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重塑创伤急救室以改善沟通和患者护理:一种创伤复苏的新方法。

Remodeling the trauma bay to improve communication and patient care: a novel approach to trauma resuscitations.

作者信息

Tien Lillie, Sturdevant Mikenzie, Javangula Maanasa, Ange Brittany, McKenzie Jonathon, Medeiros Regina, Adam Bao-Ling, Abuzeid Adil, Switzer Erin, Lee Amanda, Mabes Erika Simmerman

机构信息

Surgery, Augusta University Medical College, Augusta, Georgia, USA.

出版信息

Trauma Surg Acute Care Open. 2025 Jun 27;10(2):e001689. doi: 10.1136/tsaco-2024-001689. eCollection 2025.

DOI:10.1136/tsaco-2024-001689
PMID:40589458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12207102/
Abstract

Established roles and personal protective equipment are imperative to safely and effectively perform trauma resuscitations. Thus, we remodeled our trauma bay to achieve these goals. We supplied our level 1 trauma bay with color-coded floor signs and corresponding lead to denote the seven critical bedside trauma team members' roles/positions. We administered surveys to team members who experienced the transition to gather data on how the implementation of color-coded signs and lead aprons impacted trauma resuscitations. Prior to the implementation of color-coded floor signs, 48% agreed/strongly agreed that it was clear where members were supposed to stand, increasing to 90% after implementation. Before providing color-coded lead, 80% disagreed/strongly disagreed that trauma team members routinely wore lead. After providing the lead aprons, 76% agreed that members routinely wore lead, and 80% agreed/strongly agreed that having this lead helped reduce disruptions. Team members agreed that dedicated lead and floor signs improved resuscitation flow and patient care.

摘要

明确的角色和个人防护装备对于安全有效地进行创伤复苏至关重要。因此,我们对创伤复苏区进行了改造以实现这些目标。我们为一级创伤复苏区配备了颜色编码的地面标识以及相应的引导标识,以标明创伤团队七名关键床边成员的角色/位置。我们对经历了这一转变的团队成员进行了调查,以收集有关颜色编码标识和铅围裙的实施如何影响创伤复苏的数据。在实施颜色编码的地面标识之前,48%的人同意/强烈同意知道成员应该站在哪里,实施后这一比例增至90%。在提供颜色编码的铅围裙之前,80%的人不同意/强烈不同意创伤团队成员经常穿戴铅制品。提供铅围裙后,76%的人同意成员经常穿戴铅制品,80%的人同意/强烈同意拥有这种铅制品有助于减少干扰。团队成员一致认为,专用的铅制品和地面标识改善了复苏流程和患者护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90b3/12207102/5abd1f1a5eb0/tsaco-10-2-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90b3/12207102/ca343fae68fb/tsaco-10-2-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90b3/12207102/5abd1f1a5eb0/tsaco-10-2-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90b3/12207102/ca343fae68fb/tsaco-10-2-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90b3/12207102/5abd1f1a5eb0/tsaco-10-2-g002.jpg

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Trauma team.创伤小组。
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Educational and clinical impact of Advanced Trauma Life Support (ATLS) courses: a systematic review.高级创伤生命支持(ATLS)课程的教育与临床影响:一项系统综述
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