Development, Implementation, and Evaluation of an Early Mobility Protocol in a Regional Level II Trauma Center

Nearly 200,000 people die of injury-related causes in the United States each year, and injury is the leading cause of death for all patients aged 1 to 44 years. Approximately 30 million people sustain nonfatal injuries each year, which results in about 29 million emergency department visits and 3 million hospital admissions. Management of severely injured patients, typically defined as having an Injury Severity Score greater than 15 is best managed in a level I or level II trauma center. Any physician who provides care for critically ill patients should have a basic familiarity with the fundamentals of trauma care.

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Cracking Chests without a Scratch: A Review of Emergency Department Thoracotomy Outcomes and Injuries to Providers at a Level II Trauma Center

The American Surgeon ◽

10.1177/000313481708300917 ◽

2017 ◽

Vol 83 (9) ◽

pp. 384-385

Author(s):

Sarah S. Fox ◽

Tasha Martin ◽

Zachary F. Williams ◽

William W. Hope

Keyword(s):

Emergency Department ◽

Trauma Center ◽

Emergency Department Thoracotomy ◽

Level Ii

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Pediatric Trauma Deaths: A Three-Part Analysis from a Nonacademic Trauma Center

The American Surgeon ◽

10.1177/000313480607200311 ◽

2006 ◽

Vol 72 (3) ◽

pp. 249-259

Author(s):

Mary O. Aaland ◽

Thein Hlaing

Keyword(s):

Mortality Rate ◽

Trauma Center ◽

Pediatric Trauma ◽

Trauma System ◽

Time Frame ◽

Level Ii ◽

Liver Injuries ◽

Depth Analysis ◽

Trauma Mortality ◽

Trauma Deaths

A three-part analysis was undertaken to assess pediatric trauma mortality in a nonacademic Level II trauma center at Parkview Hospital in Fort Wayne, Indiana. Part I was a comparison of Parkview trauma registry data collected from 1999 through 2003 with those of pediatric and adult trauma centers in Pennsylvania. The same methodology used in Pennsylvania was used for the initial evaluation of pediatric deaths from trauma in our trauma center. Part II was a formal in-depth analysis of all individual pediatric deaths as well as surgical cases with head, spleen, and liver injuries from the same time frame. Part III proposes a new methodology to calculate a risk-adjusted mortality rate based on the TRISS model for the evaluation of a trauma system. The use of specific mortality and surgical intervention rates was not an accurate reflection of trauma center outcome. The proposed risk-adjusted mortality rate calculation is perhaps an effective outcome measure to assess patient care in a trauma system.

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Lung ultrasound for detecting pneumothorax in injured children: preliminary experience at a community-based Level II pediatric trauma center

Pediatric Radiology ◽

10.1007/s00247-019-04509-y ◽

2019 ◽

Vol 50 (3) ◽

pp. 329-337 ◽

Cited By ~ 6

Author(s):

Donald G. Vasquez ◽

Gina M. Berg ◽

Serge G. Srour ◽

Kamran Ali

Keyword(s):

Trauma Center ◽

Lung Ultrasound ◽

Pediatric Trauma ◽

Community Based ◽

Level Ii ◽

Pediatric Trauma Center

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Management of a Pediatric Type 3C Open Femoral Fracture Following a High-Velocity Gunshot Wound at an Adult Level II Trauma Center

Pediatric Emergency Care ◽

10.1097/pec.0000000000001736 ◽

2019 ◽

Vol Publish Ahead of Print ◽

Author(s):

Anne Grisoli ◽

Joseph Dynako ◽

David Zimmer ◽

Nuha Zackariya ◽

Faadil Shariff ◽

...

Keyword(s):

Femoral Fracture ◽

High Velocity ◽

Trauma Center ◽

Gunshot Wound ◽

Adult Level ◽

Level Ii

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Emergency operations program is an excellent platform to deal with in-hospital operation disaster

American Journal of Disaster Medicine ◽

10.5055/ajdm.2017.0280 ◽

2017 ◽

Vol 12 (4) ◽

pp. 267-273

Author(s):

Frederick B. Rogers, MD, MS, FACS ◽

William McCune, MPH ◽

Shreya Jammula, BS ◽

Brian W. Gross, BS ◽

Eric H. Bradburn, DO, MS, FACS ◽

...

Keyword(s):

Operating Room ◽

Trauma Center ◽

Air Conditioning ◽

Working Hours ◽

Air Conditioning System ◽

Emergency Operations ◽

Sudden Loss ◽

Incident Command ◽

Level Ii ◽

Emergency Operations Plan

Described herein is the utilization of the hospital's Emergency Operations Plan and incident command structure to mitigate damage caused by the sudden loss of the heating, ventilation, and air conditioning system within the entire operating room suite. The ability to ameliorate a devastating situation that occurred during working hours at a busy Level II trauma center can be ascribed to the dedication of the leadership and clinical teams working seamlessly together. Their concerted efforts were augmented by adherence to an established protocol that had been thoroughly substantiated and practiced during numerous training simulations. This resulted in successful and timely resolution of an internal crisis that crippled the surgical capabilities of the sole trauma center in the county. After thorough investigation and identification of the issues that contributed to the malfunction, redundancies were built into the system to ensure that a similar incident did not occur again.

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