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Updated: Apr 18, 2026
A Preclinical Controlled Cortical Impact Model for Traumatic Hemorrhage Contusion and Neuroinflammation
Published on: June 10, 2020
Using a new evidence-based trauma protocol to improve detection and reduce costs in patients with blunt cardiac
Ilean Genrich1, Susan K OʼMara, Suela Sulo
1Surgical Intermediate Care Center (SICC), (Ms Genrich), Cardiac Surgery (Ms O'Mara), and Patient Centered Outcomes Research, James R. & Helen D. Russell Institute for Research & Innovation, (Dr Sulo), Advocate Lutheran General Hospital, Park Ridge, Illinois.
Introduction:
Management of blunt cardiac injury is often discussed in trauma literature due to the lack of a "gold standard" for early identification and cost-effective care. The effectiveness of an evidence-based trauma protocol was assessed by comparing patients treated with the new protocol to those managed with prior practice.
Methods:
The data of 80 patients prospectively managed using the new trauma protocol were compared with the medical records of 80 former patients treated according to existing practice.
Results:
Implementing the new protocol improved detection of abnormal troponin I levels and resulted in cost savings. The length of time inpatients required continuous electrocardiographic monitoring decreased by 4.23 days and echocardiography use dropped by 70%.
Conclusion:
Implementation of the evidence-based trauma protocol at our facility improved the early identification of patients with blunt cardiac injury and reduced the number of laboratory and diagnostic tests.
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Assessment:
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