Trauma team activation criteria for potential major trauma in the adult population: a narrative review  

作　　者：Alberto Garrido Callen Manuel Perez Torres Dovami Vasco Castano Cui Jie Cui Liu Maria Gonzalez Gomez Maria Munoz Varea Alfredo Bardal Ruiz Sonia Lopez Cuenca Ana Martin Pellicer Carmen Debora Merino Vega Ignacio Fernandez Martin-Caro Diego Maqueda Lluva Manuel Perez Marquez 

机构地区：[1]Intensive Care Medicine,Rey Juan Carlos University Hospital,Madrid,Spain [2]Intensive Care Medicine,Gregorio Maranon University Hospital,Madrid,Spain

出　　处：《Emergency and Critical Care Medicine》2024年第4期163-173,共11页急危重症医学(英文)

摘　　要：Traumatic disease is a common cause of death and disability in the young population.The presence of a trauma team ensures the quality of patient management,thus improving patient outcomes.Therefore,triage is an essential part of trauma care,especially for potential ma-jor trauma patients,who present significant challenges due to the lack of universal and centralized criteria.This narrative review aimed to present an overview of the main studies conducted thus far,focusing on the screening of adult patients in both prehospital and in-hospital settings,along with the latest guidelines published in 2021.Our approach involved a nonsystematic literature review,with a particular em-phasis on systematic reviews and meta-analyses of observational studies published in the PubMed,Embase,and Cochrane databases.We analyzed the different tools proposed for patient screening and incorporated them into our protocol for triaging potential trauma pa-tients who could benefit from early trauma team activation.In conclusion,our review underscores the importance of incorporating accurate physiological criteria and suspected injury patterns into a trauma team activation protocol.We also highlight the ongoing challenges in re-fining the mechanistic aspects of trauma and special considerations.Moving forward,continued research with new machine learning models and collaboration among trauma experts may be crucial for enhancing the precision and effectiveness of trauma triage,ultimately leading to improved patient outcomes and optimal resource allocation.

关 键 词：Trauma centers Trauma severity indices Triage/adult Triage/methods 

分 类 号：R73[医药卫生—肿瘤]