Full Trauma Team Activation refers to automatic activation of the entire trauma team, including the general-trauma surgeon, based on predefined criteria.
Trauma Team activation occurs from the Emergency Department (ED). It should be initiated by the ED Triage Nurse, ED Navigator, or ED Doctor prior to, or on patient arrival. There may be exceptional instances where the Trauma Team is called to the Intensive Care Unit (ICU) or Operating Theatres (OT).
There are 5 levels of trauma centers: I, II, III, IV, and V. In addition, there is a separate set of criteria for pediatric level I & II trauma centers. The trauma center levels are determined by the kinds of trauma resources available at the hospital and the number of trauma patients admitted each year.
As a Level I trauma center, it can provide complete care for every aspect of injury, from prevention through rehabilitation. A Level II trauma center can initiate definitive care for injured patients and has general surgeons on hand 24/7.
A trauma patient is a person who has suffered a physical injury which may be minor, serious, life-threatening or potentially life-threatening. Trauma injuries are usually categorised as a blunt or penetrating wound.
Level II (Potentially Life Threatening): A Level of Trauma evaluation for a patient who meets mechanism of injury criteria with stable vital signs pre-hospital and upon arrival.
Level 1 Trauma Centers provide the highest level of trauma care to critically ill or injured patients. Seriously injured patients have an increased survival rate of 25% in comparison to those not treated at a Level 1 center.
Level I Trauma Center
Level 1 is the highest or most comprehensive care center for trauma, capable of providing total care for every aspect of injury – from prevention through rehabilitation.
Being at a Level 1 trauma center provides the highest level of surgical care for trauma patients. Trauma Center designation is a process outlined and developed at a state or local level. The state or local municipality identifies unique criteria in which to categorize Trauma Centers.
The keywords in SAMHSA's concept are The Three E's of Trauma: Event(s), Experience, and Effect. When a person is exposed to a traumatic or stressful event, how they experience it greatly influences the long-lasting adverse effects of carrying the weight of trauma.
The trauma-informed approach is guided four assumptions, known as the “Four R's”: Realization about trauma and how it can affect people and groups, recognizing the signs of trauma, having a system which can respond to trauma, and resisting re-traumatization.
STANDARD: In Level I and II trauma centers, the highest level of activation requires the response of the full trauma team within 15 minutes of arrival of the patient, and the criteria should include physiologic criteria and some or several of the anatomic criteria (CD 5–14).
Anything that reminds you of what happened right before or during a trauma is a potential trigger. They're usually tied to your senses. You may see, feel, smell, touch, or taste something that brings on your symptoms. While triggers themselves are usually harmless, they cause your body to react as if you're in danger.
Full Trauma Team Activation refers to automatic activation of the entire trauma team, including the general-trauma surgeon, based on predefined criteria.
A Level II Trauma Center is able to initiate definitive care for all injured patients. Elements of Level II Trauma Centers Include: 24-hour immediate coverage by general surgeons, as well as coverage by the specialties of orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology and critical care.
Traumatic Brain Injury (TBI) is the single largest cause of death from injury in the United States: 1,000,000 people with TBI per year in US: 230,00 hospitalized. 50,000 die (one third of all trauma deaths)
Trauma II (YELLOW): Treatment Window- Within 60 minutes of first medical contact to appropriate trauma. center. Includes Biomechanics of injury and evidence of high energy transfer: Falls > or = 20 ft (one story = 10 ft.) High-risk auto crash: Considered as > 40 mph or highway speeds.
Type 1 refers to single-incident traumas which are unexpected and come out of the blue. They can be referred to as big T trauma, shock or acute trauma. A condition related to big T trauma or Type 1 trauma is Post Traumatic Stress Disorder. Examples of type 1 trauma might include: Severe illness or injury.
Ages 5 through 8 identified as crucial period in brain development and exposure to stress.
Trauma dumping refers to sharing a traumatic story without thinking about how it will affect the listener, or oversharing in an inappropriate context.
Trauma bonds are bonds that commonly form as a result of abusive relationships. They are the surface-level feelings of attachment and intimacy that can result from an abusive cycle. In a trauma bond, partners think they have true love or connection even though the relationship is harmful.