Which pre-hospital triage parameters indicate a need for immediate evaluation and treatment of severely injured patients in the resuscitation area?
Kai Oliver JensenR HeyardD SchmittL MicaC OssendorfH P SimmenG A WannerC M L WernerL HeldK SprengelPublished in: European journal of trauma and emergency surgery : official publication of the European Trauma Society (2017)
The trauma team activation criteria could be reduced to eight predictors without losing its predictive performance. Non-relevant parameters such as EMS provider judgement, endotracheal intubation, suspected paralysis, the presence of burned body surface of > 20% and suspected fractures of two proximal long bones could be excluded for full trauma team activation. The fact that the emergency physicians did a better job in reducing under-triage compared to our final triage model suggests that other variables not present in the S3 guideline may be relevant for prediction.
Keyphrases
- emergency department
- end stage renal disease
- cardiac arrest
- primary care
- palliative care
- newly diagnosed
- ejection fraction
- pulmonary embolism
- chronic kidney disease
- peritoneal dialysis
- public health
- prognostic factors
- quality improvement
- trauma patients
- cardiopulmonary resuscitation
- adverse drug
- patient reported outcomes
- depressive symptoms
- acute care
- septic shock