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Trauma team activation varies across Dutch emergency departments: a national survey

BACKGROUND: Tiered trauma team response may contribute to efficient in-hospital trauma triage by reducing the amount of resources required and by improving health outcomes. This study evaluates current practice of trauma team activation (TTA) in Dutch emergency departments (EDs). METHODS: A survey w...

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Autores principales: Egberink, Rolf E., Otten, Harm-Jan, IJzerman, Maarten J., van Vugt, Arie B., Doggen, Carine J. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4647827/
https://www.ncbi.nlm.nih.gov/pubmed/26573147
http://dx.doi.org/10.1186/s13049-015-0185-0
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author Egberink, Rolf E.
Otten, Harm-Jan
IJzerman, Maarten J.
van Vugt, Arie B.
Doggen, Carine J. M.
author_facet Egberink, Rolf E.
Otten, Harm-Jan
IJzerman, Maarten J.
van Vugt, Arie B.
Doggen, Carine J. M.
author_sort Egberink, Rolf E.
collection PubMed
description BACKGROUND: Tiered trauma team response may contribute to efficient in-hospital trauma triage by reducing the amount of resources required and by improving health outcomes. This study evaluates current practice of trauma team activation (TTA) in Dutch emergency departments (EDs). METHODS: A survey was conducted among managers of all 102 EDs in the Netherlands, using a semi-structured online questionnaire. RESULTS: Seventy-two questionnaires were analysed. Most EDs use a one-team system (68 %). EDs with a tiered-response receive more multi trauma patients (p < 0.01) and have more trauma team alerts per year (p < 0.05) than one-team EDs. The number of trauma team members varies from three to 16 professionals. The ED nurse usually receives the pre-notification (97 %), whereas the decision to activate a team is made by an ED nurse (46 %), ED physician (30 %), by multiple professionals (20 %) or other (4 %). Information in the pre-notification mostly used for trauma team activation are Airway-Breathing-Circulation (87 %), Glasgow Coma Score (90 %), and Revised Trauma Score (85 %) or Paediatric Trauma Score (86 %). However, this information is only available for 75 % of the patients or less. Only 56 % of the respondents were satisfied with their current in-hospital trauma triage system. CONCLUSIONS: Trauma team activation varies across Dutch EDs and there is room for improvement in the trauma triage system used, size of the teams and the professionals involved. More direct communication and more uniform criteria could be used to efficiently and safely activate a specific trauma team. Therefore, the implementation of a revised national consensus guideline is recommended. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13049-015-0185-0) contains supplementary material, which is available to authorized users.
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spelling pubmed-46478272015-11-18 Trauma team activation varies across Dutch emergency departments: a national survey Egberink, Rolf E. Otten, Harm-Jan IJzerman, Maarten J. van Vugt, Arie B. Doggen, Carine J. M. Scand J Trauma Resusc Emerg Med Original Research BACKGROUND: Tiered trauma team response may contribute to efficient in-hospital trauma triage by reducing the amount of resources required and by improving health outcomes. This study evaluates current practice of trauma team activation (TTA) in Dutch emergency departments (EDs). METHODS: A survey was conducted among managers of all 102 EDs in the Netherlands, using a semi-structured online questionnaire. RESULTS: Seventy-two questionnaires were analysed. Most EDs use a one-team system (68 %). EDs with a tiered-response receive more multi trauma patients (p < 0.01) and have more trauma team alerts per year (p < 0.05) than one-team EDs. The number of trauma team members varies from three to 16 professionals. The ED nurse usually receives the pre-notification (97 %), whereas the decision to activate a team is made by an ED nurse (46 %), ED physician (30 %), by multiple professionals (20 %) or other (4 %). Information in the pre-notification mostly used for trauma team activation are Airway-Breathing-Circulation (87 %), Glasgow Coma Score (90 %), and Revised Trauma Score (85 %) or Paediatric Trauma Score (86 %). However, this information is only available for 75 % of the patients or less. Only 56 % of the respondents were satisfied with their current in-hospital trauma triage system. CONCLUSIONS: Trauma team activation varies across Dutch EDs and there is room for improvement in the trauma triage system used, size of the teams and the professionals involved. More direct communication and more uniform criteria could be used to efficiently and safely activate a specific trauma team. Therefore, the implementation of a revised national consensus guideline is recommended. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13049-015-0185-0) contains supplementary material, which is available to authorized users. BioMed Central 2015-11-16 /pmc/articles/PMC4647827/ /pubmed/26573147 http://dx.doi.org/10.1186/s13049-015-0185-0 Text en © Egberink et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Original Research
Egberink, Rolf E.
Otten, Harm-Jan
IJzerman, Maarten J.
van Vugt, Arie B.
Doggen, Carine J. M.
Trauma team activation varies across Dutch emergency departments: a national survey
title Trauma team activation varies across Dutch emergency departments: a national survey
title_full Trauma team activation varies across Dutch emergency departments: a national survey
title_fullStr Trauma team activation varies across Dutch emergency departments: a national survey
title_full_unstemmed Trauma team activation varies across Dutch emergency departments: a national survey
title_short Trauma team activation varies across Dutch emergency departments: a national survey
title_sort trauma team activation varies across dutch emergency departments: a national survey
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4647827/
https://www.ncbi.nlm.nih.gov/pubmed/26573147
http://dx.doi.org/10.1186/s13049-015-0185-0
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