ReviewOpen access emergency medicine : OAEM2026
Integrated Multidisciplinary and Digital Innovation in Polytrauma: Optimizing Whole-Process Emergency Models for Secondary Hospitals.
Review in Open access emergency medicine : OAEM, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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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.
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Authors and funding
7 authors.
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Abstract
Polytrauma, characterized by multi-system injuries and life-threatening complexity, poses significant challenges to healthcare systems, particularly in resource-constrained secondary hospitals. This narrative review synthesizes global research on polytrauma management, focusing on workflow optimization, digital innovation, and MDT adaptation tailored to secondary hospitals. Based on a systematic literature search of PubMed, Web of Science, CNKI, and Wanfang Data (January 2014 - December 2024), 63 studies were included and analyzed. We identify key barriers-including prolonged diagnostic intervals, insufficient inter-departmental coordination, and reliance on traditional emergency processes with redundant steps-that disproportionately delay door-to-CT times, time to definitive intervention, and contribute to preventable mortality in secondary hospital settings. Emerging solutions such as simplified MDT frameworks, telemedicine-enabled collaboration, and AI-assisted triage show promise, yet current literature lacks practical, context-sensitive frameworks addressing the unique constraints of secondary hospitals, including staffing shortages and limited surgical capabilities. To address these gaps, we propose a hybrid model centred on four core elements: (1) a core MDT team (emergency physicians, trauma nurses, and key specialists) for rapid assessment and damage control; (2) an optimized green-channel process with clear activation criteria and streamlined workflows; (3) digital decision-support systems (eg, 5G-based platforms, process mining algorithms) to enable real-time information sharing and coordination; and (4) regional referral linkages with higher-level trauma centres to ensure timely transfer of patients requiring specialized surgical interventions. Future research should prioritize validation studies-using both quantitative and qualitative approaches-of process optimization strategies, development of context-specific training programs, and cost-effectiveness analyses of technology-driven interventions. This synthesis provides actionable insights for advancing secondary hospital trauma systems, ultimately reducing preventable mortality and bridging disparities in global trauma care equity.
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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.