Streamlining pre- and intra-hospital care for patients with severe trauma: a white paper from the European Critical Care Foundation

  • Dan Longrois
  • Marc Maegele
  • Hugues Bersini
  • George Crooks
  • Ives Hubloue
  • Ann Nowé
  • Peter C. Rimensberger
  • Marc Sabbe
  • Jonathan Tilsed
  • Jef Vandemeulebroucke
  • Werner Verhelst
  • Jean-Louis VincentEmail author
Position Paper



Major trauma remains a significant cause of morbidity and mortality in the developed and developing world. In 2013, nearly 5 million people worldwide died from their injuries, and almost 1 billion individuals sustained injuries that warranted some type of healthcare, accounting for around 10% of the global burden of disease in general. Behind the statistics, severe trauma takes a major toll on individuals, their families and healthcare systems. Management of the patient with severe trauma requires multiple interventions in a highly time-sensitive context and fragmentation of care, characterised by loss of information and time among disciplines, departments and individuals, both outside the hospital and within it, is frequent. Outcomes may be improved by better streamlining of pre- and intra-hospital care.


We describe the basis for development of a multi-stakeholder consortium by the European Critical Care Foundation working closely with a number of European Scientific Societies to address and overcome problems of fragmentation in the care of patients with severe trauma.


The consortium will develop and introduce an information management system adapted to severe trauma, which will integrate continuous monitoring of vital parameters and point-of-care diagnostics. The key innovation of the project is to harness the power of information technologies and artificial intelligence to provide computer-enhanced clinical evaluation and decision-support to streamline the multiple points at which information and time are potentially lost.


The severe trauma management platform thus created could have multiple benefits beyond its immediate use in managing the care of injured patients.


Fragmentation of healthcare Information technology 


Author contributions

The text was written following discussions among members of the European Critical Care Foundation. DL, JLV and MM wrote the first draft. All other authors revised it for critical content. All authors read and approved the final draft.

Compliance with ethical standards

Conflict of interest

The authors have no conflicts to declare related to this manuscript.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Dan Longrois
    • 1
  • Marc Maegele
    • 2
  • Hugues Bersini
    • 3
  • George Crooks
    • 4
  • Ives Hubloue
    • 5
  • Ann Nowé
    • 6
  • Peter C. Rimensberger
    • 7
  • Marc Sabbe
    • 8
  • Jonathan Tilsed
    • 9
  • Jef Vandemeulebroucke
    • 10
    • 11
  • Werner Verhelst
    • 10
    • 11
  • Jean-Louis Vincent
    • 12
    Email author
  1. 1.Department of Anaesthesia and Intensive Care, Bichat-Claude Bernard Hospital, Assistance Publique, Hôpitaux de ParisUniversity Paris 7ParisFrance
  2. 2.Department of Traumatology, Orthopaedic Surgery and Sports Traumatology, Cologne-Merheim Medical Centre (CMMC)Witten/Herdecke UniversityCologneGermany
  3. 3.Iridia LabsUniversité Libre de BruxellesBrusselsBelgium
  4. 4.Digital Health and Care InstituteUniversity of StrathclydeGlasgowUK
  5. 5.Department of Emergency MedicineUniversitair ZiekenhuisBrusselsBelgium
  6. 6.Artificial Intelligence LaboratoryVrije Universiteit BrusselBrusselsBelgium
  7. 7.Department of Paediatrics, Service of Neonatology and Paediatric Intensive CareUniversity Hospital of GenevaGenevaSwitzerland
  8. 8.Department of Emergency MedicineUniversity Hospital LeuvenLeuvenBelgium
  9. 9.Department of General SurgeryHull Royal InfirmaryHullUK
  10. 10.Department of Electronics and Informatics (ETRO)Vrije Universiteit BrusselBrusselsBelgium
  11. 11.Interuniversity MicroElectronics Center (imec)LeuvenBelgium
  12. 12.Department of Intensive Care, Erasme HospitalUniversité Libre de BruxellesBrusselsBelgium

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