PMID: 8959169Dec 1, 1996Paper

A model for an integrated emergency medicine/trauma service

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
J HartmannM Libby

Abstract

To describe a model for an integrated multidisciplinary trauma service and to compare survival outcomes for patients resuscitated by either emergency medicine (EM) or surgical housestaff assigned to the trauma service. A prospective observational study was performed using injured patients evaluated in the trauma room at Hartford Hospital from July 1 through December 31, 1995. Inclusion criteria included an ICD-9-CM code of 800 through 959.9 and any of the following: transfer from another hospital, admission to the intensive care unit, hospitalization for > or = 23 hours, survival probability of < or = 90%, or Abbreviated Injury Score of > or = 3. Patients were excluded for burns necessitating transfer to a burn unit for definitive care, and for missing data elements that prevented a patient from being analyzed by the TRISS method. Data elements included mechanism of injury, Injury Severity Score, Revised Trauma Score, probability of survival, age, gender, and whether an EM resident was team leader. Patients in the EM cohort (group 1) were compared with patients for whom a surgical resident was team leader (group 2) for all data elements and for hospital survival. TRISS analysis was performed to evaluate outcomes in comparison w...Continue Reading

References

Nov 1, 1990·The Journal of Trauma·H R ChampionC F Frey
Nov 1, 1994·The Journal of Trauma·D P Milzman, B Boulanger
Jun 1, 1993·The Journal of Trauma·J D RichardsonH C Polk
Mar 1, 1994·The Journal of Trauma·E E CornwellD Demetriades
Apr 1, 1996·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J M HowellK Kleinschmidt

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Citations

Jul 5, 2005·The Journal of Trauma·P JoosseK J Ponsen
Oct 13, 2010·The Journal of Trauma·Takashi FujitaTetsuya Sakamoto
Jul 2, 2014·British Journal of Anaesthesia·D Tiel Groenestege-KrebL Leenen
Nov 28, 2009·Medicina intensiva·E Carreras-González, L Marruecos-Sant
Jul 26, 2011·International Journal of Emergency Medicine·C James HollimanKathleen Clem

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