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Acta Médica Costarricense
On-line version ISSN 0001-6002Print version ISSN 0001-6012
Abstract
MELENDEZ-LUGO, Juan José and MADRIZ-NUNEZ, José Gerardo. Implementation of a trauma code. Acta méd. costarric [online]. 2021, vol.63, n.3, pp.151-158. ISSN 0001-6002. http://dx.doi.org/10.51481/amc.v63i3.1069.
Objective:
To develop a proposal of a trauma code accessible to the local characteristics of a tertiary general hospital (Hospital Calderón Guardia) based on the best clinical evidence available.
Methods:
A literary search was made of national and international scientific papers regarding several aspects about trauma code, it´s implementation, it´s challenges, main benefits, and it´s limitations in 3 main web search portals: Scielo, PubMed and Ovid. We included paper studies in English and Spanish.
Results:
Thirty scientific papers from index journals were selected for review and the following data were extracted: Trauma team conformation, trauma team activation criteria, levels for trauma team activation, local experience, and limitations. That information allowed us to identify 2 main beneficial elements: the conformation of the trauma team and the standardization of the specific criteria necessary for its activation. Also, we elaborated a proposal for a viable model in accordance with our resources.
Conclusion:
According to scientific review, trauma code implementation in any institution associates a positive impact in clinical patient outcomes through 2 main mechanisms: the conformation of a multidisciplinary trauma team response of severe trauma patients, and the standardization of criteria for activation of the trauma teams. With these findings we elaborated a proposal adjusted to the needs and resources of Hospital Rafael Angel Calderon Guardia.
Keywords : Trauma; code; emergency medical services; clinical protocols.