Volume and flow of trauma team activation patients throughout the day over a three-year period at an academic trauma center

Author(s):  
Faisal Alhusain ◽  
Abdulmajid Asiri ◽  
Basem Alharbi ◽  
Shahad Alenizi ◽  
Sulaiman Abanmi ◽  
...  
2016 ◽  
Vol 82 (8) ◽  
pp. 191-193 ◽  
Author(s):  
Lindsey Perea ◽  
Adrian Ong ◽  
Rachael Trupp ◽  
Sara Wilhelm ◽  
Pamela Jones ◽  
...  

2013 ◽  
Vol 39 (6) ◽  
pp. 599-603 ◽  
Author(s):  
A. Rogers ◽  
F. B. Rogers ◽  
C. W. Schwab ◽  
E. Bradburn ◽  
J. Lee ◽  
...  

2019 ◽  
Vol 44 ◽  
pp. 20-24
Author(s):  
Claudio Maliziola ◽  
Simona Frigerio ◽  
Salvatore Lanzarone ◽  
Alessandra Barale ◽  
Maurizio Berardino ◽  
...  

2013 ◽  
Vol 79 (11) ◽  
pp. 1149-1153 ◽  
Author(s):  
Lance E. Stuke ◽  
Juan C. Duchesne ◽  
John P. Hunt ◽  
Alan B. Marr ◽  
Peter C. Meade ◽  
...  

Most trauma systems use mechanism of injury (MOI) as an indicator for trauma center transport, often overburdening the system as a result of significant overtriage. Before 2005 our trauma center accepted all MOI. After 2005 we accepted only those patients meeting anatomic and physiologic (A&P) triage criteria. Patients entered into the trauma center database were divided into two groups: 2001 to 2005 (Group 1) and 2007 to 2010 (Group 2) and also categorized based on trauma team activation for either A&P or MOI criteria. Overtriage was defined as patient discharge from the emergency department within 6 hours of trauma activation. A total of 9899 patients were reviewed. Group 1 had 6584 patients with 3613 (55%) activated for A&P criteria and 2971 (45%) for MOI. Group 2 had 3315 patients with 3149 (95%) activated for A&P criteria and 166 (5%) for MOI. Accepting only those patients meeting A&P criteria resulted in a decrease in the overtriage rate from 66 to 9 per cent. By accepting only those patients meeting A&P criteria, we significantly reduced our overtriage rate. Patients meeting MOI criteria were transported to community hospitals and transferred to the trauma center if major injuries were identified. Trauma center transport for MOI results in significant overtriage and may not be justified.


2017 ◽  
Vol 3 (3) ◽  
Author(s):  
Grant S. Buchanan ◽  
◽  
Daniel Scott Kahn ◽  
Harry Burke ◽  
Brian Czarkowski ◽  
...  

2020 ◽  
pp. 194338752098311
Author(s):  
Gabriele Canzi ◽  
Elena De Ponti ◽  
Federica Corradi ◽  
Roberto Bini ◽  
Giorgio Novelli ◽  
...  

Study Design Retrospective study. Objective: Following SARS-CoV-2 pandemic break-out a lockdown period for the population and a reorganization of the Health System were needed. Hub-function Centers for time-dependent diseases were identified and Niguarda Hospital (Milan) was selected as main Regional Trauma Center. The purpose of our study is to report the experience of Niguarda Maxillofacial Trauma Team during this period, pointing out epidemiological changes in the presentation of trauma in comparison to the previous 3 years. Methods: Two hundred and sixteen patients were admitted to the Emergency Department from 8th March 2020 to 8th May 2020. One hundred and eighty-one had a diagnosis of Major Trauma and 36 had also facial fractures; 35 patients had isolated facial fractures. Data were compared to the activity during the same period in 2017-2019 and statistical analysis was carried out concerning demographic and clinical characteristics, trauma dynamics and positivity to COVID-19. Results: Cumulative curves of patients admitted because of Major Trauma describe a superimposable linear trend in years 2017-2019, while 2020 shows an increase from April 16th. Average age and number of more severe patients were higher than previous years. Epidemiological changes concerned road accidents, accidents involving pedestrians and cyclists, interpersonal violence, suicide attempts and domestic accidents. The incidence of facial fractures was confirmed through years and, according to its measured severity, 75% of patients required management. COVID-19 positivity without systemic symptoms didn’t influence the type of treatment. Conclusion: The COVID-19 lockdown offers a unique opportunity to study the reversal epidemiological effects on trauma.


2021 ◽  
Vol 268 ◽  
pp. 491-497
Author(s):  
Joseph Diaz ◽  
Alexandra Rooney ◽  
Richard Y Calvo ◽  
Derek A Benham ◽  
Matthew Carr ◽  
...  

2008 ◽  
Vol 65 (6) ◽  
pp. 1245-1252 ◽  
Author(s):  
Marc J. Shapiro ◽  
Jane E. McCormack ◽  
James Jen

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