Evidence map›Paper›PMID 41501922›Full record

ReviewScandinavian journal of trauma, resuscitation and emergency medicine2026

Five seconds to safety: detecting and managing critical instability before structured handover in non-trauma patients.

Ingmar Gröning, Karl-Christian Thies, Henning Biermann, Christoph Wasser, Sascha Ostrowski, Cordt Beißner, Bernhard Kumle, Philipp Kümpers, Michael Bernhard, Mark Michael

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Scandinavian journal of trauma, resuscitation and emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ingmar GröningClinic for Emergency Medicine, Alexianer Hospital Maria Hilf, Krefeld, Germany.
Karl-Christian ThiesDepartment of Anaesthesiology, Intensive Care, Emergency Medicine, Transfusion Medicine and Pain Therapy, Bielefeld University, Medical School and University Medical Centre OWL, EvKB, Bielefeld, Germany.
Henning BiermannDepartment for Acute and Emergency Medicine, University Hospital RWTH Aachen, Aachen, Germany.
Christoph WasserDepartment of Clinical Acute and Emergency Medicine, Robert Bosch Hospital Stuttgart, Stuttgart, Germany.
Sascha OstrowskiEmergency Department, Marienhospital Gelsenkirchen, Gelsenkirchen, Germany.
Cordt BeißnerCenter for Emergency Medicine, Knappschaft Kliniken Vest, Recklinghausen, Germany.
Bernhard KumleClinic for Acute and Emergency Medicine, Schwarzwald-Barr Clinic, Villingen-Schwenningen, Germany.
Philipp KümpersEmergency Department, University Hospital Münster, Münster, Germany.
Michael BernhardEmergency Department, University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Mark MichaelEmergency Department, University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany. Mark.Michael@med.uni-duesseldorf.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, effective and safe patient handover concepts have been established in the resuscitation room. The utilisation of a structured scheme and the establishment of a 'handover culture', wherein all team members recognise the significance of this phase, serve as crucial milestones. In the interest of patient safety, it is recommended that a "5-second round" is conducted prior to the initiation of the handover process. The purpose of this procedure is to facilitate the evaluation of the patient's stability during the handover phase, thereby identifying the necessity for critical interventions to be performed beforehand. Originally developed for trauma patients, this tool is also relevant for critically ill non-trauma patients. The objective of this article is to provide a more detailed description of the original 5-second round, to adapt its application for use in critically ill non-trauma patients and to give some examples of concrete actions.

Indexed as

Critical IllnessPatient HandoffPatient SafetyHumansPatient Care Team5-second roundCommunicationCritically ill patientsQuality improvementResuscitation roomRisk management

Identifiers

PMID41501922
PMCPMC12849088

What OpenQuestion holds

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Registered trials

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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.