Survey on worldwide trauma team activation requirement

• DOI: 10.1007/s00068-020-01334-z
• Publication Date: 2020-03-02T14:08:34Z
• Authors: Christian Waydhas; Heiko Trentzsch; Timothy C. Hardca...; Kai Oliver Jensen; ; Khaled Tolba Youn...; George Abi Saad; Markus Baacke; Nehat Baftiu; Christos Bartsokas; Lars Becker; Marco Luigi Maria...; Artem Bespalenko; Dan Bieler; Martin Brand; Edilson Carvalho ...; Narain Chotirosni...; Yuhsuan Chung; Lesley Crichton; Peter De Paepe; Agron Dogjani; Dietrich Doll; Ayene Gebremichea...; Timothy C. Hardca...; Timothy C. Hardca...; Kastriot Haxhirexha; Kajal Jain; Kai Oliver Jensen; Andrey Korolev; Li Zhanfei; Jerry K. T. Lim; Fredrik Linder; Nurhayati Lubis; Nina Magnitskaya; Damian MacDonald; Martin Mauser; Gerrit Matthes; Kimani Mbugua; Sergey Mlyavykh; Barbaro Monzon; Munkhsaikhan Togtmol; Khreshi Mustafa; Michael Mwandri; Pradeep Navsaria; Stefan Nijs; Francisco Olmedo; Maria C. Ortega G...; Jesús Palacios Fa...; Marinis Pirpiris; Francois Pitance; Eoghan Pomeroy; M. A. Sadakah; Tapas Kumar Sahoo; Iurie Saratila; Sandro Scarpelini; Uwe Schweigkofler; Edvin Selmani; Tim Søderlund; Michael Stein; Buland Thapa; Heiko Trentzsch; Teodora Sorana Truta; Selman Uranues; Christian Waydhas; Christoph G. Wölfl; Sandar Thein Yi; Ihor Yovenko; Pablo Zapattini
• Keywords: Post-hoc analysis; Sports medicine; Trauma care; Post hoc

Trauma team activation (TTA) is thought to be essential for advanced and specialized care of very severely injured patients. However, non-specific TTA criteria may result in overtriage that consumes valuable resources or endanger patients need secondary undertriage. Consequently, criterion standard definitions calculate the accuracy various protocols are required research quality assurance purposes. Recently, several groups suggested a list conditions when trauma considered initial emergency room. The objective survey was post hoc identify trauma-related require widely accepted, independent from country's income level.A set questions developed, centered around level agreement with proposed define adequate activation. participants gave feedback before they answered improve questions. finalized conducted using an online tool word form. per capita country rated according World Bank Country Lending groups.The return rate 76% total 37 countries participating. correct requirements more than 75% 12 20 criteria. disagreement low varied between zero 13%. income.The on appears high it concluded could useful most countries, their income. Nevertheless, discussions international appear warranted achieve full consensus universal will allow assessment over- undertriage as well validation field triage worldwide.