Related Experiment Video
Updated: Dec 27, 2025
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Trauma team training at a "high-risk, low-incidence" hospital
Louise H Kristiansen, Debra S Freund, Jan H D Rölfing
1rikkthor@rm.dk.
Insights
Trauma team training (TTT) showed a trend toward reduced process times in trauma resuscitation. This highlights TTT
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Healthcare Quality Improvement
Background:
- Trauma remains a leading cause of death in young individuals.
- Maintaining high standards in trauma resuscitation is crucial, especially in smaller centers managing infrequent severe cases.
- The study addresses the need for effective trauma team training (TTT).
Purpose of the Study:
- To evaluate the impact of implementing trauma team training (TTT) on process times in trauma resuscitation.
- To investigate the incidence of severe traumas using the Injury Severity Score (ISS).
Main Methods:
- Data on process times were collected for three months before and after TTT implementation.
- Key process times included arrival to X-ray, CT scan, CT interpretation, and transfer.
- Injury Severity Score (ISS) was used to quantify trauma severity.
Main Results:
- A total of 43 trauma patients were analyzed.
- No statistically significant difference in ISS was observed between pre- and post-TTT cohorts.
- A trend towards reduced process times was noted, though not statistically significant.
- 12% of patients presented with severe trauma (ISS > 15).
Conclusions:
- The implementation of TTT suggests a potential reduction in trauma resuscitation process times.
- TTT can identify organizational challenges, procedural issues, and resource allocation problems.
- The low incidence of severe trauma underscores the importance of TTT for preparedness.
Introduction:
Trauma is the leading cause of death in younger people in the Western world. It is of great importance that smaller trauma centres with "high-risk, low-incidence" trauma resuscitations maintain high standards in trauma resuscitation, as severely injured patients are occasionally treated. We aimed to evaluate the effect of implementing trauma team training (TTT). Additionally, we investigated the incidence of severe traumas using the Injury Severity Score (ISS).
Methods:
Data on process times were collected in a three-month period before and after implementation of TTT at the Regional Hospital Randers, Denmark. Process times from arrival of the patient in the trauma room until chest X-ray, trauma CT, CT description and transfer were registered. ISS was calculated as trauma severity.
Results:
A total of 43 trauma patients were registered. ISS values were not significantly different between the two cohorts. 5/43 (12%) had an ISS > 15 as an expression of severe traumas. A tendency to reduced process times was found, but results were not statistically significant.
Conclusions:
Despite limitations in this study, our results point towards a reduced process time after the implementation of TTT. At an organisational level, TTT can draw attention to challenges, inappropriate local procedures and allocation of material and staff in order to improve trauma resuscitations. Only 12% of patients had an ISS > 15, emphasising the need to simulate trauma resuscitations using TTT.
Funding:
none.
Trial Registration:
The study was registered with the Danish Data Protection Agency.
Related Concept Videos
01:26Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
01:26Aneurysm III: Interprofessional Care
01:18Interdisciplinary Care: The Health Care Team-II
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
01:28Acute Coronary Syndrome IV: Interprofessional Care
01:21Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...