Initiative Traumanetzwerk

Sturm, J. A.; Kühne, Christian; Ruchholtz, Steffen; Dgu, Initiative Trauma-Netzwerk

doi:10.1007/s10039-006-1102-6

Cited by 3 publications

(2 citation statements)

References 50 publications

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“… 4 , 5 Clinical investigators have made great efforts to improve medical outcomes in severely injured patients. The key to successful treatment of such patients is prompt initiation of necessary tests and procedures; 6 – 8 delayed initiation of these can be fatal in certain circumstances. Thus, teamwork between doctors and nurses is vitally important in the initial management of trauma patients.…”

Section: Introductionmentioning

confidence: 99%

Effect of team training on efficiency of trauma care in a Chinese hospital

Hong

Cai

2017

J Int Med Res

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ObjectiveMultidisciplinary trauma teams are the standard of care in the USA, but staffing differences and lack of advanced trauma life support training hinder replication of this system in Chinese hospitals. We investigated the effect of simulation team training on initial trauma care.MethodsOver 15 months, we compared grade I trauma patients cared for by the trained team and those cared for using traditional practice on times from emergency room arrival to tests/procedures. Propensity-score analysis was performed to improve between-group comparisons.ResultsDuring the study, 144 grade I trauma patients were treated. Trained team patients showed shorter times from emergency room arrival to initiation of hemostasis (31.0 [13.5–58.5] vs. 113.5 [77–150.50] min), blood routine report (8 [5–10.25] vs. 13 [10–21] min), other blood tests (21 [14.75–25.75] vs. 31 [25–37] min), computed tomography scan (29.5 [20.25–65] vs. 58.5 [30.25–71.25] min) and tranexamic acid administration (31 [13–65] vs. 90 [65–200] min). Similar results were obtained for the propensity-score matched cohort.ConclusionSimulation team training could help reduce time to blood routine reports, scans and hemostasis. Assessment of available resources and development of targeted team training could improve care in resource-limited hospitals.

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Section: Introductionmentioning

confidence: 99%

Effect of team training on efficiency of trauma care in a Chinese hospital

Hong

Cai

2017

J Int Med Res

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“…Criteria for admission to trauma centres and their equipment were defined, treatment protocols were standardized, and quality control was ensured by compulsory inclusion of these centres in TR-DGU. 21 A national major trauma registry is also now being considered in Slovenia. The present study, has demonstrated that the structure of TR-DGU is suitable for the working methods and the current state of trauma documentation in Slovenia.…”

Section: Discussionmentioning

confidence: 99%

Improved Prediction from Revised Injury Severity Classification (RISC) over Trauma and Injury Severity Score (TRISS) in an Independent Evaluation of Major Trauma Patients

2010

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The usefulness of the Revised Injury Severity Classification (RISC) analysis was compared with that of the Trauma and Injury Severity Score (TRISS) for evaluating the quality of treatment of severely injured patients at the General Hospital Celje, Slovenia. Over a period of 2 years, data from a cohort of 155 patients treated at the General Hospital Celje were included in the Traumaregister Deutsche Gesellschaft für Unfallchirurgie. The structure of the patient group was compared with that in the registry, and TRISS and RISC analyses were performed. The M statistic (0.83) showed a good match of the distribution of probability of survival between groups. Evaluation of RISC (area under the curve [AUC] 0.94, Hosmer-Lemeshow test 3.5) demonstrated the efficacy of this method in the patient group. TRISS (AUC 0.89, Hosmer-Lemeshow test 21.1) was not a reliable instrument for analysis of treatment of major trauma patients. We believe that RISC should replace TRISS for evaluation of the treatment of major trauma patients.

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