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Resource Deployment in Response to Trauma Patients

Background Variance in the deployment of the trauma team to the emergency department (ED) can result in patient treatment delays and excess burden on ED personnel. Characteristics of trauma patients, including mechanism of injury, injury type, and age, have been associated with differences in trauma...

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Autores principales: Matthews, Thomas, LaScala, Alexa, Tomkin, Theresa, Gaeta, Lisa, Fitzgerald, Karen, Solomita, Michele, Ragione, Barbara, Jahan, Taslima P, Pepic, Saliha, Apurillo, Lillian, Siegel, Victoria, Frederick, Amy, Arrillaga, Abenamar, Klein, Lauren R, Cuellar, John, Raio, Christopher, Penta, Keri, Rothburd, Lauren, Eckardt, Sarah A, Eckardt, Patricia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10697664/
http://dx.doi.org/10.7759/cureus.49979
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author Matthews, Thomas
LaScala, Alexa
Tomkin, Theresa
Gaeta, Lisa
Fitzgerald, Karen
Solomita, Michele
Ragione, Barbara
Jahan, Taslima P
Pepic, Saliha
Apurillo, Lillian
Siegel, Victoria
Frederick, Amy
Arrillaga, Abenamar
Klein, Lauren R
Cuellar, John
Raio, Christopher
Penta, Keri
Rothburd, Lauren
Eckardt, Sarah A
Eckardt, Patricia
author_facet Matthews, Thomas
LaScala, Alexa
Tomkin, Theresa
Gaeta, Lisa
Fitzgerald, Karen
Solomita, Michele
Ragione, Barbara
Jahan, Taslima P
Pepic, Saliha
Apurillo, Lillian
Siegel, Victoria
Frederick, Amy
Arrillaga, Abenamar
Klein, Lauren R
Cuellar, John
Raio, Christopher
Penta, Keri
Rothburd, Lauren
Eckardt, Sarah A
Eckardt, Patricia
author_sort Matthews, Thomas
collection PubMed
description Background Variance in the deployment of the trauma team to the emergency department (ED) can result in patient treatment delays and excess burden on ED personnel. Characteristics of trauma patients, including mechanism of injury, injury type, and age, have been associated with differences in trauma resource deployment. Therefore, this retrospective, single-site study aimed to examine the deployment patterns of trauma resources, the characteristics of the trauma patients associated with levels of trauma resource deployment, and the deployment impact on ED workforce utilization and non-trauma ED patients. Methodology This was an investigator-initiated, single-institution, retrospective cohort study of all patients designated as a trauma response and admitted to a community hospital’s ED from July 01, 2019, through July 01, 2022. Results Resource deployment for trauma patients varied by mechanism of injury (p < 0.001), injury type (p < 0.001), and patient age groups (p < 0.001). Specifically, there was a lower average trauma activation for geriatric trauma patients with a fall as a mechanism of injury compared to all younger patient groups with any mechanism of injury (F(5) = 234.49, p < 0.001). In the subsample, there was an average of 3.35 ED registered nurses (RNs) allocated to each trauma patient. Additionally, the ED RNs were temporarily reallocated from an average of 4.09 non-trauma patients to respond to trauma patients, despite over a third of the trauma patients in the subsample being the trauma patients being discharged home from the ED. Conclusions Trauma activation responses need to be standardized with a specific plan for geriatric fall patients to ensure efficient use of trauma and ED personnel resources.
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spelling pubmed-106976642023-12-06 Resource Deployment in Response to Trauma Patients Matthews, Thomas LaScala, Alexa Tomkin, Theresa Gaeta, Lisa Fitzgerald, Karen Solomita, Michele Ragione, Barbara Jahan, Taslima P Pepic, Saliha Apurillo, Lillian Siegel, Victoria Frederick, Amy Arrillaga, Abenamar Klein, Lauren R Cuellar, John Raio, Christopher Penta, Keri Rothburd, Lauren Eckardt, Sarah A Eckardt, Patricia Cureus Geriatrics Background Variance in the deployment of the trauma team to the emergency department (ED) can result in patient treatment delays and excess burden on ED personnel. Characteristics of trauma patients, including mechanism of injury, injury type, and age, have been associated with differences in trauma resource deployment. Therefore, this retrospective, single-site study aimed to examine the deployment patterns of trauma resources, the characteristics of the trauma patients associated with levels of trauma resource deployment, and the deployment impact on ED workforce utilization and non-trauma ED patients. Methodology This was an investigator-initiated, single-institution, retrospective cohort study of all patients designated as a trauma response and admitted to a community hospital’s ED from July 01, 2019, through July 01, 2022. Results Resource deployment for trauma patients varied by mechanism of injury (p < 0.001), injury type (p < 0.001), and patient age groups (p < 0.001). Specifically, there was a lower average trauma activation for geriatric trauma patients with a fall as a mechanism of injury compared to all younger patient groups with any mechanism of injury (F(5) = 234.49, p < 0.001). In the subsample, there was an average of 3.35 ED registered nurses (RNs) allocated to each trauma patient. Additionally, the ED RNs were temporarily reallocated from an average of 4.09 non-trauma patients to respond to trauma patients, despite over a third of the trauma patients in the subsample being the trauma patients being discharged home from the ED. Conclusions Trauma activation responses need to be standardized with a specific plan for geriatric fall patients to ensure efficient use of trauma and ED personnel resources. Cureus 2023-12-05 /pmc/articles/PMC10697664/ http://dx.doi.org/10.7759/cureus.49979 Text en Copyright © 2023, Matthews et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Geriatrics
Matthews, Thomas
LaScala, Alexa
Tomkin, Theresa
Gaeta, Lisa
Fitzgerald, Karen
Solomita, Michele
Ragione, Barbara
Jahan, Taslima P
Pepic, Saliha
Apurillo, Lillian
Siegel, Victoria
Frederick, Amy
Arrillaga, Abenamar
Klein, Lauren R
Cuellar, John
Raio, Christopher
Penta, Keri
Rothburd, Lauren
Eckardt, Sarah A
Eckardt, Patricia
Resource Deployment in Response to Trauma Patients
title Resource Deployment in Response to Trauma Patients
title_full Resource Deployment in Response to Trauma Patients
title_fullStr Resource Deployment in Response to Trauma Patients
title_full_unstemmed Resource Deployment in Response to Trauma Patients
title_short Resource Deployment in Response to Trauma Patients
title_sort resource deployment in response to trauma patients
topic Geriatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10697664/
http://dx.doi.org/10.7759/cureus.49979
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