Published in:
Open Access
01-12-2010 | Original research
Differences in trauma team activation criteria among Norwegian hospitals
Authors:
Kristin T Larsen, Oddvar Uleberg, Eirik Skogvoll
Published in:
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
|
Issue 1/2010
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Abstract
Background
To ensure the rapid and correct triage of patients in potential need of specialized treatment, Norwegian hospitals are expected to establish trauma teams with predefined criteria for their activation. The objective of this study was to map and describe the criteria currently in use.
Methods
We undertook a cross-sectional survey in the summer of 2008, using structured telephone interviews to all Norwegian hospitals that might admit severely injured patients.
Results
Forty-nine hospitals were included, of which 48 (98%) had a trauma team and 20 had a hospital-based trauma registry. Criteria for trauma team activation were found at 46 (94%) hospitals. No single criterion was common to all hospitals. The median number of criteria per hospital was 23 (range 8-40), with a total number of 156 and wide variation with respect to physiological "cut-off" values. The mechanism of injury was commonly in use despite a well-known, large over-triage rate.
Conclusions
In recent years, Norwegian hospitals have gradually established trauma teams and criteria for their activation. These criteria show considerable variation, including physiological "cut-off" values.