This paper is only available as a PDF. To read, Please Download here.
There were significant differences in the time taken to resuscitate 257 trauma patients from four internationally recognized trauma centres. The fastest unit completed resuscitation in 15 min while the slowest took 105 min. This variation was not explained by differences in the type of patient dealt with, seniority of the team leader, or the number of personnel in the trauma team. Although there were significant differences between the units with regard to these parameters, they did not account for the resuscitation time variations. The average post-qualification time of the team leader at the fastest unit was 2 years. Although the slowest unit had the smallest trauma team (two people), larger numbers of personnel did not shorten resuscitation times.
The time taken to carry out the ABC of the primary survey was significantly correlated with patient's physiological change in the resuscitation room (R = 0.63, P < 0.0001 with systolic blood pressure; R = −0.68, P < 0.01 with the revised trauma score). A multiple regression with survival as the dependent variable revealed that this time was also a predictor of the patient's eventual outcome (t = 3.18, P < 0.005).
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Injury
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Emergency Department Organization and Management. C.V. Mosby Co, St Louis1975
- Outcome of critically injured patients treated at a level 1 trauma centre versus full-service community hospitals.Crit. Care Med. 1985; 13: 861
- Abbreviated injury scale 1985 revision.American Association for Automotive Medicine, Arlington Heights1985
- Hospital and pre-hospital resources for optimal care of the injured patient.ACS Bull. 1986; 71: 4
- ATLS Program. American College of Surgeons, Chicago1989
- The resuscitation and stabilization of major multiple trauma patients in a trauma centre environment.Clin. Med. 1976; 83: 14
- Trauma Centre — a new concept for the delivery of critical care.J. Med. Soc. N.J. 1977; 74: 979
- Shock Trauma/Critical Care Handbook. Aspen Publications, Royal Tunbridge Wells1986
- Emergency service standards; joint commission on accreditation of hospitals update.Em. Med. Ser. 1978; : 37-133
- A trauma centre — what is involved.J. Can. Assoc. Radiol. 1983; 34: 163
- Report of the working party on The management of patients with major injuries. 1989; (London)
- Recent advances in the management of trauma.Surg. Annu. 1977; 9: 381
- Initial resuscitation and assessment of patients with multisystem blunt trauma.South Med. J. 1988; 81: 501
- The Hospital Emergency Department. C. C Thomas, Springfield, Ill1972
- The initial management of the trauma patient.Crit. Care Clin. 1986; 2: 705
- Systems of trauma care — a study of two counties.Arch. Surg. 1979; 114: 455
- Impact of regionalisation. The Orange County Experience.Arch. Surg. 1983; 118: 740
Accepted: May 12, 1991
© 1992 Published by Elsevier Inc.