Effect of a Pediatric Trauma Response Team on Emergency Department Treatment Time and Mortality of Pediatric Trauma Victims

Vernon, Donald D.; Furnival, Ronald A.; Hansen, Kristine; Diller, Edma; Bolte, Robert G.; Johnson, Dale G.; Dean, Jonathan

doi:10.1542/peds.103.1.20

Cited by 97 publications

(45 citation statements)

References 21 publications

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“…Haller and Beaver [6] demonstrated that a management system improved pediatric outcomes in patients with life-threatening injuries. In addition, Vernon et al [7] reported that patients treated by a trauma team had shorter ED time, ED to computed tomographic imaging time, ED to operating room time, and improved survival when compared with the control group where specialists were notified on an individual basis. Previous studies have shown that a TA system, with mobilizing different members of personnel, permits effective use of hospital resources.…”

Section: Discussionmentioning

confidence: 99%

Trauma activation: are we making the right call? A 3-year experience at a Level I pediatric trauma center

Williams

Foglia

Megison

et al. 2011

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Trauma activation: are we making the right call? A 3-year experience at a Level I pediatric trauma center

Williams

Foglia

Megison

et al. 2011

Journal of Pediatric Surgery

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“…2 A recent study provides evidence that the trauma team approach is effective in reduction of time to definitive treatment and ultimately increase in survival. 3 Implicit in the trauma team concept is the use of criteria that, when met, trigger the assembly of the team in the receiving emergency department (ED). Similar to the goal of field triage guidelines, the goal is to quickly allocate limited resources to those who need them.…”

mentioning

confidence: 99%

Maximizing the Sensitivity and Specificity of Pediatric Trauma Team Activation Criteria

Dowd

McAneney

Lacher

et al. 2000

Academic Emergency Medicine

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Abstract. Background: Care of the severely injured child requires the rapid assembly of personnel trained in pediatric trauma care. Trauma team activation criteria, which are highly sensitive and maximally specific for identifying the child who requires resuscitation, are necessary to provide rapid care to all who need it, while using resources efficiently. Objective: To determine the sensitivity and specificity of the standard trauma team activation (TTA) criteria for identifying patients who receive resuscitation in the emergency department. Methods: A one-year study was conducted of all patients transported by emergency medical out-of-hospital services for a trauma-related complaint. For all patients, out-ofhospital medical control operators recorded whether patients met TTA criteria and, if so, which criteria were met. Criteria included standard physiologic, anatomic, and mechanism parameters. Sensitivity and specificity for the outcome of resuscitation (volume restoration, assisted ventilation or intubation, chest tube insertion/needle decompression, operative intervention) were calcuated. Results: A total of 492 patients met the case definition. Two-thirds were male, the mean age was 8 years (Ϯ4.8 SD), and the Injury Severity Score was Ն15 in 9.3%. Trauma team activation criteria were met by 179 patients (36.4%) and, of these, 107 met mechanism criteria only. A resuscitative intervention was received by 54 (10.9%) of the total and none in the mechanism-only group. Sensitivity and specificity of the TTA criteria for predicting receipt of a resuscitation procedure were 98.1% and 71.2%, respectively. When mechanism criteria were excluded, the sensitivity remained 98.1% and the specificity increased to 95.7%. Conclusions: Criteria for TTA that include patients who meet mechanism criteria only are not specific for identifying patients who receive a resuscitative intervention. Use of anatomic and physiologic criteria only results in an increase in specificity, thereby reducing overtriage while retaining a high sensitivity.

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“…3 In addition, the StatScan can provide a full body and cervical spine scan of a young child in just 10 s, it can be situated in the trauma room, does not require the patient to be transferred to another trolley to be scanned as it has an integrated docking resuscitation trolley and compared to conventional X-rays has an extremely low radiation dose. 1,2,9 This is particularly important for paediatric patients who are very susceptible to the adverse effects of radiation with increased rates of thyroid, breast, leukaemias and other cancers being reported. 6 This case illustrates that the StatScan is a highly efficient method for identifying increased ADI.…”

Section: Discussionmentioning

confidence: 99%

Increased atlanto-dental interval in a motor vehicle accident victim

Race

Balmforth

2008

Injury Extra

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Effect of a Pediatric Trauma Response Team on Emergency Department Treatment Time and Mortality of Pediatric Trauma Victims

Cited by 97 publications

References 21 publications

Trauma activation: are we making the right call? A 3-year experience at a Level I pediatric trauma center

Trauma activation: are we making the right call? A 3-year experience at a Level I pediatric trauma center

Maximizing the Sensitivity and Specificity of Pediatric Trauma Team Activation Criteria

Increased atlanto-dental interval in a motor vehicle accident victim

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