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STOP-Trauma ICU Learning Collaborative

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Structured Team-based OPtimal critical care for Trauma victims (STOP-Trauma) is a learning collaborative comprising a network of Ukrainian intensivists and international experts in wartime trauma experience who use their knowledge to support one another in treating Ukrainian civilians impacted by war. The ongoing war in Ukraine has put significant strain on its healthcare system. Many civilian hospitals have been repurposed as frontline hospitals and are staffed with teams with limited wartime experience in caring for war-related injuries.
Using the Checklist for Early Recognition and Treatment of Acute Illness and Injury (CERTAIN), the team, led by Mayo Clinic intensivist researchers and critical care leaders from the Shupyk National Healthcare University in Kyiv, Ukraine, built a platform for rapid knowledge exchange among the network Ukrainian intensivists and a group of international experts. The Society of Critical Care Medicine's (SCCM) Discovery, the Critical Care Research Network, provides project management, coordination support, and free access to Ukrainian translations of SCCM’s  Fundamental Critical Care Support: Crisis Management.

The CERTAIN website has a page dedicated to STOP-Trauma that contains trauma guidelines, CERTAIN tools translated into Ukrainian and Russian, and additional resources.

The STOP-Trauma collaborative focuses on implementing interventions with the aim of improving patient outcomes and high adherence to the CERTAIN checklist in comparison with retroactively collected data.
The STOP-Trauma curriculum focuses on the following topics:
  • Mass transfusions
  • Sepsis
  • Infection control in trauma patients
  • Sedation and analgesia
  • Blast injuries
  • Traumatic brain injuries
  • Management and prevention of delirium
  • Airway management
  • Renal replacement, acute kidney injury, and crush injuries

Subject matter experts will offer advice on best practices for local site dissemination and implementation. A secure community will be maintained for educational and cross-cultural knowledge exchange. Mayo Clinic faculty use the social media app Viber. Learners have been formally invited to join the community through local Ukrainian organization-backed advertising channels. Subject matter experts hold bimonthly Zoom webinars that are livestreamed on a private YouTube channel. Faculty can answer questions asked by viewers during the webinar sessions.

Although both Ukrainian and U.S. faculty and clinicians will volunteer their time in this critically important quality improvement effort, Mayo Clinic will seek funding to ensure high-quality implementation and analysis.

Society of Critical Care Medicine contact: Roohi Ali, MPH