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The Trauma Bay Process PDF Print E-mail
Written by Administrator   
Wednesday, 29 April 2009 14:48
Our trauma philosophy and ethos revolves around delivering high quality, efficient care focusing on rapid intake into the hospital environment for the 4-5000 trauma admissions received at our facility each year.  

We strive to move our Level 1 patients thru the department in 17 minutes; sending them to either CT, the Trauma Unit or to the OR.  More often than not we meet this benchmark with ease.

The Emergency Department (ED) manages trauma patients by maintaining a consistent level of staff and resources 24/7/365.

The ED consists of 45 beds in 33,900 square feet of space and manages > 50,000 adult patients per year.  

The Emergency Department (ED) has four state of the art trauma bays, two 64 slice CT scanners (located <100 feet from the bays) and immediate access to uncrossmatched blood and blood products. 

The Resuscitation Process: Sequential Management

Crew Resource Management/Pre-Brief
Led by the TTL; this revolves around each team member introducing themselves and the TTL giving a brief summary of the available patient information and plan of care.  

Step 1
The patient enters the bay; the AMD performs the primary survey, verbally announces same and coordinates the move of the patient

Step 2
Simultaneous action(s) by all team members focusing on initial actions.  The ABC'’s are secured along with needed procedures.

Step 3
The manual BP is announced; at this time the PCXR can be done and the TTL can call for the EMS/air medical report.

Step 4
The secondary survey is verbally reported; the patient logrolled, a posterior survey done and rectal exam done.

Step 5
To CT for imaging or to OR

Core Points

  • The maintenance of patient safety, noise discipline and crowd control is imperative
  • Courtesy, dignity and respect amongst the resuscitation team and EMS must be maintained
Last Updated ( Monday, 15 February 2010 15:05 )
 

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