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Global Trauma Personas - Understanding the Case Mix of Patients Undergoing a Trauma Laparotomy Worldwide

Author: Bath, Michael; Wolfe, Becky; Bashford, Tom
Publisher: Zenodo
DOI: 10.5281/zenodo.17315211
Source: https://zenodo.org/records/17315211/files/Personas_v3.pdf
Global T auma
Pe sonas
Unde s anding he case mix o
pa ien s unde going a auma
lapa o omy wo ldwide
Oc obe 2025
Summa y o he Pe sona se
Pe sona Clus e size Age Mechanism o inju y Me hod o anspo Se e i y o inju y
Khalid 25% 28 Pene a ing P i a e ehicle Mode a e
Juan 15% 25 Blun P i a e ehicle Mode a e
Obi 8% 28 Pene a ing P i a e ehicle Se e e
Bekena 12% 28 Pene a ing P i a e ehicle Mode a e
Somchai 4% 44 Blun Ai ambulance Se e e
And é 5% 58 Blun Ambulance Se e e
Fayza 7% 23 Blun P i a e ehicle Mode a e
Sil ia 9% 52 Pene a ing Ambulance Mode a e
Eli 8% 58 Blun Ambulance Mode a e
Aleksande 7% 26 Blun Ambulance C i ical
2
O e iew
The use o pe sonas enables a deepe unde s anding and app ecia ion o he di e se pa ien
popula ion in ol ed in auma sys em design and de elopmen . The pe sonas p esen ed he e
e lec common p esen a ion pa e ns among pa ien s who unde go auma lapa o omies
ac oss he wo ld and a e in ended o suppo a design p ocess ha ully ep esen s he
spec um o auma ca e.
Using ou key a iables - Age, Mechanism o Inju y, Me hod o T anspo , and Inju y Se e i y
Sco e - we iden i ied en dis inc pa ien clus e s h ough k-means clus e ing om he GOAL-
T auma da ase (goal auma.o g). These a iables we e selec ed om a b oade se o hei
abili y o gene a e clea ly de ined and well-sepa a ed clus e s. Al hough he clus e s do no
encompass he ull ange o popula ion a ia ion wi hin each se ing, hei use is encou aged
when planning auma p ocess and se ices wi hin a hospi al o egion.
De ailed na a i es o each pe sona a e p o ided below. Fo mo e in o ma ion abou he
pe sona da ase and he me hodology behind i s cons uc ion, please con ac ou eam a
[email p o ec ed].
3
4
Pe sona 1: Khalid
Age: 28
Mechanism
o inju y:
Pene a ing
Me hod o
anspo :
P i a e ehicle
Se e i y o
inju y:
Mode a e
Backg ound
Khalid, 28, has jus le a es au an a e dinne wi h iends and was
walking home h ough a quie s ee when suddenly a man on a moped
app oaches and ides nex o him. Following a b ie con on a ion, he
assailan shoo s Khalid wi h a single sho in he abdomen and lees he
scene wi h his walle . Khalid collapses o he g ound and lays he e o
some ime be o e a passe by disco e s him and calls o eme gency help.
A passe by calls hei iend, who pu s Khalid in he back o a ca and d i es
him o he ci y’s main hospi al.
A i al
He a i es a he hospi al a ound ou hou s a e he ini ial inju y. On a i al,
he is awake and ale , howe e his obse a ions show he is achyca dic,
and his blood es show a low haemoglobin le el. Ini ial in es iga ions show
a suspec ed isola ed inju y o he le kidney ha equi es u gen ope a i e
in e en ion.
5
Pe sona 2: Juan
Backg ound
Juan, 25, was iding his moped h ough a subu ban s ee when a dog
suddenly da ed in o his pa h. In an a emp o a oid i , he swe ed ab up ly
and collided wi h a bolla d. The impac d o e he handleba s aigh in o his
abdomen, knocking him o he ehicle and on o he g ound. He emained
conscious, clu ching his s omach and g oaning in pain. A passe by who
wi nessed he c ash quickly lags down a axi and helps Juan in o he back,
di ec ing i o he nea es heal h cen e.
A i al
A he nea by heal h cen e, Juan is assessed, i al signs a e s able, hey
place a pe iphe al cannula line and s a in a enous luids, howe e his
abdomen is ende and dis ended. S a he e conclude he may ha e an
in e nal o gan inju y, bu hey do no ha e he expe ise o capabili y o
manage him, so a ange o an ambulance o ans e him o he ci y’s main
hospi al.
On a i al a his hospi al, a ound 2 hou s a e he inju y, his obse a ions
emain s able and his blood es s a e un ema kable. Howe e , he is in
signi ican pain and di usely ende in his abdomen on examina ion; he
A&E doc o pe o ms a FAST (Focused assessmen wi h sonog aphy o
auma) examina ion ha shows likely ee luid in he abdomen and a
decision is made ha he equi es an eme gency ope a ion.
Age: 25
Mechanism
o inju y:
Blun
Me hod o
anspo :
P i a e ehicle
Se e i y o
inju y:
Mode a e

6
Pe sona 3: Obi
Age: 28
Mechanism
o inju y:
Pene a ing
Me hod o
anspo :
P i a e ehicle
Se e i y o
inju y:
Se e e
Backg ound
Obi, 28, was spending ime wi h iends nea a ma ke s all when gunmen on
mopeds suddenly a i ed and opened i e. He was hi mul iple imes in he
ches and abdomen. As people led in panic, Obi collapsed o he g ound.
His b o he , unha med, s ayed wi h him and quickly a anged o a p i a e
ehicle o ake him o he main hospi al. On ou e o hospi al, hey a e me
wi h hea y ci y a ic and a e signi ican ly delayed.
A i al
On a i al o he hospi al, a ound 4 hou s since he inju y, his obse a ions
a e s able and Obi is awake and ale . A pe iphe al cannula is placed
and in a enous luids a e s a ed. The ini ial in es iga ions show a small
pneumo ho ax, deep lace a ion o his o ea m, and a suspec ed small
bowel inju y ha equi es su gical in e en ion.
7
Pe sona 4: Bekena
Backg ound
Bekena, 28, was wo king on his a m when a med obbe s s o med he
p ope y, wielding mache es in an a emp o s eal his ca le. Du ing he
a ack, he sus ained mul iple supe icial cu s o bo h a ms and a deepe
s ab wound o he abdomen. Despi e he chaos and once he obbe s had
led, a iend managed o ge him in o he back o a ca and d o e him
di ec ly o he ci y’s main hospi al.
A i al
He a i es a he hospi al app oxima ely 2 hou s a e he inciden . Bekena’s
obse a ions a e s able and ini ial blood es s show a haemoglobin wi hin
no mal ange. Howe e , on clinical assessmen , gi en he size o he
abdominal wound and he mechanism o inju y, he e is su icien conce n
ha he e is a b each o he pe i oneum and explo a ion o his is equi ed in
he ope a ing hea e.
Age: 28
Mechanism
o inju y:
Pene a ing
Me hod o
anspo :
P i a e ehicle
Se e i y o
inju y:
Mode a e
8
Pe sona 5: Somchai
Backg ound
Somchai, 44, was c ossing a busy u ban oad on his way o wo k when he
was s uck by a as -mo ing ca . The collision h ew him o he g ound,
whe e he lay mo ionless as nea by pedes ians ushed o help. Gi en he
se e i y o he impac and he conce n o poly auma, eme gency se ices
dispa ched an ai ambulance o expedi e his ans e o hospi al.
A i al
On a i al o hospi al, his obse a ions show a s able blood p essu e wi h a
pe sis en achyca dia. He has al eady ecei ed anexamic acid and blood
p oduc s en ou e in he ai ambulance. On assessmen by he A&E eam,
he has suspec ed se e e inju ies o his head, ches , and abdomen, wi h
bo h he lac a e and base excess e y high. Ini ial in es iga ions sugges a
po en ial splenic lace a ion ha wa an s ope a i e in e en ion.
Age: 44
Mechanism
o inju y:
Blun
Me hod o
anspo :
Ai ambulance
Se e i y o
inju y:
Se e e
9
Pe sona 6: And é
Backg ound
And é, 58, was heading home om wo k on his moped du ing ea ly e ening
a ic. As he app oached a junc ion, he ca behind him a emp ed a isky
o e ake, o cing And é o swe e sha ply in o he opposi e lane, whe e he
collided head-on wi h an oncoming ehicle. He was h own o his moped
and hi he g ound wi h o ce, emaining mo ionless a he oadside. The
d i e o he oncoming ca exi ed he ehicle and immedia ely called
eme gency se ices. An ambulance a i es a e 20 minu es, inding
And é wi h a low blood p essu e and ha ing di icul y in b ea hing, wi h his
oxygen sa u a ion le els a 88%. They place a pe iphe al cannula and s a
in a enous luids, and ake him in o he ambulance.
A i al
He is aken o he ci y’s majo hospi al, a i ing a ound 2 hou s a e his
inju y. On p ima y examina ion, his oxygen le els and blood p essu e emain
low, so he is in uba ed in he A&E depa men and 2 uni s o whole blood a e
o de ed. He has e idence o a se e e auma o he head, a isibly inju ed
igh uppe limb, and gene alised abdominal ende ness, wi h assessmen
sugges ing se e e isce al inju y, p esumed o be bo h a li e lace a ion and
splenic lace a ion.
Age: 58
Mechanism
o inju y:
Blun
Me hod o
anspo :
Ambulance
Se e i y o
inju y:
Se e e