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Updated: Jul 19, 2026

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
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Published on: March 26, 2019

Primary trauma diversion: initial experience in Hong Kong.

N K Cheung1, Janice H H Yeung, Jimmy T S Chan

  • 1Accident and Emergency Medicine Academic Unit, Chinese University of Hong Kong.

The Journal of Trauma
|October 13, 2006
PubMed
Summary

Primary trauma diversion in Hong Kong significantly reduces time to definitive care for trauma patients, saving 97 minutes. This approach is feasible and should be expanded across the region for improved trauma outcomes.

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Area of Science:

  • Trauma Care
  • Emergency Medicine
  • Public Health Policy

Background:

  • Trauma is a major cause of death and lost workdays in Hong Kong.
  • Dedicated trauma centers improve patient outcomes.
  • Historically, Hong Kong ambulances transported trauma patients to the nearest emergency department.

Purpose of the Study:

  • To report on the initial experience of primary trauma diversion to a dedicated trauma center in Hong Kong.
  • To evaluate the feasibility and impact of a new trauma care protocol.

Main Methods:

  • Prospective study establishing primary trauma diversion in the Alice Ho Nethersole Hospital (AHNH) area.
  • Trauma patients meeting diversion criteria were transported directly to Prince of Wales Hospital (PWH), a designated trauma center.
  • Data collected on time to definitive care and impact on PWH services.

Main Results:

  • 60 patients underwent primary trauma diversion; 35 had secondary diversion.
  • Primary diversion patients reached definitive care 97 minutes faster than secondary diversion patients.
  • 76% of eligible patients were correctly diverted according to protocol.

Conclusions:

  • Primary trauma diversion is a feasible and effective strategy in Hong Kong.
  • The protocol significantly reduces time to definitive care for trauma patients.
  • Expansion of primary trauma diversion protocols throughout Hong Kong is recommended.