ArticleDer Unfallchirurg2020
[Emergency room activation due to trauma mechanism].
Article in Der Unfallchirurg, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Criteria for trauma team activation and staffing requirements for the management of patients with (suspected) multiple and/or severe injuries in the resuscitation room- a systematic review and clinical practice guideline update.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Pooled it
- [Trauma team activation following motor vehicle accidents-impact of changes in criteria in the S3 guideline on polytrauma/severely injured patient care].Unfallchirurgie (Heidelberg, Germany) · 2026Observational
- Standards of fracture care in polytrauma: results of a Europe-wide survey by the ESTES polytrauma section.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
- [Trauma team activation-Who should be alerted for which patients?]Unfallchirurgie (Heidelberg, Germany) · 2023Review
- Simultaneous treatment of trauma patients in a dual room trauma suite with integrated movable sliding gantry CT system: an observational study.Scientific reports · 2022Observational
- [Telemedicine in the emergency room-An extension with potential? : Results of a recent survey].Der Unfallchirurg · 2022Article
- Trauma-team-activation in Germany: how do emergency service professionals use the activation due to trauma mechanism? Results from a nationwide survey.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- [Measurability of the quality of care of the severely injured].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Review
- Evidence of Prolonged Monitoring of Trauma Patients Admitted via Trauma Resuscitation Unit without Primary Proof of Severe Injuries.Journal of clinical medicine · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe quality of trauma care in Germany has been significantly increased due to the establishment of standards in the white paper on severe injury care and the S3 guidelines. A key issue of multiple trauma treatment is the trauma resuscitation unit (TRU)/emergency room management, which is associated with extensive material and human resources. From the very beginning of the introduction of structured care for the severely injured, the choice of the target hospital and the indications for TRU have been the focus of scientific research. Furthermore, a reduction of the TRU team for presumably less seriously injured patients is discussed. MATERIAL AND
methodsThe emergency room assignments of a level I trauma center (n = 686) were analyzed in more detail. Of the patients 235 were assigned with the TRU indications according to the cause of the accident (GoR B criteria) and compared with the collective of TRU patients admitted according to the severity of injuries or life-threatening signs, the so-called GoR A criteria (n = 104) during the corresponding period. In addition to basic data (age, sex), the injured region and severity (injury severity score, ISS), the length of stay in the intensive care unit (ICU) and hospital as well as the necessity for surgery and transfusion were compared.
resultOf the emergency room allocations at the trauma center 34% were due to the cause of the accident and the severity of the injuries in this patient group was almost half as high as that of the control group with an ISS of 11. Of the patients 74% were admitted to the IMC/ICU and stayed there for an average of almost 3 days. There were between 4% and 18% severe injuries (abbreviated injury scale, AIS 3) and 17.9% were characterized as polytrauma with an ISS ≥ 16 points.
conclusionA significant number of patients admitted to a TCU due to the cause of accident (the so-called B criteria of the white book), have severe and potentially life-threatening injuries, which necessitate a prioritized and immediate treatment by a TCU team. Whether a reduced TCU team is sufficient in this situation needs to be critically examined.
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