PMID: 11334102May 4, 2001Paper

Effectiveness of a pediatric trauma team protocol

Pediatric Emergency Care
K E NussG A Smith

Abstract

To determine the effectiveness of a pediatric trauma triage system and resource allocation for emergency medicine and trauma services. TRAUMA SYSTEM: Two-tier trauma team activation system that triages patients into Level 1 and Level 2 trauma alert categories based on information provided by pre-hospital providers to pediatric emergency physicians at an American College of Surgeons' Level 1 pediatric trauma center in Columbus, Ohio. Using the hospital trauma registry database and patient medical records, a retrospective chart review was conducted on all (n = 542) admitted pediatric trauma patients from January 1995 through December 1996. Level 1 patients had a higher median injury severity score and shorter emergency department (ED) length of stay time than Level 2 patients. Level 1 patients were more likely to be admitted to the pediatric intensive care unit and remain for more than 24 hours when compared to Level 2 patients. In addition, Level 1 patients were more likely to have procedures performed (eg, intubation, tube thoracostomy, thoracotomy, diagnostic peritoneal lavage) than Level 2 patients. The mortality rate was significantly higher for Level 1 patients and all ED deaths had been triaged to the Level 1 category. Thi...Continue Reading

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Citations

Jul 3, 2004·Pediatric Emergency Care·Li Ern ChenRobert P Foglia
Jan 24, 2008·Pediatric Emergency Care·Ottavio AdorisioDante Alfredo Danti
Aug 19, 2007·The Journal of Trauma·Robert A CherryRobert N Cooney
Nov 20, 2004·ANZ Journal of Surgery·Kenneth Wong, Jeffrey Petchell
Jan 21, 2014·Journal of Pediatric Surgery·Sara C FallonBindi Naik-Mathuria
Jun 15, 2007·Journal of Pediatric Surgery·Jonathan I GronerDonna A Caniano
Mar 29, 2006·Journal of Pediatric Surgery·Benedict C NwomehDonna A Caniano
Jul 2, 2005·Journal of Pediatric Surgery·Barish H EdilNikola K Puffinbarger
Jun 18, 2015·The Journal of Surgical Research·Sandra M FarachNicole M Chandler
Feb 25, 2015·The Journal of Trauma and Acute Care Surgery·E Brooke LernerManish N Shah
Jan 20, 2015·Journal of Pediatric Surgery·Laura A BoomerJonathan I Groner
Jun 30, 2011·Journal of Pharmacy Practice·Thomas R ScarponciniDaniel P Hays
Apr 18, 2020·The Journal of Trauma and Acute Care Surgery·Maria Carmen MoraAnkush Gosain
Jan 5, 2019·Pediatric Emergency Care·Amy L DrendelE Brooke Lerner

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