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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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- Abbreviated Injury Scale, 1985 Revision. American Association for Automotive Medicine, Arlington Heights, Illinois1985
- ATLS Course.The American College of Surgeons, Chicago, Illinois1988
- The resuscitation of the severely injured in the accident and emergency department — a medical audit.Injury. 1985; 16: 249
- On trauma resuscitation times.Injury. 1991; 23: 00-00
- The effects of task characteristics on the organization of the team.in: Proc. Human Factors Society. 1981: 546
- The distribution of task demands in the multiman-machine system.in: Proc. International Conference on Man-machine Systems. 212. 1982: 68
- Task allocation and the balancing of task demands in the multiman-machine system: some case studies.Appl. Ergonomics. 1985; 16: 251
- Group performance as a function of work distribution patterns and task load.Sociometry. 1956; 19: 95
- A study of group performance.Behav. Sci. 1966; 11: 273
Accepted: May 8, 1991
© 1992 Published by Elsevier Inc.