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Journal Article

Citation

Kouzminova N, Shatney C, Palm E, McCullough M, Sherck J. J. Trauma 2009; 67(4): 829-833.

Affiliation

From the Division of Trauma, and Emergency Medicine, Department of Surgery, Santa Clara Valley Medical Center, San Jose, California; and Division of Trauma and Surgical Critical Care, Stanford University.

Copyright

(Copyright © 2009, Lippincott Williams and Wilkins)

DOI

10.1097/TA.0b013e3181b57b6d

PMID

19820592

Abstract

BACKGROUND:: By using current American College of Surgeons trauma center triage criteria, 52% of patients transported to our level I trauma center are discharged home from the emergency department (ED). Because the majority of our trauma transports were based solely on mechanism of injury, we instituted, in 1990, a two-tiered trauma team activation system. Patients are triaged into major and minor trauma alert categories based on prehospital provider information. For minor trauma patients, respiratory therapy, operating room staff, and blood bank do not respond. The current study evaluated this triage system. METHODS:: Trauma registry data on all trauma activations from 1998 to 2007 were analyzed. RESULTS:: There were 20,332 trauma activations: 5,881 were major trauma, 14,451 minor trauma. The mean Injury Severity Score in major versus minor patients was significantly different (11.7 vs. 3.6, p < 0.0001). Significant differences (p < 0.0001) were also noted for all other markers of serious injury: Injury Severity Score >16, ED blood pressure <90, Glasgow Coma Score

Language: en

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