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  1. Home
  3. Direct To Operating Room Resuscitation-a Regional Practice Survey.
  1. Home
  3. Direct To Operating Room Resuscitation-a Regional Practice Survey.

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Direct to Operating Room Resuscitation-A Regional Practice Survey.

John P Gaspich1, Jillian K Wothe1, Leo Lin2

  • 1Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; Center for Surgery and Public Health, Mass General Brigham, Boston, Massachusetts.

The Journal of Surgical Research
|June 8, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Direct-to-operating room resuscitation (DOR) is infrequently used in New England trauma centers. Most centers lack standardized protocols, highlighting a need for structured criteria to improve patient care.

Keywords:
Direct-to-ORInjuryResuscitationTrauma

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Area of Science:

  • Trauma Surgery
  • Surgical Critical Care
  • Emergency Medicine

Background:

  • Direct-to-operating room resuscitation (DOR) bypasses the emergency department for trauma patients.
  • Retrospective studies suggest potential benefits for select patients.
  • Utilization and practice patterns of DOR are not well-documented.

Purpose of the Study:

  • To assess the prevalence of DOR in New England trauma centers.
  • To characterize regional DOR utilization and practice patterns.

Main Methods:

  • A web-based survey was sent to all New England level I and II trauma centers.
  • The survey collected data on hospital characteristics, DOR utilization, activation criteria, indications, and protocols.
  • Descriptive statistics and thematic analysis were used.

Main Results:

  • All 23 trauma centers responded (100% response rate).
  • 57% of centers (13/23) reported performing DOR, with a median of 2 activations annually.
  • Most centers lacked standardized inclusion criteria, activation processes, or post-arrival assessment protocols.

Conclusions:

  • DOR is infrequently utilized in New England and often performed ad hoc.
  • Standardized activation criteria and in-operating room evaluation processes are needed.
  • Further research is warranted to understand national DOR practices.