ArticleDer Unfallchirurg2018
[Optimized resource mobilization and quality of treatment of severely injured patients through a structured trauma room alarm system].
Article in Der Unfallchirurg, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 37 citations in OpenAlex.
- [Trauma room workload in German trauma centers : Reality of trauma care underrepresented in reform].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- The pelvic vascular injury score (P-VIS): a prehospital instrument to detect significant vascular injury in pelvic fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- [Analysis of a differentiated resuscitation room activation at a national trauma center].Unfallchirurgie (Heidelberg, Germany) · 2024Article
- Using trauma video review to search for the Goldilocks pre-activation time.Trauma surgery & acute care open · 2024Article
- [Patient safety in differentiated (in-hospital) activation of the resuscitation room for severely injured patients].Unfallchirurgie (Heidelberg, Germany) · 2023Observational
- Evaluation of the interhospital patient transfer after implementation of a regionalized trauma care system (TraumaNetzwerk DGUFrontiers in medicine · 2023Article
- Diagnostic value of chest radiography in the early management of severely injured patients with mediastinal vascular injury.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- [Emergency intervention rate in the emergency room depending on the alerting criteria : Prospective data analysis of a supraregional trauma center].Der Unfallchirurg · 2021Article
- [Development of a new module for the TraumaRegister DGUDer Unfallchirurg · 2020Review
- [Emergency room activation due to trauma mechanism].Der Unfallchirurg · 2020Article
- [Optimization of criteria for activation of trauma teams : Avoidance of overtriage and undertriage].Der Unfallchirurg · 2018Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe treatment of severely injured patients in the trauma resuscitation unit (TRU) requires an interdisciplinary and highly professional trauma team approach. The complete team needs to be waiting for the patient in the TRU on arrival. Treating severely injured patients in the TRU, the trauma team connects the initial preclinical emergency stabilization with the subsequent sophisticated treatment. Thus, the trauma team depends on concise information from the emergency personnel at the scene to provide its leader with further information as well as an accurate alarm including all departments necessary to stabilize the patient in the TRU.
methodAiming at an accurate and most efficient trauma team alarm, this study was designed to provide and analyze an alarm system which mobilizes the trauma team in a stepwise fashion depending on the pattern of injuries and the threat to life. The trauma team alarm system was analyzed in a prospective data acquisition at a level I trauma center over a period of 12 months. Evaluation followed the acquisition phase and provided comparison to the status prior to the establishment of the alarm system. All items underwent statistical testing using t‑tests (p < 0.05).
resultsThe data of 775 TRU patients showed a significant reduction of false information on the patients status prior to arrival. It also showed an increase in punctual arrival in the TRU of the emergency teams. False alarms were significantly reduced (from 11.9% to 2.7%, p > 0.01). The duration from arrival of the patient in the TRU to the initial multislice computed tomography (CT) scan was reduced by 6 min while the total period of treatment in the TRU was reduced by 17 min. After the alarm system to gradually mobilize the trauma team was put into action, team members left the TRU if unneeded prior to finishing the initial treatment in only 4% of the cases. The patient fatality rate was 8.8% (injury severity score, ISS = 23 points) after establishment of the alarm system compared to 12.9% (ISS = 25 points) before.
conclusionThe implementation of an accurate and patient status-based alarm system to mobilize the trauma team can improve the quality of treatment while the duration of treatment of the severely injured patients in the TRU can be decreased. It also provides a most efficient mobilization of personnel resources while sustaining patient safety.
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