» Articles » PMID: 24408199

[Trauma Centre Admission of Severely Injured or Critically Ill Patients: Comparison of Estimated and Real Arrival Times]

Overview
Journal Unfallchirurg
Date 2014 Jan 11
PMID 24408199
Citations 2
Authors
Affiliations
Soon will be listed here.
Abstract

Background: During early in-hospital management of the arriving trauma patient the timing of the trauma team alert is an important organisational step. To evaluate the accordance of the estimated and the real arriving time we performed a retrospective data analysis at a level I German trauma centre.

Methods: Retrospective data analysis. Trauma team alerts from September 2010 until March 2011 were analysed. According to the hospitals pre-alert algorithm, trauma team alert took place 10 min before the estimated time of arrival.

Results: There were 165 trauma team alerts included in the analysis. The estimated arrival time coincided with the real arrival time in less than 10 % of cases. In 76 % of the cases, the patient arrived in an acceptable time frame with the trauma team waiting less than 14 min. In 3 % of the cases, the patient arrived prior to the trauma team.

Conclusion: An exact estimation of the arrival time is rare. With a trauma team alert 10 min prior to the estimated time of arrival, an acceptable waiting time can be achieved. Arrival of the patient prior to the trauma team can be avoided.

Citing Articles

Improving preparation in the emergency trauma room: the development and impact of real-time data transfer and dashboard visualization system.

Schatz A, Osterhoff G, Georgi C, Joeres F, Neumuth T, Rockstroh M Int J Comput Assist Radiol Surg. 2024; 20(2):301-310.

PMID: 39259482 PMC: 11807914. DOI: 10.1007/s11548-024-03256-2.


The quality of pre-announcement communication and the accuracy of estimated arrival time in critically ill patients, a prospective observational study.

Maris M, Berben S, Verhoef W, van Grunsven P, Tan E BMC Emerg Med. 2022; 22(1):44.

PMID: 35305570 PMC: 8933928. DOI: 10.1186/s12873-022-00601-z.

References
1.
Lillebo B, Seim A, Vinjevoll O, Uleberg O . What is optimal timing for trauma team alerts? A retrospective observational study of alert timing effects on the initial management of trauma patients. J Multidiscip Healthc. 2012; 5:207-13. PMC: 3430097. DOI: 10.2147/JMDH.S33740. View

2.
Siebert H . [White book of severely injured - care of the DGU. Recommendations on structure, organization and provision of hospital equipment for care of severely injured in the Federal Republic of Germany]. Unfallchirurg. 2006; 109(9):815-20. DOI: 10.1007/s00113-006-1154-x. View

3.
Brown R, Warwick J . Blue calls--time for a change?. Emerg Med J. 2001; 18(4):289-92. PMC: 1725615. DOI: 10.1136/emj.18.4.289. View

4.
Wurmb T, Balling H, Fruhwald P, Keil T, Kredel M, Meffert R . [Polytrauma management in a period of change: time analysis of new strategies for emergency room treatment]. Unfallchirurg. 2009; 112(4):390-9. DOI: 10.1007/s00113-008-1528-3. View

5.
Ruchholtz S, Waydhas C, Lewan U, Piepenbrink K, Stolke D, Debatin J . A multidisciplinary quality management system for the early treatment of severely injured patients: implementation and results in two trauma centers. Intensive Care Med. 2002; 28(10):1395-404. DOI: 10.1007/s00134-002-1446-8. View