Involvement of Surgical Residents in the Management of Trauma Patients in the Emergency Room: Does the Presence of an Attending Physician Affect Outcomes?

Abstract

Presence of an attending physician improved and focused patient triage, disposition decisions, and outcomes.

Efficacy of Prehospital Criteria in Identifying Trauma Patients Susceptible to Undertriage

“…Proper triage of patients with traumatic injuries is essential for the safe treatment of trauma patients. At many institutions, including the one at which this study was conducted, lower-level activations are generally directly managed by a chief surgical resident, which in the setting of undertriage potentially exposes patients to increased morbidity and mortality . Because of this, clinically relevant and accurate triage criteria are crucial.…”

The Respiratory Rate: A Neglected Triage Tool for Pre‐hospital Identification of Trauma Patients

“…Level 3 activations capture minimally injured patients; trauma surgery chief resident and attending emergency department (ED) physician presence is mandatory. Unique to level 3 trauma activations, initial patient evaluation and management is carried out by the trauma chief surgical resident, potentially exposing undertriaged patients to increased morbidity and mortality [3][4][5].…”