A Coordinated Approach to Initial Trauma Resuscitation

John Griswold, MD; Wendi R. McNabb, RN; Matthew A. Berry, RN, BSN; Danny Owens, MD; Steven Brooks, MD; Allison T. Barron, RN, BSN

Product Details
Product ID: ACS-2741
Year Produced: 2008
Length: 8 min.


Introduction: The trauma patient often arrives with little notice, unstable, with unknown health history. This emphasizes the need for the most organized approach to caring for these patients. As a Level I trauma center since 1993, the trauma leadership at University Medical Center in Lubbock, Texas has recognized that as staff turnover there is a consistent need to maintain a preparation phase prior to patient arrival and a coordinated effort to patient care.

Methods: This video has been developed to discuss the most efficient way to organize the trauma team. The steps in the organization of the trauma team include assignment of duties, initiating universal precautions, and ensuring patient privacy as the team often coordinates in open areas. The clear assignment of roles and position helps eliminate overcrowding in the trauma bay while allowing for educational opportunities.

Results: Obviously, during the evaluation and treatment of the critically injured patient many actions happen simultaneously. The trauma team assisting pre-hospital providers moving the patient, anesthesiology evaluating the airway, the primary survey being performed, blood samples are taken, vital signs obtained, and tubes are placed. Medical errors are most apt to occur in these extreme circumstances. Therefore, by instilling a controlled team approach to the care of these patients, optimal care can be achieved.

Conclusion: This video provides a standardized reference to educate staff to a consistent method of organizing the trauma team. Improved preparation will enhance patient care thus increasing the coordination of the trauma team.