Application of trauma time axis management in the treatment of severe trauma patients

Abstract注:摘要需要4要素分开写,即:purpose, methods, results, conclusion Severe trauma is a "time-dependent disease", and there is a "time window" in emergency treatment. If the "time window" is delayed or exceeded, patients may lose the best chance of treatment; in addition, the mortality rate, disability rate and complication rate will increase. Since our hospital became the provincial trauma care center in December 2016, the treatment effect of severe trauma patients has been significantly improved. In order to treat severe trauma patients better and faster, our hospital introduced the Medicalsystem trauma system( 不知中文是什么 , 两个 system 放在一个词组里有些拗口 ) (Medicalsystem 是公司名称 , 麦迪斯顿医疗科技 )in April 2019. It provides the time records of the whole process including pre-hospital first aid, emergency room, operating room, ICU and trauma ward treatment, which forms a time axis and records the whole treatment process. The Medicalsystem trauma system can provide data for the quality control of trauma care center and support for the improvement of diagnosis and treatment process. By using the Medicalsystem trauma system, we can continuously improve and optimize diagnosis and treatment process, improve the treatment efficiency and shorten the treatment time. Purpose This study aimed at exploring the application of trauma time axis management in the treatment of severe trauma patients by using the Medicalsystem trauma system. Medicalsystem是公司名称,麦迪斯顿医疗科技. Methods We performed a retrospective cohort study involving patients with severe trauma. Patients who were admitted before the application of the Medicalsystem trauma system were divided into before system group. Patients who were admitted after the application of the system were divided into after system group. Comparison was made between the two groups. Results There were 528 patients admitted to the study during the study period. There was no significant statistical difference in the time from the start of trauma team to arrive at the resuscitation room between the two groups. The time from arrival at hospital to endotracheal intubation, to ventilator therapy, to blood transfusion, to completion of CT scan, to completion of closed thoracic drainage, to the start of operation, as well as the length of stay in resuscitation room and hospital were significantly lower after the application of the Medicalsystem trauma system than before. The mortality was decreased by 8.6% in the group after application of the Medicalsystem trauma system compared with that in the group before the system application, but there was no statistical difference. Conclusion The Medicalsystem trauma system can optimize diagnosis and treatment process for trauma patients, and accordingly improve the treatment efficiency and shorten the treatment time. Therefore, the Medicalsystem trauma system deserves further popularization and promotion.