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1. Trauma center levels review manual#
2. Trauma center levels review verification#
3. Trauma center levels review trial#

Trauma center levels review trial#

We suggest that carefully selected patients with BTAI grade III could be observed nonoperatively or treated by delayed intervention on outpatient basis, and a P/N ratio < 1.30 can be used as a cutoff to decide treatment options for BTAI grade III.įabian TC, Richardson JD, Croce MA et al (1997) Prospective study of blunt aortic injury: multicenter trial of the American association for the surgery of Trauma. The odds ratio for selecting NOM was significant when the P/N ratio was < 1.30 (OR = 4.687, p = 0.024). Two patients (7.4%) in the NOM group experienced an increase in pseudoaneurysms: one of them underwent delayed surgical repair without complications, and the other maintained regular follow-up. Aorta-related mortality was not observed in either group. The time from injury to computed tomography, hospital days, intensive care unit length of stay, and follow-up period showed no difference between the two groups. Thirty patients underwent NOM and 19 underwent TEVAR. We also examined the factors contributing to the selection of NOM by calculating the odds ratios for age, sex, initial systolic blood pressure, injury severity score, abbreviated injury scale score, pseudoaneurysm/neck (P/N) ratio, and comorbidity. We retrospectively reviewed patients with grade III BTAI at a single level 1 trauma center between January 2012 and March 2020, and compared the demographics and outcomes of NOM and thoracic endovascular aortic repair (TEVAR). Verified trauma centers must meet the essential criteria that ensure trauma care capability and institutional performance, as outlined by the American College of Surgeons’ Committee on Trauma in its current Resources for Optimal Care of the Injured Patient manual.The purpose of our study was to assess the mid-term outcomes of the patients with grade III blunt thoracic aortic injury (BTAI) who were treated non-operatively and to determine the specific conditions for successful NOM.

Trauma center levels review manual#

Each hospital has an on-site review by a team of experienced site reviewers, who use the current Resources for the Optimal Care of the Injured Patient manual as a guideline in conducting the survey. Each category has specific criteria that must be met by a facility seeking that level of verification.

Trauma center levels review verification#

There are five separate categories of verification in the COT’s program including General Surgery, Emergency Medicine, Neurology, Orthopedics and Pediatrics.

Verified trauma centers must meet the essential criteria that ensure trauma care capability and institutional performance, as outlined by the American College of Surgeons’ Committee on Trauma in its current Resources for Optimal Care of the Injured Patient manual. This spectrum encompasses the prehospital phase through the rehabilitation process. – With 16 patients arriving Medial Air Ambulance Service About the Committee on Trauma’s Review ProcessĮstablished by the American College of Surgeons in 1987, the COT’s Consultation/Verification Program for Hospitals promotes the development of trauma centers in which participants provide not only the hospital resources necessary for trauma care, but also the entire spectrum of care to address the needs of all injured patients. – 259 trauma transfers from neighboring hospitals – Trauma neurosurgeons treated 496 patients – Orthopedic trauma surgeons treated 829 patients Hackensack University Medical Center’s Trauma Center provides the highest level of trauma care to critically ill or injured patients and successfully treats an impressively high volume including the following for 2020: The trauma center at Hackensack University Medical Center has been verified as a Level 1 Trauma Center by the Verification Review Committee (VRC), an ad hoc committee of the Committee on Trauma (COT) of the American College of Surgeons (ACS). Hackensack University Medical Center Verified as Level 1 Trauma Center Hackensack University Medical Center