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Abstract
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).
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Article info
Publication history
Accepted:
May 12,
1991
Identification
Copyright
© 1992 Published by Elsevier Inc.
