RT Journal Article T1 Development of trauma systems in Europe-reports from England, Germany, the Netherlands, and Spain A1 Chesser, Tim Js A1 Moran, Chris A1 Williett, Keith A1 Bouillon, Bertil A1 Sturm, Johannes A1 Flohe, Sasha A1 Ruchholtz, Steffen A1 Dijkink, Suzan A1 Schipper, Inger B A1 Rubio Suarez, Juan Carlos A1 Chana, Francisco A1 de Caso, Julio A1 Guerado-Parra, Enrique K1 Medicina de urgencia K1 Traumatología AB Major trauma systems have evolved in many European countries and have resulted in improved care in terms of mortality and morbidity. Many of the systems have similar history, with reports of either poor services, or a single disaster, driving change of policy and set up. We report on 4 European systems, looking at the background, set up and some of the results. Similar issues are identified including the importance of triage, the concentration of specialist skills which require patients to bypass hospitals, and the standardization of treatment protocols. The issues of rehabilitation and the increasing importance of measuring outcome with patient reported metrics are discussed. PB Orthopaedic Trauma Association YR 2019 FD 2019 LK https://hdl.handle.net/10630/35661 UL https://hdl.handle.net/10630/35661 LA eng NO Chesser TJ, Moran C, Willett K, et al. Development of trauma systems in Europe-reports from England, Germany, the Netherlands, and Spain. OTA Int. 2023;2(Suppl 1):e019. Published 2023 Sep 1. doi:10.1097/OI9.0000000000000019 DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 4 mar 2026