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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

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Staffing in a Level 1 Trauma Center: Quantifying Capacity for Preparedness.

Kaitlin Woods¹, J W Awori Hayanga², Jeffrey Cannon³

¹Department of Medical Education, West Virginia University, Morgantown, West Virginia, USA.

Disaster Medicine and Public Health Preparedness

|September 15, 2021

Summary

A large team of hospital staff, averaging nearly 80 individuals, are involved in severe trauma patient care. Most personnel engage within the first hour, with more in direct care and external locations.

Keywords:

decision-making disaster planning mass casualty incidents organizational policy-making

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Area of Science:

Trauma Care
Hospital Operations
Emergency Medicine

Background:

Severe trauma patient care involves a complex network of healthcare professionals.
Understanding the scope of personnel involved is crucial for optimizing patient outcomes and resource allocation.

Purpose of the Study:

To determine the number and types of hospital personnel involved in the care of severe trauma patients.
To delineate the roles and timing of involvement for staff attending to trauma admissions.

Main Methods:

A prospective observational study recorded all hospital personnel involved in 24 adult Priority 1 trauma admissions.
Personnel were tracked for 12 hours or until patient demise, categorized by professional background and role.
Data collection included direct vs. indirect care roles and location of initial involvement.

Main Results:

An average of 79.7 hospital personnel were involved per trauma admission.
Over 50% of personnel engaged within the first hour of admission.
Significantly more personnel were involved in direct care (median 54.5) versus indirect care (median 25.0).
A median of 74.5 healthcare professionals and 6.0 auxiliary staff were involved.
Initial involvement was more frequent in locations external to the emergency department (median 53.0) compared to internal (median 27.5).

Conclusions:

Severe trauma patient care necessitates a large, multidisciplinary team with diverse responsibilities.
These findings can inform hospital staffing models and enhance disaster preparedness strategies.
Optimizing team coordination and resource deployment is essential for effective trauma response.