Department of Trauma and Orthopedic Surgery, BG Unfallklinik Frankfurt am Main, Friedberger Landstr. 430, 60389, Frankfurt, Germany.
Ministry of Health, City of Frankfurt, Breite Gasse 28, 60313, Frankfurt, Germany.
Eur J Trauma Emerg Surg. 2022 Feb;48(1):393-399. doi: 10.1007/s00068-020-01425-x. Epub 2020 Jun 24.
Trauma team activation (TTA) requires significant human and financial resources. The implemented German guidelines reduced the mortality of severe injured patients significantly over the last decade. Up to now there is no two-tier trauma team activation protocol in Germany. A two-tier TTA [often activated due to trauma mechanism (TM)] is thought to be a reasonable way to maintain patient safety while increasing cost efficiency.
We created an online survey addressed at the Emergency Medical Service in Germany to conduct a cross-sectional study. Both physicians and rescue service professionals (RSPs) were included. A minimum of 1550 participants answered questions in 4 different categories concerning the aspects of limited-TTA (L-TTA). Case studies were presented to evaluate the usage of TTA due to TM in the daily routine.
Eighty percent (n:1233) of the respondents wish for a possibility to activate a limited trauma team. Seventy-two percent (n: 1109) of the participants consider a L-TTA due to TM to be adequate. There were significant differences (p < 0.05) in the assessment and opinion on L-TTA among physicians and RSPs as well as different medical professions. The evaluated case studies showed diverse answers: depending on the profession, the same patient was ranked as severely injured by 54% and as minorly injured by 46% of the 1550 participants.
Members of the German Emergency Medical Service call for a two-tier TTA-protocol. Up to now we cannot fully recommend an automatic reduction of the trauma team when activated due to TM in Germany with the guidelines implemented. The profession might affect the L-TTA-behavior. Criteria for a L-TTA in Germany have to be defined and evaluated.
IV, cross-sectional study.
创伤团队激活（TTA）需要大量的人力和财力。过去十年中，实施的德国指南显著降低了严重受伤患者的死亡率。到目前为止，德国还没有两层次创伤团队激活协议。两层次 TTA（通常由于创伤机制（TM）而激活）被认为是在提高成本效益的同时保持患者安全的合理方式。
我们创建了一个针对德国急救医疗服务的在线调查，以进行横断面研究。包括医生和救援服务专业人员（RSP）。有 1550 名参与者在 4 个不同类别中回答了有关限制 TTA（L-TTA）方面的问题。提出了案例研究，以评估 TM 在日常工作中对 TTA 的使用。
80%（n：1233）的受访者希望有机会激活有限的创伤团队。72%（n：1109）的参与者认为由于 TM 而进行的 L-TTA 是合适的。医生和 RSP 以及不同的医疗专业人员对 L-TTA 的评估和意见存在显著差异（p<0.05）。评估的案例研究显示出不同的答案：根据专业的不同，同一位患者有 54%的参与者将其归类为严重受伤，而有 46%的参与者将其归类为轻微受伤。
德国急救医疗服务的成员呼吁建立两层次 TTA 协议。到目前为止，我们不能完全推荐在德国实施指南的情况下，由于 TM 而自动减少创伤团队。专业可能会影响 L-TTA 行为。德国必须定义和评估 L-TTA 的标准。
IV，横断面研究。
