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Potentially preventable trauma deaths: A retrospective review
Ben Beck1, Karen Smith2, Eric Mercier1
1Department of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia; Faculty of Medicine, Laval University, Quebec City, Quebec, Canada.
Injury
|March 23, 2019
Summary
Reviewing trauma deaths identified a low rate of preventable deaths. Expert panel reviews of prehospital trauma cases suggest specific areas for trauma system improvement.
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Public Health
Background:
- Prehospital trauma death reviews identify opportunities for system improvements to reduce mortality.
- Expert panel reviews are crucial for assessing the preventability of trauma deaths.
Purpose of the Study:
- To determine the number and rate of potentially preventable trauma deaths.
- To identify areas for improvement in the prehospital and early in-hospital trauma care system.
Main Methods:
- Retrospective review of trauma deaths with attempted resuscitation by Ambulance Victoria (2008-2014).
- Expert panel review of cases with potentially survivable injuries undergoing full autopsy.
- Exclusion of deaths from drowning, hanging, or unsurvivable anatomical injuries.
Main Results:
- Of 1183 autopsies, 336 had attempted resuscitation; 113 underwent expert review.
- 19% of reviewed deaths were potentially preventable, and 3% were preventable.
- Potentially preventable or preventable deaths constituted 20% of reviewed cases and 7% of cases with attempted resuscitation.
Conclusions:
- The incidence of potentially preventable or preventable trauma deaths during prehospital and early in-hospital resuscitation is low.
- Specific circumstances identified indicate potential for trauma system enhancement.
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