A leap in faith: The impact of removing the surgeon from the level II trauma response

Journal of Pediatric Surgery

Volumn 41, Issue 4, 2006, Pages 693-699

  Nwomeh, Benedict C ^a   Georges, Anthony J ^b   Groner, Jonathan I ^b   Haley, Kathy J ^b   Hayes, John R ^b   Caniano, Donna A ^b  

^a NATIONWIDE CHILDREN S HOSPITAL   (United States)

^b NONE

Author keywords

Emergency Department; Level II criteria; Missed injuries; Mortality; Trauma alert

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CHILD; CHILDHOOD INJURY; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DATA ANALYSIS; EMERGENCY WARD; FEMALE; HUMAN; INJURY SCALE; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; OUTCOME ASSESSMENT; PATIENT CARE; PRIORITY JOURNAL;

ADOLESCENT; CHILD; CHILD, PRESCHOOL; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; RETROSPECTIVE STUDIES; SURGERY; WOUNDS AND INJURIES;

EID: 33645279243     PISSN: 00223468     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jpedsurg.2005.12.011     Document Type: Article

References (26)

1. American College of Surgeons, Committee on Trauma Resources for optimal care of the injured patient 1999 American College of Surgeons Chicago (Ill)
2. M.A. Malangoni, J.J. Como, and C. Mancuso Life after 80 hours: the impact of resident work hours mandates on trauma and emergency experience and work effort for senior residents and faculty J Trauma 58 2005 758 761 [discussion 761-752]
3. American College of Surgeons, Committe on Trauma Advanced trauma life support manual 6th ed. 1997 American College of Surgeons Chicago (Ill)
4. F.G. DeKeyser, A. Paratore, and R.P. Seneca Decreasing the cost of trauma care: a system of secondary inhospital triage Ann Emerg Med 23 1994 841 844
5. J.A. Phillips, and T.G. Buchman Optimizing prehospital triage criteria for trauma team alerts J Trauma 34 1993 127 132
6. M.G. Ochsner, J.A. Schmidt, and G.S. Rozycki The evaluation of a two-tier trauma response system at a major trauma center: is it cost effective and safe? J Trauma 39 1995 971 977
7. B.R. Plaisier, S.W. Meldon, and D.M. Super Effectiveness of a 2-specialty, 2-tiered triage and trauma team activation protocol Ann Emerg Med 32 1998 436 441
8. G.H. Tinkoff, R.E. O'Connor, and G.J. Fulda Impact of a two-tiered trauma response in the emergency department: promoting efficient resource utilization J Trauma 41 1996 735 740
9. R. Singh, N. Kissoon, and N. Singh Is a full team required for emergency management of pediatric trauma? J Trauma 33 1992 213 218
10. B. Simon, R. Gabor, and P. Letourneau Secondary triage of the injured pediatric patient within the trauma center: support for a selective resource-sparing two-stage system Pediatr Emerg Care 20 2004 5 11
11. S. Phillips, P.C. Rond III, and S.M. Kelly The need for pediatric-specific triage criteria: results from the Florida Trauma Triage Study Pediatr Emerg Care 12 1996 394 399
12. B.S. Chan, P.J. Walker, and D.T. Cass Urban trauma: an analysis of 1,116 paediatric cases J Trauma 29 1989 1540 1547
13. J.J. Tepas III, M.L. Ramenofsky, and D.L. Mollitt The Pediatric Trauma Score as a predictor of injury severity: an objective assessment J Trauma 28 1988 425 429
14. K.E. Nuss, A.M. Dietrich, and G.A. Smith Effectiveness of a pediatric trauma team protocol Pediatr Emerg Care 17 2001 96 100
15. D. Brenner, C. Elliston, and E. Hall Estimated risks of radiation-induced fatal cancer from pediatric CT AJR Am J Roentgenol 176 2001 289 296
16. S.P. Acierno, G.J. Jurkovich, and A.B. Nathens Is pediatric trauma still a surgical disease? Patterns of emergent operative intervention in the injured child J Trauma 56 2004 960 964 [discussion 965-966]
17. J.J. Tepas III, E.R. Frykberg, and M.A. Schinco Pediatric trauma is very much a surgical disease Ann Surg 237 2003 775 780 [discussion 780-771]
18. M.L. Nance, and P.W. Stafford Pediatric trauma is a surgical disease Ann Emerg Med 41 2003 423 424 [author reply 424-425]
19. J.J. Tepas III Pediatric trauma is a surgical disease Ann Emerg Med 41 2003 423 [author reply 424-425]
20. S.M. Green, and S.G. Rothrock Is pediatric trauma really a surgical disease? Ann Emerg Med 39 2002 537 540
21. L.F. D'Amelio, J.S. Hammond, and J. Thomasseau "Adult" trauma surgeons with pediatric commitment: a logical solution to the pediatric trauma manpower problem Am Surg 61 1995 968 974
22. E.R. Winslow, M.C. Bowman, and M.E. Klingensmith Surgeon workhours in the era of limited resident workhours J Am Coll Surg 198 2004 111 117
23. J.L. Trainor, and S.E. Krug The training of pediatric residents in the care of acutely ill and injured children Arch Pediatr Adolesc Med 154 2000 1154 1159
24. V.P. Tamariz, S. Fuchs, and J.M. Baren Pediatric emergency medicine education in emergency medicine training programs. SAEM Pediatric Education Training Task Force. Society for Academic Emergency Medicine Acad Emerg Med 7 2000 774 778
25. M. Langhan, R. Keshavarz, and L.D. Richardson How comfortable are emergency physicians with pediatric patients? J Emerg Med 26 2004 465 469
26. H.M. Cryer III The future of trauma care: at the crossroads J Trauma 58 2005 425 436