Table 1 Comparison of traditional in-hospital trauma care model and new in-hospital trauma care model
Subject | Traditional model | New model |
|---|---|---|
Manpower | ||
Trauma MDT | No | Yes |
Trauma resuscitation team | “1 doctor + n nurses” without clear division of responsibilities | “2 doctors + 3 nurses” with clear division of responsibilities |
Assessment and training | 1. Monthly competency assessments; 2. Lack of penetration of advanced training | 1. Monthly competency assessments and simulation drills; 2. Medical staff received ACLS and CTCT training |
Method | ||
Trauma alert and activation | 1. Collaboration between EMS, hospital ED, and traffic police (detailed early warning information); 2. Trauma activation based on trauma alert and triage | 1. Collaboration between EMS and hospital ED (simple phone alerts); 2. No trauma activation |
Initial assessment | ABCDE assessment | Routine specialist assessment |
Other treatment | Hospital-wide fast-track services | ED-only fast-track services |
Material | TRU with corresponding emergency items | Lack of a TRU and centralized item management |
Management | Digital trauma care management platform including electronic handover forms, PDA system, trauma case database, etc. | Lack of a digital trauma care management platform, relying on paper-based handover forms |