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There is a need for implementation and maturation of an inclusive trauma system in every country in Europe, with patient centered care by dedicated surgeons. This process should be initiated by physicians and medical societies, based on the best available evidence, and supported and subsequently funded by the government and healthcare authorities. A systematic approach to organizing all aspects of trauma will result in health gain in terms of quality of care provided, higher survival rates, better functional outcomes and quality of life. In addition, it will provide reliable data for both research, quality improvement and prevention programs. Severely injured patients need surgeons with broad technical and non-technical competencies to provide holistic, inclusive and compassionate care. Here we describe the philosophy of the surgical approach and define the necessary skills for trauma, both surgical and other, to improve outcome of severely injured patients. As surgery is an essential part of trauma care, surgeons play an important role for the optimal treatment of trauma patients throughout and after their hospital stay, including the intensive care unit (ICU). However, in most European countries, it might not be obvious to either the general public, patients or even the physicians that the surgeon must assume this responsibility in the ICU to optimize outcomes. The aim of this paper is to define key elements in terms of trauma systems, trauma-specific surgical skills and active critical care involvement, to organize and optimize trauma care in Europe. [ABSTRACT FROM AUTHOR]

The COVID 19 pandemic has seriously affected human resource management practices, as it has in many other aspects of work and life, both internationally and domestically. Through this paper we do not propose to highlight the challenges that managers had to face when they decided to work from home, adopting innovative solutions, examining changes in workforce management and employee well-being. Employees need for flexibility was the driving force behind HR manager's decisions, as well as safety measures and maintaining employee motivation and productivity. Also, the one that can play an important role in addressing the challenges of human resource management during a pandemic is social responsibility, according to some research in the field. Human resource management practices in Europe show that organizations were somewhat prepared, but faced difficulties in facing the situation. At the same time, the US pandemic has forced management to consider alternative approaches to work and address disparities within the profession. [ABSTRACT FROM AUTHOR]