Related Experiment Video
Updated: Jul 9, 2026
11:27
A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
Pregnancy is not a sufficient indicator for trauma team activation
Wendy Greene1, Linda Robinson, Anne G Rizzo
1Trauma Services, Inova Regional Trauma Center, Inova Fairfax Hospital, Falls Church, Virginia, USA.
The Journal of Trauma
|December 13, 2007
Summary
Pregnancy alone does not necessitate trauma team activation. Standard trauma activation criteria effectively manage pregnant patients, optimizing resource allocation in trauma systems.
Area of Science:
- Trauma Care
- Emergency Medicine
- Obstetrics
Background:
- Trauma complicates 6-7% of pregnancies, with rare adverse outcomes if monitored.
- Trauma systems often activate teams based solely on pregnancy (PSC).
- This study compares outcomes for PSC versus other activation criteria (OPMA).
Purpose of the Study:
- To compare maternal and fetal outcomes in pregnant trauma patients activated by pregnancy criteria versus other criteria.
- To evaluate the necessity of trauma team activation based solely on pregnancy.
Main Methods:
- Retrospective review of 352 obstetric trauma patients (2000-2005).
- Patients grouped by gestation and activation criteria (PSC vs. OPMA).
- Analysis of maternal and fetal outcomes using descriptive statistics and ANOVA.
Main Results:
- 188 patients activated by PSC, 137 by OPMA.
- No PSC patients required trauma service admission; 94% of those <20 weeks gestation were discharged.
- No maternal mortalities; four fetal mortalities (two pre-existing conditions).
Conclusions:
- Pregnancy is not an independent predictor for trauma team activation.
- Standard OPMA criteria are applicable to pregnant patients.
- Judicious allocation of trauma system resources is supported by these findings.
Related Concept Videos
01:28Traumatic Brain Injury l: Introduction
DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...
01:27Post-traumatic Stress Disorder
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events, are a...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events, are a...
01:19Mitral Valve Prolapse III: Nursing Management
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...