Trauma Team Activation: Which Surgical Capability Is Immediately Required in Polytrauma? A Retrospective, Monocentric Analysis of Emergency Procedures Performed on 751 Severely Injured Patients
There has been an ongoing discussion as to which interventions should be carried out by an “organ specialist” (for example, a thoracic or visceral surgeon) or by a trauma surgeon with appropriate general surgical training in polytrauma patients. However, there are only limited data about which exact...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/19/4335 |
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| author | Daniel Schmitt Sascha Halvachizadeh Robin Steinemann Kai Oliver Jensen Till Berk Valentin Neuhaus Ladislav Mica Roman Pfeifer Hans Christoph Pape Kai Sprengel |
| author_facet | Daniel Schmitt Sascha Halvachizadeh Robin Steinemann Kai Oliver Jensen Till Berk Valentin Neuhaus Ladislav Mica Roman Pfeifer Hans Christoph Pape Kai Sprengel |
| author_sort | Daniel Schmitt |
| collection | DOAJ |
| description | There has been an ongoing discussion as to which interventions should be carried out by an “organ specialist” (for example, a thoracic or visceral surgeon) or by a trauma surgeon with appropriate general surgical training in polytrauma patients. However, there are only limited data about which exact emergency interventions are immediately carried out. This retrospective data analysis of one Level 1 trauma center includes adult polytrauma patients, as defined according to the Berlin definition. The primary outcome was the four most common emergency surgical interventions (ESI) performed during primary resuscitation. Out of 1116 patients, 751 (67.3%) patients (male gender, 530, 74.3%) met the inclusion criteria. The median age was 39 years (IQR: 25, 58) and the median injury severity score (ISS) was 38 (IQR: 29, 45). In total, 711 (94.7%) patients had at least one ESI. The four most common ESI were the insertion of a chest tube (48%), emergency laparotomy (26.3%), external fixation (23.5%), and the insertion of an intracranial pressure probe (ICP) (19.3%). The initial emergency treatment of polytrauma patients include a limited spectrum of potential life-saving interventions across distinct body regions. Polytrauma care would benefit from the 24/7 availability of a trauma team able to perform basic potentially life-saving surgical interventions, including chest tube insertion, emergency laparotomy, placing external fixators, and ICP insertion. |
| first_indexed | 2024-03-10T06:57:40Z |
| format | Article |
| id | doaj.art-246506286354469b8d40a5958f92bf47 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T06:57:40Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-246506286354469b8d40a5958f92bf472023-11-22T16:17:55ZengMDPI AGJournal of Clinical Medicine2077-03832021-09-011019433510.3390/jcm10194335Trauma Team Activation: Which Surgical Capability Is Immediately Required in Polytrauma? A Retrospective, Monocentric Analysis of Emergency Procedures Performed on 751 Severely Injured PatientsDaniel Schmitt0Sascha Halvachizadeh1Robin Steinemann2Kai Oliver Jensen3Till Berk4Valentin Neuhaus5Ladislav Mica6Roman Pfeifer7Hans Christoph Pape8Kai Sprengel9Department of Trauma, University Hospital Zurich (USZ), Raemistrasse 100, 8091 Zurich, SwitzerlandDepartment of Trauma, University Hospital Zurich (USZ), Raemistrasse 100, 8091 Zurich, SwitzerlandDepartment of Trauma, University Hospital Zurich (USZ), Raemistrasse 100, 8091 Zurich, SwitzerlandDepartment of Trauma, University Hospital Zurich (USZ), Raemistrasse 100, 8091 Zurich, SwitzerlandDepartment of Trauma, University Hospital Zurich (USZ), Raemistrasse 100, 8091 Zurich, SwitzerlandDepartment of Trauma, University Hospital Zurich (USZ), Raemistrasse 100, 8091 Zurich, SwitzerlandDepartment of Trauma, University Hospital Zurich (USZ), Raemistrasse 100, 8091 Zurich, SwitzerlandDepartment of Trauma, University Hospital Zurich (USZ), Raemistrasse 100, 8091 Zurich, SwitzerlandDepartment of Trauma, University Hospital Zurich (USZ), Raemistrasse 100, 8091 Zurich, SwitzerlandDepartment of Trauma, University Hospital Zurich (USZ), Raemistrasse 100, 8091 Zurich, SwitzerlandThere has been an ongoing discussion as to which interventions should be carried out by an “organ specialist” (for example, a thoracic or visceral surgeon) or by a trauma surgeon with appropriate general surgical training in polytrauma patients. However, there are only limited data about which exact emergency interventions are immediately carried out. This retrospective data analysis of one Level 1 trauma center includes adult polytrauma patients, as defined according to the Berlin definition. The primary outcome was the four most common emergency surgical interventions (ESI) performed during primary resuscitation. Out of 1116 patients, 751 (67.3%) patients (male gender, 530, 74.3%) met the inclusion criteria. The median age was 39 years (IQR: 25, 58) and the median injury severity score (ISS) was 38 (IQR: 29, 45). In total, 711 (94.7%) patients had at least one ESI. The four most common ESI were the insertion of a chest tube (48%), emergency laparotomy (26.3%), external fixation (23.5%), and the insertion of an intracranial pressure probe (ICP) (19.3%). The initial emergency treatment of polytrauma patients include a limited spectrum of potential life-saving interventions across distinct body regions. Polytrauma care would benefit from the 24/7 availability of a trauma team able to perform basic potentially life-saving surgical interventions, including chest tube insertion, emergency laparotomy, placing external fixators, and ICP insertion.https://www.mdpi.com/2077-0383/10/19/4335polytraumaemergency surgerytrauma team competencetrauma systemlife-saving intervention |
| spellingShingle | Daniel Schmitt Sascha Halvachizadeh Robin Steinemann Kai Oliver Jensen Till Berk Valentin Neuhaus Ladislav Mica Roman Pfeifer Hans Christoph Pape Kai Sprengel Trauma Team Activation: Which Surgical Capability Is Immediately Required in Polytrauma? A Retrospective, Monocentric Analysis of Emergency Procedures Performed on 751 Severely Injured Patients Journal of Clinical Medicine polytrauma emergency surgery trauma team competence trauma system life-saving intervention |
| title | Trauma Team Activation: Which Surgical Capability Is Immediately Required in Polytrauma? A Retrospective, Monocentric Analysis of Emergency Procedures Performed on 751 Severely Injured Patients |
| title_full | Trauma Team Activation: Which Surgical Capability Is Immediately Required in Polytrauma? A Retrospective, Monocentric Analysis of Emergency Procedures Performed on 751 Severely Injured Patients |
| title_fullStr | Trauma Team Activation: Which Surgical Capability Is Immediately Required in Polytrauma? A Retrospective, Monocentric Analysis of Emergency Procedures Performed on 751 Severely Injured Patients |
| title_full_unstemmed | Trauma Team Activation: Which Surgical Capability Is Immediately Required in Polytrauma? A Retrospective, Monocentric Analysis of Emergency Procedures Performed on 751 Severely Injured Patients |
| title_short | Trauma Team Activation: Which Surgical Capability Is Immediately Required in Polytrauma? A Retrospective, Monocentric Analysis of Emergency Procedures Performed on 751 Severely Injured Patients |
| title_sort | trauma team activation which surgical capability is immediately required in polytrauma a retrospective monocentric analysis of emergency procedures performed on 751 severely injured patients |
| topic | polytrauma emergency surgery trauma team competence trauma system life-saving intervention |
| url | https://www.mdpi.com/2077-0383/10/19/4335 |
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