• 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 ...
    • Care pathways and factors associated with interhospital transfer to neurotrauma centers for patients with isolated moderate-to-severe traumatic brain injury: a population-based study from the Norwegian trauma registry 

      Cuevas-Østrem, Mathias; Thorsen, Kjetil; Wisborg, Torben; Røise, Olav; Helseth, Eirik; Jeppesen, Elisabeth (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-06-26)
      Background Systems ensuring continuity of care through the treatment chain improve outcomes for traumatic brain injury (TBI) patients. Non-neurosurgical acute care trauma hospitals are central in providing care continuity in current trauma systems, however, their role in TBI management is understudied. This study aimed to investigate characteristics and care pathways and identify factors associated ...
    • 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 ...
    • Collecting evidence of validity for an assessment tool for Norwegian medical students' non-technical skills (NorMS-NTS): usability and reliability when used by novice raters 

      Prydz, Katrine; Dieckmann, Gerhard Peter; Fagertun, Hans; Musson, David; Wisborg, Torben (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-11-15)
      Background - The NorMS-NTS tool is an assessment tool for assessing Norwegian medical students’ non-technical skills (NTS). The NorMS-NTS was designed to provide student feedback, training evaluations, and skill-level comparisons among students at different study sites. Rather than requiring extensive rater training, the tool should capably suit the needs of busy doctors as near-peer educators. The ...
    • 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 ...
    • Effect of urban vs. remote settings on prehospital time and mortality in trauma patients in Norway: a national populationbased study 

      Nilsbakken, Inger Marie Waal; Cuevas-Østrem, Mathias; Wisborg, Torben; Sollid, Stephen J. M.; Jeppesen, Elisabeth (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-10-05)
      Background Norway has a diverse population pattern and often long transport distances from injury sites to hospitals. Also, previous studies have found an increased risk of trauma-related mortality in remote areas in Norway. Studies on urban vs. remote differences on trauma outcomes from other countries are sparse and they report conflicting results.The aim of the present study was to investigate ...
    • Epidemiology of geriatric trauma patients in Norway: A nationwide analysis of Norwegian Trauma Registry data, 2015-2018. A retrospective cohort study. 

      Cuevas-Østrem, Mathias; Røise, Olav; Wisborg, Torben; Jeppesen, Elisabeth (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-11-04)
      <i>Introduction</i> - Geriatric patients have a high risk of poor outcomes after trauma and is a rapid-increasing group within the trauma population. Given the need to ensure that the trauma system is targeted, efficient, accessible, safe and responsive to all age groups the aim of the present study was to explore the epidemiology and characteristics of the Norwegian geriatric trauma population and ...
    • Epidemiology of trauma in the subarctic regions of the Nordic countries 

      Steinvik, Tine Marie; Raatiniemi, Lasse; Mogensen, Brynjólfur; Steingrímsdótti, Guðrún; Beer, Torfinn; Eriksson, Anders; Dehli, Trond; Wisborg, Torben; Bakke, Håkon Kvåle (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-01-11)
      <p><b>Background</b> The northern regions of the Nordic countries have common challenges of sparsely populated areas, long distances, and an arctic climate. The aim of this study was to compare the cause and rate of fatal injuries in the northernmost area of the Nordic countries over a 5-year period. <p><b>Methods</b> In this retrospective cohort, we used the Cause of Death Registries to ...
    • 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 ...