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Series:   Elements in Emergency Neurosurgery

Models for Delivering High Quality Emergency Neurosurgery in High Income Countries

Published online by Cambridge University Press:  06 January 2024

Matthew A. Boissaud-Cooke ,
Marike Broekman ,
Jeroen van Dijck ,
Marco Lee  and
Paul Grundy
Matthew A. Boissaud-Cooke
Affiliation:
University Hospitals Plymouth NHS Trust
Marike Broekman
Affiliation:
Leiden University Medical Centre
Jeroen van Dijck
Affiliation:
Leiden University Medical Centre
Marco Lee
Affiliation:
Stanford University, California
Paul Grundy
Affiliation:
University Hospital Southampton

Summary

Emergency neurosurgery encompasses serious and high-risk cranial and spinal conditions across all ages. The authors provide an overview of the changes occurring within emergency surgery to meet the challenges provided from unscheduled care. Considering the wider landscape of emergency surgery provides a context for the changes occurring within emergency neurosurgery. The delivery of emergency neurosurgery within the UK, the Republic of Ireland, the Netherlands, and the United States of America (USA) is then described to provide an overview of different models of care.
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Keywords

unscheduled careemergency surgeryemergency neurosurgeryhigh qualityemergency
Type
Element
Information
Series: Elements in Emergency Neurosurgery
Online ISBN: 9781009366113
Publisher: Cambridge University Press
Print publication: 01 February 2024

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References

O’Cathain, A, Knowles, E, Munro, J, Nicholl, J. Exploring the effect of changes to service provision on the use of unscheduled care in England: population surveys. BMC Health Serv Res. 27 April 2007;7:61.CrossRefGoogle ScholarPubMed
Pines, JM, Lotrecchiano, GR, Zocchi, MS, et al. A conceptual model for episodes of acute, unscheduled care. Ann Emerg Med. October 2016;68 (4):484–491.e3.CrossRefGoogle ScholarPubMed
Nathens, AB, Jurkovich, GJ, Rivara, FP, Maier, RV. Effectiveness of state trauma systems in reducing injury-related mortality: a national evaluation. J Trauma. January 2000;48(1):25–30; discussion 30–1.CrossRefGoogle ScholarPubMed
Metcalfe, D, Perry, DC, Bouamra, O, et al. Regionalisation of trauma care in England. Bone Joint J. September 2016;98-B(9):1253–61.Google ScholarPubMed
Saleh, M. Commission on the provision of surgical services. The management of patients with major injuries. Ann R Coll Surg Engl. July 1989; 71(4 Suppl):58.Google ScholarPubMed
Browne, J, Coats, TJ, Lloyd, DA, et al. High quality acute care for the severely injured is not consistently available in England, Wales and Northern Ireland: report of a survey by the Trauma Committee, The Royal College of Surgeons of England. Ann R Coll Surg Engl. March 2006;88(2):103–7.CrossRefGoogle Scholar
McKeating, EG, Andrews, PJ, Tocher, JI, Menon, DK. The intensive care of severe head injury: a survey of non-neurosurgical centres in the United Kingdom. Br J Neurosurg. February 1998;12(1):7–14.CrossRefGoogle ScholarPubMed
Crimmins, DW, Palmer, JD. Snapshot view of emergency neurosurgical head injury care in Great Britain and Ireland. J Neurol Neurosurg Psychiatry. January 2000;68(1):8–13.CrossRefGoogle ScholarPubMed
NCEPOD. Trauma: Who Cares? NCEPOD; 2007.Google Scholar
McCullough, AL, Haycock, JC, Forward, DP, Moran, CG. Major trauma networks in England. Br J Anaesth. 1 August 2014;113(2):202–6.CrossRefGoogle ScholarPubMed
Moran, CG, Lecky, F, Bouamra, O, et al. Changing the system – major trauma patients and their outcomes in the NHS (England) 2008–17. EClinicalMedicine. August 2018;2–3:13–21.CrossRefGoogle ScholarPubMed
Styner, JK. The birth of advanced trauma life support (ATLS). Surgeon. July 2006;4(3):163–5.CrossRefGoogle ScholarPubMed
Thies, K, Gwinnutt, C, Driscoll, P, et al. The European Trauma Course – from concept to course. Resuscitation. July 2007;74(1):135–41.CrossRefGoogle ScholarPubMed
Nicholas, R, Humm, G, MacLeod, KE, et al. Simulation in surgical training: prospective cohort study of access, attitudes and experiences of surgical trainees in the UK and Ireland. Int J Surg. July 2019;67:94–100.CrossRefGoogle ScholarPubMed
Gaarder, C, Naess, PA, Buanes, T, Pillgram-Larsen, J. Advanced surgical trauma care training with a live porcine model. Injury. June 2005;36(6):718–24.CrossRefGoogle ScholarPubMed
Shannon, AH, Cullen, JM, Dahl, JJ, et al. Porcine model of infrarenal abdominal aortic aneurysm. J Vis Exp [Internet]. 21 November 2019;(153). http://dx.doi.org/10.3791/60169.Google Scholar
Guenther, TM, Chen, SA, Gustafson, JD, Wozniak, CJ, Kiaii, B. Development of a porcine model of emergency resternotomy at a low-volume cardiac surgery centre. Interact Cardiovasc Thorac Surg. 7 December 2020;31(6):803–5.CrossRefGoogle Scholar
Davids, J, Manivannan, S, Darzi, A, et al. Simulation for skills training in neurosurgery: a systematic review, meta-analysis, and analysis of progressive scholarly acceptance. Neurosurg Rev. August 2021;44(4):1853–67.CrossRefGoogle ScholarPubMed
Blackmore, C, Austin, J, Lopushinsky, SR, Donnon, T. Effects of postgraduate medical education ‘boot camps’ on clinical skills, knowledge, and confidence: a meta-analysis. J Grad Med Educ. December 2014;6(4):643–52.CrossRefGoogle ScholarPubMed
Singh, P, Aggarwal, R, Pucher, PH, et al. An immersive ‘simulation week’ enhances clinical performance of incoming surgical interns improved performance persists at 6 months follow-up. Surgery. March 2015;157(3):432–43.CrossRefGoogle ScholarPubMed
Wee MJL, van der, van der Wilden, G, Hoencamp, R. Acute care surgery models worldwide: a systematic review. World J Surg. August 2020;44 (8):2622–37.Google ScholarPubMed
Chana, P, Burns, EM, Arora, S, Darzi, AW, Faiz, OD. A systematic review of the impact of dedicated emergency surgical services on patient outcomes. Ann Surg. January 2016;263(1):20–7.CrossRefGoogle ScholarPubMed
Ramsay, G, Wohlgemut, JM, Jansen, JO. Emergency general surgery in the United Kingdom: a lot of general, not many emergencies, and not much surgery. J Trauma Acute Care Surg. September 2018;85(3):500–6.CrossRefGoogle Scholar
Bokhari, S, Walsh, U, Qurashi, K, et al. Impact of a dedicated emergency surgical unit on early laparoscopic cholecystectomy for acute cholecystitis. Ann R Coll Surg Engl. February 2016;98(2):107–15.CrossRefGoogle ScholarPubMed
Royal College of Surgeons (England). Separating Emergency and Elective Surgical Care: Recommendations for Practice. Royal College of Surgeons of England; 2007.Google Scholar
Grundy, PL, Weidmann, C, Bernstein, M. Day-case neurosurgery for brain tumours: the early United Kingdom experience. Br J Neurosurg. June 2008;22(3):360–7.CrossRefGoogle ScholarPubMed
NCEPOD. Who Operates When? (I) [Internet]. NCEPOD; 1997 Sep [cited 8 February 2022]. www.ncepod.org.uk/1995_6.html.Google Scholar
NCEPOD. Who Operates When? (II) [Internet]. NCEPOD; November 2003. www.ncepod.org.uk/2003wow.html.Google Scholar
NCEPOD. Peri-operative Care: Knowing the Risk. NCEPOD; 2011.Google Scholar
NCEPOD. Extremes of Age. NCEPOD; 1999.Google Scholar
NCEPOD. Elective & Emergency Surgery in the Elderly: An Age Old Problem. NCEPOD; 2010.Google Scholar
NCEPOD. Managing the Flow? NCEPOD; 2013.Google Scholar
GIRFT. Cranial Neurosurgery. GIRFT Programme National Specialty Report. NHS Improvement; 2018.Google Scholar
GIRFT. Spinal Services. GIRFT Programme National Specialty Report. NHS Improvement; 2019.Google Scholar
Dewan, MC, Rattani, A, Fieggen, G, et al. Global neurosurgery: the current capacity and deficit in the provision of essential neurosurgical care. Executive Summary of the Global Neurosurgery Initiative at the Program in Global Surgery and Social Change. J Neurosurg. 1 April 2018;1–10.Google Scholar
NHS Digital. Hospital Admitted Patient Care Activity 2018–2019 [Internet]. NHS Digital. 2019 [cited 2 August 2022]. https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2018-19.Google Scholar
Wahba, A.J., Cromwell, D.A., Hutchinson, P.J., Mathew, R.K., and Phillips, N. 2022. Mortality as an indicator of quality of neurosurgical care in England: a retrospective cohort study. BMJ Open, 12: e067409.CrossRefGoogle Scholar
NHS Digital. Hospital Admitted Patient Care Activity [Internet]. NHS Digital. 2021 [cited 10 February 2022]. https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity.Google Scholar
Whitehouse, K, Sinha, S, Thomson, S, Jenkins, A. UK Neurosurgery Workforce Report. Society of British Neurological Surgeons; 2020.Google Scholar
Matloob, SA, Hyam, JA, Thorne, L, Bradford, R. Improving neurosurgical communication and reducing risk and registrar burden using a novel online database referral platform. Br J Neurosurg. 22 March 2016;30(2):191–4.CrossRefGoogle ScholarPubMed
Department of Health. The report of the public inquiry into children’s heart surgery at the Bristol Royal Infirmary 1984–1995: learning from Bristol [Internet]. Department of Health; 2001. https://webarchive.nationalarchives.gov.uk/ukgwa/20090811143810/www.bristol-inquiry.org.uk/final_report/report/index.htm.Google Scholar
SBNS. Safe Paediatric Neurosurgery. SBNS; 1998.Google Scholar
SBNS. Safe Paediatric Neurosurgery 2001. SBNS; 2001.Google Scholar
Chumas, P, Pople, I, Mallucci, C, Steers, J, Crimmins, D. British paediatric neurosurgery – a time for change? Br J Neurosurg. December 2008;22(6): 719–28.CrossRefGoogle ScholarPubMed
Mitchell, P. Future UK paediatric neurosurgery. Br J Neurosurg. February 2010;24(1):3–4; discussion 5–7.CrossRefGoogle ScholarPubMed
Mallucci, C, Thompson, D. Safe and sustainable British paediatric neurosurgery – 1 year on and where are we now? A response to ‘Future UK paediatric neurosurgery’. Br J Neurosurg. 1 February 2010;24(1):5–6.CrossRefGoogle Scholar
Young, AE. Designing a safe and sustainable pediatric neurosurgical practice: the English experience. Paediatr Anaesth. July 2014;24(7): 649–56.CrossRefGoogle ScholarPubMed
NHS England. Service Specification: Neurosurgery (Adults). NHS England; 2019.Google Scholar
NHS England. Service Specification: Paediatric Neurosurgery Services. NHS England; 2013.Google Scholar
NHS England. Service Specification: Complex Spine Surgery Services (All Ages). NHS England; 2021.Google Scholar
MSN. Paediatric Neurosurgical Procedures. Managed Service Network for Neurosurgery; 2020.Google Scholar
Department of Health. A Trauma System: Report of the Trauma Steering Group for Ireland [Internet]. Department of Health; June 2018. www.gov.ie/en/publication/c8640e-a-trauma-system-for-ireland-report-of-the-trauma-steering-group/?referrer=www.health.gov.ie/wp-content/uploads/2018/02/Report-of-the-Trauma-Steering-Group-A-Trauma-System-for-Ireland.pdf.Google Scholar
Babu, MA, Stroink, AR, Timmons, SD, Orrico, KO, Prall, JA. Neurosurgical coverage for emergency and trauma call. Neurosurgery. 1 April 2019;84 (4):977–84.CrossRefGoogle ScholarPubMed
Wang, HE, Yealy, DM. Distribution of specialized care centers in the United States. Ann Emerg Med. November 2012;60(5):632–637.e7.CrossRefGoogle ScholarPubMed
American Hospital Association. Fast Facts on U.S. Hospitals, 2022 [Internet]. American Hospital Association. 2022 [cited 6 May 2022]. www.aha.org/statistics/fast-facts-us-hospitals.Google Scholar
American College of Emergency Physicians. EMTALA Fact Sheet [Internet]. 2022 [cited 6 May 2022]. www.acep.org/life-as-a-physician/ethics–legal/emtala/emtala-fact-sheet/.Google Scholar
Branas, CC, MacKenzie, EJ, Williams, JC, et al. Access to trauma centers in the United States. JAMA. 1 June 2005;293(21):2626–33.CrossRefGoogle ScholarPubMed
Landelijk Netwerk Acute Zorg. Landelijke Traumaregistratie [Internet]. 2021 [cited 5 December 2022]. www.lnaz.nl/cms/files/rapportage-2020-nl-rectificatie.pdf.Google Scholar
Hietbrink, F, Houwert, RM, van Wessem, KJP, et al. The evolution of trauma care in the Netherlands over 20 years. Eur J Trauma Emerg Surg. April 2020;46(2):329–35.CrossRefGoogle ScholarPubMed
Arneja, JS, Buchel, EW. Does the ideal health care system exist? Will it be accepted in Canada? Plast Surg (Oakv). 2014 Spring;22(1):7–8.CrossRefGoogle ScholarPubMed

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