• 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 ...
    • Geographical risk of fatal and non-fatal injuries among adults in Norway 

      Andersen, Vegard; Gurigard, Vilde Ravnsborg; Holter, June Alette; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-08-12)
      Introduction: A rural gradient in trauma mortality disfavoring remote inhabitants is well known. Previous studies have shown higher risk of traumatic deaths in rural areas in Norway, combined with a paradoxically decreased prevalence of non-fatal injuries. We investigated the risk of fatal and severe non-fatal injuries among all adults in Norway during 2002–2016.<p> <p>Methods: All traumatic ...
    • Geriatric Trauma – a rising tide. Assessing Patient Safety challenges in a vulnerable population. The GTAPS project protocol 

      Cuevas-Østrem, Mathias; Røise, Olav; Wisborg, Torben; Jeppesen, Elisabeth (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-12-17)
      <i>Background</i>: Many high- and-middle-income countries around the world are experiencing historic demographical changes: People are living longer, birth rates are decreasing, and older people constitute a growing proportion of the population. This contributes to increasing numbers of geriatric trauma patients. Geriatric patients have higher mortality rates after injury than younger patients, and ...
    • 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 ...
    • Hvor ble det av solidariteten? 

      Brekke, Mette; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-10-31)
      Vi kan være stolte av dagens norske helsevesen. Det er bygget opp gjennom flere generasjoner og betales av fellesskapets midler. Dagens tilbud innebærer at hver innbygger har sin fastlege som spesialiserer seg, følger faglige retningslinjer og er opptatt av å unngå overdiagnostikk. Blir vi alvorlig syke, har vi adgang til avansert spesialisthelsetjeneste, uavhengig av inntekt eller hvor i landet vi ...
    • Implementation of a trauma system in Norway: a national survey 

      Dehli, Trond; Gaarder, Christine; Christensen, Bjørn Jostein; Vinjevoll, Ole-Petter; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-01-13)
      Background: Trauma systems have improved outcomes for injured patients, but might be challenging to implement. We assessed the implementation of a trauma system in Norway after recommendations for a national trauma system were published in 2007, with a focus on elements in acute care hospitals.<p> Methods: All hospitals in Norway, except for the four regional trauma centres, admitting injured ...
    • 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 ...
    • Improving the spirit – increasing the chances of survival : results of multiprofessional training of medical teams in Iraq and Norway 

      Wisborg, Torben (Doctoral thesis; Doktorgradsavhandling, 2008-05-30)
      This work is a synthesis of experiences gained during ten years of helping healthcare providers improve their service to victims of injury and acute disease. This work is based on my participation in two programs: The Trauma Care Foundation’s Mine Injury Management Program in Kurdistan, northern Iraq, and the BEST Foundation: Better & Systematic Trauma Care’s trauma team training program in Norwegian ...
    • Increased risk of fatal paediatric injuries in rural Northern Norway 

      Holter, June Alette; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-05-09)
      <i>Background</i> - Finnmark, Northern Norway, had a mortality rate for paediatric injury in 1998‐2007 that was more than twice the national average. We investigated whether this rate had decreased in 2008‐2015 after improvements in emergency care. We also compared the mortality rate to rates of non‐fatal injury and trauma team activation both regionally and in Norway.<p> <p><i>Methods</i> - The ...
    • Is simulation-based team training performed by personnel in accordance with the INACSL Standards of Best Practice: SimulationSM?—a qualitative interview study 

      Finstad, Anne Strand; Ballangrud, Randi; Aase, Ingunn; Wisborg, Torben; Romundstad, Luis Georg; Bjørshol, Conrad Arnfinn (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-09-26)
      Background: Anesthesia personnel was among the first to implement simulation and team training including nontechnical skills (NTS) in the field of healthcare. Within anesthesia practice, NTS are critically important in preventing harmful undesirable events. To our best knowledge, there has been little documentation of the extent to which anesthesia personnel uses recommended frameworks like the ...
    • The lateral trauma position: What do we know about it and how do we use it? A cross-sectional survey of all Norwegian emergency medical services 

      Fattah, Sabina; Ekås, Guri Ranum; Hyldmo, Per Kristian; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2011-08-04)
      Background: Trauma patients are customarily transported in the supine position to protect the spine. The Airway, Breathing, Circulation, Disability, and Exposure (ABCDE) principles clearly give priority to airways. In Norway, the lateral trauma position (LTP) was introduced in 2005. We investigated the implementation and current use of LTP in Norwegian Emergency Medical Services (EMS).<p> <p>Methods: ...
    • Leadership is the essential non-technical skill in the trauma team : results of a qualitative study 

      Wisborg, Torben; Hjortdahl, Magnus; Ringen, Amund H; Næss, Anne Cathrine Braarud (Journal article; Tidsskriftartikkel; Peer reviewed, 2009)
      Background: Trauma is the leading cause of death for young people in Norway. Studies indicate that several of these deaths are avoidable if the patient receives correct initial treatment. The trauma team is responsible for initial hospital treatment of traumatized patients, and team members have previously reported that non-technical skills as communication, leadership and cooperation are the ...
    • Life or death. The social impact of paramedics and first responders in landmine-infested villages in northern Iraq 

      Brinchmann, Berit Støre; Edvardsen, Odd; Murad, Mudhafar K; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2008-03-18)
      <b>Introduction:</b> Landmines are indiscriminate weapons that mainly injure poor populations in the developing world. Pre-hospital treatment by village-based paramedics and first responders has reduced mortality, but little is known about the social impact of paramedic and first responder training in villages. The aim of this study was to understand how villagers in socially deprived, mine-infested ...
    • Mortality after hospital admission for trauma in Norway: A retrospective observational national cohort study 

      Dehli, Trond; Wisborg, Torben; Johnsen, Lars Gunnar; Brattebø, Guttorm; Eken, Torsten (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-05-28)
      Background - National quality data for trauma care in Norway have not previously been reported. We have therefore assessed crude and risk-adjusted 30-day mortality in trauma cases after primary hospital admission on national and regional levels for 36 acute care hospitals and four regional trauma centres.<p> <p>Methods - All patients in the Norwegian Trauma Registry in 2015–2018 were included. ...
    • A nationwide survey of first aid training and encounters in Norway 

      Bakke, Håkon Kvåle; Steinvik, Tine; Angell, Johan; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-02-23)
      Background: <br> Bystander first aid can improve survival following out-of-hospital cardiac arrest or trauma. Thus, providing first aid education to laypersons may lead to better outcomes. In this study, we aimed to establish the prevalence and distribution of first aid training in the populace, how often first aid skills are needed, and selfreported helping behaviour. <br> Methods: <br> We ...
    • Nord og ned? 

      Agledahl, Kari Milch; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-03-29)
      I sykehustalen for 2023 ba helseministeren Helse Nord om å sikre «bærekraften» fordi den økonomiske situasjonen er prekær. Dette brukes nå for å legitimere strukturelle endringer som vil endre helsetjenesten i nord dramatisk.
    • Norwegian trauma team leaders - training and experience : a national point prevalence study 

      Ringen, Amund Hovengen; Hjortdahl, Magnus; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2011)
      The treatment of trauma victims is a complex multi-professional task in a stressful environment. We previously found that trauma team members perceive leadership as the most important human factor. The aim of the present study was to assess the experience and education of Norwegian trauma team leaders, and allow them to describe their perceived educational needs. We conducted an anonymous descriptive ...
    • Prehospital tourniquets in civilians: A systematic review 

      Eilertsen, Kenneth A.; Winberg, Morten; Jeppesen, Elisabeth; Hval, Gyri; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-11-03)
      Objectives: Terrorist attacks and civilian mass-casualty events are frequent, and some countries have implemented tourniquet use for uncontrollable extremity bleeding in civilian settings. The aim of this study was to summarize current knowledge on the use of prehospital tourniquets to assess whether their use increases the survival rate in civilian patients with life-threatening hemorrhages from ...