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Related Experiment Videos

The Integrated Trauma Program: a model for cooperative trauma triage.

G Pagliarello1, A Dempster, D Wesson

  • 1Integrated Trauma Program, University of Toronto, Ontario, Canada.

The Journal of Trauma
|August 1, 1992
PubMed
Summary
This summary is machine-generated.

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The Integrated Trauma Program (ITP) streamlined patient transfers by connecting referring hospitals to trauma team leaders (TTL). The system successfully managed 1530 transfer requests over two years, accepting most for specialized trauma care.

Area of Science:

  • Trauma Care
  • Emergency Medicine
  • Health Services Management

Background:

  • The Integrated Trauma Program (ITP) is a cooperative triage service linking University of Toronto trauma and burn centers with the Ontario Ministry of Health.
  • It offers direct physician access to a trauma team leader (TTL) via a single phone number for efficient patient transfers.

Purpose of the Study:

  • To describe the operational system of the Integrated Trauma Program (ITP) during its initial two years.
  • To analyze the volume, acceptance rates, and distribution of patient transfer requests managed by the ITP.

Main Methods:

  • The study analyzed 1530 patient transfer requests processed by the ITP from July 1989 to June 1991.
  • Data included referral sources, acceptance/refusal rates by TTLs, reasons for cancellation, and patient distribution methods.

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Main Results:

  • 77% of transfer requests were accepted by TTLs for trauma services, with 16% accepted by surgical services.
  • 4% of referrals were deemed inappropriate, and 3% were cancelled by referring physicians.
  • Vehicular crashes were the primary mechanism of injury, with mean Injury Severity Scores of 24 for adults and 17 for children.

Conclusions:

  • The ITP effectively managed a significant volume of trauma patient transfers, demonstrating a high acceptance rate for appropriate cases.
  • The system's protocols for distribution and handling of center closures were operational, though some patients bypassed the program during closures.