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BackgroundTrauma audit shown that delayed operative surgery was the most important problem for mortality rate in trauma patients.ObjectivesTo compare timing from emergency room (ER) to operative room (OR) and mortality rate of injured patients with penetrated torso or active vascular injury with shock after trauma fast track (TFT) was established in our hospital.MethodsProspective, descriptive study, we enrolled the patients who had indication for TFT into study. Data was analysed from June 2010 to May 2012. The mortality rate and timing from ER to OR were compared to previous data for 2 years ago.Results35 injured patients were indicated for TFT. 17 injuries (48.57%) were transferred by referral system. Of these, 26 injuries (74.29%) were penetrated with shock, nine injuries (25.71%) had active vascular injury with shock. 13 injuries (37.14%) were dead, six injuries died at ER and seven injuries died at post-operative period. All of dead case had probability of survival (Ps) less than <0.75. 18 injuries (62.07%) of operative group were transfer from ER to OR within 30 min.SignificanceAfter we used the TFT, we found that injured patients had undergone surgery earlier and mortality rate was deceased. In the future, this system may be applied in blunt injured patients or other injuries with exactly indicated for surgery, especially the injured patients of road traffic injury that was major problem in Thailand.

Background: Electronic nursing documentation has advantages for monitoring and improving the quality of trauma nursing documentation. However, electronic nursing documentation has rarely been implemented in Thailand. Objectives: This study aimed to assess the feasibility and nursing satisfaction of a web-based trauma nursing documentation application. Methods: A descriptive cross-sectional survey design was used to assess the feasibility and nursing satisfaction with a web-based trauma nursing documentation application. The application was based on literature review, Advanced Trauma Life Support principles, and the North American Nursing Diagnosis Association. The survey was administered to trauma and emergency department registered nurses in a hospital in Thailand from November 2021 to January 2022. Patient data were also extracted from the web application system for analysis. Results: A total of 59 nurses piloted the web-based application on 79 trauma patients. Of 59 nurses, 45 (76.3%) were female, 44 (74.6%) had worked in the emergency department for more than 5 years, and 49 (83.1%) had no prior experience with using web-based applications. The nurses were satisfied with the application (M = 3.51, SD = 0.62), and they suggested that it was feasible to apply in practice (M = 3.46, SD = 0.79). Conclusion: These preliminary data demonstrate that implementing a web-based application for trauma nursing documentation in the emergency department is feasible and satisfactory to nurses.

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