Trauma management and education in europe: a survey of twelve geographically and socioeconomically diverse European countries.

OBJECTIVE: To record the current standards of management and education in trauma surgery in 12 geographically and socioeconomically diverse countries in Europe.
DESIGN: Questionnaire study.
SETTING: Teaching hospital, Austria. INTERVENTION: Questionnaire sent to experts on trauma in Austria, France, Germany, Italy, The Netherlands, Norway, Portugal, Romania, Spain, Sweden, Turkey, and the United Kingdom. MAIN OUTCOME MEASURE: Comparison of management of patients before, during, and after admission to hospital, and opportunities for initial and in-service training.
RESULTS: Management of patients and opportunities for training varied considerably from country to country, ranging from an organised trauma service throughout with specialised training to a haphazard and variable service that depended more on individual hospitals, doctors and patients.
CONCLUSIONS: Standardisation of management and training would be desirable, and should be possible at least in countries that are members of the European Union.