Trauma Code Protocol: a useful tool for the management of polytraumatized patients at a hospital in Boyacá, Colombia
DOI:
https://doi.org/10.58814/01208845.68Keywords:
Multiple Trauma, Cross-Sectional Studies, Clinical protocols, Emergencies, MortalityAbstract
Introduction: Polytrauma is the leading cause of death and disability in people <35 years of age, so it is necessary to develop and implement multidisciplinary protocols for their treatment. The Trauma Code Protocol is an interdisciplinary strategy designed to optimize the management of polytraumatized patients and reduce their mortality.
Objective: To describe the sociodemographic and clinical characteristics of polytraumatized patients treated at a hospital in Boyacá (Colombia) using the Trauma Code Protocol.
Methodology: Cross-sectional descriptive study conducted in 100 patients treated at the emergency room of a university hospital in Tunja (Colombia) between 2020 and 2022 using a specific protocol for the management of polytraumatized patients.
Results: The median age of the participants was 34.5 years, 79% were male (95%CI: 70.0-85.8%), and 44% were treated in 2022. The most frequent treating specialties were orthopedics and trauma (69%), neurosurgery (57%), and general surgery (36%). Moreover, the most common diagnoses were head trauma (46%; 95%CI: 36.5-55.7%) and blunt trauma of the chest (n=28; 95%CI: 20.1-37.4%) or abdomen (n=26; 95%CI: 18.4-35.3%). The median values for hemoglobin, pH, base excess, and lactate levels were 12.3g/dL, 7.34, -7.90mEq/L, and 3.84 mmol/L, respectively. The median time between activation of the Severe Trauma Team Protocol and surgery was 112 minutes. Finally, 71% of patients survived (95%CI: 61.4-78.9%).
Conclusion: The Trauma Code Protocol is a useful strategy for the management of polytraumatized patients, particularly regarding the early identification of the patient's sociodemographic and clinical characteristics and its multidisciplinary approach.
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