trauma activation and stratification

[Anthony caruso]

Many of the hospitals in and around the Boston area base the trauma team 
activation on a well communicated pre-hospital report to the ED attending 
physician, via the two way radio.  Usually when we show up at a trauma 
center all of the physicians that need to be there are present.  I.E. a 
multi-trauma patient with signs of neuro compromise will have both of the ED 
attending, the trauma surgeon and the neurologist would be present.
  A good report from the field that communicates the mechanism and the 
patients signs and symptoms, should be a good indicator as to whether or not 
the trauma services should be consulted.  This however, is not the final 
call.  That I believe rests with the in-charge physician.
   A. Caruso NREMT-P

>From: KMATTOX at aol.com
>Reply-To: "Trauma & Critical Care mailing list" 
><trauma-list at trauma.org>
>To: trauma-list at trauma.org
>Subject: Re: trauma activation and stratification
>Date: Tue, 3 Oct 2006 10:53:17 EDT
>
>
>In a message dated 10/3/2006 8:27:19 A.M. Central Standard Time,
>japrak at gmail.com writes:
>
>l thnik  that there are 2 types of hispital politics on trauma management.
>one is  that all trauma patients are seen by trauma surgeon, and the other 
>is
>that  iniciative treatment is started by ER docs and based on their
>assessment  surgeons are called or not.this only stands for US and Canada, 
>as
>l know. l  think that in UK trauma surgeon is part of every core trauma  
>team.
>
>
>
>
>It has nothing to do with politics, but patient outcomes.    Trauma centers
>define the trauma activation criteria, especially for the  critical injured
>patients.   For this class, all data shows that  surgeons being responsible 
>for
>the patient care from the time the patient  arrives in the hospital results 
>in
>the best outcomes.   After all that  is what we all are for.   For this 
>very
>sick traumatized patient, the  function of the EC is often to wave to the
>patient as the patient goes from the  ambulance dock to the OR or to the 
>ICU.    To
>tarry in the EC in  such patients only INCREASES the complication and death
>rates.
>
>k
>
>k
>--
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