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Tue Oct 3 14:26:19 BST 2006

l thnik that there are 2 types of hispital politics on trauma management.
one is that all trauma patients are seen by trauma surgeon, and the other is
that iniciative treatment is started by ER docs and based on their
assessment surgeons are called or not.this only stands for US and Canada, as
l know. l think that in UK trauma surgeon is part of every core trauma team.

ante

2006/10/3, Moore677 at aol.com <Moore677 at aol.com>:
>
> We are a unique (I think anyway) Level I trauma center in that we (the
> attending trauma surgeons) receive every and all communication regarding
> trauma
> transfers, scene flights, and local trauma presenting on our front
> doorstep............we also know everytime one of our 4 helicopters lifts
> for a
> trauma...............
>
> With this knowledge, we then determine if we see the patient, or the ED
> physician.............
>
>
> Dell...............................
>
>
> Forrest O. Moore, MD
> Division of Trauma & Surgical Critical Care
> East Texas Medical Center
> 1020 E. Idel
> Tyler, TX 75701
> Cell (903) 279-2123
>
>
>
>
> In a message dated 10/2/2006 6:24:37 PM Eastern Standard Time,
> stryker.rn at myfastmail.com writes:
> I wanted to know what other trauma centers do when they get
> radio/tele/phone
> calls for trauma and they take first report.
>
>
>
> I have worked in one hospital where the nurse taking report from the
> paramedics would classify the trauma based on criteria of badness, and
> then it would
> be activated and paged out.  We had three levels, the first based purely
> on
> mechanism (MVC with rollover, Ped vs. auto, GSW to extremity), the second
> was
> mechanism and/or worrisome vital signs (GSW to chest, Fall > than 20 feet,
> HR >
> 100, GCS < 13 etc.), and the third was very bad vitals (BP < 90, GCS < 8,
> HR >
> 120).
>
>
>
> I now work in a hospital which does not stratify the traumas and the
> trauma
> surgeons want a detailed report passed on to them.  Does anyone else do it
> this
> way, or do your nurses stratify and then activate based on criteria,
> before
> trauma hears about it?  Does anyone else have experience with it both
> ways, or
> worked to change from one to the other and what was your experience?
>
>
>
> Thanks,
>
> John Stryker
> --
> John Stryker
> please reply to:
> nursestryker at yahoo.com
> --
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