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Related Experiment Video

Updated: Nov 30, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Pediatric Trauma Arrival Times and the Swing Shift.

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Pediatric trauma trainees gain more clinical experience on the swing shift, which has more patient activations than day or night shifts. Peak pediatric trauma arrivals occur on weekend afternoons and evenings.

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Area of Science:

  • Pediatric Trauma Care
  • Medical Education
  • Clinical Operations

Background:

  • Trauma center staff often work day and night shifts.
  • The swing shift has shown superior clinical exposure for adult trauma trainees.
  • This study examines pediatric trauma arrival patterns and shift effectiveness.

Purpose of the Study:

  • To characterize pediatric trauma arrival times by hour, weekday, and month.
  • To determine if the swing shift maximizes hands-on experience in pediatric trauma management for trainees.

Main Methods:

  • Retrospective review of 3532 pediatric trauma activations from 2006-2018 at an urban, level 2 pediatric trauma center.
  • Creation of a retrospective shift log including day (7 am-7 pm), night (7 pm-7 am), and swing (noon-midnight) shifts.
  • Comparison of shifts, weekend vs. weekday data, and patients with Injury Severity Score (ISS) >15 using the Wilcoxon match-pairs signed rank test.

Main Results:

  • The swing shift had 1.98 times more activations than the night shift and 1.33 times more than the day shift (P < 0.001).
  • The swing shift provided superior exposure to patients with ISS >15 compared to day and night shifts (P < 0.001).
  • Weekend days had 1.28 times more trauma arrivals than weekdays (P < 0.001), with peak arrivals between 3 pm and 9 pm.

Conclusions:

  • Trainees gain improved experience managing pediatric trauma patients by utilizing the swing shift.
  • The hours between 3 pm and 9 pm on weekends are associated with a high likelihood of pediatric trauma arrivals.
  • These peak times may necessitate additional staff and hospital resources for optimal patient care.