Vuong Phoenix, Sample Jason, Zimmermann Mary Ellen, Saldinger Pierre
Department of Surgery, New York Presbyterian Queens, Weill Cornell Medical College, Flushing, NY 11355, USA.
J Emerg Trauma Shock. 2017 Jul-Sep;10(3):151-153. doi: 10.4103/JETS.JETS_147_16.
Specialized trauma teams have been shown to improve outcomes in critically injured patients. At our institution, an the American College of Surgeons Committee on trauma level I Trauma center, the trauma team activation (TTA) criteria includes both physiologic and anatomic criteria, but any attending physician can activate the trauma team at their discretion outside criteria. As a result, the trauma team has been activated for noninjured patients meeting physiologic criteria secondary to nontraumatic hemorrhage. We present two cases in which the trauma team was activated for noninjured patients in hemorrhagic shock. The utilization of the TTA protocol and subsequent management by the trauma team are reviewed as we believe these were critical factors in the successful recovery of both patients. Beyond the primary improved survival outcomes of severely injured patients, trauma center designation has a "halo effect" that encompasses patients with nontraumatic hemorrhage.
专业创伤团队已被证明能改善重伤患者的治疗结果。在我们机构，即美国外科医师学会一级创伤中心委员会，创伤团队启动（TTA）标准包括生理和解剖标准，但任何主治医师可自行决定在标准之外启动创伤团队。因此，创伤团队已被启动用于因非创伤性出血而符合生理标准的非受伤患者。我们介绍两例因出血性休克而对非受伤患者启动创伤团队的病例。我们回顾了TTA方案的使用情况以及创伤团队随后的管理，因为我们认为这些是两名患者成功康复的关键因素。除了显著提高重伤患者的生存结果外，创伤中心的指定对非创伤性出血患者具有“光环效应”。
