ArticleWorld journal of emergency surgery : WJES2013
Compliance to advanced trauma life support protocols in adult trauma patients in the acute setting.
Article in World journal of emergency surgery : WJES, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Effects of the application of a checklist during trauma resuscitations on ATLS adherence, team performance, and patient-related outcomes: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Pooled it
- Surgical site infection after femoral fracture surgery: 5-year trends in mechanisms of injury, pathogens, and antimicrobial resistance.Journal of orthopaedic surgery and research · 2026Article
- The ABCDE approach in critically ill patients: A scoping review of assessment tools, adherence and reported outcomes.Resuscitation plus · 2024Article
- TraumaFlow-development of a workflow-based clinical decision support system for the management of severe trauma cases.International journal of computer assisted radiology and surgery · 2024Article
- Development and validation of assessment instruments for cervical collar and spinal board placement in simulated environments for nursing students in the care of polytrauma patients.BMC medical education · 2024Article
- Impact of video recordings review with structured debriefings on trauma team performance: a prospective observational cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Observational
- The effect of a clock's presence on trauma resuscitation times in a Dutch level-1 trauma center: a pre-post cohort analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Observational
- Structured approach with primary and secondary survey for major trauma care: an overview of reviews.World journal of emergency surgery : WJES · 2023Review
- The Need for Trauma Management Training and Evaluation on a Prehospital Setting.International journal of environmental research and public health · 2022Article
- Impact of implementation of sequential trauma education programs (STEPs) course on missed injuries in emergency polytrauma patients, Ismailia, Egypt.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Enhanced recovery after surgery (ERAS) in patients undergoing emergency laparotomy after trauma: a prospective, randomized controlled trial.Trauma surgery & acute care open · 2021Article
- A quality-improvement approach to effective trauma team activationCanadian journal of surgery. Journal canadien de chirurgie · 2019Article
- Regular, in-situ, team-based training in trauma resuscitation with video debriefing enhances confidence and clinical efficiency.BMC medical education · 2018Article
- Learning from 2523 trauma deaths in India- opportunities to prevent in-hospital deaths.BMC health services research · 2017Observational
- Classification and team response to nonroutine events occurring during pediatric trauma resuscitation.The journal of trauma and acute care surgery · 2016Article
- Article
- Risk factors and mortality associated with undertriage at a level I safety-net trauma center: a retrospective study.Open access emergency medicine : OAEM · 2016Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAdvanced Trauma Life Support (ATLS) protocols provide a common approach for trauma resuscitations. This was a quality review assessing compliance with ATLS protocols at a Level I trauma center; specifically whether the presence or absence of a trauma team leader (TTL) influenced adherence.
methodsThis retrospective study was conducted on adult major trauma patients with acute injuries over a one-year period in a Level I Canadian trauma center. Data were collected from the Alberta Trauma Registry, and adherence to ATLS protocols was determined by chart review.
resultsThe study identified 508 patients with a mean Injury Severity Score of 24.5 (SD 10.7), mean age 39.7 (SD 17.6), 73.8% were male and 91.9% were involved in blunt trauma. The overall compliance rate was 81.8% for primary survey and 75% for secondary survey. The TTL group compared to non-TTL group was more likely to complete the primary survey (90.9% vs. 81.8%, p = 0.003), and the secondary survey (100% vs. 75%, p = 0.004). The TTL group was more likely than the non-TTL group to complete the following tasks: insertion of two large bore IVs (68.2% vs. 57.7%, p = 0.014), digital rectal exam (64.6% vs. 54.7%, p = 0.023), and head to toe exam (77% vs. 67.1%, p = 0.013). Mean times from emergency department arrival to diagnostic imaging were also significantly shorter in the TTL group compared to the non-TTL group, including times to pelvis xray (mean 68min vs. 107min, p = 0.007), CT chest (mean 133min vs. 172min, p = 0.005), and CT abdomen and pelvis (mean 136min vs. 173min, p = 0.013). Readmission rates were not significantly different between the TTL and non-TTL groups (3.5% vs. 4.5%, p = 0.642).
conclusionsWhile many studies have demonstrated the effectiveness of trauma systems on outcomes, few have explored the direct influence of the TTL on ATLS compliance. This study demonstrated that TTL involvement during resuscitations was associated with improved adherence to ATLS protocols, and increased efficiency (compared to non TTL involvement) to diagnostic imaging. Findings from this study will guide future quality improvement and education for early trauma management.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.