Using trauma video review to search for the Goldilocks pre-activation time
| Autor: | Eric Klein, Ella Rose Rastegar, Sophia Görgens, Manuel Beltran del Rio, Elizabeth Nilsson Sjolander, Joseph Landers, Cristy Meyer, Daniel Rolston, Maria Sfakianos, Matthew Bank, Daniel Jafari |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Trauma Surgery & Acute Care Open, Vol 9, Iss 1 (2024) |
| Druh dokumentu: | article |
| ISSN: | 2024-0015 2397-5776 |
| DOI: | 10.1136/tsaco-2024-001588 |
| Popis: | Objectives We sought to determine the optimal time to pre-activation for trauma team activation that resulted in maximum team efficiency, measured by the time to complete critical actions (TCCAs) during resuscitation. We hypothesized that there exists a time window for trauma team pre-activation that minimizes TCCA.Methods This is an exploratory retrospective analysis of video-reviewed traumas at a level 1 trauma center from January 1, 2018 to 28 February, 2022 that received the highest trauma team activation and had a pre-arrival notification. A total of 11 TCCA categories were calculated using video timestamps. To compare TCCAs from different categories, normalized TCCAs (nTCCAs) were calculated by dividing each TCCA by the median time of its category. Pre-activation times were categorized into three groups: long pre-activation (≥8 min), mid pre-activation (≥4 and ≤7 min), and short pre-activation (≥0 and ≤4).Results There were 466 video-recorded level 1 trauma activations, which resulted in 2334 TCCAs. Of the 466 activations, 152 occured on the patient’s arrival (0 min pre-activation). The majority (425) of patients had a pre-activation time of |
| Databáze: | Directory of Open Access Journals |
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