Analysis of adifferentiated resuscitation room activation at anational trauma center

Abstract

In order to continue to efficiently provide both personnel-intensive and resource-intensive care to severely injured patients, some hospitals have introduced individually differentiated systems for resuscitation room treatment. The aim of this study was to evaluate the concept of the A and B classifications in terms of practicability, indications, and potential complications at anational trauma center in Bavaria. In aretrospective study, data from resuscitation room trauma patients in the year 2020 were collected. The assignment toA andB was made by the prehospital emergency physician. Parameters such as the injury severity score (ISS), Glasgow outcome scale (GOS), upgrade rate, and the indication criteria according to the S3guidelines were recorded. Statistical data comparisons were made using t‑tests, χ2-tests, or Mann-Whitney U‑tests. Atotal of 879 resuscitation room treatments (A 473, B 406) met the inclusion criteria. It was found that 94.5% of resuscitation roomA cases had physician accompaniment, compared to 48% in resuscitation roomB assignments. In addition to significantly lower ISS scores (4.1vs. 13.9), 29.8% of Bpatients did not meet the treatment criteria defined in the S3guidelines. With alow upgrade rate of 4.9%, 98% of B patients had aGOS score of4 or5. The presented categorization is an effective and safe way to manage the increasing number of resuscitation room alerts in aresource-optimized manner.