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Abstract
A prospective analysis of 207 trauma patients, from three internationally recognized
trauma centres, showed that trauma teams in which staff carry out allocated tasks
simultaneously have the quickest resuscitation times. This finding was further tested
by introducing these changes into a fourth centre. A comparison of resuscitation stage
times was made in 26 patients before and 24 patients after the introduction of the
organizational changes. Significant time reductions were found in all the stages,
except the time taken to examine the patient. The time taken to complete the resuscitation
was reduced by over half from 122 to 56 min. Significant time reductions applied even
when variations in the type of patient, the team size or seniority of the team leader
was taken into account. Recommendations for the organization of trauma teams are made.
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Article info
Publication history
Accepted:
May 8,
1991
Identification
Copyright
© 1992 Published by Elsevier Inc.
