Is operating room resuscitation a way to save time?

Direct admission to the operating room (OR) can shorten the time to incision. A protocol for operating room resuscitation was established with patient triage based on (1) cardiac arrest, (2) hypotension unresponsive to field fluid resuscitation, or (3) uncontrolled external hemorrhage. Operating roo...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of surgery 1997-12, Vol.174 (6), p.683-687
Main Authors: Steele, John T., Hoyt, David B., Simons, Richard K., Winchell, Robert J., Garcia, Joan, Fortlage, Dale
Format: Article
Language:English
Subjects:
Adult
Blood pressure
Clinical Protocols
Criteria
Emergencies
Emergency procedures
Female
Hemorrhage
Humans
Hypotension
Male
Operating Rooms
Resuscitation
Retrospective Studies
Survival
Triage
Wounds and Injuries - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Direct admission to the operating room (OR) can shorten the time to incision. A protocol for operating room resuscitation was established with patient triage based on (1) cardiac arrest, (2) hypotension unresponsive to field fluid resuscitation, or (3) uncontrolled external hemorrhage. Operating room resuscitation over 11 years was reviewed to determine whether the triage criteria correctly identified patients requiring operation. Survival was analyzed and compared with the probability of survival (P s) determined at the scene. Operating room resuscitation patients were more likely to require a major operation regardless of mechanism of injury. Of 476 patients with penetrating injury, 170 patients had persistent low blood pressure (
ISSN:0002-9610
1879-1883
DOI:10.1016/S0002-9610(97)00194-3