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Process related decisions and in-hospital transport times in polytrauma patients benefit from 24/7 in-house presence of trauma surgeons

Injury Sep 23, 2020

van Wessem KJP, et al. - The present study was conducted to evaluate in-hospital transport times and the influence of process-related decisions on mortality in polytrauma patients. Researchers performed a 6.5-year prospective study including consecutive polytrauma patients ≥ 15 years admitted to a Level-1 Trauma Center ICU with 24/7 in-house trauma surgeons. They prospectively collected demographics, physiologic parameters, pre- and in-hospital transport times. They enrolled 391 individuals with a median injury severity score of 29(22–36). This study's findings demonstrate that in-hospital transport times from emergency department were half an hour regardless of the following destination. The data exhibited that decisions for transport order based on clinical signs in the primary survey were rapid and accurate. The findings suggest that this could be attributed to dedicated trauma teams and 24/7 physical appearance of trauma surgeons.

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