Optimization of criteria for activation of trauma teams : Avoidance of overtriage and undertriage

Der Unfallchirurg
D BielerChristian Waydhas

Abstract

Severely injured patients are supposed to be admitted to hospital via the trauma room. Appropriate criteria are contained in the S3 guidelines on the treatment of patients with severe/multiple injuries (S3-GL); however, some of these criteria require scarce hospital resources while the patients then often clinically present as uninjured. There are tendencies to streamline the trauma team activation criteria (TTAC); however, additional undertriage must be avoided. A study group of the emergency, intensive care medicine and treatment of the severely injured section (NIS) is in the process of optimizing the TTAC for the German trauma system. In order to solve the objective the following multi-step approach is necessary: a) definition of patients who potentially benefit from TTA, b) verification of the definition in the TraumaRegister DGU® (TR-DGU), c) carrying out a prospective, multicenter study in order to determine overtriage and undertriage, thereby validating the activation criteria and d) revision of the current TTAC. This article summarizes the consensus criteria of the group assumed to be capable of identifying patients who potentially benefit from TTA. These criteria are used to test if TTA was justified in a specific cas...Continue Reading

References

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Jun 17, 2014·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Craig D NewgardUNKNOWN Western Emergency Services Translational Research Network (WESTRN) Investigators
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Jul 29, 2015·The Journal of Trauma and Acute Care Surgery·David J CieslaBarbara Langland-Orban
May 11, 2016·Injury·Arnaud FollinRomain Pirracchio
May 15, 2016·Journal of the American College of Surgeons·Craig D NewgardUNKNOWN Western Emergency Services Translational Research Network Investigators
Aug 27, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Trond DehliKristian Bartnes
Dec 15, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·K O JensenK Sprengel
Feb 23, 2018·World Journal of Surgery·Christian WaydhasDan Bieler

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Citations

Mar 4, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Christian WaydhasUNKNOWN World-Trauma TAcTIC Study Group

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