preventable.

The report outlines a vision for a national trauma care system that will eliminate preventable deaths—one that unifies civilian and military systems, sharing aims, infrastructure, system design, data, best practices and personnel. That vision includes an unspecified investment in trauma research that is commensurate with its heavy burden on society.

Download a free copy of the report here: nationalacademies.org/traumacare

NTI Chair Jurkovich Joins UC Davis Health System

Tuesday, June 14th, 2016

In February 2016, Gregory “Jerry” Jurkovich, MD, FACS, joined the UC Davis Health System in Sacramento, California as Professor and Vice-Chairman of the Department of Surgery. In this role, he is responsible for the clinical affairs and quality of the department, as well as being an acute care surgeon.

Prior to relocating to California, Dr. Jurkovich served as Director of Surgery and Trauma Services at Denver Health, and the Rockwell Professor of Surgery at the University of Colorado. This appointment followed nearly 24 years at the University of Washington and Harborview Medical Center in Seattle as Professor and Chief of Trauma. He began his surgical career as Chief of Trauma at the University of South Alabama.

Dr. Jurkovich has held numerous leadership positions in addition to serving as Chair of the National Trauma Institute for the past three years. He has been the President of the American Association for the Surgery of Trauma (AAST), the Western Trauma Association (WTA), and the Western Surgical Association (WSA). He also has served as Vice Chairman and Chief of Regions of the American College of Surgeons Committee on Trauma (ACS/COT), and is currently a Director of the American Board of Surgery. He serves on the editorial board of the Journal of Trauma and Acute Care Surgery, Annals of Surgery, and the Journal of the American College of Surgeons. He is also the editor of the textbook “ACS Surgery: Principles and Practices.”

Dr. Jurkovich is well known for his leadership of the AAST Committee on the Acute Care Surgeon, working to define the future training and practice paradigm for trauma surgery that combines surgical critical care, emergency general surgery, and trauma surgery. Throughout the course of his career, Dr. Jurkovich has explored some of the most critical problems in trauma, including methods of measuring outcome in trauma patients, the role of hypothermia in trauma, alcohol and injury, the immune-inflammatory response to injury, and nutritional support in the critically injured.

He received an undergraduate degree in biomedical engineering (cum laude) from Northwestern University and his MD degree from the University of Minnesota. His surgery residency was at the University of Colorado, with a trauma research fellowship at Duke University.

 

Dr. Donald Jenkins, NTI Board Member and Past Chair, Takes New Post at UTHSCSA

Friday, June 10th, 2016

A founding board member and immediate past chair of the National Trauma Institute, Donald H. Jenkins, MD, FACS, began service on June 1, 2016 as Vice Chair for Quality, Department of Surgery, at the University of Texas Health Science Center at San Antonio (UTHSCSA). He is also a professor in the Division of Trauma and Emergency Surgery, the Betty and Bob Kelso Distinguished Chair in Burn and Trauma Surgery and Associate Deputy Director of the university’s Military Health Institute.

Bringing decades of experience in care of the injured patient, trauma system development and advanced resuscitation of patients with hemorrhage, Dr. Jenkins will collaborate locally, regionally, nationally and internationally to further the science of health care delivery as it relates to these fields of expertise. Dr. Jenkins also brings a wealth of experience related to surgical quality measures, performance improvement and patient safety which will be adapted, where necessary, in his new role.

Dr. Jenkins retains his role as Assistant Professor of Surgery at the Uniformed Services University in Bethesda, MD. He retired in 2008 from the U.S. Air Force, having served as the Trauma Medical Director at Lackland AFB, TX. He was responsible for all trauma medical care and administration of the USAF’s only American College of Surgeons Verified Level 1 Trauma Center at Wilford Hall USAF Medical Center in San Antonio in the decade prior to his retirement. He was also the Flight Commander and Chairman of General Surgery for 59MDW.

Dr. Jenkins was formerly Professor of Surgery and Director of Trauma in the Division of Trauma, Critical Care and General Surgery at the Mayo Clinic in Rochester, Minnesota, where he worked from 2008 (upon his retirement from the USAF) until last month. In this role, he helped establish the first regional trauma organization in the State of Minnesota, oversaw a nearly 50 percent decline in trauma mortality at Saint Mary’s Hospital in Rochester and led a team in the use of plasma in the pre-hospital setting as well as initiated the use of cold stored platelets and whole blood.

Dr. Jenkins received his BS in biochemistry from the University of Scranton, Pennsylvania; earned his MD from the Uniformed Services University in Bethesda, Maryland; and performed residencies at Wilford Hall and Lackland AFB. He was a trauma/critical care fellow at the University of Pennsylvania and received the Diploma Medical Care of Catastrophes from the Society of Apothecaries of London. Dr. Jenkins is Past President of the Eastern Association for the Surgery of Trauma (EAST).