Protocol compliance and time management in blunt trauma resuscitation

Abstract

Results showed the current trauma resuscitation to be ATLS-like, with sometimes very low protocol compliance rates. Timing of secondary survey and radiology and thus time efficiency remains a challenge in all trauma patients. To assess the effect of trauma resuscitation protocols on outcome, protocol adherence needs to be improved.

Trauma Resuscitation Errors and Computer-Assisted Decision Support

“…10 Protocol compliance was only 53% when measured pro-spectively using video audit. 11 This lack of compliance with protocols has led experienced trauma care professionals to conclude that "Standardized protocols for resuscitation . .…”

“…Errors in trauma resuscitation have persisted during the past 20 years despite major improvements in training, facilities, guidelines, and systems of care. [3][4][5][6]10,11 It has been expected that technological developments, along with computer- 12,24,25 It was unclear whether decision support would alter trauma care professionals' behavior in this high-volume facility. It seems unlikely that the reason for poor protocol compliance was lack of awareness of protocols.…”

Factors associated with patient exposure and environmental control during pediatric trauma resuscitation

“…15 Video review of low-acuity adult trauma resuscitations found that one third of teams failed to expose the patient or make use of warm blankets to prevent hypothermia. 17 Only 3% of these teams measured the patient's temperature, suggesting a lack of focus on this aspect of the resuscitation. Video review of pediatric resuscitations showed that only 11% of trauma teams warmed fluids during bolus administration.…”

What is the purpose of log roll examination in the unconscious adult trauma patient during trauma reception?

“…Time efficiency remains a continuing challenge during trauma resuscitation and the log roll examination presents an interruption to assessment and management 11 12. In addition, risks to the patient during a log roll manoeuvre and potential musculoskeletal injuries for staff involved have been postulated 13.…”