Annual Meeting of the Eastern Association for the Surgery of Trauma. Sanibel, FL, USA, 1998/01/14.
To determine the impact of the presence of an attending trauma surgeon during trauma team activation on system function and patient outcome.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0494126
Code Inist : 002B16N. Création : 22/03/2000.