Medical team
As required in Regional Decree XI/2906 [3], we organized medical shifts in order to be able to manage an increased number of severe trauma patients and to perform surgical activity on a 24 hour basis. Our orthopaedic surgical team included one senior consultant, another consultant, and one resident on duty for emergencies 24/7. Moreover, three consultants were available on call 24/7. During dayshifts, four consultants, and two residents were active in surgical activity in two operating rooms (OR) from 8 a.m. to 8 p.m.; one consultant and two residents took care of the ward; one consultant was in charge for isolated minor trauma care, and one consultant carried on outpatient activity for post-surgical and urgent consultations, three days a week in the morning. According to the organization model proposed by the Region, medical staff from spoke centers was included in the hub shifts.