Adherence to ATLS primary and secondary surveys during pediatric trauma resuscitation

Carter, Elizabeth A.; Waterhouse, Lauren J.; Kovler, Mark L.; Fritzeen, Jennifer; Burd, Randall S.

doi:10.1016/j.resuscitation.2011.10.032

Cited by 48 publications

(41 citation statements)

References 21 publications

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“…Our work contributes to the body of literature using video review to assess pediatric airway management and resuscitation. 1,22,23 While others have gathered information from overhead viewing, our study is the first to use recordings from video laryngoscopic attempts to assess performance metrics related to intubation. We believe this approach adds a level of precision around the timing and details related to hypopharyngeal anatomy that is not available Data are reported as n (%), unless otherwise specified.…”

Section: Discussionmentioning

confidence: 99%

Using Video‐recorded Laryngoscopy to Evaluate Laryngoscopic Blade Approach and Adverse Events in Children

Green-Hopkins

Werner

Monuteaux

et al. 2015

Academic Emergency Medicine

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Objectives: Using recordings of endotracheal intubation attempts obtained with a video-enabled laryngoscope with Miller and Macintosh blades, the authors sought to evaluate the association between laryngoscopic approach (right-sided vs. midline) and intubation success, as well as adverse event rates in the pediatric emergency department (ED).Methods: This was a retrospective cohort study of children younger than 21 years who underwent endotracheal intubation with a C-MAC video laryngoscope in a tertiary care ED between August 2009 and May 2013. The primary outcome was successful endotracheal intubation on the first attempt. The secondary outcomes included time to intubation, video-recorded adverse events (oropharyngeal mucosal injury and aspiration), and physiologic adverse events. Multivariate regression models were used to determine the relationship between laryngoscope blade position and outcome measures adjusted for patient and provider factors.Results: The cohort consisted of complete video recordings for 105 of 143 (73%) patient encounters with intubations. The first-pass success rate did not significantly differ based on laryngoscopic approach (adjusted odds ratio [aOR] = 0.76, 95% confidence interval [CI] = 0.29 to 2.0). Among patients successfully intubated on the first attempt, the median time to intubation was longer for the right-sided approach compared to the midline approach (42 seconds vs. 31.5 seconds; p < 0.05). The odds of mucosal injury and aspiration were higher among patients intubated using a right-sided approach compared to a midline approach (aOR = 4.1, 95% CI = 1.2 to 14.5; aOR = 7.7, 95% CI = 1.5 to 39.5, respectively). Rates of physiologic adverse events did not differ based on approach.Conclusions: First-pass success rate did not differ based upon laryngoscopic approach type; however, a right-sided approach was associated with a longer time to intubation, as well as higher rates of mucosal injury and aspiration among patients undergoing video-enabled intubation in a pediatric ED.

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Section: Discussionmentioning

confidence: 99%

Using Video‐recorded Laryngoscopy to Evaluate Laryngoscopic Blade Approach and Adverse Events in Children

Green-Hopkins

Werner

Monuteaux

et al. 2015

Academic Emergency Medicine

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“…Teams that follow the systematic ATLS approach have less errors and better patient outcomes 1. Non-adherence to the guidelines, however, is common and can lead to medical errors and delays in diagnosis 2 3.…”

Section: Introductionmentioning

confidence: 99%

Blindfolded trauma team resuscitation: a strategy for improved leadership and communication

Hughes

Ahmed

2017

BMJ STEL

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“…9 While agree with Carter et al, in which GCS assessed (72.6%). 13 Random blood sugar measurement in polytrauma patient was missed in most of studies or had low application percentage .Although, It is have a high importance in prognosis and easy rapid biochemical predictors of mortality in patients with polytrauma. 14 Our study showed that that pelvic stability assessed in (65%) of cases which agree with Spanjersberg et al in which pelvic stability assessed in (64.8%) and Tsang et al, (65.6%).…”

Section: Discussionmentioning

confidence: 99%

Assessment of management of polytrauma patients in the emergency department in Suez Canal University hospital

et al. 2019

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Egypt is higher several times due to under-reporting and misclassification. 1 The Egyptian Ministry of Health estimated that 24,222 deaths, 127,216 hospitalizations and 847,912 disability-adjusted life years occurred due to ABSTRACT Background: Trauma is a serious global health problem, it is the fifth leading cause of significant disability and is still the most frequent cause of death in the first four decades of life, accounting for approximately one in 10 deaths worldwide. Methods: This study is cross sectional prospective study was conducted to evaluate assessment of management of patients according to the advanced trauma life support guideline in Emergency Department at Suez Canal University Hospital. All patients (n=103) were subjected to baseline assessment by history, clinical examination and investigations. The patients were followed up and recorded till the full assessment was done and the decision was made and the fate of the patient was recorded. Results: The majority of the studied patient had motor car crash (55.30%), while motor cycle crash was the second mechanism of trauma (21.40%), run over was the third mechanism (14.60%). Airway management was done (95.1%), cervical spine kept immobilized only in (71.8%). Blood pressure was measured in (97.1%) and 2ry survey assessment, head to toe examination (78.6%), while AMPLE history was taken in minority of cases percentage (33%). Finally majority of patients was admitted in ICU (44.70%), followed by 18.40% of the studied patient died and less than (2%) discharged from the ER. Conclusions: ATLS protocols provide a common framework and organized approach during polytrauma patient's management. Also, it has been shown to improve outcomes so we should enhance its application in our hospital.

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Adherence to ATLS primary and secondary surveys during pediatric trauma resuscitation

Cited by 48 publications

References 21 publications

Using Video‐recorded Laryngoscopy to Evaluate Laryngoscopic Blade Approach and Adverse Events in Children

Using Video‐recorded Laryngoscopy to Evaluate Laryngoscopic Blade Approach and Adverse Events in Children

Blindfolded trauma team resuscitation: a strategy for improved leadership and communication

Assessment of management of polytrauma patients in the emergency department in Suez Canal University hospital

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