An Evaluation of Trauma Team Response in a Major Trauma Hospital in 100 Patients With Predominantly Minor Injuries

Lu, Wen Hao; Kolkman, Karel A.; Seger, Maria; Sugrue, Michael

doi:10.1046/j.1440-1622.2000.01820.x

Cited by 14 publications

(19 citation statements)

References 15 publications

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“…The findings describe the situation in Kampala but reflect the problems faced by other large African cities, and perhaps cities of low income countries elsewhere. Similar to other studies in Africa and elsewhere, [11][12][13][14][15] young men were the largest consumers of the hospital emergency trauma services in Kampala. The largest occupational category of the injured were students which may reflect the youthfulness of the population, but still emphasizes that the journey to and from school presents a high risk for traffic injury.…”

Section: Discussionsupporting

confidence: 82%

Citywide trauma experience in Kampala, Uganda: a call for intervention

Kobusingye

Guwatudde²,

Owor³

et al. 2002

Inj Prev

118

108

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Objectives: To describe injuries and their emergency care at five city hospitals. Setting: Data were collected between January and December 1998 from casualty departments of the five largest hospitals of Kampala city, Uganda, with bed capacity ranging from 60 to 1200. Methods: Registry forms were completed on trauma patients. All patients with injuries were eligible. Outcome at two weeks was determined for admitted patients. Results: Of the 4359 injury patients, 73% were males. Their mean age was 24.2 years, range 0.1-89, and a 5-95 centile of 5-50 years. Patients with injuries were 7% of all patients seen. Traffic crashes caused 50% of injuries, and were the leading cause for patients >10 years. Fifty eight per cent of injuries occurred on the road, 29% at home, and 4% in a public building. Falls, assaults, and burns were the main causes in homes. Fourteen per cent of injuries were intentional. Injuries were severe in 24% as determined with the Kampala trauma score. One third of patients were admitted; two thirds arrived at the hospital within 30 minutes of injury, and 92% were attended within 20 minutes of arrival. Conclusions: Injuries in Kampala are an important public health problem, predominantly in young adult males, mostly due to traffic. The majority of injuries are unintentional. Hospital response is rapid, but the majority of injuries are minor. Without pre-hospital care, it is likely that patients with serious injuries die before they access care. Preventive measures and a pre-hospital emergency service are urgently needed.

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Section: Discussionsupporting

confidence: 82%

Citywide trauma experience in Kampala, Uganda: a call for intervention

Kobusingye

Guwatudde²,

Owor³

et al. 2002

Inj Prev

118

108

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“…There is poor scientific support for the validity of trauma care time measurements as indicators of patient outcomes, as for other proposed quality indicators for evaluating trauma care 20,21. However, time or time savings from patient arrival to radiological investigations have been reported in previous studies of trauma team quality 15,22,23…”

Section: Discussionmentioning

confidence: 99%

What is optimal timing for trauma team alerts? A retrospective observational study of alert timing effects on the initial management of trauma patients

Lillebo¹,

Seim²,

Vinjevoll³

et al. 2012

JMDH

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BackgroundTrauma teams improve the initial management of trauma patients. Optimal timing of trauma alerts could improve team preparedness and performance while also limiting adverse ripple effects throughout the hospital. The purpose of this study was to evaluate how timing of trauma team activation and notification affects initial in-hospital management of trauma patients.MethodsData from a single hospital trauma care quality registry were matched with data from a trauma team alert log. The time from patient arrival to chest X-ray, and the emergency department length of stay were compared with the timing of trauma team activations and whether or not trauma team members received a preactivation notification.ResultsIn 2009, the trauma team was activated 352 times; 269 times met the inclusion criteria. There were statistically significant differences in time to chest X-ray for differently timed trauma team activations (P = 0.003). Median time to chest X-ray for teams activated 15–20 minutes prearrival was 5 minutes, and 8 minutes for teams activated <5 minutes before patient arrival. Timing had no effect on length of stay in the emergency department (P = 0.694). We found no effect of preactivation notification on time to chest X-ray (P = 0.474) or length of stay (P = 0.684).ConclusionProactive trauma team activation improved the initial management of trauma patients. Trauma teams should be activated prior to patient arrival.

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“…17,35,36 A CXR, taken within 10 min of the patient's arrival, will show intrathoracic haemorrhage. 37 This is present in 4-29% of cases. 17,[35][36][37] A small haemothorax can be initially missed in 18% of nonsurviving patients.…”

Section: Probabilitiesmentioning

confidence: 99%

“…37 This is present in 4-29% of cases. 17,[35][36][37] A small haemothorax can be initially missed in 18% of nonsurviving patients. 38 A large haemothorax should be evident.…”

Section: Probabilitiesmentioning

confidence: 99%

See 1 more Smart Citation

Guidelines for the management of haemodynamically unstable pelvic fracture patients

Heetveld¹,

Harris²,

Schlaphoff³

et al. 2004

ANZ Journal of Surgery

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101

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An Evaluation of Trauma Team Response in a Major Trauma Hospital in 100 Patients With Predominantly Minor Injuries

Abstract: The present study identified an excellent multidisciplinary trauma response and provides a template to improve performance in early trauma management.

Cited by 14 publications

References 15 publications

Citywide trauma experience in Kampala, Uganda: a call for intervention

Citywide trauma experience in Kampala, Uganda: a call for intervention

What is optimal timing for trauma team alerts? A retrospective observational study of alert timing effects on the initial management of trauma patients

Guidelines for the management of haemodynamically unstable pelvic fracture patients

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