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  1. Trauma faculty and trauma team activation : Impact on trauma system function and patient outcome.

    Article, Communication - En anglais

    Annual Meeting of the Eastern Association for the Surgery of Trauma. Sanibel, FL, USA, 1998/01/14.

    Objective 

    To determine the impact of the presence of an attending trauma surgeon during trauma team activation on system function and patient outcome.

    Methods 

    After a retrospective review of medical records and trauma registry, a comparative study between two American College of Surgeons Committee on Trauma Level I trauma centers was performed.

    One center (Hennepin County Medical Center) required a chief surgical resident, two junior residents, and a board-certified emergency medicine faculty to be present in the emergency department for all trauma team activations.

    The attending trauma surgeon was notified at the time of trauma team activation and was neither required to be present in the emergency department at time of patient arrival nor in the hospital 24 h/day.

    The other center (St.

    Paul Ramsey Medical Center) required a chief surgical resident, two junior residents, a board-certified emergency medicine faculty member, and an attending trauma surgeon to be present in the emergency department for all trauma activations and in hospital 24 hours/day.

    Over a 21-month period, all major trauma patients (Injury Severity Score>15 or emergent operation within 4 hours of admission and any Injury Severity Score) that triggered trauma team activation were examined.

    Resuscitation time, time to incision, probability of survival, and mortality were analyzed.

    Results 

    Resuscitation time was shorter at St. (...)

    Mots-clés Pascal : Equipe soignante, Chirurgien, Traumatisme, Pronostic, Malade, Organisation santé, Centre santé, Mortalité, Homme

    Mots-clés Pascal anglais : Health care staff, Surgeon, Trauma, Prognosis, Patient, Public health organization, Health center, Mortality, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0494126

    Code Inist : 002B16N. Création : 22/03/2000.