tailieunhanh - Báo cáo y học: " Evaluation of a university hospital trauma team activation protocol"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Evaluation of a university hospital trauma team activation protocol | Dehli et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2011 19 18 http content 19 1 18 SCANDINAVIAN JOURNAL OF emergency medicine ORIGINAL RESEARCH Open Access Evaluation of a university hospital trauma team activation protocol Trond Dehli1 Knut Fredriksen2 3 Svein A Osbakk2 3 and Kristian Bartnes4 Abstract Background Admission with a multidisciplinary trauma team may be vital for the severely injured patient as this facilitates rapid diagnosis and treatment. On the other hand patients with minor injuries do not need the trauma team for adequate care. Correct triage is important for optimal resource utilization. The aim of the study was to evaluate our criteria for activating the trauma team and identify suboptimal criteria that might be changed in the interest of precision. Methods The study is an observational retrospective cohort-study. All patients admitted with the trauma team n 382 all severely injured Injury Severity Score ISS 15 n 161 and all undergoing an emergency procedure aimed at counteracting compromised airways respiration or circulation at our hospital n 142 during 2006-2007 were included. Data were recorded from the admission records and the electronic patient records. The trauma team activation protocol was evaluated against the occurrence of severe injury and the occurrence of emergency procedures. Results A total of 441 patients were included. The overtriage was 71 and undertriage 32 when evaluating against ISS 15 as the standard of reference. When occurrence of emergency procedures was held as the standard of standard of reference the over- and undertriage was 71 and 21 respectively. Mechanism of injury-criteria for trauma team activation contributed the most to overtriage. The emergency procedures performed were mostly endotracheal intubation and external fixation of fractures. Less than 3 needed haemostatic laparotomy or thoracotomy. Approximately 2 3 of the overtriage represented isolated head or .