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Incorporating red blanket protocol within code crimson: Streamlining definitive trauma care amid the chaos.

Sohil Pothiawala1,2, Savitha Bhagvan3, Andrew MacCormick4

  • 1Emergency Medicine, Woodlands Health, Singapore 737628, Singapore.

World Journal of Critical Care Medicine
|March 10, 2025
PubMed
Summary

Code Crimson and Red Blanket protocols streamline trauma care for severe bleeding. Merging these workflows can improve patient transport and definitive hemorrhage control in major trauma cases.

Keywords:
Code crimsonHaemorrhageRed blanket protocolTrauma

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Area of Science:

  • Trauma Surgery
  • Emergency Medicine
  • Surgical Critical Care

Background:

  • Major trauma with exsanguinating hemorrhage necessitates time-critical, multidisciplinary care for definitive hemorrhage control.
  • Initial resuscitation in the emergency department (ED) involves Code Crimson activation for rapid specialist decision-making regarding operating theatre (OT) or interventional radiology (IR) interventions.
  • Delays in transporting hemodynamically unstable patients from ED to OT/IR can occur despite initial resuscitation efforts.

Discussion:

  • The Red Blanket protocol addresses factors causing transport delays, aiming for rapid, safe patient transfer from ED to OT while minimizing resuscitation interruptions.
  • Code Crimson and Red Blanket protocols are complementary, focusing on different aspects of critical trauma care pathways.
  • Integrating these distinct protocols into a single, unified workflow is proposed to enhance efficiency and patient outcomes.

Key Insights:

  • Code Crimson facilitates timely multidisciplinary decision-making for hemorrhage control interventions.
  • Red Blanket protocol optimizes the transfer process for unstable trauma patients, reducing delays.
  • A unified protocol combining Code Crimson and Red Blanket principles could significantly improve trauma care coordination.

Outlook:

  • Implementing merged Code Crimson and Red Blanket protocols within hospital trauma frameworks can enhance multidisciplinary care for complex trauma patients.
  • Further research into the combined impact of these integrated strategies on patient outcomes and resource utilization is warranted.
  • Standardizing coordinated processes for rapid hemorrhage control is crucial for improving survival rates in severe trauma.