The OR Suite as a Unique Trauma Resuscitation Bay

Abstract

Trauma is the fourth leading cause of death in the United States, and trauma injuries affect more than 50 million Americans annually. Inadequate care of trauma patients can cause unnecessary patient deaths. To decrease death and disability caused by trauma, one Denver hospital developed a trauma OR based on the "Golden Hour" principle (ie, the sooner a patient receives treatment, the more likely the patient will survive). Since 1977, this hospital has performed 1,838 trauma resuscitations in the trauma OR suite. This article discusses the importance of triage and recants the history of trauma patient transportation. The authors detail the trauma procedures at their hospital, including the specific roles of trauma team members and the necessary equipment, and provide demographic information on the trauma resuscitations performed at the hospital since 1988. The article also discusses the extensive and continuous orientation necessary for trauma team members and explains the quality improvement strategies implemented by this hospital.

Part 2. Clinical Practice Guideline for Trauma Team Composition and Trauma Cardiopulmonary Resuscitation from the Korean Society of Traumatology

“…However, no study has evaluated the most appropriate configuration of the trauma unit. The membership of a trauma unit depends on the location and institution-specific circumstances [5][6][7][8][9][10][11]. Although some studies have reported that only two doctors are needed to effectively treat trauma patients [12,13], other studies have reported the need to have more than two doctors in the trauma unit depending on the severity of the patient.…”

Update on correct site surgery

“…Rapid intervention and resuscitation reduce trauma fatalities. Resuscitating critically injured patients in ORs is an essential and integral part of all Level I and II trauma programs 3 . Rapid resuscitation of patients with multisystem injuries was advocated as early as the 1930s and has been practiced routinely since the early 1960s 4 .…”