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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

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Optimizing Trauma Care: Evaluating Operating Room Door-to-Incision Using Trauma Video Review.

Danielle J Wilson¹, Anna Tatakis¹, Jaclyn A Gellings¹

¹Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.

The Journal of Surgical Research

|November 26, 2025

Summary

This summary is machine-generated.

Trauma patients needing rapid hemorrhage control had consistent operating room door-to-incision times (orDTI), regardless of instability. Opportunities exist to improve trauma OR workflows and team coordination for faster surgical intervention.

Keywords:

Hemorrhage control Intraoperative trauma video review (IOTVR)Quality improvement (QI)Surgical delay Surgical efficiency Trauma surgery Trauma video review (TVR)Trauma workflow

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Area of Science:

Trauma Surgery
Surgical Outcomes
Healthcare Operations

Background:

Rapid hemorrhage control is vital for trauma patient survival.
Operating room door-to-incision time (orDTI) is a key metric for preoperative efficiency.
Hemodynamically unstable patients may have different orDTI.

Purpose of the Study:

Quantify orDTI in emergent trauma operations.
Evaluate factors influencing orDTI.
Identify quality improvement opportunities in trauma care.

Main Methods:

Prospective analysis of 42 emergent trauma operations using video review.
Documented preincision activities and abstracted timing data.
Compared orDTI between stable and unstable patients.

Main Results:

Median orDTI was 17.0 minutes.
36% of cases activated Massive Transfusion Protocol (MTP); 43% had preincision hypotension.
No significant difference in orDTI for unstable patients (MTP activation or hypotension).

Conclusions:

orDTI is a valuable metric for trauma care efficiency.
orDTI was consistent despite patient instability.
Workflow and team coordination improvements are needed to reduce delays in hemorrhage control.