Now showing items 1-20 of 44

    • Air ambulance nurses as expert supplement to local emergency services 

      Wisborg, Torben; Bjerkan, Bjørn (Journal article; Tidsskriftartikkel; Peer reviewed, 2013-12-25)
      Introduction: Flight nurses in the Norwegian National Air Ambulance Service are specialist nurse anesthetists or intensive care nursing specialists. For air ambulance bases far from hospitals, these nurses represent otherwise unavailable competencies. This study reports a 6-year experience with flight nurse participation in local emergencies beyond the transportation phase. <br>Methods: The ...
    • Are severely injured trauma victims in Norway offered advanced pre-hospital care? National, retrospective, observational cohort 

      Wisborg, Torben; Ellensen, Eirin Nybø; Svege, Ida Charlott; Dehli, Trond (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-06-26)
      <p><i>Background</i>: Studies of severely injured patients suggest that advanced pre‐hospital care and/or rapid transportation provides a survival benefit. This benefit depends on the disposition of resources to patients with the greatest need. Norway has 19 Emergency Helicopters (HEMS) staffed by anaesthesiologists on duty 24/7/365. National regulations describe indications for their use, and the ...
    • Assessing Trauma Management in Urban and Rural Populations in Norway: A National Register-Based Research Protocol 

      Nilsbakken, Inger Marie Waal; Sollid, Stephen J. M.; Wisborg, Torben; Jeppesen, Elisabeth (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-06-17)
      Background: Time is considered an essential determinant in the initial care of trauma patients. In Norway, response time (ie, time from dispatch center call to ambulance arrival at scene) is a controversial national quality indicator. However, no national requirements for response times have been established. There is an ongoing debate regarding the optimal configuration of the Norwegian trauma ...
    • Bystander first aid in trauma – prevalence and quality: a prospective observational study 

      Bakke, Håkon Kvåle; Steinvik, Tine; Eidissen, Silje-Iren; Gilbert, Mads; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-06-19)
      Background: Bystander first aid and basic life support can likely improve victim survival in trauma. In contrast to bystander first aid and out-of-hospital cardiac arrest, little is known about the role of bystanders in trauma response. Our aim was to determine how frequently first aid is given to trauma victims by bystanders, the quality of this aid, the professional background of first-aid ...
    • Close to zero preventable in-hospital deaths in pediatric trauma patients – An observational study from a major Scandinavian trauma center 

      Ringen, Amund Hovengen; Baksaas-Aasen, Kjersti; Skaga, Nils Oddvar; Wisborg, Torben; Gaarder, Aslaug Christine; Næss, Pål Aksel (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-12-30)
      Background: In line with international trends, initial treatment of trauma patients has changed substantially over the last two decades. Although trauma is the leading cause of death and disability in children globally, in-hospital pediatric trauma related mortality is expected to be low in a mature trauma system. To evaluate the performance of a major Scandinavian trauma center we assessed treatment ...
    • A consensus based template for reporting of pre-hospital major incident medical management 

      Fattah, Sabina; Rehn, Marius; Lockey, David; Thompson, Julian; Lossius, Hans Morten; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2014)
    • The development of a tool to assess medical students’ non-technical skills–The Norwegian medical students’ non-technical skills (NorMS-NTS) 

      Prydz, Katrine; Dieckmann, Gerhard Peter; Musson, David; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-11-07)
      Purpose - New physicians need to master non-technical skills (NTS), as high levels of NTS have been shown to increase patient safety. It has also been shown that NTS can be improved through training. This study aimed to establish the necessary NTS for Norwegian medical students to create a tool for formative and summative assessments.<p> <p>Methods - Focus group interviews were conducted with ...
    • Differences in time-critical interventions and radiological examinations between adult and older trauma patients: A national register-based study 

      Cuevas-Østrem, Mathias; Wisborg, Torben; Røise, Olav; Jeppesen, Elisabeth (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-02-07)
      BACKGROUND<p> <p>Older trauma patients are reported to receive lower levels of care than younger adults. Differences in clinical management between adult and older trauma patients hold important information about potential trauma system improvement targets. The aim of this study was to compare prehospital and early in-hospital management of adult and older trauma patients, focusing on time-critical ...
    • Dispatch guideline adherence and response interval-a study of emergency medical calls in Norway 

      Ellensen, Eirin Nybø; Wisborg, Torben; Hunskaar, Steinar; Zakariassen, Erik (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-10-13)
      Background:<br> The Emergency Medical Communication Centre (EMCC) operators in Norway report using the Norwegian Index for Medical Emergency Assistance (Index), a criteria-based dispatch guideline, in about 75 % of medical emergency calls. The main purpose of a dispatch guideline is to assist the operator in securing a correct response as quickly as possible. The effect of using the guideline on ...
    • Do pre-hospital anaesthesiologists reliably predict mortality using the NACA severity score? A retrospective cohort study 

      Raatiniemi, Lasse; Mikkelsen, Kim; Fredriksen, Knut; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2013-10-17)
      Introduction: The National Advisory Committee on Aeronautics’ (NACA) severity score is widely used in pre-hospital emergency medicine to grade the severity of illness or trauma in patient groups but is scarcely validated. The aim of this study was to assess the score’s ability to predict mortality and need for advanced in-hospital interventions in a cohort from one anaesthesiologistmanned helicopter ...
    • Dødsfall og personskader ved bruk av ATV og snøscooter i Nord-Norge i 2013–14 

      Rønning, Tone; Grov, Ellen Karine; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-04-08)
      BAKGRUNN Det er tidligere vist høy forekomst av skader og dødsfall i forbindelse med bruk av snøscooter og andre terrengkjøretøy i Nord-Norge. Det finnes ikke tilgjengelig offentlig statistikk der disse funnene kan følges over tid. Målet med studien var å fremskaffe nye prevalenstall for skader og dødsfall etter bruk av snøscooter og andre terrengkjøretøy og å bedømme samsvar mellom ulike datakilder.<p> ...
    • Effect and accuracy of emergency dispatch telephone guidance to bystanders in trauma: post-hoc analysis of a prospective observational study 

      Bakke, Håkon Kvåle; Steinvik, Tine; Ruud, Håkon; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-03-07)
      Background:<br>Emergency medical communication centres (EMCCs) dispatch and allocate ambulance resources, and provide first-aid guidance to on-scene bystanders. We aimed to 1) evaluate whether dispatcher guidance improved bystander first aid in trauma, and 2) to evaluate whether dispatchers and on-scene emergency medical services (EMS) crews identified the same first aid measures as indicated.<br> ...
    • Effect of requiring a general practitioner at scenes of serious injury: A systematic review 

      Straumann, Gyri Synnøve Hval; Austvoll-Dahlgren, Astrid; Holte, Hilde H; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-09-05)
      <p><i>Background - </i>In Norway, each municipality is responsible for providing first line emergency healthcare, and it is mandatory to have a primary care physician/general practitioner on call continuously. This mandate ensures that a physician can assist patients and ambulance personnel at the site of severe injuries or illnesses. The compulsory presence of the general practitioner at the scene ...
    • Evaluation of training program for surgical trauma teams in Botswana 

      Hanche-Olsen, Terje Peder; Alemu, Lulseged; Viste, Asgaut; Wisborg, Torben; Hansen, Kari Schrøder (Journal article; Tidsskriftartikkel, 2014-11-21)
      Background Trauma represents a challenge to healthcare systems worldwide, particularly in low-and middle-income countries. Positive effects can be achieved by improving trauma care at the scene of the accident and throughout hospitalization and rehabilitation. Therefore, we assessed the long-term effects of national implementation of a training program for multidisciplinary trauma teams in a ...
    • Fatal injuries in rural and urban areas in northern Finland: a 5-year retrospective study 

      Raatiniemi, Lasse; Steinvik, Tine; Liisanantti, Janne; Ohtonen, Pasi; Martikainen, Matti; Alahuhta, Seppo; Dehli, Trond; Wisborg, Torben; Bakke, Håkon Kvåle (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-01-08)
      Background: Finland has the fourth highest injury mortality rate in the European Union. To better understand the causes of the high injury rate, and prevent these fatal injuries, studies are needed. Therefore, we set out to complete an analysis of the epidemiology of fatal trauma, and any contributory role for alcohol, long suspected to promote fatal injuries. As a study area, we chose the ...
    • Fatal injury as a function of rurality- A tale of two Norwegian counties 

      Bakke, Håkon Kvåle; Hansen, Ingrid Schrøder; Bendixen, Anette Bakkane; Morild, Inge; Lilleng, Peer Kåre; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2013)
      Background Many studies indicate rural location as a separate risk for dying from injuries. For decades, Finnmark, the northernmost and most rural county in Norway, has topped the injury mortality statistics in Norway. The present study is an exploration of the impact of rurality, using a point-by-point comparison to another Norwegian county. Methods We identified all fatalities following ...
    • Fatal injury caused by low-energy trauma – a 10-year rural cohort 

      Bakke, Håkon Kvåle; Dehli, Trond; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2014)
      Background: Death after injury with low energy has gained increasing focus lately, and seems to constitute a significant amount of trauma-related death. The aim of this study was to describe the epidemiology of deaths from low-energy trauma in a rural Norwegian cohort. Methods: All deaths from external causes in Finnmark County, Norway, from 1995 to 2004 were identified retrospectively through ...
    • Forskjeller i mortalitet hos traumepasienter 

      Wisborg, Torben; Dehli, Trond; Eken, Torsten; Brattebø, Guttorm; Johnsen, Lars Gunnar (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-08-16)
      Mortaliteten blant norske traumepasienter i perioden 2015–18 var på linje med de beste resultatene fra andre land, men fortsatt fant vi regionale forskjeller og forskjeller mellom sykehusnivåer. Selv om resultatene er bra, kan vi bli bedre. Traumer er den viktigste dødsårsaken for personer under 44 år på verdensbasis, også i vår del av verden. Mortalitet er et internasjonalt anerkjent effektmål ...
    • High-performing trauma teams: frequency of behavioral markers of a shared mental model displayed by team leaders and quality of medical performance 

      Johnsen, Bjørn Helge; Westli, Heidi Kristina; Espevik, Roar; Wisborg, Torben; Brattebø, Guttorm (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-11-10)
      Background:<br>High quality team leadership is important for the outcome of medical emergencies. However, the behavioral marker of leadership are not well defined. The present study investigated frequency of behavioral markers of shared mental models (SMM) on quality of medical management.<br>Method:<br>Training video recordings of 27 trauma teams simulating emergencies were analyzed according to ...
    • Implementation of new guidelines in the prehospital services: a nationwide survey of Norway 

      Thorvaldsen, Nina Øye; Flingtorp, Lars Didrik; Wisborg, Torben; Jeppesen, Elisabeth (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-08-29)
      <i>Background</i> - A debate regarding the potential harmful effects of rigid neck collar and backboard usage among prehospital and hospital care providers in Norway provoked the development of an evidence-based guideline. “The Norwegian guideline for the prehospital management of adult trauma patients with potential spinal injury” was developed with rigorous scientific methods and published in ...